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Affidavit Of Payment Of Fees LBF 1017-2 - New Hampshire
| Affidavit Of Payment Of Fees Form. This is a New Hampshire form and can be used in Bankruptcy Court Federal . |
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UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE In re: ______________________________________, Debtor Bk. No. ____-_________-____ Chapter ____ AFFIDAVIT OF PAYMENT OF FEES The undersigned depose and say as follows: All fees owing by the above-captioned Debtor to the United States Bankruptcy Court for the District of New Hampshire and the United States Trustee including, without limitation, unpaid installment filing fees and quarterly fees payable to the United States Trustee, have been paid in full by said Debtor. [Form for Individual Debtors] Date:____________________ _________________________________ _______________________[Print Name] [Form for Partnership/Corporate Debtors] Date:____________________ _________________________________ _______________________[Print Name] Duly Authorized [Form for Attorneys] Date:____________________ _________________________________ _______________________[Print Name] STATE/COMMONWEALTH OF _____________________ COUNTY OF_____________________________________ Subscribed and sworn to before me this ____ day of _________________, 20___, by ________________________________ [Name of Deponent]. _________________________________ Notary Public My commission expires: LBF 1017-2 (Eff. 12/1/09) American LegalNet, Inc. www.FormsWorkFlow.com
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