Disclosure Of Compensation Of Bankruptcy Petition Preparer {CSD 2800} | Pdf Fpdf Doc Docx | California

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Disclosure Of Compensation Of Bankruptcy Petition Preparer {CSD 2800} | Pdf Fpdf Doc Docx | California

Disclosure Of Compensation Of Bankruptcy Petition Preparer {CSD 2800}

This is a California form that can be used for General within Federal, USBC Southern.

Alternate TextLast updated: 12/28/2016

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CSD 2800 [12/1/15] 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. DISCLOSURE OF COMPENSATION OF BANKRUPTCY PETITION PREPARER [Must be filed with the petition if a bankruptcy petition preparer prepares the petition. 11 U.S.C. § 110(h)(2).] 1. Under 11 U.S.C. §110(h), I declare under penalty of perjury that I am not an attorney or employee of an attorney, that I prepared or caused to be prepared one or more documents for filing by the above-named debtor(s) in connection with this bankruptcy case, and that compensation paid to me within one year before the filing of the bankruptcy petition, or agreed to be paid to me, for services rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For document preparation services, I have agreed to accept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Prior to the filing of this statement I have received . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Balance Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ 2. I have prepared or caused to be prepared the following documents (itemize): and provided the following services (itemize): 3. The source of the compensation paid to me was: Debtor Other (specify) 4. The source of compensation to be paid to me is: Debtor Other (specify) American LegalNet, Inc. www.FormsWorkFlow.com CSD 2800 [Continued on Page 2] CSD 2800 (Page 2)[12/1/15] 5. The foregoing is a complete statement of any agreement or arrangement for payment to me for preparation of the petition filed by the debtor(s) in this bankruptcy case. 6. To my knowledge no other person has prepared for compensation a document for filing in connection with this bankruptcy case except as listed below: NAME SOCIAL SECURITY NUMBER X Signature Social Security Number Date of bankruptcy petition preparer (If the bankruptcy petition preparer is not an individual, state the Social Security number of the officer, principal, responsible person or partner of the bankruptcy petition preparer.) (Required by 11 U.S.C. § 110.) Printed name and title, if any, of Bankruptcy Petition Preparer Address A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156. CSD 2800 American LegalNet, Inc. www.FormsWorkFlow.com

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