New Mexico > Federal > Bankruptcy Court
Amended Statement Of Social Security Numbers B21amd - New Mexico
| Amended Statement Of Social Security Numbers Form. This is a New Mexico form and can be used in Bankruptcy Court Federal . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO 1 AMENDED STATEMENT OF SOCIAL SECURITY NUMBER(S) 1. Debtor (enter full name): __________________________________________________ 9 I have a social security number and it is: ________________________________ 9 I do not have a social security number. 2. Joint Debtor (enter full name): ______________________________________________ 9 I have a social security number and it is: ________________________________ 9 I do not have a social security number. 2 I declare under penalty of perjury that the foregoing is true and correct. Date: ____________________ ___________________________________ Debtor Date: ____________________ ___________________________________ Joint Debtor 1 Required to be submitted with a non-electronically filed voluntary petition pursuant to Fed. R. Bankr. P.1007(f). This document will not become part of the official case file. 2 Penalty for making a false statement: Fine of up to $250,000 or up to 5 years imprisonment or both. 18 U.S.C. 152 and 3571 F:\ALL FORMS\amended statement of ssn.wpd Form B21 amd
|
|||||||
