Certification And Signature Of Non Attorney Bankruptcy Petition Preparer Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Certification And Signature Of Non Attorney Bankruptcy Petition Preparer Form. This is a Louisiana form and can be use in Bankruptcy Court Federal.
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COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
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:
Index No.
Calendar No.
UNITED STATES BANKRUPTCY COURT
:
EASTERN DISTRICT OF LOUISIANA
JUDICIAL SUBPOENA
Plaintiff(s)
-against-
In re ______________________________,
:
:
:
Bankruptcy No._______________
Chapter _______________
:
Defendant(s)
......................................................
CERTIFICATION AND SIGNATURE OF NON-ATTORNEY
THE PEOPLE OF BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110)
THE STATE OF NEW YORK
TO
I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110,
that I prepared this document for compensation, and that I have provided the debtor with
a copy of this document.
GREETINGS:
________________________________________________________
WE COMMAND YOU, that all business and excuses
Printed or Typed Name of Bankruptcy Petition Preparer being laid aside, you and each of you attend before
,
the Honorable
at the
Court
located at
County of
__________________________
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
Social Security No.
or adjourned date, to testify and give evidence as a witness in this action on the part of the
__________________________
Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to
the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a
__________________________
result Addressfailure to comply.
of your
Witness, Honorable
, one of the Justices
Names and Social Security numbers of all other individuals who prepared or assisted in of the
Court preparing this document:
in
County,
day of
, 20
(Attorney must sign above and type name below)
If more than one person prepared this document, attach additional signed sheets
conforming to the appropriate Official Form for each person.
Attorney(s) for
____________________________________
Signature of Bankruptcy Petition Preparer
____________________________
Date
Office and P.O. Address
A bankruptcy petition preparer’s failure to comply with the provisions of title 11 and the Federal Rules of
Telephone 110;
Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. §No.: 18 U.S.C. §156.
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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