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B 10 (Official Form 10) (12/11) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA Name of Debtor: Case Number: PROOF OF CLAIM NOTE: Do not use this form to make a claim for an administrative
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How to fill out proof of claim form?

01
Gather all necessary documents and information such as the debtor's name, case number, and details about the claim.
02
Carefully review the instructions provided with the form to ensure you understand the requirements.
03
Start by filling out your personal information accurately, including your name, address, and contact details.
04
Identify the type of claim you are filing, whether it is related to goods, services, or other obligations.
05
Provide a description of the claim, outlining the nature of the debt or obligation and any relevant supporting documents.
06
Specify the amount of the claim, including any interest or fees if applicable.
07
Attach any supporting documents or evidence that can support your claim, such as invoices, contracts, or receipts.
08
Sign and date the proof of claim form, certifying that the information provided is true and accurate to the best of your knowledge.
09
Keep a copy of the completed form and any attachments for your records.

Who needs proof of claim form?

01
Creditors who have a legitimate claim against a debtor in a bankruptcy case.
02
Individuals or businesses who are owed money or have unpaid debts by the debtor.
03
Any person or entity seeking to receive a share of the debtor's assets in the event of a successful bankruptcy case.
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Proof of claim form is a document that must be filed by a creditor, debtor, or other interested party in a bankruptcy case, to assert a claim against the debtor's estate.
Creditors, debtors, or other interested parties who wish to assert a claim against the debtor's estate are required to file a proof of claim form.
To fill out a proof of claim form, you generally need to provide information such as your name and contact details, the amount of the claim, the basis for the claim, supporting documentation, and any relevant attachments. The specific instructions for filling out the form may vary depending on the jurisdiction and the case.
The purpose of a proof of claim form is to formally assert a claim against the debtor's estate in a bankruptcy case. It helps to ensure that claims are properly recorded and considered during the bankruptcy proceedings.
The information that must be reported on a proof of claim form typically includes the claimant's name and contact details, the amount and nature of the claim, the date it arose, any supporting documentation, and any other relevant details specified by the court.
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