Michigan > Federal > USBC Eastern
Declaration Under Penalty of Perjury for Debtor(s) Without an Attorney - Michigan
| Declaration Under Penalty of Perjury for Debtor(s) Without an Attorney Form. This is a Michigan form and can be used in USBC Eastern Federal . |
|
||||||
 Get this form for FREE as a print-only pdf |
|||||||
|
UNITED STATES BANKRUPTCY COURT Eastern District of Michigan In Re: Case No. Chapter: Debtor(s) / Hon. DECLARATION UNDER PENALTY OF PERJURY FOR DEBTOR(S) WITHOUT AN ATTORNEY The debtor(s) shall answer the following questions: 1. 2. Did you have help in preparing the documents for your bankruptcy filing? If you did have help, who helped you: Name Address City/State/Zip Telephone No. Soc. Sec. No. 3. If you did have help, what did you give or promise to give for this help? (Fill in all blanks). Money Paid $ What Value $ Property What Value $ Services 9Yes 9No Owed $ 4. Did you make any payment to the preparer for Court costs in connection with filing the petition? 9 Yes 9 No If so, how much $ I declare under penalty of perjury that the above statements are true. Debtor's Signature Print Name: Address Phone # WARNING: Debtor' Signature Print Name: Address Phone # It is a federal crime to file a document containing false information in a federal court proceeding. Penalty for false declaration; Fine of not more than $250,000 or imprisonment for not more than 5 years or both - 18 U.S.C. §152 and U.S.C. §3571. American LegalNet, Inc. www.USCourtForms.com
|
|||||||
