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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK SEC v. Dr. Joseph F. Chip Shown III, et al., Civil Action No. 10-CV-8266 (DAB) PROOF OF CLAIM FORM INSTRUCTIONS YOU MUST MAIL YOUR COMPLETED
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How to fill out proof of claim form

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How to Fill Out Proof of Claim Form:

01
Gather all necessary documentation: Before starting the form, make sure you have all the relevant information and supporting documents. These may include invoices, receipts, contracts, or any other evidence that supports your claim.
02
Identify the bankruptcy case: At the top of the form, you will typically find a section where you need to provide the bankruptcy case information. This includes the debtor's name, case number, and the court where the bankruptcy case is being heard. Make sure to accurately fill in this information.
03
Specify the type of claim: Determine whether your claim is secured, unsecured, priority, or administrative. This will affect how your claim is treated within the bankruptcy proceedings. Provide any necessary details or explanations to support your claim classification.
04
Describe the nature of the claim: In this section, you should provide a clear and concise description of your claim, including the goods or services provided, the date of the transaction, and any relevant contractual details. Use specific language and be as detailed as possible to ensure your claim is accurately understood.
05
State the amount of the claim: Indicate the total dollar amount you are claiming in this section. Be sure to include any interest, fees, or other applicable charges. Provide supporting documentation to justify the amount you are claiming.
06
Attach supporting documents: Along with the form, you will need to attach any relevant supporting documentation that proves the validity and legitimacy of your claim. This may include invoices, contracts, or any other evidence that strengthens your case.
07
Sign and date the form: Once you have completed all the necessary sections, sign and date the form. By doing so, you certify that the information provided is accurate and true to the best of your knowledge.

Who needs a proof of claim form?

01
Creditors: Creditors who are owed money by a debtor who has filed for bankruptcy need to fill out a proof of claim form. This form allows the creditor to formally assert their right to the outstanding debt and make a claim against the debtor's assets.
02
Suppliers: Suppliers or vendors who have provided goods or services to a debtor who has filed for bankruptcy may also need to fill out a proof of claim form. This helps them assert their right to payment for the goods or services provided.
03
Employees: If a debtor declares bankruptcy and owes wages or benefits to their employees, the employees may need to file a proof of claim form to ensure they can recover the unpaid compensation.
04
Other parties with legal claims: In certain cases, individuals or entities with legal claims against a debtor in bankruptcy may need to fill out a proof of claim form to establish their right to compensation or resolution.
It is important to consult with relevant legal professionals or the specific bankruptcy court handling the case to determine if you are required to fill out a proof of claim form and the specific instructions for doing so in that particular bankruptcy case.
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Proof of claim form is a legal document filed by a creditor in a bankruptcy case that outlines the amount owed to them by the debtor.
Creditors who are owed money by a debtor are required to file a proof of claim form.
To fill out a proof of claim form, creditors must provide details about the amount owed, supporting documentation, and any other relevant information requested on the form.
The purpose of the proof of claim form is to allow creditors to assert their right to receive a share of the debtor's assets in a bankruptcy case.
Information such as the amount owed, the basis for the claim, any collateral securing the debt, and supporting documentation must be reported on the proof of claim form.
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