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This document serves as a Proof of Claim form for individuals who purchased common stock of SIRVA, Inc. between November 25, 2003 and January 31, 2005, allowing them to submit a claim for settlement
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How to fill out proof of claim and

How to fill out Proof of Claim and Release
01
Obtain the Proof of Claim and Release form from the appropriate source.
02
Carefully read the instructions provided with the form.
03
Fill in your personal information, including name, address, and contact details.
04
Provide details about the claim, such as the reason for the claim and the amount being claimed.
05
Attach any required documentation that supports your claim.
06
Sign and date the form to validate your claim.
07
Submit the completed form to the specified address before the deadline.
Who needs Proof of Claim and Release?
01
Individuals or entities who believe they are entitled to compensation or recovery from a settlement or bankruptcy proceeding.
02
Creditors seeking to reclaim debts or losses related to a legal case.
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Who must file a proof of claim?
(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.
What to attach to 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.)
How to write a proof of claim?
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.
What is an example of a proof of claim?
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).
What to attach to proof of claim?
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.)
What is a claim in a proof?
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.
What is proof of claim and release?
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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What is Proof of Claim and Release?
Proof of Claim and Release is a legal document used to assert a claim against an estate, a bankruptcy proceeding, or a settlement agreement, whereby the claimant formally declares the existence of their claim and releases any further claims related to it.
Who is required to file Proof of Claim and Release?
Creditors or individuals who have a valid claim against a debtor's estate or a settlement must file a Proof of Claim and Release to be considered for compensation or repayment.
How to fill out Proof of Claim and Release?
To fill out a Proof of Claim and Release, one must provide personal identification details, a description of the claim, the basis for the claim, the amount claimed, and potentially any supporting documentation as required by the specific legal situation.
What is the purpose of Proof of Claim and Release?
The purpose of Proof of Claim and Release is to formally notify the relevant parties of the existence of a claim, ensure that the claimant is acknowledged in the legal process, and facilitate the distribution of funds or assets.
What information must be reported on Proof of Claim and Release?
The information that must be reported includes the claimant's name and contact information, the nature of the claim, the date the claim arose, the amount of the claim, and any relevant documentation that supports the claim.
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