Submitted by: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 _____________________ (Name) ___________________ (Street Address) ____________________ (City, State, Zip) ____________________ (Phone and Fax No.) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA In re: ________________________, ________________________, Debtor(s). Case No. _______________ Chapter ___ NOTICE OF CORRECTED SOCIAL SECURITY NUMBER I, ________________, debtor, filed in the Northern District of California, San Jose Division, a Chapter ____ bankruptcy petition in the above-referenced case using an incorrect social security number. Please correct your records to indicate the correct social security number as follows: The wrong number listed was __________________________. The correct number is ________________________. A file-stamped copy of my amended petition is attached if the error occurred in the last 4 digits of the social security number. I declare under penalty of perjury that I have read this Notice of Corrected Social Security Number, it is true, correct and complete to the best of my knowledge, information and belief and that this document is executed on the ___ day of _____________,20___ at _____________, California, _________________________________ 27 28 Notice of Corrected Social Security Number Signature of Debtor American LegalNet, Inc. www.FormsWorkFlow.com