Free pdf - New Mexico

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re

Debtor.

No.

CERTIFICATE OF COMPLIANCE WITH LOCAL RULE 1007-5 (a) REGARDING STATEMENT OF SOCIAL SECURITY NUMBER(S) Pursuant to New Mexico Local Bankruptcy Rule 1007-5(a), I certify that on ____________________, I mailed a copy of the Statement of Social Security Number(s) to the trustee, all creditors and indenture trustees in this case as shown on the attached mailing list.

Signature of attorney or self-represented debtor Address:

Note to filer: File this certificate with the Clerk. DO NOT attach a copy of the Statement of Social Security Number(s).

K:\_WEB\public\Files\forms\form12.doc

FORM 12

effective 12/01/03