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AMENDMENT

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

 



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