Statement Of Debtor Regarding Corporate Ownership
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Statement Of Debtor Regarding Corporate Ownership Form. This is a Michigan form and can be use in USBC Eastern Federal.
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Tags: Statement Of Debtor Regarding Corporate Ownership, Michigan Federal, USBC Eastern
Revised 02/04
UNITED STATES BANKRUPTCY COURT
EASTERN DISTRICT OF MICHIGAN
In re:
Case No. ______________
Chapter _______________
Hon. _________________
Debtor
____________________________________/
STATEMENT OF DEBTOR REGARDING
CORPORATE OWNERSHIP
G
The following entities directly or indirectly own 10% or more of any class of the debtor’s
equity interest:
Name:__________________________________________________________
Address:________________________________________________________
Name:__________________________________________________________
Address:________________________________________________________
Name: _________________________________________________________
Address:________________________________________________________
Name:_________________________________________________________
Address:_______________________________________________________
(For additional names, attach an addendum to this form)
G
There are no entities that directly or indirectly own 10% or more of any class of the debtor’s
equity interest.
I declare under penalty of perjury that the foregoing is true and correct.
Dated:__________
Signature of Authorized Individual
For Corporation Debtor
Print Name
Title
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