Download Free Georgia Bankruptcy Proof of Claim Form
Download and submit this form, to file a bankruptcy in the state of Georgia. Submit completed form to the Georgia District Office.
Sample form –
B 10 (Official Form 10) (12/12)
UNITED STATES BANKRUPTCY COURT District of Georgia PROOF OF CLAIM
Name of Debtor: Case Number:
NOTE: Do not use this form to make a claim for an administrative expense that arises after the bankruptcy filing. You
may file a request for payment of an administrative expense according to 11 U.S.C. § 503.
Name of Creditor (the person or other entity to whom the debtor owes money or property):
COURT USE ONLY
Name and address where notices should be sent: ❐Check this box if this claim amends a
previously filed claim.