Form 1.1 — General Sender Identification for: Copies of all Prescribed Forms Sent to Creditor(s) Electronically

This form may not be completed online. It is provided here for reference purposes only.

PDF version
(10 KB, 1 page)

PDF readers

Dated at space to insert city ,

this space to insert day day of space to insert month space to insert year

Responsible Individual (Sender):
(Trustee/Administrator/Interim Receiver/Receiver: indicate which)

space to insert Sender

Corporate Name (if applicable):

space to insert Corporate Name

Address:

space to insert first line of address

space to insert second line of address

space to insert third line of address

Telephone:

space to insert telephone number

Fax:

space to insert fax number

E-mail:

space to insert E-mail

Notice

Please be advised that the above-noted individual is required to retain the signed original of this document as part of the official records of this proceeding.

Important notice: The XHTML version of this Form is not the official version. In the event of an inconsistency between the XHTML and PDF versions of this Form, the PDF version prevails. Users are required to exercise due diligence with respect to the XHTML version.