UNITED STATES BANKRUPTCY COURT
UNITED STATES BANKRUPTCY COURT
DISTRICT OF VERMONT
In re:
Debtor(s)
Debtor’s Response to Tax Return Initial Request Pursuant to 11. U.S.C. § 521(e)(2)
[Note: Refer to Vt. LBR 4002-2.]
Check One Option That Applies.
[ ] I, _________________________, hereby certify under penalty of perjury that on ____________ (enter date), I complied with the request of _________________________ (name of requesting creditor) by providing a true and correct copy of my most recent federal income tax return to the requesting creditor, or the requesting creditor’s attorney of record, by having the tax return served via _____________________________ (describe method of service (e.g., “by first-class mail, postage prepaid)) to the following address:
|Name: | |
|Mailing Address: | |
|City: | |State: | |ZIP Code: | |
OR
[ ] I, ____________________________, have not complied with the Request of _________________________ (name of requesting creditor), dated ____________ (enter date), for a copy of my most recent federal income tax return because (check all boxes that apply):
[ ] I dispute the requesting creditor’s status as a creditor in my case.
[ ] My failure to provide a copy is due to circumstances beyond my control. (Provide detailed explanation.)
[ ] Other. (Provide detailed explanation.)
I, _____________________________, hereby certify under penalty of perjury that on this date I provided copies of this Response, by _____________________________ (describe method of service (e.g., “ first-class mail, postage prepaid)), to the parties or attorneys of record, as listed below:
[List names and addresses (and/or e-mail addresses, fax numbers) of those served, together with method of service. This Response must also be filed with the Court.]
Dated : _____________________ By: __________________________________
Signature [or /s/ + typed name]
Printed Name
Address, E-Mail Address, Phone Number, Fax Number
-----------------------
Case No. xx-xxxxx
Chapter xx
VTB Form L-2
03/2008
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