Addendum To Voluntary Petition Re Exhibit C Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Addendum To Voluntary Petition Re Exhibit C Form. This is a California form and can be use in USBC Central Federal.
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Tags: Addendum To Voluntary Petition Re Exhibit C, California Federal, USBC Central
Attorney or Party Name, Address, Telephone & FAX Numbers, and California
FOR COURT USE ONLY
Attorney for
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA
In re:
CHAPTER:
CASE NO.:
Debtor(s).
Addendum* to Voluntary Petition
Re: Exhibit C
*If reference to Exhibit C does NOT appear on page 2 of the Voluntary Petition,
this Addendum must be completed.
Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent
and identifiable harm to public health or safety?
G
G
Yes, and Exhibit C is attached and made part of this Addendum.
No.
Signature(s) of Debtor(s) (Individual/Joint)
Signature of Debtor (Corporation/Partnership)
I declare under penalty of perjury that the information
provided in this Addendum is true and correct.
I declare under penalty of perjury that the information
provided in this Addendum is true and correct and that
I have been authorized to file this Addendum on behalf
of the Debtor.
X________________________________________
Signature of Debtor
X__________________________________________
Signature of Authorized Individual
X________________________________________
Signature of Joint Debtor
___________________________________________
Printed Name of Authorized Individual
_________________________________________
Date
___________________________________________
Title of Authorized Individual
___________________________________________
Date
Revised 04/12/02
Exhibit C Addendum to Voluntary Petition