Verification Of Creditor Matrix {LBF 1007-2}

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE In re: _________________________________, Debtor Bk. No. ________-_________-_______ Chapter ______ VERIFICATION OF CREDITOR MAILING LIST The above named debtor hereby certifies under penalty of perjury that the attached master mailing list of creditors, consisting of _____ pages is complete, correct and consistent with the debtor's schedules pursuant to Local Bankruptcy Rules and assumes all responsibility for errors and omissions. Date: ___________________ ____________________________________ Debtor Signature ____________________________________ Print Name Address_____________________________ ____________________________________ Tel. No._____________________________ LBF 1007-2 (Eff. 2/1/13) American LegalNet, Inc. www.FormsWorkFlow.com