Free pdf - New Mexico

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re:

Debtor(s).

No.

Declarations by Debtor for Electronic Filing of Chapter 11 (Individual) Petition without Schedules and Statements I declare under penalty of perjury that I have read the information and answers provided in the following documents, and that they are true and correct to the best of my knowledge, information, and belief. I request relief in accordance with chapter 11 of title 11, United States Code, as specified in this petition. 1. 2. 3. Petition, Official Form 1, with Exhibit D - Individual Debtor's Statement of Compliance with Credit Counseling Requirement List of Creditors Holding 20 Largest Unsecured Claims, Form 4 [Small business case ONLY] Most recent balance sheet, statement of operations, cash-flow statement, and Federal income tax return (11 U.S.C. § 1116 (A)) -ORstatement that no balance sheet, statement of operations, or cash-flow statement has been prepared, and no Federal tax return has been filed (11 USC §1116 (1)(B)).

Signature of debtor

Date

Signature of joint debtor

Date

USE OF THIS FORM IS REQUIRED BY COURT ORDER DATED OCTOBER 14, 2005

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NM Form 501-11 (12/18/06)