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B1 (Official Form 1)(4/10) United States Bankruptcy Court Voluntary Petition Western District of Kentucky b k 1 F o r m. V l u n t a y P e I Name of Joint Debtor (Spouse) (Last, First, Middle): Name

Serve. Card# or Last four digits of Soc. Serve. Card# when a Social Security Number is requested for this joint account: L-4-V-5-2.9 CASH ONLY; please submit only one payment for a single deposit transaction. If you want to submit more than one payment for a joint account, please submit separate invoices for each payment. This joint account is for the sole benefit of: (1) The Debtor; (2) The Joint Account; and L-4-W-3-4.1 CASH ONLY; please submit only one payment for a single deposit transaction. If you want to submit more than one payment for a joint account, please submit separate invoices for each payment. For convenience, please include the last four digits of both the joint account name and card number when requesting a Social Security Number for this account. For example, if you have a joint account named “Blue,” and you also have an individual name named “Blue” for the account, you would submit your application for Social Security Number to “Blue” and not to “Blue, My Card.” You should submit only one Social Security Number request per joint account. L-4-W-3-5.1 CASH ONLY; please submit only one payment for a single deposit transaction. If you want to submit more than one payment for a joint account, please submit separate invoices for each payment. This joint account is for the sole benefit of: (1) The Debtor; (2) The Joint Account; and L-4-E-5-3.1 CASH ONLY; please submit only one payment for a single deposit transaction. If you want to submit more than one payment for a joint account, please submit separate invoices for each payment. This joint account is for the sole benefit of: (1) The Debtor; (2) The Joint Account; and L-4-4-B-2.1 CASH ONLY; please submit only one payment for a single deposit transaction. If you want to submit more than one payment for a joint account, please submit separate invoices for each payment. This joint account is for the sole benefit of: (1) The Debtor; (2) The Joint Account; and L-4-6-6.1 CASH ONLY; please submit only one payment for a single deposit transaction.

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