UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NEW YORK ---------------------------------------------------------x In re Case No. Chapter --------------------------------------------------------x APPLICATION TO CORRECT SOCIAL SECURITY NUMBER(S) (or other Individual Taxpayer Identification Number(s) (ITIN(s))) To the Hon. , Bankruptcy Judge: , attorney for the above-named Debtor(s), applies to the Court for an order directing that the official record in this case be modified to reflect the correct Social Security Number of the Debtor (and/or Joint Debtor, if applicable). The attorney states the following in support of its application: 1. This case was commenced by the filing of a petition under Chapter . of the Code on 2. Due to the below-noted filing omission or clerical error, the correct Social Security Number of the Debtor (and/or Joint Debtor, if applicable) was not provided to the Court: G G Official Form 121, Statement About Your Social Security Number(s) was not submitted at the time of filing of the petition. The Social Security Number of the Debtor (and/or Joint Debtor, if applicable) was incorrectly stated on the Official Form 121, Statement About Your Social Security Number(s), which accompanied the petition. The Social Security Number of the Debtor (and/or Joint Debtor, if applicable) was incorrectly entered into the Court record by the Attorney for the Debtor(s) at the time of filing of the petition over the Internet. G WHEREFORE, attorney for the Debtor(s) prays for an order directing correction of the Social Security Number(s) of the Debtor(s), and for such further relief as the Court deems just. Dated: s/ Attorney for Debtor(s) 20D-USBC American LegalNet, Inc. www.FormsWorkFlow.com