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Unconditional Transfer Of Claim After Proof Of Claim Filed 301 - Oregon
| Unconditional Transfer Of Claim After Proof Of Claim Filed Form. This is a Oregon form and can be used in Bankruptcy Court Federal . |
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UNITED STATES BANKRUPTCY COURT DISTRI CT OF OREGON In re ) ) Case No. ) ) UNCONDITIONAL TRANSFER ) OF CLAIM AFTER ) PROOF OF CLAIM FILED Debtor(s) ) I, the undersigned, under penalty of perjury under the laws of the United States of America declare (or certify, verify, or state) that the following statements and information are true and correct: 1. A proof of claim was originally filed in the above-entitled case on behalf of the creditor , in the amount of $ , andregistered by the court as claim # . 2. I am (CHECK ONE): ___a. the creditor named in pt. 1 above; or ___b. the lawful agent of such creditor who is duly authorized to execute this document on behalf of the creditor. 3. For valuable consideration I do hereby assign, transfer, and set over the claim detailed in pt. 1 above to , whose address is . 4. I request that any check, and/or information, respecting this claim be served on the entity named in pt. 3 above. 5. I specifically waive any right to notice or an order of substitution provided in Federal Bankruptcy Rule 3001, and also waive further notice of any matters in connection with the claim detailed in pt. 1 above. 6. I understand that, pursuant to 18 USC 152, I shall be fined not more than $5,000.00, or imprisoned not more than five years, or both, if I have knowingly and fraudulently made any false statements in this document. 7. A COPY OF THIS D OCUMENT HAS BEEN SERVED ON THE CASE TRUSTE E WHOSE NAME AND MAI LING ADDRESS ARE : .Executed on Signature Print or Type Signers Name Address 301 (2/22/90) Phone No.
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