Disclosure Of Compensation Of Attorney For Debtor Page 2

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Form 203 - Continued
6.
By agreement with the debtor(s), the above-disclosed fee does not include the following services
CERTIFICATION
I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in
this bankruptcy proceeding.
__________________________________
__________________________________________
Date
Signature of Attorney
__________________________________________
Name of Law Firm

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