Free Employee Income Records Cover Sheet - South Dakota


File Size: 26.8 kB
Pages: 1
File Format: PDF
State: South Dakota
Category: Bankruptcy
Author: CNail
Word Count: 75 Words, 458 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.sdb.uscourts.gov/FormsSamples/cover%20sheet%20for%20employee%20income%20records.pdf

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UNITED STATES BANKRUPTCY COURT DISTRICT OF SOUTH DAKOTA In re: R.E. FORM, Debtor. ) ) ) ) ) Bankr. Case No. 05-10175 Chapter 7 EMPLOYEE INCOME RECORDS

Pursuant to 11 U.S.C. ยง 521(a)(1)(B)(iv), I certify the attached copies are true and correct copies of all payment advices or other evidence of payment I received from any employer within 60 days before the date of the filing of my petition.

Dated: October 17, 2005

_________________________ R.E. Form