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Notice Of Transfer Of Claim Other Than For Security B210 - Official Federal Forms
| Notice Of Transfer Of Claim Other Than For Security Form. This is a national form and can be used in Procedural Forms Bankruptcy . |
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B210 (12/04) United States Bankruptcy Court _______________ District Of _______________ In re ______________________________, Case No. ________________ Court ID (Court use only)_____________ NOTICE OF TRANSFER OF CLAIM OTHER THAN FOR SECURITY A CLAIM HAS BEEN FILED IN THIS CASE or deemed filed under 11 U.S.C. 1111(a). Transferee hereby gives notice pursuant to Rule 3001(e)(2), Fed. R. Bankr. P., of the transfer, other than for security, of the claim referenced in this notice. ______________________________________ ____________________________________ Name of Transferee Name of Transferor Name and Address where notices to transferee Court Record Address of Transferor should be sent (Court Use Only) Phone: ______________________________ Last Four Digits of Acct #: ______________ Last Four Digits of Acct. #: ___________ Name and Address where transferee payments Name and Current Address of Transferor should be sent (if different from above) Phone: _______________________________ Phone: ___________________________ Last Four Digits of Acct #: _______________ Last Four Digits of Acct. #: ___________ Court Claim # (if known): _______________ Date Claim Filed: ______________________ I declare under penalty of perjury that the information provided in this notice is true and correct to the best of my knowledge and belief. By:__________________________________ Date: ____________________________ Transferee/Transferees Agent Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. 152 & 3571. ~~DEADLINE TO OBJECT TO TRANSFER~~ The transferor of claim named above is advised that this Notice of Transfer of Claim Other Than for Security has been filed in the clerks office of this court as evidence of the transfer. Objections must be filed with the court within twenty (20) days of the mailing of this notice. If no objection is timely received by the court, the transferee will be substituted as the original claimant without further order of the court. Date:___________ ______________________________ CLERK OF THE COURT American LegalNet, Inc. www.USCourtForms.com
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