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Notice Of Case Specific Address Form. This is a North Carolina form and can be use in USBC Western Federal.
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Tags: Notice Of Case Specific Address, 12, North Carolina Federal, USBC Western
LOCAL FORM 12
DECEMBER 2007
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF NORTH CAROLINA
In re:
Debtor(s)
)
)
)
)
)
)
Case No.
Chapter
NOTICE OF CASE SPECIFIC NAME AND/OR ADDRESS CHANGE
PURSUANT TO 11 U.S.C. § 342(e) AND
LOCAL RULES 2002-1 and 3001-1
Pursuant to 11 U.S.C § 342(e) and Local Rules 2002-1 and
3001-1, (creditors name) files this notice of address to be used
to provide notice in the above-captioned case. (Creditors name)
is aware that, pursuant to 11 U.S.C. § 342(e)(2), any notice in
this case required to be provided to the creditor by the debtor
or the court will not be provided to the address designated
herein until after five (5) days following receipt of this
notice of address change by the court and the debtor(s).
Current creditor name and address:
Name:
Address 1:
Address 2:
Address 3:
Address 4:
City, State, Zip
Revised creditor name and address:
[
[
[
] for payment purposes only
] for notice purposes only
] for both payment and notice purposes
Name:
Address 1:
Address 2:
Address 3:
Address 4:
City, State, Zip
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Authorization: Under penalty of perjury, I, the undersigned,
affirm that I am authorized to request this address change.
Name and position:
(Print or Type)
Signature:
Date:
2
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