MOW 1009-1.1 (05/07)
IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF MISSOURI
IN RE:
Debtor(s)
) ) ) ) )
Case No.
VERIFICATION OF SCHEDULES (OR AMENDED SCHEDULES) AND SUMMARY OF SCHEDULES
I/We, , named as the debtor(s) in this case, declare under the penalty of perjury that I/we have read the foregoing Summary and Schedules or Amended Schedules, consisting of pages, and that they are true and correct to the best of my/our knowledge, information, and belief.
Date: Signature of Debtor
Signature of Joint Debtor
Instructions: File with original schedules or amended schedules. ECF Event: If not filed with the schedules but filed as a separate document Bankruptcy>Other>Verification by Debtor