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Disclosure Of Compensation Of Bankruptcy Petition Preparer - California
| Disclosure Of Compensation Of Bankruptcy Petition Preparer Form. This is a California form and can be used in All Petition USBC Central Federal . |
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COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Disclosure of Compensation - (Rev. 12/03) Index No. 2003 USBC, Central District of California UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA : Plaintiff(s) Attorney or Party Name, Address, and Telephone Number -againstFOR COURT USE ONLY : Calendar No. JUDICIAL SUBPOENA : : : In re CASE Defendant(s) NO.: : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . CHAPTER:. . ....... Debtor Address: THE PEOPLE OF THE STATE OF NEW YORK TO Debtor. DISCLOSURE OF COMPENSATION OF BANKRUPTCY PETITION PREPARER GREETINGS: 1. Under 11 U.S.C. § 110(h), I declare under penalty of perjury that I am not an attorney or employee of an attorney, that I prepared or caused to be prepared one or more documents for filing by the above-named debtor(s) in connection with this bankruptcy case,COMMAND YOU, thatpaidbusiness and one year being laid aside,of theand each of you attend agreed WE and that compensation all to me within excuses before the filing you bankruptcy petition, or before to thepaid to me, for services rendered on behalf of the at the be Honorable debtor(s) in contemplation of or in connection with the bankruptcy , Court case is as of follows: located at County in room , on the day of For document preparations services, I have agreed to , 20 accept , at . . . . . . o'clock . . .the ... . . . . . . in . Prior to the filing of this statement I have received . . . . . . . . . . . . . . . . . . . . . . . . . . . . Balance Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . noon, and at any recessed $ or adjourned date, to testify and give evidence as a witness in this action on the part of the $ $ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the prepared or caused to this subpoena was issued for a maximum penalty of $50 and all damages sustained as a 2. I haveparty on whose behalf be prepared the following documents (itemize): result of your failure to comply. Witness, Honorable and provided the following services (itemize): Court in County, day of , 20 , one of the Justices of the 3. The source of the compensation paid to me was: (Attorney must sign above and type name below) G debtor G Other (specify): 4. The source of compensation to be paid to me is: Attorney(s) for G debtor G Other (specify): 5. The foregoing is a complete statement of any agreement or arrangement for payment to me for preparation of the petition Office and P.O. Address filed by the debtor(s) in this bankruptcy case. 6. To my knowledge no other person has prepared for compensation a document for filing in connection with this bankruptcy case except as listed below: Name Telephone No.: Facsimile No.: E-Mail Address: Complete Social Security Number Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Disclosure of Compensation - Page 2 - (Rev. 12/03) In re Debtor. Case No.: Index No. 2003 USBC, Central District of California : : : : Calendar No. (If known) Plaintiff(s) -against- JUDICIAL SUBPOENA DECLARATION OF BANKRUPTCY PETITION PREPARER I declare under penalty of perjury that the foregoing is true and correct to the best of my knowledge, information, and belief. : Defendant(s) : ...................................................... Signature Complete Social Security Number Date THE PEOPLE OF THE STATE OF NEW YORK Name (Print): TO Address: GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy in room Procedureon theresult in fines or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156. at any recessed , may day of , 20 , at o'clock in the noon, and or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com
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