Informs3.htm

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

values)

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: _________________









Updated May 7, 2015

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