Case caption
The names of Debtor 1 and Debtor 2 (spouse, if filing), the bankruptcy court district, the case number if known, and a box for an amended filing.
B 106 Declaration
Declaration About an Individual Debtor’s Schedules
- Agency
- U.S. Courts
- Revision
- 12/15
- Fillable fields
- 15
- Pages
- 1
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
Form B 106Dec: Declaration About an Individual Debtor's Schedules
Form B 106Dec, printed as Official Form 106Dec and listed on the U.S. Courts page as B 106 Declaration, is the Declaration About an Individual Debtor's Schedules. It is an Official Bankruptcy Form from the U.S. Courts, listed under Individual Debtors and effective on December 1, 2015. The page says it is derived from Official Form 6 Declaration, and that Official Bankruptcy Forms are approved by the Judicial Conference and must be used under Bankruptcy Rule 9009.
The one-page form is signed by the debtor and filed with the bankruptcy schedules or amended schedules. It asks whether someone who is not an attorney was paid to help fill out the bankruptcy forms, and each debtor declares under penalty of perjury that they have read the summary and schedules filed with it and that they are true and correct. The committee note says it replaces Official Form 6, Declaration Concerning Debtor's Schedules, 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.
What's on Form B 106Dec
Opening notes
A note that spouses filing together are equally responsible for correct information, that the form is filed whenever schedules or amended schedules are filed, and a warning about bankruptcy fraud.
Help from a non-attorney
A No or Yes question: did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms? Yes asks for the person's name and Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).
Declaration and signatures
Under penalty of perjury, the debtor declares having read the summary and schedules filed with the declaration and that they are true and correct. Signature and date lines follow for Debtor 1 and Debtor 2.
How to fill out Form B 106Dec
- 1
Finish the summary and schedules
The declaration covers the summary and schedules filed with it. The instructions list Schedules A/B through J and the Summary of Your Assets and Liabilities (Official Form 106Sum).
- 2
Fill in the caption
Enter the debtor names, the district and the case number if known, and check the box if this is an amended filing.
- 3
Answer the preparer question
Check No or Yes. With Yes, write the name of the person and attach Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).
- 4
Sign and date
Each debtor signs and dates the declaration under penalty of perjury, stating that they have read the summary and schedules and that they are true and correct.
- 5
File it with the schedules
The form says it is filed whenever bankruptcy schedules or amended schedules are filed, so it goes in together with them.
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Where it is filed, timing and warnings
Where it is filed
With the United States Bankruptcy Court for the district named in the caption, together with the schedules or amended schedules.
Timing
The instructions list the schedules and this declaration among the forms filed either when the case is filed or within 14 days after filing the Voluntary Petition (Official Form 101), and say a case may be dismissed if they are not.
Filing fee
The form does not print a fee.
Penalties
The form says making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.
Public record
The instructions say anyone has a right to see bankruptcy forms after they are filed, unless the court orders otherwise under 11 U.S.C. § 107, and that certain information in court filings is protected from public disclosure under Bankruptcy Rule 9037.
Related forms
B 119
Bankruptcy Petition Preparer’s Notice, Declaration and Signature
54 fields, 2 pages
B 106 Summary
A Summary of Your Assets and Liabilities and Certain Statistical Information (individuals)
28 fields, 2 pages
B 106A/B
Schedule A/B: Property (individuals)
368 fields, 10 pages
B 106C
Schedule C: The Property You Claim as Exempt (individuals)
104 fields, 2 pages
B 106D
Schedule D: Creditors Who Hold Claims Secured By Property (individuals)
186 fields, 3 pages
B 106E/F
Schedule E/F: Creditors Who Have Unsecured Claims (individuals)
323 fields, 6 pages
Who uses Form B 106Dec?
The debtor signs the declaration. The committee note says it is signed by the debtor, filed with the debtor's schedules, and applies only to individual debtors.
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Questions about Form B 106 Declaration
When is Form B 106Dec filed?
The form says it is filed whenever bankruptcy schedules or amended schedules are filed.
What does the debtor declare on Form B 106Dec?
Under penalty of perjury, that they have read the summary and schedules filed with the declaration and that they are true and correct.
What if a bankruptcy petition preparer helped?
The form asks whether you paid or agreed to pay someone who is not an attorney to help fill out bankruptcy forms. With yes, it asks for the person's name and to attach Official Form 119. The committee note says the preparer's declaration was taken off this form and the debtor is directed to Form 119 instead.
Do both spouses sign?
In a joint filing, the form has signature lines for Debtor 1 and Debtor 2, and says both are equally responsible for supplying correct information.
Is Form B 106Dec used for a corporation?
No. The committee note says the form applies only to individual debtors and no longer contains the Declaration Under Penalty of Perjury on Behalf of a Corporation or Partnership.
Is this page legal advice?
No. This page explains the form in plain words and is not legal advice. The instructions booklet says it is not intended to provide legal advice either, and strongly encourages hiring a qualified attorney.