LOCAL FORM 16 REVISED 12/15 UNITED STATES BANKRUPTCY COURT DISTRICT OF MINNESOTA In re: Debtor(s). AMENDMENT TO PETITION REGARDING SOCIAL SECURITY/TAX ID NUMBER To: Clerk of Bankruptcy Court The original petition filed on Social Security/Tax ID Number The correct Social Security number(s) and/or Employer's Federal and State Tax Identification number(s) of the Debtor(s) is (are): is amended as follows: SSN (Debtor 1) SSN (Debtor 2) FTN STN Case No. PLEASE INCLUDE ENTIRE SOCIAL SECURITY NUMBER AND FILE THIS DOCUMENT UNDER: Bankruptcy Events-> Commencement Events->Amendments->Amended petition re: Social security/tax ID (Restricted entry) VERIFICATION: I (We), debtor(s) named in the foregoing amended schedule, declare under penalty of perjury that the foregoing is true and correct. Executed on: Signed: Attorney for Debtor(s) Print Attorney Name: Attorney Address: Phone: License Number: Signed: Debtor 1 Signed: Debtor 2 (if joint case) American LegalNet, Inc. www.FormsWorkFlow.com