Free Declaration of Debtor(s) Regarding No Evidence Of Any Payment Received From Any Employer - Iowa

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UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF IOWA

In the Matter of:

CASE NO. DECLARATION OF DEBTOR(S) REGARDING NO EVIDENCE OF ANY PAYMENT RECEIVED FROM ANY EMPLOYER

Debtor(s)

I / We, the above named Debtor(s), hereby declare under penalty of perjury that I / we have not received from any employer any payment advices or other evidence of payment received within 60 days before the date of the filing of the bankruptcy petition in this chapter case because_______________________________________________.

____________________________ Signature of Debtor ____________________________ Signature of Joint Debtor ____________________________ Date