Mailing Matrix Verification Or Declaration Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Mailing Matrix Verification Or Declaration Form. This is a Louisiana form and can be use in Bankruptcy Court Federal.
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Tags: Mailing Matrix Verification Or Declaration, 2, Louisiana Federal, Bankruptcy Court
COURT
COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
......... ..
:
:
Index No.
Calendar No.
:
JUDICIAL SUBPOENA
Plaintiff(s)
UNITED STATES BANKRUPTCY COURT
MIDDLE DISTRICT OF LOUISIANA
-against:
IN RE
:
:
CASE NO.
Defendant(s)
:
. . . . . . . . . . . . . . .DEBTOR(S) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
...........
MAILING MATRIX
Verification/Declaration
THE PEOPLE OF THE STATE OF NEW YORK
(The penalties for making a false statement or for concealing property is a fine up to $500.00
or imprisonment for up to five (5) years or both). (18 U.S.C. ยงยง 152 and 4571).
TO
DECLARATION
GREETINGS:
WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before
I/We, ______________________________________________________________, named
,
the Honorable
at the
Court
as the debtor(s) in this case, and ___________________________________________, counsel of
located at
County of
record for the debtor(s) in this case, declare under penalty of perjury that we have read the foregoing
in room
, on the
day of
, 20
, at
o'clock in the
noon, and at any recessed
mailing matrix, consisting of ___________ pages, and that it is true and correct to the best of our
or adjourned date, to testify and give evidence as a witness in this action on the part of the
information and belief.
DATE: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 DEBTOR penalty of $50 and all damages sustained as a
maximum
result of your failure to comply.
DATE:
Witness, Honorable
Court in
County,
CO-DEBTOR , one of the Justices of the
day of
, 20
Attorney's Name (Bar Roll #_________)
Street or P. O. Address
City, State, Zip
Telephone ( )
Faxsimile ( )
(if party has such a line)
E-Mail Address:____________________________
Attorney for Debtor(s)
(Attorney must sign above and type name below)
Attorney(s) for
Office and P.O. Address
Telephone No.:
Facsimile No.:
E-Mail Address:
Mobile Tel. No.:
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