AMENDMENT
CREDITOR LIST-VOLUNTARY PROCEEDINGS
UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF __________
AMENDMENT TO LIST OF CREDITORS
To the Honorable _______________________________,
United States Bankruptcy Judge:
Petitioner respectfully shows that __________ (he or
she) filed a petition in this court in the above-captioned matter on __________
(date) and that the names and facts relative to the claims of certain creditors
were inadvertently omitted from the list of creditors, which are as follows and
includes Creditor(s) and Mailing Address, Security, Priority or Unsecured, with
Description of Security or Priority and Amount:
1) ___________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
2)
___________________________________________________________________
______________________________________________________________________
______________________________________________________________________
3)
___________________________________________________________________
______________________________________________________________________
______________________________________________________________________
4)
___________________________________________________________________
______________________________________________________________________
______________________________________________________________________
5)
___________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Wherefore, petitioner requests that notice be given
accordingly.
Dated: __________.
_________________________________________________
Signature
_________________________________________________
Address
VERIFICATION
State of ___________________
County of _________________
I, petitioner named above, make solemn oath that the
statement of facts therein contained are true, according to the best of my
knowledge, information, and belief.
__________________________________________________
Signature
Subscribed and sworn to before me on
__________________.
__________________________________________________
Signature and Title
