SCHEDULE A—CREDITOR LIST |
1. List all creditors having security interests or liens, showing: |
Name | Address | Amount | Collateral | Whether or not disputed |
2. List all wages, salaries, commissions, or contributions to an employee benefit plan owed, showing: |
Name | Address | Amount | | Whether or not disputed |
3. List all consumer deposits owed, showing: |
Name | Address | Amount | | Whether or not disputed |
4. List all taxes owed, showing: |
Name | Address | Amount | | Whether or not disputed |
5. List all unsecured claims, showing: |
Name | Address | Amount | | Whether or not disputed |
6. List all owners or shareholders, showing: |
Name | Address | Percentage of Ownership |
7. List all applicable regulatory agencies, showing: |
Name | Address | |
SCHEDULE B—LIST OF PROPERTY |
List each category of property and for each give approximate value obtainable for the asset on the date of assignment/appointment of the receiver, and address where asset is located. |
I. Nonexempt Property |
| | Description and Location | Liquidation Value on Date of Assignment/Appointment of Receiver |
1. | Legal Description and street address of real property, including leasehold interests: | | | | |
2. | Fixtures: | | | | |
3. | Cash and bank accounts: | | | | |
4. | Inventory: | | | | |
5. | Accounts receivable: | | | | |
6. | Equipment: | | | | |
7. | Prepaid expenses, including deposits, insurance, rents, and utilities: | | | | |
8. | Other, including loans to third parties, claims, and choses in action: | | | | |
II. Exempt Property | | | | |
| | Description and Location | Liquidation Value on Date of Assignment/Appointment of Receiver |
I DECLARE under penalty of perjury under the laws of the state of Washington that the foregoing is true, correct, and complete to the best of my knowledge. DATED this . . . day of . . . . . . . ., . . . ., at . . . . . . . ., state of . . . . . . . .. |
| | . . . . . . . . . . . . . . . . [SIGNATURE] | |
(4) When schedules are filed by a person making a general assignment of property for the benefit of creditors under chapter
7.08 RCW, the schedules shall be duly verified upon oath by such person.
(5) The receiver shall obtain an appraisal or other independent valuation of the property in the receiver's possession if ordered by the court.
(6) The receiver shall file a complete inventory of the property in the receiver's possession if ordered by the court.
NOTES:
Purpose—Captions not law—2004 c 165: See notes following RCW
7.60.005.