Free [PFP#692033644] - Texas


File Size: 21.1 kB
Pages: 1
File Format: PDF
State: Texas
Category: Bankruptcy
Word Count: 151 Words, 1,118 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.txnb.uscourts.gov/Reference-Library/Forms/Bankruptcy-Forms/BTXN094.pdf

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BTXN 094 (rev. 5/04)

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF TEXAS § § § § § § §

In Re:

Case No.:

Debtor(s)

VERIFICATION OF MAILING LIST

The Debtor(s) certifies that the attached mailing list (only one option may be selected per form): G is the first mail matrix in this case. G adds entities not listed on previously filed mailing list(s). G changes or corrects name(s) and address(es) on previously filed mailing list(s). G deletes name(s) and address(es) on previously filed mailing list(s).

In accordance with N.D. TX L.B.R. 1007.2, the above named Debtor(s) hereby verifies that the attached list of creditors is true and correct.

___________________________________
Date

___________________________________
Signature of Attorney (if applicable)

___________________________________
Signature of Debtor

___________________________________
Debtor's Social Security (last four digits only) /Tax ID No.

___________________________________
Signature of Joint Debtor (if applicable)

___________________________________
Joint Debtor's Social Security (last four digits only) /Tax ID No.