Form 401 - Chapter 15 Petition For Recognition Of A Foreign Proceeding
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1
2
3Fill in this information to identify the case:
United States Bankruptcy Court for the:
__________ District of __________
__________ District of __________
Case number
_________________________ Chapter 15
Check if this is an
(If known):
amended filing
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
12/15
If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write debtor’s name and case number (if known).
_____________________________________________________________________________________________
Debtor’s name
1.
For non-individual debtors:
Debtor’s unique identifier
2.
Federal Employer Identification Number (EIN)
___ ___ – ___ ___ ___ ___ ___ ___ ___
Other ___________________________. Describe identifier _____________________________.
For individual debtors:
Social Security number:
xxx – xx– ____ ____ ____ ____
Individual Taxpayer Identification number (ITIN): 9 xx – xx – ____ ____ ____ ____
Other ___________________________. Describe identifier ______________________________.
Name of foreign
3.
representative(s)
____________________________________________________________________________________________
Foreign proceeding in which
4.
appointment of the foreign
____________________________________________________________________________________________
representative(s) occurred
Nature of the foreign
5.
Check one:
proceeding
Foreign main proceeding
Foreign nonmain proceeding
Foreign main proceeding, or in the alternative foreign nonmain proceeding
Evidence of the foreign
6.
A certified copy, translated into English, of the decision commencing the foreign proceeding and
proceeding
appointing the foreign representative is attached.
A certificate, translated into English, from the foreign court, affirming the existence of the foreign
proceeding and of the appointment of the foreign representative, is attached.
Other evidence of the existence of the foreign proceeding and of the appointment of the foreign
representative is described below, and relevant documentation, translated into English, is attached.
_______________________________________________________________________________________
_______________________________________________________________________________________
Is this the only foreign
7.
No. (Attach a statement identifying each country in which a foreign proceeding by, regarding, or against the
proceeding with respect to
debtor is pending.)
the debtor known to the
Yes
foreign representative(s)?
Official Form 401
Chapter 15 Petition for Recognition of a Foreign Proceeding
page 1
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