Free Declaration for Electronic Filing and Statement of Social Security Number - Texas


File Size: 253.5 kB
Pages: 3
File Format: PDF
State: Texas
Category: Bankruptcy
Word Count: 1,194 Words, 7,929 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.txs.uscourts.gov/bankruptcy/rulesformsproc/decelecfilssn.pdf

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Exhibit B-1 to Appendix 5005: If filing petition and all schedules/statements simultaneously

IN THE UNITED STATES BANKRUPTCY COURT FOR THE [ insert ] DISTRICT OF TEXAS IN RE: ____________________________ Debtor(s)

Case No. _________________ Chapter _____

DECLARATION FOR ELECTRONIC FILING OF BANKRUPTCY PETITION, LISTS, STATEMENTS, AND SCHEDULES PART I: DECLARATION OF PETITIONER:
As an individual debtor in this case, or as the individual authorized to act on behalf of the corporation, partnership, or limited liability company seeking bankruptcy relief in this case, I hereby request relief as, or on behalf of, the debtor in accordance with the chapter of title 11, United States Code, specified in the petition to be filed electronically in this case. I have read the information provided in the petition, lists, statements, and schedules to be filed electronically in this case and I hereby declare under penalty of perjury that the information provided therein, as well as the social security information disclosed in this document, is true and correct. I understand that this Declaration is to be filed with the Bankruptcy Court within five (5) business days after the petition, lists, statements, and schedules have been filed electronically. I understand that a failure to file the signed original of this Declaration will result in the dismissal of my case. G [Only include for Chapter 7 individual petitioners whose debts are primarily consumer debts] I am an individual whose debts are primarily consumer debts and who has chosen to file under chapter 7. I am aware that I may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief available under each chapter, and choose to proceed under chapter 7. [Only include if petitioner is a corporation, partnership or limited liability company] I hereby further declare under penalty of perjury that I have been authorized to file the petition, lists, statements, and schedules on behalf of the debtor in this case. ___________________________ John Doe, Debtor Soc. Sec. No. ________________ OR John Doe, Position/Capacity ___________________________ Jane Doe, Joint Debtor Soc. Sec. No. ________________

G

Date: _____________.

PART II: DECLARATION OF ATTORNEY:
I declare under penalty of perjury that: (1) I will give the debtor(s) a copy of all documents referenced by Part I herein which are filed with the United States Bankruptcy Court; and (2) I have informed the debtor(s), if an individual with primarily consumer debts, that he or she may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter.

Date: _____________.

_________________________ A. Lawyer, Attorney for Debtor Page 20 of 22
Adopted: December 1, 2004

ECF Procedures in Texas Bankruptcy Courts

Exhibit B-2 to Appendix 5005: If filing "bare-bones" petition, matrix, & 20 largest unsecured list. IN THE UNITED STATES BANKRUPTCY COURT FOR THE [ insert ] DISTRICT OF TEXAS IN RE: ____________________________ Debtor(s)

Case No. _________________ Chapter _____

DECLARATION FOR ELECTRONIC FILING OF BANKRUPTCY PETITION AND MASTER MAILING LIST (MATRIX) PART I: DECLARATION OF PETITIONER: As an individual debtor in this case, or as the individual authorized to act on behalf of the corporation, partnership, or limited liability company seeking bankruptcy relief in this case, I hereby request relief as, or on behalf of, the debtor in accordance with the chapter of title 11, United States Code, specified in the petition to be filed electronically in this case. I have read the information provided in the petition and in the lists of creditors to be filed electronically in this case and I hereby declare under penalty of perjury that the information provided therein, as well as the social security information disclosed in this document, is true and correct. I understand that this Declaration is to be filed with the Bankruptcy Court within five (5) business days after the petition and lists of creditors have been filed electronically. I understand that a failure to file the signed original of this Declaration will result in the dismissal of my case. G [Only include for Chapter 7 individual petitioners whose debts are primarily consumer debts] I am an individual whose debts are primarily consumer debts and who has chosen to file under chapter 7. I am aware that I may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief available under each chapter, and choose to proceed under chapter 7. [Only include if petitioner is a corporation, partnership or limited liability company] I hereby further declare under penalty of perjury that I have been authorized to file the petition and lists of creditors on behalf of the debtor in this case. ___________________________ John Doe, Debtor Soc. Sec. No. ________________ OR John Doe, Position/Capacity ___________________________ Jane Doe, Joint Debtor Soc. Sec. No. ________________

G

Date: _____________.

PART II: DECLARATION OF ATTORNEY:
I declare under penalty of perjury that: (1) I will give the debtor(s) a copy of all documents referenced by Part I herein which are filed with the United States Bankruptcy Court; and (2) I have informed the debtor(s), if an individual with primarily consumer debts, that he or she may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter.

Date: _____________. _________________________ A. Lawyer, Attorney for Debtor Page 21 of 22

ECF Procedures in Texas Bankruptcy Courts

Adopted: December 1, 2004

Exhibit B-3 to Appendix 5005: If filing schedules/statements subsequent to petition date or amendments of petition, matrix, schedules or statements. IN THE UNITED STATES BANKRUPTCY COURT FOR THE [ insert ] DISTRICT OF TEXAS IN RE: ____________________________ Debtor(s)

Case No. _________________ Chapter _____

DECLARATION FOR ELECTRONIC FILING OF AMENDED PETITION, ORIGINAL/AMENDED BANKRUPTCY STATEMENTS AND SCHEDULES, AND/OR AMENDED MASTER MAILING LIST (MATRIX) As an individual debtor in this case, or as the individual authorized to act on behalf of the corporation, partnership, or limited liability company named as the debtor in this case, I hereby declare under penalty of perjury that I have read G G G G the original statements and schedules to be filed electronically in this case the voluntary petition as amended on the date indicated below and to be filed electronically in this case the statements and schedules as amended on the date indicated below and to be filed electronically in this case the master mailing list (matrix) as amended on the date indicated below and to be filed electronically in this case

and that the information provided therein is true and correct. I understand that this Declaration is to be filed with the Bankruptcy Court within five (5) business days after such statements, schedules, and/or amended petition or matrix have been filed electronically. I understand that a failure to file the signed original of this Declaration as to any original statements and schedules will result in the dismissal of my case and that, as to any amended petition, statement, schedule or matrix, such failure may result in the striking of the amendment(s). G [Only include if petitioner is a corporation, partnership or limited liability company] I hereby further declare under penalty of perjury that I have been authorized to file the statements, schedules, and/or amended petition or amended matrix on behalf of the debtor in this case.

Date: __________________.

_________________________ John Doe, Debtor OR John Doe, Position/Capacity

________________________ Jane Doe, Joint Debtor

ECF Procedures in Texas Bankruptcy Courts

Page 22 of 22

Adopted: December 1, 2004