Free Creditor Matrix Verification - Hawaii

Name, Address, Phone, Fax, Email of Filer:

Debtor: Joint Debtor:




Case No.: Chapter

VERIFICATION OF CREDITOR MATRIX
The undersigned Debtor hereby certifies that: 1. All entities included on Schedules D, E, F, G, and H have been listed in the attached creditor matrix; and 2. The names and addresses of the entities listed in the matrix are true and correct to the best of my knowledge. /s/______________________________ /s/_______________________________ Debtor Joint Debtor Dated: ________________________ Dated: _________________________















hib_10072d 1/08 [Attach to creditor matrix]