Verification Of Creditor Matrix
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1UNITED STATES BANKRUPTCY COURT
EASTERN DISTRICT OF MISSOURI
____________DIVISION
In re
DEBTOR NAME,
)
)
Case No.___-________-___
)
Chapter ___
Debtor(s).
)
Verification of Creditor Matrix
The above named debtor(s) hereby certifies/certify under penalty of perjury that the
attached list containing the names and addresses of my creditors (Matrix), consisting of _____
page(s) and is true, correct and complete.
__________________________________________
Debtor
__________________________________________
Joint Debtor
Dated: ___________________
(L.F. 2 Rev. 05/03)
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