Notice Of Transfer Of Claim Other Than For Security And Waiving Notice
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Notice Of Transfer Of Claim Other Than For Security And Waiving Notice Form. This is a Washington form and can be use in USBC Eastern Federal.
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Tags: Notice Of Transfer Of Claim Other Than For Security And Waiving Notice, LF3001-E, Washington Federal, USBC Eastern
LF 3001-E (11/04)
United States Bankruptcy Court
Eastern District of Washington
In re:
Case No.
Notice of Transfer of Claim other than for Security
and Waiving Notice
A claim has been filed in this case or deemed filed under 11 U.S.C. sec 1111(a). Notice is hereby given
pursuant to FRBP 3001(e)(2), of the transfer, other than for security, of the claim referenced in this notice.
Nam e & Add ress of T ransferor (claim ant):
Cou rt Claim # (if kno wn ):
Date Claim filed:
Last four digits of account #:
Notification is waived with respect to this Notice of Transfer of Claim pursuant to FRBP 3001.
Signature of tran sferor (c laim ant)
Nam e & Add ress w here no tices to
transferee sh ould b e sent:
Date
Name & Address where transferee
paym ents sh ould b e sent:
Last four digits of account #:
I declare und er pena lty of perjury that the inform ation pro vided in this notice is true an d correct to
the bes t of my kn ow ledge an d belief:
Transferee/Transferee’s Agent
Date
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. sec 152 & 3571.
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