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This document serves as a Proof of Claim and Release for individuals who wish to receive a share of the settlement fund in the Beckman Coulter, Inc. securities litigation. It requires claimants to
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How to fill out proof of claim and

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How to fill out Proof of Claim and Release

01
Obtain the Proof of Claim and Release form, usually provided by the court or relevant entity.
02
Read the instructions carefully to understand the requirements.
03
Fill out your personal information in the designated sections, including name, address, and contact details.
04
Provide a detailed description of your claim, including the reasons for your claim and any relevant dates.
05
Attach any supporting documents that validate your claim, such as receipts or contracts.
06
Sign and date the form to certify that the information provided is true and accurate.
07
Submit the completed form by the deadline specified, either by mail or electronically if permitted.

Who needs Proof of Claim and Release?

01
Individuals or entities who have a claim against a debtor in a bankruptcy case.
02
Creditors seeking compensation for losses or damages caused by a debtor's actions.
03
Parties involved in class action lawsuits who are entitled to a share of any settlement.
04
Anyone who has suffered an injury or loss and is seeking a formal recognition of their claim.
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(a) Necessity for Filing. A secured creditor, unsecured creditor or equity security holder must file a proof of claim or interest for the claim or interest to be allowed, except as provided in Rules 1019(3), 3003, 3004, and 3005.
Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has been filed or recorded.)
A Proof of Claim must include any pertinent documentation, such as promissory notes, purchase orders, contracts, invoices, delivery receipts or security agreements. Other documentation might include monthly statements, pay records and ledgers.
Examples: Goods sold, money loaned, lease, services performed, personal injury or wrongful death, or credit card. Attach redacted copies of any documents supporting the claim required by Bankruptcy Rule 3001(c).
Attachment (Official Form 410-A) with this Proof of Claim. Attach redacted copies of documents, if any, that show evidence of perfection of a security interest (for example, a mortgage, lien, certificate of title, financing statement, or other document that shows the lien has been filed or recorded.)
0:14 1:53 Estate. Without this they may not receive anything at all this document must include specificMoreEstate. Without this they may not receive anything at all this document must include specific details such as the basis for the claim. The amount owed and any supporting docu documentation.
A Proof of Claim is a written statement and any supporting documentation which describes the reason the debtor owes the creditor money. The claim must be filed using Official Form 410.

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Proof of Claim and Release is a legal document used in bankruptcy or class action cases to assert a claimant's right to payment. It serves to notify the court and relevant parties of a claim against a debtor or a settlement fund.
Individuals or entities that believe they have a valid claim against a bankrupt entity or a settlement fund in a class action lawsuit are required to file a Proof of Claim and Release.
To fill out a Proof of Claim and Release, one needs to provide basic information such as the claimant's name, address, details of the claim, any supporting documents, and the signature of the claimant or their representative.
The purpose of Proof of Claim and Release is to formally establish a claim in court and to seek payment or remediation. It also serves to facilitate the efficient administration of a bankruptcy or settlement process.
The information that must be reported includes the claimant's contact information, a description of the claim, the amount owed, any supporting documents, and the signature of the claimant or authorized representative.
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