Free cscredit - Virginia

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA ____________________ Division In re Case No. Chapter Debtor(s) COVER SHEET FOR LIST OF CREDITORS I hereby certify under penalty of perjury that the master mailing list of creditors submitted either on computer diskette or by a typed hard copy in scannable format, with Request for Waiver attached, is a true, correct and complete listing to the best of my knowledge. I further acknowledge that (1) the accuracy and completeness in preparing the creditor listing are the shared responsibility of the debtor and the debtor's attorney, (2) the court will rely on the creditor listing for all mailings, and (3) that the various schedules and statements required by the Bankruptcy Rules are not used for mailing purposes. Master mailing list of creditors submitted via: (a) ______ computer diskette listing a total of _____ creditors; or (b) ______ scannable hard copy, with Request for Waiver attached, consisting of _____ pages, listing a total of _____ creditors

______________________________ Debtor ______________________________ Joint Debtor Date: _______________________ [Check if applicable] _______ Creditor(s) with foreign addresses included on disk/hard copy.

[diskcs ver. R-1/2003]