Hello looking for help with this form can't find any answers
to how or if need to be filled out?
Any help would be great thanks.
Local Bankruptcy Form 1007-6.1
[Caption as in Bankruptcy Official Form 16A]
STATEMENT UNDER PENALTY OF PERJURY
CONCERNING PAYMENT ADVICES
I*, (debtor’s name) , state as follows:
I did not file with the court copies of some or all payment advices or other
evidence of payment received within 60 days before the date of the filing of the petition
from any employer because:
Check applicable boxes:
[ ] I was not employed during the period immediately preceding the filing of the
above-referenced case, (insert the dates that you were not employed) ;
[ ] I was employed during the period immediately preceding the filing of the above
referenced case but did not receive any payment advices or other evidence of payment
from my employer within 60 days before the date of the filing of the petition;
[ ] I am self-employed and do not receive any evidence of payment from an employer;
[ ] Other (please provide explanation): ______________________________________.
I declare under penalty of perjury that the foregoing statement is true and correct.
Dated: ______________________ By: __________________________________
Signature of debtor
_____________________________________
Printed name of debtor
Home address
Telephone number
Facsimile number
E-mail address
* A separate form must be signed for each debtor
to how or if need to be filled out?
Any help would be great thanks.
Local Bankruptcy Form 1007-6.1
[Caption as in Bankruptcy Official Form 16A]
STATEMENT UNDER PENALTY OF PERJURY
CONCERNING PAYMENT ADVICES
I*, (debtor’s name) , state as follows:
I did not file with the court copies of some or all payment advices or other
evidence of payment received within 60 days before the date of the filing of the petition
from any employer because:
Check applicable boxes:
[ ] I was not employed during the period immediately preceding the filing of the
above-referenced case, (insert the dates that you were not employed) ;
[ ] I was employed during the period immediately preceding the filing of the above
referenced case but did not receive any payment advices or other evidence of payment
from my employer within 60 days before the date of the filing of the petition;
[ ] I am self-employed and do not receive any evidence of payment from an employer;
[ ] Other (please provide explanation): ______________________________________.
I declare under penalty of perjury that the foregoing statement is true and correct.
Dated: ______________________ By: __________________________________
Signature of debtor
_____________________________________
Printed name of debtor
Home address
Telephone number
Facsimile number
E-mail address
* A separate form must be signed for each debtor
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