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Amendment CSD 1100 - California
| Amendment Form. This is a California form and can be used in General USBC Southern Federal . |
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CSD 1100 [03/04/13] Name, Address, Telephone No. & I.D. No. UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West "F" Street, San Diego, California 92101-6991 In Re BANKRUPTCY NO. Debtor. AMENDMENT Presented herewith are the original and one conformed copy of the following [Check one or more boxes as appropriate]: [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] Petition Exhibit A to Voluntary Petition Exhibit C to Voluntary Petition Exhibit D - Individual Statement of Compliance with Credit Counseling Summary of Schedules Statistical Summary of Certain Liabilities and Related Data Schedule A & B - Schedule of Real or Personal Property Schedule C - Schedule of Property Claimed Exempt Schedule D, E, or F, and/or Matrix, and/or list of Creditors or Equity Holders - REQUIRES COMPLIANCE WITH LOCAL RULE 1009 [] Adding or deleting creditors (diskette required), changing amounts owed or classification of debt - $30.00 fee required. See instructions on reverse side. [] Correcting or deleting other information. See instructions on reverse side. Schedule G - Schedule of Executory Contracts & Expired Leases Schedule H - Schedule of Co-Debtor Schedule I - Current Income of Individual Debtor(s) Schedule J - Current Expenditure of Individual Debtor(s) Statement of Financial Affairs Statement of Current Monthly Income and Means Test Calculation (Form B22A) Statement of Current Monthly Income (Form B22B) Statement of Current Monthly Income and Calculation of Commitment Period and Disposable Income (Form B22C) Other: Signature Attorney for Debtor DECLARATION OF DEBTOR and , the undersigned debtor(s), hereby I [We] declare under penalty of perjury that the information set forth in the amendment attached hereto, consisting of pages, and on the creditor matrix diskette, if any, is true and correct to the best of my [our] information and belief. Dated: Debtor Joint Debtor [ [ [ [ [ [ [ [ [ ] ] ] ] ] ] ] ] ] Dated: CSD 1100 REFER TO INSTRUCTIONS ON REVERSE SIDE American LegalNet, Inc. www.FormsWorkFlow.com CSD 1100 (Page 2) [03/04/13] INSTRUCTIONS A. Each amended page is to be in the same form as the original but is to contain ONLY THE INFORMATION TO BE CHANGED OR ADDED. Pages from the original document which are not affected by the change are not to be attached. 1. Before each entry, specify the purpose of the amendment by inserting: a. "ADDED," if the information was missing from the previous document filed; or b. "CORRECTED," if the information modifies previously listed information; or c. "DELETED," if previously listed information is to be removed. 2. At the bottom of each page, insert the word "AMENDED." 3. Attach all pages to the cover page and, if a Chapter 7, 11, or 12 case, serve a copy on the United States Trustee, trustee (if any) and/or the members of a creditors' committee. If a Chapter 13 case, serve a copy on the trustee; DO NOT serve a copy on the United States Trustee. Comply with Local Bankruptcy Rule 1009 when adding or correcting the names and/or addresses of creditors (diskette required when Amendment submitted on paper) or if altering the status or amount of a claim. AMENDMENTS THAT FAIL TO FOLLOW THESE INSTRUCTIONS MAY BE REFUSED ** AMENDMENTS FILED AFTER THE CASE IS CLOSED ARE NOT ENTITLED TO A REFUND OF FEES ** CERTIFICATE OF SERVICE I, the undersigned whose address appears below, certify: That I am, and at all times hereinafter mentioned was, more than 18 years of age; day of That on here mode of service] , 20 , I served a true copy of the within AMENDMENT by [describe B. on the following persons [set forth name and address of each person served] and/or as checked below: [ ] Chpt. 7 Trustee: [ ] For Chpt. 7, 11, & 12 cases: UNITED STATES TRUSTEE Department of Justice 402 West Broadway, Suite 600 San Diego, CA 92101 [ ] For ODD numbered Chapter 13 cases: THOMAS H. BILLINGSLEA, JR., TRUSTEE 530 "B" Street, Suite. 1500 San Diego, CA 92101 [ ] For EVEN numbered Chapter 13 cases: DAVID L. SKELTON, TRUSTEE 525 "B" Street, Suite 1430 San Diego, CA 92101-4507 I certify under penalty of perjury that the foregoing is true and correct. Executed on (Date) (Typed Name and Signature) (Address) (City, State, ZIP Code) CSD 1100 American LegalNet, Inc. www.FormsWorkFlow.com
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