Handbook For Chapter 7 Trustees: Form 3 Summary Interim Asset Report

Trustee: _____________ Blanket bond amount: _____________
For Period Ending: _____________ Per case limit: _____________
1 2 3 4 5 6 7
Case No.
Case Name
Date filed (f) or
converted (c)
to chapter 7
Total funds on
deposit or invested
(from Form 2)
Amount of
separate bond
(if any)
Gross value of
remaining assets
(from Form 1-
excludes unknown
Date of Actual Disposition by*:
Final Report (TFR)
Final Account (TDR)
Report of No Distribution (NDR)
Conversion (C)
Dismissal (D)
Reassignment (R)
* If TFR not filed, insert estimated (e)
TFR date.

TOTALS _______ _______

I certify that I have filed and reviewed Forms 1 and 2 for all cases listed above and that they are accurate and correct to the best of my knowledge.

Trustee's signature:___________________   Date signed: _________

Handbook for Chapter 7 Trustees
Effective 10/1/98

Page Last Updated on March 19, 1999.
United States Trustee Program/Department of Justice

Updated May 7, 2015

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