Florida > Federal > USBC Northern

Debtor(s) Statement Of Assistance Received In Connection With Filing Of This Case 1 - Florida

Debtor(s) Statement Of Assistance Received In Connection With Filing Of This Case Form. This is a Florida form and can be used in USBC Northern Federal .
 Fillable pdf Last Modified 3/1/2012
Get this form for FREE as a print-only pdf

FLNB Local Form 1 (05/07) United States Bankruptcy Court Northern District of Florida IN RE: Debtor(s) Case No. Chapter DEBTOR'S STATEMENT OF ASSISTANCE RECEIVED IN CONNECTION WITH THE FILING OF THIS CASE I DID NOT RECEIVE ANY ASSISTANCE IN PREPARING THIS CASE FOR FILING. I DID RECEIVE ASSISTANCE IN PREPARING THIS CASE FOR FILING. 1. The person or firm that assisted is: Name Address City Telephone 2. 3. 4. I paid the sum of $ I still owe the sum of $ State Zip . . I agreed to turn over or give a security interest in the following property: , the Debtor(s), do hereby declare under I (we) penalty of perjury , that the statements made are true and correct. Executed this (Day) day of (Month) , (Year) . Signature of Debtor Signature of Joint Debtor American LegalNet, Inc. www.FormsWorkFlow.com
Link/Embed this Document
URL
Embed


Popular Searches

  1. civil cover sheet
  2. financial affidavit
  3. request for dismissal
  4. satisfaction of judgment
  5. notice of motion
  6. interrogatories
  7. civil
  8. summons
  9. custody
  10. Guardianship

Bookmark and Share