Statement Regarding Payment Advices Pursuant To 11 U.S.C. section 521(a)(1)(B)(iv) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Statement Regarding Payment Advices Pursuant To 11 U.S.C. section 521(a)(1)(B)(iv) Form. This is a South Dakota form and can be use in Bankruptcy Court Federal.
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Appendix 1B. Statement Regarding Payment Advices. UNITED STATES BANKRUPTCY COURT DISTRICT OF SOUTH DAKOTA In re: WADE JOEL EARNER aka W.J. Earner SSN/ITIN xxx-xx-0000 and WANDA GAIL EARNER SSN/ITIN xxx-xx-0001 Debtors. ) ) ) ) ) ) ) ) ) ) ) ) Bankr. No. 18-40000 Chapter 13 DEBTOR WANDA GAL EARNER'S STATEMENT REGARDING PAYMENT ADVICES I, Debtor Wanda Gail Earner, in compliance with 11 U.S.C. § 521(a)(1)(B)(iv), state [select one]: 9 I have attached all the payment advices (also known as wage or earnings statements) or other evidence of payments I have received from all employers during the 60 days before I filed my bankruptcy petition. Any personal identification information, such as my Social Security number or a bank account number, has been redacted from the payment advices. OR : I have not received any payments from any employer during the 60 days before I filed my bankruptcy petition. I declare under penalty of perjury that I have read this statement and it is true and correct to the best of my knowledge, information, and belief. Dated: March 9, 2018. /s/ Wanda Gail Earner Debtor SEE COMMITTEE NOTE ON FOLLOWING PAGE American LegalNet, Inc. www.FormsWorkFlow.com Committee Note In a joint case (husband and wife), each debtor shall file a separate statement. Redact (white out or black out) any personal identification information from the payment advices, in particular any Social Security or bank account numbers, before filing. American LegalNet, Inc. www.FormsWorkFlow.com