Free Amendment Cover Sheet - North Dakota

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UNITED STATES BANKRUPTCY COURT DISTRICT OF NORTH DAKOTA IN RE: Bankruptcy No: _______________________

AMENDMENT COVER SHEET
Presented herewith for filing in the above entitled case is the following amended papers, to wit: CHECK THE APPROPRIATE BOXES: ( ) Voluntary Petition ( ) Exhibit D ­ Debtor's Statement of Compliance with Credit Counseling SCHEDULES: ( ) Summary of Schedules and Statistical Summary of Certain Liabilities ( ) Schedule A - Real Property ( ) Schedule B - Personal Property ( ) Schedule C - Property Claimed as Exempt ( ) Schedule D - Creditors Holding Secured Claims ( ) Schedule E -Creditors Holding Unsecured Priority Claims ( ) Schedule F - Creditors Holding Unsecured Nonpriority Claims ( ) Schedule G - Executory Contracts and Unexpired Leases ( ) Schedule H - Codebtors ( ) Schedule I - Current Income of Individual Debtor(s) ( ) Schedule J - Current Expenditures of Individual Debtor(s) ( ) Declaration Concerning Debtor's Schedules ( ) Statement of Financial Affairs ( ) Disclosure of Compensation (Rule 2016(b) Statement) ( ) Statement of Intention ( ) Notice to Individual Consumer Debtor(s) ( ) Statement of Current Monthly Income and Means Test IF AMENDING SCHEDULES D, E, F, THE AMENDMENT IS TO: ( ) Add New Creditor(s) ( ) Correct or Delete Information DECLARATION I/We, the petitioner(s) named in the foregoing, certify under penalty of perjury that the foregoing is true and correct, and that the attached amendments are true and correct. DATED: __________________ Signature _________________________________ Debtor _________________________________ Joint Debtor

(Revised 10/06)