B 101B

Statement About Payment of an Eviction Judgment Against You (individuals)

Agency
U.S. Courts
Revision
12/15
Fillable fields
13
Pages
1
Official source
U.S. Courts form page
Checked
October 20, 2026
Fill B 101B online
Page 1 of form B 101B

Form B 101B: Statement About Payment of an Eviction Judgment Against You (individuals)

Form B 101B, printed as Official Form 101B, is the Statement About Payment of an Eviction Judgment Against You. It is an Official Bankruptcy Form from the U.S. Courts, listed under Individual Debtors, and the U.S. Courts page lists it as effective on December 1, 2015. The page also says Official Bankruptcy Forms are approved by the Judicial Conference and must be used under Bankruptcy Rule 9009.

The one-page form concerns a debtor who rents a residence and whose landlord has a judgment for possession (eviction judgment). The form says to fill it out only if you filed Initial Statement About an Eviction Judgment Against You (Official Form 101A), served a copy of Form 101A on your landlord, and want to stay in your rented residence for more than 30 days after you file your Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101). The 2015 Committee Note says Forms 101A and 101B replace the tenant certification section of the old Official Form 1 and apply only in cases of individual debtors.

This page explains the form in plain words and is not legal advice. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Form B 101B: Statement About Payment of an Eviction Judgment Against You (individuals), as printed by COURTS

What's on Form B 101B

Case caption

The names of Debtor 1 and Debtor 2 (spouse, if filing), the district of the United States Bankruptcy Court and the case number, if known.

Who fills out this form

A box lists the three conditions: Form 101A was filed, a copy of Form 101A was served on the landlord, and the debtor wants to stay in the rented residence for more than 30 days after filing Form 101.

Timing note

The form says to file it within 30 days after you file your Voluntary Petition (Official Form 101), and to serve a copy on your landlord within that same time period.

Certification About Applicable Law and Payment of Eviction Judgment

Made under penalty of perjury, with two boxes to check if they apply: a right under state or other nonbankruptcy law to stay by paying the landlord the entire delinquent amount, and payment to the landlord of the entire amount owed under the judgment within 30 days after filing Form 101.

Signatures and service note

Signature and date lines for Debtor 1 and Debtor 2, then a note about serving the landlord with a copy and pointers to the Bankruptcy Rules and the court's local website for specific service requirements.

How to fill out Form B 101B

  1. 1

    Read the three conditions

    The box at the top says to fill out the form only if all three conditions listed there apply: Form 101A filed, Form 101A served on the landlord, and a wish to stay more than 30 days.

  2. 2

    Fill in the case details

    Enter the name of Debtor 1 and, in a joint case, Debtor 2, the district of the bankruptcy court and the case number, if known.

  3. 3

    Check the statements that apply

    The certification says Check all that apply. One box covers the right to stay by paying the entire delinquent amount, the other covers having paid the landlord the entire amount stated in the judgment for possession.

  4. 4

    Sign and date

    Each debtor signs and dates the form in MM / DD / YYYY format. The certification is made under penalty of perjury.

  5. 5

    File it and serve the landlord

    The form says to file it within 30 days after you file Form 101, to serve a copy on your landlord within that same time period, and to check the Bankruptcy Rules and the court's local website for any specific service requirements.

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Where it is filed, timing and service

Where it is filed

With the United States Bankruptcy Court for the district named in the caption, with the case number of the bankruptcy case if known.

Deadline

The form says to file it within 30 days after you file your Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101), and to serve a copy on your landlord within that same time period.

Filing fee

The form does not print a fee for filing this statement.

Serving the landlord

For specific requirements for serving the statement, the form points to the Bankruptcy Rules (www.uscourts.gov/rulesandpolicies/rules.aspx) and to the court's local website, found through http://www.uscourts.gov/Court_Locator.aspx.

Form 101A comes first

Line 11 of Form B 101 asks whether you rent your residence and whether your landlord has obtained an eviction judgment and you want to stay. With yes, it says to fill out Form 101A and file it with the petition.

Who uses Form B 101B?

  • Debtors who filed Form 101A

    The form says to fill it out only if you filed Initial Statement About an Eviction Judgment Against You (Official Form 101A) and served a copy of Form 101A on your landlord.

  • Renters who want to stay longer

    The third condition is wanting to stay in your rented residence for more than 30 days after you file the Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101).

  • Married couples filing together

    The caption has lines for Debtor 1 and Debtor 2 (spouse, if filing), and the form has signature and date lines for both debtors.

  • Landlords

    The landlord does not fill out the form but receives a copy. The form says to serve a copy on your landlord within the same 30 days in which the form is filed.

The debtor fills out and signs the form, and a copy goes to the landlord. The committee note says Forms 101A and 101B apply only in cases of individual debtors.

Official sources and the blank

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Questions about Form B 101B

When is Form B 101B filed?

The form says to file it within 30 days after you file your Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101), and to serve a copy on your landlord within that same time period.

How is Form B 101B different from Form 101A?

Form 101A, Initial Statement About an Eviction Judgment Against You, is filed with the petition, as line 11 of Form B 101 says. Form 101B is the later statement, and the form says to use it only after filing Form 101A and serving a copy of it on the landlord. The U.S. Courts page lists Form 101A as a related link.

What does the debtor certify on Form B 101B?

Under penalty of perjury, one or both of two statements: that under the state or other nonbankruptcy law that applies to the judgment for possession, the debtor has the right to stay by paying the landlord the entire delinquent amount, and that within 30 days after filing Form 101 the debtor has paid the landlord the entire amount owed as stated in the judgment.

Does the landlord get a copy?

Yes. The form says to serve a copy on your landlord, and points to the Bankruptcy Rules and the court's local website for any specific requirements for serving the statement.

Does Form B 101B print a filing fee?

No. The form does not print a fee for filing this statement.

Is this page legal advice?

No. This page explains the form in plain words and is not legal advice. It does not say whether a debtor can stay in a rented residence; the form points to the Bankruptcy Rules and the local court's website.