Statement Of Social Security Number(s)
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Statement Of Social Security Number(s) Form. This is a Colorado form and can be use in Bankruptcy Court Federal.
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Tags: Statement Of Social Security Number(s), Form 21, Colorado Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
District of Colorado
In re
BANKRUPTCY NO.
CHAPTER
Debtor(s).
STATEMENT OF SOCIAL SECURITY NUMBER(S)
1.
Name of Debtor (Last, First, Middle)
Check the appropriate box and, if applicable, provide the required information.
9
9
2.
Debtor has a Social Security Number and it is:
Debtor does not have a Social Security Number.
Name of Joint Debtor (Last, First, Middle)
Check the appropriate box and, if applicable, provide the required information.
9
9
Joint Debtor has a Social Security Number and it is:
Joint Debtor does not have a Social Security Number.
I declare under penalty of perjury that the foregoing is true and correct.
Signed:
Signed:
(Debtor)
(Joint Debtor)
Date:
Date:
Official Form 21
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