Certification Of No Payment Advices {1007-1(c)}

Clear Save As... LOCAL BANKRUPTCY FORM 1007-1(c) IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : : CHAPTER ____ CASE NO. -bk- Debtor(s) CERTIFICATION OF NO PAYMENT ADVICES pursuant to 11 U.S.C. § 521(a)(1)(B)(iv) I, _______________________, hereby certify that within sixty (60) days before the date of filing the above-captioned bankruptcy petition, I did not receive payment advices (e.g. "pay stubs"), as contemplated by 11 U.S.C. § 521(a)(1)(B)(iv), from any source of employment. I further certify that I received no payment advices during that period because: I have been unable to work due to a disability throughout the sixty (60) days immediately preceding the date of the above-captioned petition. I have received no regular income other than Social Security payments throughout the sixty (60) days immediately preceding the date of the above-captioned petition. My sole source of regular employment income throughout the sixty (60) days immediately preceding the date of the above-captioned petition has been through selfemployment from which I do not receive evidence of wages or a salary at fixed intervals. I have been unemployed throughout the sixty (60) days immediately preceding the date of the above-captioned petition. I did not receive payment advices due to factors other than those listed above. (Please explain) I certify under penalty of perjury that the information provided in this certification is true and correct to the best of my knowledge and belief. DATE: ____________________________ Debtor Joint Debtor American LegalNet, Inc. www.FormsWorkFlow.com