Certificate Serving As Record Of The Debtors Interest Or Lack Of An Interest Under
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certificate Serving As Record Of The Debtors Interest Or Lack Of An Interest Under Form. This is a District Of Columbia form and can be use in USBC District Of Columbia Federal.
Loading PDF...
Tags: Certificate Serving As Record Of The Debtors Interest Or Lack Of An Interest Under, District Of Columbia Federal, USBC District Of Columbia
UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF COLUMBIA
In Re
_______________________________________________
Debtor(s).
)
)
)
)
Case No. ______________
(Chapter _____)
CERTIFICATE SERVING AS
RECORD OF THE DEBTOR’S INTEREST OR LACK OF AN INTEREST UNDER
AN ACCOUNT OR PROGRAM OF THE TYPE SPECIFIED IN 11 U.S.C. § 521(c)
_____ I do not have any interest in an education individual retirement account (as
defined in §530(b)(1) of the Internal Revenue Code of 1986) or under a State tuition
program (as defined in section 529(b)(1) of the Internal Revenue Code of 1986)
_____ I have the following interest(s) in an education individual retirement account (as
defined in §530(b)(1) of the Internal Revenue Code of 1986) or under a State tuition
program (as defined in section 529(b)(1) of the Internal Revenue Code of 1986):
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
I HEREBY CERTIFY under penalty of perjury that the information on this
Certificate including any additional sheets provided, is true, correct and complete as of
the date on which I filed my petition commencing this case.
Signature of Debtor: ______________________________________________________
Type or print name of Debtor: ______________________________________________
Date Certificate is Signed:
________________________________________________
American LegalNet, Inc.
www.FormsWorkFlow.com
