UNITED STATES BANKRUPTCY COURT
Western District of Wisconsin
PAYMENT ADVICES COVER SHEET
in Accordance with 11 U.S.C. Sec. 521(a)(1)(B)(iv)
In re: ____________________________________ Debtor(s) Please check the appropriate box. Case No.: ________________
For Debtor: G G G
Payment advices (pay stubs) are attached. No payment advices (pay stubs) are attached (the debtor had no income from any employer during the 60 days prior to filing the bankruptcy petition). No payment advices (pay stubs) attached for other reason, or some payment advices missing ( please explain). _______________________________________ ________________________________________________________________________
For Joint Debtor, if applicable: G G G
Payment advices (pay stubs) are attached. No payment advices (pay stubs) are attached (the debtor had no income from any employer during the 60 days prior to filing the bankruptcy petition). No payment advices (pay stubs) attached for other reason, or some payment advices missing ( please explain). _______________________________________ ________________________________________________________________________
I declare under penalty of perjury that I have read this payment advices cover sheet and the attached payment advices, consisting of ______ sheets, numbered 1 through _____, and that they are true and correct to the best of my knowledge, information and belief. Signature of Debtor: _________________________________ Date: ___________ Date: ___________
Signature of Joint Debtor: _________________________________
March 2006
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