Certificate And Affidavit For Adding Creditors In Closed Case {LF-7-15}

FLNB Local Form 7-15 (04/11) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF FLORIDA DIVISION In re: Case No.: Chapter 7 Debtor(s) CERTIFICATE AND AFFIDAVIT FOR ADDING CREDITORS IN A CLOSED CASE 1. The undersigned pro se debtor(s) or the undersigned member of the bar of this Court who represents the debtor(s), hereby certifies that: a. The above-captioned case was filed under or converted to a Chapter 7 of the Bankruptcy Code ("Chapter 7") and remained a case under Chapter 7 until closing; b. After filing or conversion to Chapter 7, a notice of no dividend, contained in the Notice of First Meeting of Creditors, was sent to the creditors listed on the schedules informing the creditors they need not file claims in the above-captioned case; c. The Chapter 7 Trustee has filed a Report of No Distribution and, subsequent to the filing of that report, no assets of the estate have been recovered or administered; a discharge was entered and the case was subsequently closed; d. The purpose of filing this Certificate is to amend the schedules to add only the pre-petition creditor(s) listed on the attached sheet. e. Due notice of items b and c above has been sent to such creditor(s) and no response has been received from the creditor(s) within the thirty (30) day response period. The debtor(s) signing below, under penalty of perjury, further certifies that: a. Such debtor(s) did not intentionally omit the creditor(s) listed on the attached sheet from the schedules filed in the above-referenced case; and b. Such debtor(s) did not intend to hinder, delay or default said creditor(s). 2. Signature of Attorney Signature of Debtor Printed Name of Attorney Signature of Joint Debtor Date American LegalNet, Inc. www.FormsWorkFlow.com