Certification Of Business Debtor
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3OFFICE OF THE CHAPTER 13 STANDING TRUSTEE
Isabel C. Balboa, Chapter 13 Standing Trustee
Certification of Business Debtor
for Closed or Inactive Sole Proprietorship, Limited Liability Company (LLC), Limited Liability Partnership (LLP),
Partnership, or Corporation
Note: All field highlighted in
red
must be completed.
Debtor(s) Name:
Case Number:
E-Mail:
I, as the Debtor(s) named above, being of full age & duly sworn upon my oath, depose and say:
My business name was:
The nature of my business was:
My EIN* from the IRS was:
(If no EIN#, enter last 4 digits of SS#)
*EIN# = Employer Identification Number also known as a Federal Tax Identification Number, used to identify a business entity.
My business was a:
Sole Proprietorship.
Limited Liability Company.
Limited Liability Partnership.
Partnership.
Corporation.
My business was located at:
My business started
(mm/dd/yyyy):
My business ended
(mm/dd/yyyy):
My ownership interest was (%):
My business was:
Dissolved or Cancelled
Closed.
Inactive.
Sold.
Federal Tax Returns have been filed
12/31/2011.
12/31/2012.
12/31/2013.
with the IRS through the year ending:
12/31/2014.
12/31/2015.
12/31/2016.
12/31/2017.
12/31/2018.
12/31/2019.
12/31/2020.
Not Required.
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Parent category: Business