Free Payment Advices Cover Sheet - Wisconsin


File Size: 254.9 kB
Pages: 1
Date: March 22, 2006
File Format: PDF
State: Wisconsin
Category: Bankruptcy
Author: kathleen
Word Count: 197 Words, 1,594 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.wiw.uscourts.gov/bankruptcy/fillable_forms/payment_advices_cover_sheet.pdf

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UNITED STATES BANKRUPTCY COURT
Western District of Wisconsin

PAYMENT ADVICES COVER SHEET
in Accordance with 11 U.S.C. Sec. 521(a)(1)(B)(iv)

In re: ____________________________________ Debtor(s) Please check the appropriate box. Case No.: ________________

For Debtor: G G G
Payment advices (pay stubs) are attached. No payment advices (pay stubs) are attached (the debtor had no income from any employer during the 60 days prior to filing the bankruptcy petition). No payment advices (pay stubs) attached for other reason, or some payment advices missing ( please explain). _______________________________________ ________________________________________________________________________

For Joint Debtor, if applicable: G G G
Payment advices (pay stubs) are attached. No payment advices (pay stubs) are attached (the debtor had no income from any employer during the 60 days prior to filing the bankruptcy petition). No payment advices (pay stubs) attached for other reason, or some payment advices missing ( please explain). _______________________________________ ________________________________________________________________________

I declare under penalty of perjury that I have read this payment advices cover sheet and the attached payment advices, consisting of ______ sheets, numbered 1 through _____, and that they are true and correct to the best of my knowledge, information and belief. Signature of Debtor: _________________________________ Date: ___________ Date: ___________

Signature of Joint Debtor: _________________________________

March 2006

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