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http://www.mow.uscourts.gov/Formpage/bkforms/Notice%20of%20Corrected%20Social%20Security%20Number.pdf

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MOW

(05/07)

UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF MISSOURI In Re: ) ) Case No. ) ) ) Debtor(s) Full Social Security Number

NOTICE AND VERIFICATION OF CORRECTED DEBTOR SOCIAL SECURITY NUMBER

You are hereby notified that the debtor has corrected the social security number previously provided. The correct number is shown above.

________________________________________ Debtor's attorney (type name, address)

Debtor(s) Verification: I declare under penalty of perjury that the foregoing social security number is true and correct.

_________ Date

______________________________ Debtor's Signature

______________________________ Co-debtor's Signature (if applicable)

Certificate of Service: I,______________________________________, certify the above notice was served on all creditors by first class, postage prepaid mail, on ___________________________. ________________________________ Typed Name or Signature

Instructions: ECF Event: