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Affidavit Of Amount Due (Non-Core Proceeding) D105 - New York
| Affidavit Of Amount Due (Non-Core Proceeding) Form. This is a New York form and can be used in Western District Bankruptcy Court Federal . |
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Revised 1/2005 Suggested Form D105 UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF NEW YORK In Re: AFFIDAVIT OF AMOUNT DUE (Non-Core Proceeding) Debtor (s). BK Case No. ____________ Plaintiff (s), vs. AP Case No. ____________ Defendant (s). In support of the Plaintiff's request that the Bankruptcy Court recommend and the District Court enter Judgment by Default against the Defendant, ______________________________________ ("Defendant"), Plaintiff submits the following itemization of damages sought: Principal amount prayed for in Complaint Pre-judgment interest1 Cost Attorney's Fees2 TOTAL DAMAGES Plus per diem of $__________ since the date of the filing Plaintiff's request for default TOTAL DEFAULT JUDGMENT REQUESTED Date: _________________ Sworn to before me this ______ day of _________________, 2_____ _______________________________________ Notary $__________ $__________ $__________ $__________ $__________ $__________ $__________ ______________________________ Attorney for Plaintiff or Plaintiff pro se 1 Based on 28 U.S.C. § 1961; at the rate of _____% since _________________, through the date of the filing of the request (to be computed by Plaintiff). See, 28 U.S.C. § 1923. American LegalNet, Inc. www.USCourtForms.com 2
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