United States Bankruptcy Court District of Kansas
IMPORTANT NOTICE OF REDACTION RESPONSIBILITY:
All filers must redact: Social Security or taxpayer-identification numbers; dates of birth; names of minor children; and financial account numbers, in compliance with Fed. R. Bankr. P. 9037. This requirement applies to all documents, including attachments.
A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both.
18 U.S.C. §§ 152, 157, and 3571.
I understand that, if I file, I must comply with the redaction rules. I have read this notice.
NOTE: This form should not be used to make a claim for an administrative expense arising after the commencement of the case. A "request" for payment of an administrative expense may be filed pursuant to 11 U.S.C. § 503.
If you are amending a claim, say Yes to question #4 in part 1.
Installed Version: 6.1.1