Free Change of Name of Previously Listed Entity - Cover Sheet - Individual Debtor(s) Case - District of Columbia

UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF COLUMBIA In re ) ) ) ) )

Case No.

Debtor(s).

Chapter

AMENDMENT TO LIST OF CREDITORS AND MAILING MATRIX TO CHANGE NAME(S) OF PREVIOUSLY LISTED ENTITY OR ENTITIES 1. For the entities on the attached list, the List of

Creditors and Mailing Matrix previously filed in this case is amended to change the name of each such entity. The attached

list, consists of _______ pages and a total of ________ entities listed with their correct addresses. A separate Amendment to

List of Creditors and Mailing Matrix to Delete Previously Listed Entity or Entities is also being filed in order to delete the erroneous listing for each entity whose listing is being hereby corrected. 2. As hereby amended (and as amended by any prior

amendments filed and by any amendments being filed contemporaneously herewith), the List of Creditors and Mailing Matrix contains a true and correct name and address of: · each of my creditors (those entities required to be scheduled on Schedules D, E, and F, the Schedules of Creditors Holding Claims, in this case), · each of the parties required to be listed on Schedule G - Executory Contracts and Unexpired Leases, that is, Page 1 of 2

the parties other than myself, to any unexpired lease of real or personal property to which I am a party; · each entity required to be listed on Schedule H Codebtors (any person or entity, other than my spouse in a joint case, that is also liable on any debts owed to any of my listed creditors, including all guarantors and co-signers). I declare under penalty of perjury that the foregoing is true and correct. Executed on this ____ day of ______________, __________ by:

Debtor Executed on this ____ day of ______________, __________ by:

Joint Debtor (if joint case filed by both spouses)

Page 2 of

2