Declaration Under Penalty Of Perjury For Electronic Filing
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1THE UNITED STATES BANKRUPTCY COURT
MIDDLE DISTRICT OF FLORIDA
___________________ Division
In Re:
Chapter: ________
_________________________________
Case No: ____________
_________________________________
_________________________________
_________________________________
_________________________________
Debtor(s).
___________________/
DECLARATION UNDER PENALTY OF PERJURY FOR ELECTRONIC FILING
The undersigned, _________________________________, declares under
penalty of perjury that:
1.
I have signed the original(s) of the document(s) identified below under
penalty of perjury (“Verified Document(s)”).
2.
The information contained in the Verified Document(s) is true and correct
to the best of my knowledge and belief.
3.
I understand that the Verified Document(s) are to be filed in electronic
form with the United States Bankruptcy Court in connection with the
above captioned case.
__________________
____________________
______________________
Executed on (Date)
Signature of Debtor
Signature of Joint Debtor
or other claimant
Verified Document(s):
Full Descriptive Title
Date Executed
___________________________________
______________________
___________________________________
______________________
___________________________________
______________________
___________________________________
______________________
___________________________________
______________________
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