Profit And Loss Template Page 2
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2I/WE declare under penalty of perjury that the information provided on the enclosed profit and loss
statement is true and correct to the best of my/our knowledge, information and belief.
Debtor:
Date:
Debtor:
Date:
Preparer, if someone other than the debtor:
Signature:
Date:
Printed Name:
Telephone Number:
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