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Summons To Debtor In Involuntary Case (Memphis) Form. This is a Tennessee form and can be use in USBC Western Federal.
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Tags: Summons To Debtor In Involuntary Case (Memphis), 4M, Tennessee Federal, USBC Western
FORM NO. 4 (LF004)
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF TENNESSEE
_______________________________________________________________________________________________
In re
Case No.
Chapter
Debtor(s)*.
Social Security No.:
(H)
(W)
Employer Tax I.D. No.:
________________________________________________________________________________________________
SUMMONS TO DEBTOR IN INVOLUNTARY CASE
________________________________________________________________________________________________
To the above named debtor(s):
A petition under title 11, United States Code, was filed against you on _________________________(date) in this Bankruptcy Court
requesting an order for relief under chapter ___________ of the Bankruptcy Code (title 11 of the United States Code).
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:
Jed G. Weintraub, Clerk of Court
United States Bankruptcy Court
200 Jefferson Ave., Suite 410
Memphis, TN 38103
At the same time you must 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.
JED G. WEINTRAUB
Clerk of the Bankruptcy Court
Date:_______________________
By:___________________________________________________
Deputy Clerk
CERTIFICATE OF SERVICE
*
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 (LF004)
I, ________________________________________________(Name), certify that I am, and at all times during the service 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 petition was made _______________________________________(date) by:
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 ______________________________________
(name of state)
as follows: [Describe briefly]
Under penalty of perjury, I declare the foregoing to be true and correct.
_____________________________
Date
___________________________________________
Signature
Print Name
_____________________________________________________________________
Business Address
_____________________________________________________________________
City
State
Zip
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