CLF 217 (7-20-04)
UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF MISSISSIPPI
CONFIDENTIAL NOTICE OF SOCIAL SECURITY NUMBER IN BANKRUPTCY CASE SUBMIT TO COURT IN HARD COPY FORM
____________________________________ Debtor Case Number: ______________________
_______________________________________ Joint Debtor Case Number: _________________________
INCORRECT SSN: _____________________ CORRECT SSN:
INCORRECT SSN: ________________________ CORRECT SSN:
To:
All Creditors and other interested parties, U.S. Trustee, case trustee and EXPERIAN 955 American Lane Schaumburg, IL 60173 www.experian.com EQUIFAX P.O. Box 740256 Atlanta, GA 30374 www.credit.equifax.com TRANS UNION P.O. Box 2000 Chester, PA 19022 www.transunion.com
Either no social security number or an incorrect social security number was provided to the U.S. Bankruptcy Court when this case was filed. In either event the correct social security number is shown above and we are providing the Clerk of the U.S. Bankruptcy Court, under oath, Form B21, showing such correct social security number, as required by the federal privacy act.
Debtor's Attorney or Debtor Pro Se
Date
Joint Debtor's Attorney or Joint Debtor Pro Se
Date