UNITED STATES BANKRUPTCY COURT Southern District of Georgia In the matter of: Case No.: Chapter: TRANSMITTAL OF PAY ADVICES Attached to this transmittal are copies of all payment advices (pay stubs), or other evidence of payment, received by the debtor(s) from employer(s) within sixty days before the filing of the petition. 1.Debtor 1Employer Dates of Pay Advices: FromTo The debtor did not receive any payment advices, or other evidence of payment, from an employer within sixty days before the filing of the petition because: Debtor 1 was not employed. Debtor 1222s source of income was from Social Security. Debtor 1 was self-employed. 2.Debtor 2 (Spouse)Employer Dates of Pay Advices: FromTo The joint debtor did not receive any payment advices, or other evidence of payment, from an employer within sixty days before the filing of the petition because: Debtor 2 was not employed. Debtor 2222s source of income was from Social Security. Debtor 2 was self-employed. Important Notice of Redaction Responsibility: Any attached documents must be redacted in compliance with Fed. R. Bankr. P. 9037. Only include the last four digits of a debtor's social security number or individual taxpayer identification number. Signature of Attorney for Debtor(s) Date Signature of Debtor 1 Date Name of Attorney Date Signature of Debtor 2 (if applicable) Date TranPayAdv [Rev. 12/17] American LegalNet, Inc. www.FormsWorkFlow.com