Information And Documentation Required For Petition For Unclaimed Funds (Page 6 of 6) in pdf

Information And Documentation Required For Petition For Unclaimed Funds Page 6

EXAMPLE ONLY - DO NOT FILL IN THE BLANK

UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF GEORGIA

______

___ DIVISION

(Atlanta, Gainesville, Newnan or Rome)

IN THE MATTER OF:

Chapter _

[ Insert 7, 11, or 13]

[Type Debtors Names]

Case No._______________

Debtor(s)

Judge __[Last Name]_____

ORDER FOR PAYMENT OF UNCLAIMED FUNDS

On the ___ day of ________________________________, 200__, the Trustee filed a

Trustee’s Notice and Payment into the Court for Unclaimed Funds and issued a check to the Clerk,

U.S. Bankruptcy Court, for deposit into the Registry of the Court in the amount of

$_______________ on behalf of _[Insert name of original owner of record of the

funds](Claimant). On ____________________, 200____, __Claimant filed a petition seeking

payment. The petition and the documents attached thereto establish that Claimant is entitled to the

Unclaimed Funds. Accordingly, it is hereby

ORDERED that the Clerk, U.S. Bankruptcy Court, shall issue a check in the amount of

$_________ payable to _____________________ and shall send said check to payee at the

following address: _____________________________________________________________.

IT IS SO ORDERED this ___ day of _______________, 20__.

___________________________________

[Judge’s Complete Name]

UNITED STATES BANKRUPTCY JUDGE

Prepared by:

_______________________________

(Address)_______________________

TIN or SS#______________________

[Insert information required

by BLR 9013-3(b) and attach

a distribution list as required

by BLR 9013-3(c)]

Information And Documentation Required For Petition For Unclaimed Funds Page 6