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Summons To Debtor In Involuntary Case (Blank Form) Form. This is a Tennessee form and can be use in USBC Western Federal.
Tags: Summons To Debtor In Involuntary Case (Blank Form), 4, Tennessee Federal, USBC Western
Form No. 4 (Pg. 1)
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF TENNESSEE
In re:
Case No.
Chapter
Debtor(s):
Social Security No.:
Employer Tax I.D. No.:
SUMMONS TO DEBTOR IN INVOLUNTARY CASE
To the above named debtor:
A petition under title 11, United States Code, was filed against you on
in
(date)
this Bankruptcy Court requesting an order for relief under chapter
United States Code).
of the Bankruptcy Code (title 11 of the
YOU ARE SUMMONED and required to submit to the Clerk of the Bankruptcy Court a motion or answer to the
petition within 20 days after the service of this summons. A copy of the petition is attached.
Address of Clerk
At the same time you must also serve a copy of your motion or answer on petitioner's attorney.
Name and Address of Petitioner’s Attorney
If you make a motion, your time to serve an answer is governed by Fed. R. Bankr. P. 1011(c).
If you fail to respond to this summons, the order for relief will be entered.
Clerk of the Bankruptcy Court
Date:
By:
Deputy Clerk
*Set forth all names, including trade names, used by the debtor within the last six years. (Fed. R. Bankr. P. 1005).
For joint debtors, set forth both social security numbers.
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Form No. 4 (pg. 2)
CERTIFICATE OF SERVICE
I, ____________________________________, certify that I am, and at all times during the service
(name)
of process was, not less than 18 years of age and not a party to the matter concerning which service of
process was made. I further certify that the service of this summons and a copy of the complaint was
made _________________ by:
(date)
Mail service: Regular, first class United States mail, postage fully pre-paid, addressed to:
Personal Service: By leaving the process with defendant or with an officer or agent of defendant at:
Residence Service: By leaving the process with the following adult at:
Publication: The defendant was served as follows: [Describe briefly]
State Law: The defendant was served pursuant to the laws of the State of _______________________, as
(name of state)
follows: [Describe briefly]
Under penalty of perjury, I declare that the foregoing is true and correct.
date
signature
Print Name
Business Address
City
State
Zip
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