Official Form 101B, Statement About Payment of an Eviction Judgment Against You (individuals)
The following is a bankruptcy form that has to be filled in a number of different scenarios a) After you have submitted the Official Form 101A regarding an eviction judgement that has been made against you b) You have submitted a 101A from your landlord c) You intend on staying in a property that you have rented for a period exceeding 30 days after submitting the B101 form
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meet to serv e this s tatement. Official Form 101B Statement About Payment of an Eviction Judgment Against You Official Form 101B Statement About Paym ent of an Eviction Judgment Against You 12/15 Fill out this form only if: you filed Initial Statement About an Eviction Judgment Against You (Official Form 101A); and you served a copy of Form 101A on your landlord; and you want to stay in your rented residence for more than 30 days after you file your Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101). File this form within 30 days after you file your Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101). Also serve a copy on your landlord within that same time period. Ce rtification About Applicable Law and Payment of Eviction Judgment I certify under penalty of perjury that (Check all that apply ): Under the state or other nonbankruptcy law that applies to the judgment for possession (eviction judgment ), I have the right to stay in my residence by paying my landlord the entire delinquent amount . Within 30 days after I filed my Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 10 1), I have paid my landlord the entire amount I owe as stated in the judgmen t for possession ( eviction judgm ent). ____________________________________________ ____________________________________________ Signature of Debtor 1 Signature of Debtor 2 Dat e _________________ Date _________________ MM / DD / YYYY MM / DD / YYYY You must serve your landlord with a copy of this form. Check the Bankruptcy Rules ( www.uscourts.gov/rulesandpolicies/rules.aspx ) and the court’s local website (go to http://www.uscourts.gov/Court_Locator.aspx to find your court’s website) for any specific requirements that you might have to Debtor 1 __________________________________________________________________ First Name Middle Name Last Name Debtor 2 ________________________________________________________________ (Spouse, if filing) First Name Middle Name Last Name United States Bankruptcy Court for the: __________ District of __________ Case number ___________________________________________ (If known) Fill in this information to identify your case:
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