Motion For Disbursement Of Unclaimed Funds Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Motion For Disbursement Of Unclaimed Funds Form. This is a North Carolina form and can be use in USBC Western Federal.
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Tags: Motion For Disbursement Of Unclaimed Funds, 5, North Carolina Federal, USBC Western
Local Form 5
July 2007
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF NORTH CAROLINA
_______________ Divison
In re:
Debtor(s)
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Case No.:
Chapter:
MOTION FOR DISBURSEMENT OF UNCLAIMED FUNDS
hereby moves the Court for an order
(Claimant(s) Name)
directing the United States Bankruptcy Court to disburse the sum of $
(Enter amount of claim)
from the Court’s registry fund, payable to
, representing
(Claimant(s) Name)
unclaimed funds previously deposited with the Court.
Date _______________
Supporting documentation attached ____yes ____no
I understand that pursuant to 11 U.S.C. §§ 152 and 3571, I may be fined up to $500,000,
imprisoned for up to 5 years or both if I have knowingly and fraudulently made any false
statements in this document or provided false and fraudulent documentation as part of
this application.
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Signature of Claimant
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Typed or printed name of Claimant
_____________________________________
Address of Claimant
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Daytime Telephone Number of Claimant
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IN THE UNITED STATES BANKRUPTCY COURT
FOR THE WESTERN DISTRICT OF NORTH CAROLINA
________________ DIVISION
In re:
Debtor(s).
)
)
)
)
)
)
)
Case No.:
Chapter:
NOTICE OF HEARING AND CERTIFICATE OF SERVICE
NOTICE IS HEREBY GIVEN that the Court will conduct a hearing on ________________
at ___________ (a.m./p.m.) in Courtroom number ________ located at ___________________
to consider the Motion for Disbursement of Unclaimed Funds filed by _____________________.
(Claimant(s) Name)
NOTICE IS FURTHER GIVEN to the Court that on ____________________, the
(Enter date parties served)
United States Attorney, the case trustee, and the Bankruptcy Administrator were served a copy
of the Motion for Disbursement of Unclaimed Funds and this Notice of Hearing by U. S. Mail.
Signature of Claimant(s)
Typed or printed name of Claimant(s)
Date _______________________
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