Wash. Rev. Code § 7.60.090
(3) The schedules must be in substantially the following forms:
| SCHEDULE A—CREDITOR LIST | |||||
| 1. List all creditors having security interests or liens, showing: | |||||
| Name | Address | Amount | Collateral | Whether or not disputed | |
| 2. List all wages, salaries, commissions, or contributions to an employee benefit plan owed, showing: | |||||
| Name | Address | Amount | Whether or not disputed | ||
| 3. List all consumer deposits owed, showing: | |||||
| Name | Address | Amount | Whether or not disputed | ||
| 4. List all taxes owed, showing: | |||||
| Name | Address | Amount | Whether or not disputed | ||
| 5. List all unsecured claims, showing: | |||||
| Name | Address | Amount | Whether or not disputed | ||
| 6. List all owners or shareholders, showing: | |||||
| Name | Address | Percentage of Ownership | |||
| 7. List all applicable regulatory agencies, showing: | |||||
| Name | Address | ||||
| SCHEDULE B—LIST OF PROPERTY | |||||
| List each category of property and for each give approximate value obtainable for the asset on the date of assignment/appointment of the receiver, and address where asset is located. | |||||
| I. Nonexempt Property | |||||
| Description and Location | Liquidation Value on Date of Assignment/Appointment of Receiver | ||||
| 1. | Legal Description and street address of real property, including leasehold interests: | ||||
| 2. | Fixtures: | ||||
| 3. | Cash and bank accounts: | ||||
| 4. | Inventory: | ||||
| 5. | Accounts receivable: | ||||
| 6. | Equipment: | ||||
| 7. | Prepaid expenses, including deposits, insurance, rents, and utilities: | ||||
| 8. | Other, including loans to third parties, claims, and choses in action: | ||||
| II. Exempt Property | |||||
| Description and Location | Liquidation Value on Date of Assignment/Appointment of Receiver | ||||
| I DECLARE under penalty of perjury under the laws of the state of Washington that the foregoing is true, correct, and complete to the best of my knowledge. DATED this . . . day of . . . . . . . ., . . . ., at . . . . . . . ., state of . . . . . . . .. | |||||
| . . . . . . . . . . . . . . . .[SIGNATURE] |
[ 2011 c 34 s 3; 2004 c 165 s 11.]
Purpose—Captions not law—2004 c 165: See notes following RCW 7.60.005.