UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re _________________________________ _________________________________ _________________________________ _________________________________ [Name of debtor(s) + last 4 digits of SSN], Debtor(s). No. _____________________________
[case number, e.g., 7-03-13131 MR]
CERTIFICATE OF MAILING OF NOTICE OF CORRECTION OF SOCIAL SECURITY NUMBER
I certify that on ____________________ (date), I mailed a Notice of Correction of Social Security Number for the debtor whose name is shown below to the trustee, all creditors and indenture trustees in this case as shown on the attached mailing list. Debtor name: ________________________________ Last 4 digits of incorrect SSN: ________________________ Last 4 digits of CORRECT SSN: ________________________
Signature of attorney or self-represented debtor Address:
Note to filer:
File this certificate with the Clerk. DO NOT attach a copy of the Notice of Correction of Social Security Number. FORM 1a 01/13/04
F:\ALL FORMS\cert of mailing ntc corr ssn.wpd