UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA In re: Chapter 13 Case No. Debtor(s)____________________________/ DEBTOR(S’) DECLARATION REGARDING AMENDED SCHEDULES; CERTIFICATE OF SERVICE I/We declare, under penalty of perjury, that I/we have read the amended schedule(s) consisting of ______ pages, and that they are true and correct to the best of my/our knowledge, information, and belief. Dated: _________________________ ____________________________________________ Debtor Dated: _________________________ ____________________________________________ Debtor CERTIFICATE OF SERVICE I am not less than 18 years of age and not a party to the within case. My business address is ______________________________________________________. I served this DEBTOR(S’) DECLARATION REGARDING AMENDED SCHEDULES and the amended schedules by first-class United States mail, postage pre-paid, at _________________________, California on the date noted below and addressed to those listed in Exhibit A attached hereto which includes all parties entitled to receive regularly mailed notices. The Chapter 13 Trustee will receive such notice upon the electronic filing of these documents. I declare, under penalty of perjury, that the foregoing is true and correct. Dated: _________________________ ____________________________________________ Rev. 2/05 American LegalNet, Inc. www.USCourtForms.com