Caption
The district, the debtor's name after In re and the case number. The instructions say to use them as they appear in the Notice of Chapter Bankruptcy Case, Meeting of Creditors & Deadlines sent to creditors at the start of the case.
B 2100A
Transfer of Claim Other Than For Security
- Agency
- U.S. Courts
- Revision
- 12/15
- Fillable fields
- 21
- Pages
- 1
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
Form B 2100A: Transfer of Claim Other Than For Security
Form B 2100A, Transfer of Claim Other Than For Security, is a Director's Bankruptcy Form from the U.S. Courts. The entity that bought or otherwise acquired a claim already filed in a bankruptcy case, or deemed filed under 11 U.S.C. § 1111(a), uses it to give evidence and notice of the transfer under Rule 3001(e)(2), Fed. R. Bankr. P. The form is dated 12/15, and the U.S. Courts page lists it as effective on December 1, 2015, and says it is derived from Form 210A.
The page says Director's Bankruptcy Forms are issued under Bankruptcy Rule 9009 by the Director of the Administrative Office of the United States Courts, and that their use may be required by local court rules or general orders but otherwise exists for the convenience of the parties. The separate instructions say Form 2100A serves as evidence of the transfer and Form 2100B is the notice the clerk sends to the transferor.
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 2100A
Statement of transfer
A printed statement that a claim has been filed in the case or deemed filed under 11 U.S.C. § 1111(a), and that the transferee gives evidence and notice under Rule 3001(e)(2), Fed. R. Bankr. P., of a transfer other than for security.
Transferee details
Name of the transferee, the name and address where notices to the transferee are sent, a phone number and the last four digits of the account number, and a separate payment address only if different.
Transferor and claim details
Name of the transferor, the court claim number if known, the amount of claim, the date the claim was filed, and the transferor's phone and last four digits of its account number.
Declaration and signature
A declaration under penalty of perjury that the information is true and correct to the best of the signer's knowledge and belief, then the signature of the transferee or transferee's agent and the date.
How to fill out Form B 2100A
- 1
Fill in the caption
Enter the judicial district, which the instructions show as "Eastern" District of "California", and the debtor's name and case number as they appear on the court's notice to creditors.
- 2
Give the transferee's addresses
The instructions say the notice address is the one the court and parties in interest use to send notices and other documents in the case. A payment address goes in the next block only if payments are sent elsewhere.
- 3
Copy the claim details
The instructions say the transferee may review the claims register in the case to find the court claim number, the amount of the claim and the date the transferor filed it.
- 4
Add the transferor's contact
Enter the phone number of the creditor that sold or relinquished the claim, if known, and the last four digits of any account number it used for the debt, if known.
- 5
Sign and date
The transferee, or its agent if the transferee is not an individual, signs under penalty of perjury. The instructions say the person signing also dates the notice.
Why fill Form B 2100A on indox
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
- Fill the form right in your browser, no software to install
- Free to fill and free to download, with no account
- The official blank straight from the U.S. Courts, not a copy someone retyped
- Works on a phone, tablet or computer
Filing, notice and penalties
Where it is filed
In the bankruptcy case at the United States Bankruptcy Court for the district named in the caption. The instructions say to consult the court where the notice is filed for specific requirements.
Electronic filing
The instructions say Rule 5005(a)(3) generally requires electronic filing and service for represented entities and permits it for unrepresented individuals by court order or local rule.
Notice to the transferor
The instructions say Rule 3001(e)(2)(B) requires the clerk to give notice of the alleged transfer to the transferor immediately, and that the notice states any objection is filed within 21 days of the date the notice is mailed.
Fee
The form, its instructions and its U.S. Courts page do not print a fee.
False statements
The form says the penalty for making a false statement is a fine of up to $500,000 or imprisonment for up to 5 years, or both, citing 18 U.S.C. §§ 152 & 3571.
Related forms
Who fills out Form B 2100A?
The instructions say the transferee completes Form 2100A and signs it under penalty of perjury. The clerk handles the matching notice.
Official sources and the blank
Do it all with indox
No tool matches that search.
Questions about Form B 2100A
Who files Form B 2100A?
The instructions say the transferee, the entity that purchased or otherwise acquired the claim, completes it and signs it under penalty of perjury, either itself if it is an individual or through its agent.
Does the transferee also file Form 2100B?
No. The instructions say the transferee should not complete or file Form 2100B. The clerk completes it from the Form 2100A docket entry and case records, and the Bankruptcy Noticing Center mails it.
Where can the claim number and amount be found?
The instructions say the transferee may review the claims register in the case to find the court claim number, the amount of the claim and the date the transferor filed it.
Which transfers does the form cover?
Its title and statement cover a transfer other than for security of a claim that has been filed or deemed filed. The instructions describe Rule 3001(e)(2) as covering transfers other than for security and after a proof of claim has been filed.
Can the transferor object to the transfer?
The instructions say the clerk's notice to the transferor states that any objection is filed within 21 days of the date the notice is mailed.
Does the form ask for full account numbers?
No. It asks only for the last four digits of account numbers for the transferee and the transferor.
Can the notice be signed electronically?
The instructions quote Rule 5005(a)(3)(C): a filing made through a person's electronic-filing account and authorized by that person, together with that person's name on a signature block, constitutes the person's signature. They say to consult the court for specific requirements.