Declaration Regarding Electronic Filing Of Self-Represented Individual {CSD 1804}

CSD 1804, DECLARATION RE: ELECTRONIC FILING OF SELF-REPRESENTED INDIVIDUAL, I (we), the Debtor(s) hereby declare under penalty of perjury that: (1) I (we) have read and understand the above-referenced document(s) being filed electronically (“Voluntary Petition”); (2) the information contained in the petition, statements and schedules, lists, and disclosures is true and correct, to the best of my knowledge and belief; and (3) I (we) have authorized the electronic filing of the Voluntary Petition with the United States Bankruptcy Court. I further declare under penalty of perjury that I (we) have completed and signed Your Statement about Your Social Security Number(s) (Official Form B121) and provided the signed original(s) to the Clerk. I (we) understand that this DECLARATION Regarding Electronic Filing must be filed with the Clerk in addition to the petition. www.FormsWorkflow.com