Free pdf - New Mexico

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re:

Debtor.

No.

Declarations by Corporate or Partnership Debtor for Electronic Filing of CHAPTER 11 Petition without Schedules and Statements I declare under penalty of perjury that the information provided in the following documents is true and correct, and that I have been authorized to file this petition on behalf of the debtor. The debtor requests relief in accordance with chapter 11 of title 11, United States Code, as specified in this petition. 1. 2. Petition, Official Form 1 Exhibit A to petition - if debtor is required to file periodic reports with the Securities and Exchange Commission pursuant to Section 13 or 15(d) of the Securities Exchange Ace of 1934. List of Creditors Holding 20 Largest Unsecured Claims, Form 4 [Small business case ONLY] Most recent balance sheet, statement of operations, cash-flow statement, and Federal income tax return (11 U.S.C. § 1116 (A)) -ORstatement that no balance sheet, statement of operations, or cash-flow statement has been prepared, and no Federal tax return has been filed (11 USC §1116 (1)(B)).

3. 4.

Signature of Authorized Individual

Date

Printed Name of Authorized Individual

Title of Authorized Individual USE OF THIS FORM IS REQUIRED BY COURT ORDER DATED OCTOBER 14, 2005

K:\_WEB\public\Files\forms\form501-11C.wpd

NM FORM 501-11C (12/18/06)