Share Gallery 1/share_gal_1.zip/share_gal_1/HD/HD022A.ZIP/LHARC2.EXE/4000.XXX

Text File | 1991-06-27 | 2KB | 66 lines

#4000
@001 State the name of the claimant:
@400 Enter the District where case is pending:
@401 Enter the State where case is pending:
@402 State the case number:
@403 State the name of the debtor (bankrupt):
#4001/#4002/#4003/#4004 This claim is made by:
An individual, filing on his own behalf
An partnership, by a partner
A corporation by an employee/officer
Any of the above through an agent
#if#4001
@404 State the street address of claimant:
@405 Please enter the state of claimant's residence:
@406 Please state the zip code of claimant:
#endif
#if#4002
@407 State the name of partner making claim:
@408 Please state the street address of partner:
@409 Please enter the state of partner's residence:
@410 Please state the zip code of partner:
@411 Enter the name of the partnership:
@412 Please state names of other partners:
@413 Please state business address of partnership:
#endif
#if#4003
@490 Please state the name of corporate officer making claim:
@491 Please state the street address of officer:
@492 Please enter the state of officer's residence:
@493 Please state the zip code of corporate officer:
@494 Please state the title of corporate officer making claim:
@495 Please enter the state where corporation is organized:
#endif
#if#4004
@420 Please state the name of the agent making claim:
@421 Please state the address of agent:
@422 Enter the name of the claimant:
@423 Enter city, state of residence of the cliamant:
#endif
#4005
!430 Please state the amount due:
@431/@431/@431 Please state the ground of liability:
Goods/services sold but not paid for
A promissory note
KEY IN VALUE
!432 Please state the principal amount of debt:
!433 Please state the amount of any additional charges:
@434/@434 Please state the reason for additional charges if any:
Interest
KEY IN VALUE
@435 Please state due date, if debt not yet due:
@436/@436 Please state date and court of judgment if any:
None
KEY IN VALUE
@437/@437 Please state if there is any counterclaim or setoff:
None
KEY IN VALUE
@438/@438 Security for the debt is:
None
KEY IN VALUE
@439/@439/@439/@439 State basis for priority:
None
Wages
Deposit made by a consumer
KEY IN VALUE