B 119

Bankruptcy Petition Preparer’s Notice, Declaration and Signature

Agency
U.S. Courts
Revision
12/15
Fillable fields
54
Pages
2
Official source
U.S. Courts form page
Checked
October 20, 2026
Fill B 119 online
Page 1 of form B 119

Form B 119: Bankruptcy Petition Preparer's Notice, Declaration and Signature

Form B 119, Bankruptcy Petition Preparer's Notice, Declaration and Signature, is the Official Bankruptcy Form that a bankruptcy petition preparer, as defined in 11 U.S.C. § 110, fills out when they help prepare documents filed in an individual's bankruptcy case. The U.S. Courts list it under Individual Debtors. The current version is dated 12/15, 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 2-page form has a notice to the debtor, which the debtor signs to acknowledge receipt, and a declaration that the preparer signs under penalty of perjury with a checklist of the documents prepared. It is derived from former Official Form 19.

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 119: Bankruptcy Petition Preparer's Notice, Declaration and Signature, as printed by COURTS

What's on Form B 119

Caption

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

Opening instructions

Who fills out the form, that each preparer signs in Part 2 when more than one helps, and that a preparer who does not comply with title 11 and the Federal Rules of Bankruptcy Procedure may be fined, imprisoned, or both.

Part 1: Notice to Debtor

States that bankruptcy petition preparers are not attorneys and may not practice law or give legal advice, then lists nine examples, such as whether to file, which chapter is appropriate, whether debts will be discharged and whether you will keep your home or car.

Part 1: Acknowledgment

The preparer's name, a statement that the preparer gave notice of any maximum allowable fee before preparing any document or accepting any fee, and signature and date lines for each debtor.

Part 2: Declaration

Three statements under penalty of perjury about being a preparer, giving the debtor copies of the documents and the notice under 11 U.S.C. §§ 110(b), 110(h), and 342(b), and giving notice of any maximum fee. Then name, title, firm, address and contact phone.

Part 2: Documents and signatures

A checklist of the documents prepared, such as Forms 101, 106 schedules, 107, 108, 121, 122A-1, 103A and 103B, plus Other. Each preparer signs, dates and gives a Social Security number.

How Form B 119 is completed

  1. 1

    Fill in the case details

    Enter the debtor names, the district, the case number if known and the chapter.

  2. 2

    Give the notice first

    The form says preparers give the debtor a copy of this form and have the debtor sign it before they prepare any documents for filing or accept any compensation.

  3. 3

    Debtor signs Part 1

    Each debtor signs and dates the acknowledgment of receipt, under the preparer's name.

  4. 4

    Complete the declaration

    In Part 2, the preparer prints a name, title if any, firm name if it applies, address and contact phone.

  5. 5

    Check the documents prepared

    The preparer checks every document prepared, and the form says the completed declaration is made a part of each document checked.

  6. 6

    Sign and file with the documents

    Each preparer signs, dates and gives a Social Security number, and a signed copy is filed with any document prepared.

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Where it is filed, fees and warnings

Where it is filed

With the United States Bankruptcy Court for the district named in the caption. The form says a signed copy is filed with any document prepared.

Fees

The form does not print a filing fee or a fee amount. It refers to rules or guidelines under 11 U.S.C. § 110(h) setting a maximum fee for preparer services, if such rules or guidelines are established.

Social Security numbers

The form says bankruptcy petition preparers sign and give their Social Security numbers, and that the signature and Social Security number of each preparer is provided when more than one prepared the documents. 11 U.S.C. § 110.

Penalties

The form says a bankruptcy petition preparer who does not comply with title 11 of the United States Code and the Federal Rules of Bankruptcy Procedure may be fined, imprisoned, or both. 11 U.S.C. § 110; 18 U.S.C. § 156.

Related forms

Who fills out and signs Form B 119?

  • Bankruptcy petition preparers

    The form says bankruptcy petition preparers as defined in 11 U.S.C. § 110 fill out this form every time they help prepare documents that are filed in the case.

  • Officers, principals and partners of a preparer

    Part 2 can be signed by a bankruptcy petition preparer or by the officer, principal, responsible person, or partner of one, with a title and firm name if it applies.

  • More than one preparer

    If more than one bankruptcy petition preparer helps with the documents, the form says each signs in Part 2 and gives a Social Security number.

  • The debtor

    Debtor 1, and Debtor 2 if a spouse is filing, sign Part 1 acknowledging receipt of the notice and that the preparer gave notice of any maximum allowable fee.

  • The court

    The form says a signed copy of it is filed with any document prepared.

The form is completed by the bankruptcy petition preparer, not by the court. The debtor signs only the acknowledgment in Part 1.

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Questions about Form B 119

Who fills out Form B 119?

The form says bankruptcy petition preparers as defined in 11 U.S.C. § 110 fill it out every time they help prepare documents that are filed in the case. The debtor signs only the Part 1 acknowledgment.

Can a bankruptcy petition preparer give legal advice?

No. The form says bankruptcy petition preparers are not attorneys and may not practice law or give legal advice, such as whether to file, which chapter is appropriate, whether debts will be discharged, or whether you will be able to keep your home, car, or other property.

When does the debtor sign Part 1?

The form says preparers give the debtor a copy of the form and have the debtor sign it before they prepare any documents for filing or accept any compensation.

What if more than one preparer helped?

The form says each preparer signs in Part 2, and the signature and Social Security number of each preparer is provided.

Which documents does Form B 119 cover?

Part 2 has a checklist that includes the Voluntary Petition (Form 101), the Form 106 schedules, Forms 107, 108 and 121, Forms 122A-1, 122A-1Supp, 122A-2, 122B, 122C-1 and 122C-2, Forms 103A and 103B, the creditor mailing matrix and Other. The form says the completed declaration is made a part of each document checked.

Does the form list a maximum preparer fee?

No amount is printed. The form refers to rules or guidelines under 11 U.S.C. § 110(h) setting a maximum fee, if established, and says the preparer gives the debtor notice of that amount before preparing any document or accepting any fee.