Free FLR1007.pdf - New York

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF NEW YORK

In re
[Set forth here all names including married, maiden, and trade names used by debtor within last 6 years.]

,

Debtor

Employer's Tax Identification (EIN) No(s)[if any] Last four digits of Social Security No(s). [if any]

) ) ) ) ) ) ) ) ) ) )

Case No.

Chapter

CERTIFICATION OF MAILING MATRIX

I, (we), _____________________________________________, the attorney for the debtor/petitioner (or, if appropriate, the debtor(s) or petitioner(s)) hereby certify under the penalties of perjury that the above/attached mailing matrix has been compared to and contains the names, addresses and zip codes of all persons and entities, as they appear on the schedules of liabilities/list of creditors/list of equity security holders, or any amendment thereto filed herewith.

Dated: __________ _________________________________ Attorney for Debtor/Petitioner (Debtor(s)/Petitioner(s))

F:LR1007(08/18/2004)