Free Affidavit of Insolvency Template

Affidavit of Insolvency

Introduction

I, [YOUR NAME], residing at [YOUR ADDRESS], do solemnly affirm and declare as follows:

Statement of Facts

  1. I am the debtor in the pending bankruptcy proceeding, docketed as [BANKRUPTCY CASE NUMBER], before the [COURT NAME].

  2. I am currently unable to pay my debts as they become due and owing, and I believe that I am insolvent within the meaning of the bankruptcy laws.

  3. My financial difficulties arose due to [BRIEF DESCRIPTION OF CIRCUMSTANCES LEADING TO INSOLVENCY], which has made it impossible for me to meet my financial obligations.

  4. I have made a full and accurate disclosure of all my assets, liabilities, income, and expenses to the best of my knowledge and belief in the bankruptcy petition filed in this matter.

  5. I have not concealed or transferred any property with the intent to hinder, delay, or defraud any creditor.

Sworn Oath

I declare under penalty of perjury under the laws of [STATE/COUNTRY] that the foregoing is true and correct to the best of my knowledge and belief.

Executed on [DATE].



[YOUR NAME]

Declarant

Sworn to and subscribed before me on this [DAY] day of [MONTH], [YEAR].


[NOTARY PUBLIC/AUTHORIZED OFFICER]
My Commission Expires: [EXPIRATION DATE]

Affidavit Templates @ Template.net