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Cream of the Crop 1
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BUSINESS
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GUIDE61A.ARJ
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LHARC2.EXE
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4000.XXX
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1991-04-22
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44 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:
@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:
#endif
#4005
@430 Please state the amount due:
@431 Please state the ground of liability:
@432 Please state the principal amount of debt:
@433 Please state any additional charges (interest, etc.):
@434 Please state the reason for additional charges if any):
@435 Please state due date, if debt not yet due:
@436 Please state date and court of judgment if any:
@437 Please state if there is any counterclaim or setoff: