District Of Columbia > Federal > USBC District Of Columbia

Proof Of Claim For Wages Salary Or Commissions BOF 20 - District Of Columbia

Proof Of Claim For Wages Salary Or Commissions Form. This is a District Of Columbia form and can be used in USBC District Of Columbia Federal .
 Fillable pdf Last Modified 1/31/2002
Get this form for FREE as a print-only pdf

BOF 20 (8/83) United States Bankruptcy Court For the_______________District of ______________ In re Case No._______________ Debtor* PROOF OF CLAIM FOR WAGES, SALARY, OR COMMISSIONS 1. The undersigned, claimant herein, resides at** and has social security number 2. The debtor owes the claimant , computed as follows: (a) wages, salary or commissions for services performed from the day of , 20 , to the day of , 20 , at the following rate or rates of compensation ____________________ (b) allowances and benefits, such as vacation, severance and sick leave pay (specify) ____________________ ___________________________________ Total Amount Claimed 3. The claimant demands priority to the extent permitted by 11 U.S.C. § 507(a)(3). 4. The claimant has received no payment, no security, and no check or other evidence of this debt except as follows: Claim Number (For Office Use Only) Dated: Signed: __________________________________________, Claimant § 152. Penalty for Presenting Fraudulent Claim. Fine of not more than $5,000 or imprisonment for not more than 5 years or both--Title 18, U.S.C. *Include all names used by debtor with in last 6 years. **State post office address. 2002 © American LegalNet, Inc.
Link/Embed this Document
URL
Embed


Popular Searches

  1. mechanics lien
  2. grant deed
  3. Form Interrogatories-General
  4. information subpoena
  5. durable power of attorney
  6. deposition subpoena
  7. bill of costs
  8. Request for entry of default
  9. Preliminary Change of Ownership Report
  10. stipulation of discontinuance

Bookmark and Share