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UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NEW YORK x In re: Case No. Chapter:Debtor(s) x AFFIDAVIT PURSUANT TO LOCAL RULE 10091(a), undersigned debtor herein, swears as follows: 1. Debtor
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To fill out the undersigned debtor herein swears, follow these steps:
02
Begin by writing the debtor's full legal name at the top of the document.
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Below the name, include the debtor's contact information such as address, phone number, and email.
04
Write a statement affirming that the debtor hereby swears or declares the truthfulness and accuracy of the information provided.
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Include any relevant details or information that the debtor needs to disclose, such as outstanding debts, financial status, or assets.
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Sign and date the document at the bottom to indicate the debtor's commitment to the sworn statement.
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Make a copy of the filled-out document for your records and ensure the original is sent to the appropriate recipient or kept in a secure location.
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Remember to consult with a legal expert if you have any specific questions or concerns regarding the content or legal implications of the undersigned debtor herein swears.

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The undersigned debtor herein swears to the accuracy and truthfulness of the information provided.
The debtor named in the document is required to file the undersigned debtor herein swears.
The undersigned debtor herein swears can be filled out by carefully reviewing the information requested and providing accurate details.
The purpose of the undersigned debtor herein swears is to affirm the accuracy of the information provided by the debtor.
The undersigned debtor herein swears may require the debtor to report personal and financial information as requested.
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