Affidavit Of Service (Intent To Apply For Release Of Unclaimed Funds) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Affidavit Of Service (Intent To Apply For Release Of Unclaimed Funds) Form. This is a New York form and can be use in Bankruptcy Court Federal.
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Tags: Affidavit Of Service (Intent To Apply For Release Of Unclaimed Funds), New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF NEW YORK
In re
[Set forth here all names including married, maiden, and trade names
used by debtor within last 8 years.]
Debtor
Last four digits of Social-Security or Individual TaxPayer-Identification (ITIN) No(s).,(if any):
Employer Tax-Identification (EIN) No(s).(if any):
)
)
)
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Case No.
Chapter
AFFIDAVIT OF SERVICE
the U.S. Attomey
Notice is hereby given to the court that on
,
for the Northern District of New York was advised ,via
of the intent of
, whose mailing address
is
,
whose last four digits of Social Security or Tax Identification Number is
,
whose telephone number is
, to apply for the release of
unclaimed funds in the above named case.
Respectfully submitted,
SUBSCRIBED AND SWORN to before
day of
me this
Affix Seal
Notary Public
F:68(1/25/2008)
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