To:            Debtor=s Attorney

 

RE:            Telephonic 341 Meetings

 

Below please find a form to be completed for Sec. 341 meetings conducted telephonically.  If the debtor has moved, arrangements can be made with the local United States Trustee=s office to conduct the meeting telephonically from that location.  If the debtor is local, substantiate the need for a telephonic Sec. 341 and arrange for the appropriate conditions to conduct this meeting.  The completed document should be sent to me for my records and the Office of the United States Trustee . 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DECLARATION REGARDING ADMINISTRATION OF OATH AND

CONFIRMATION OF IDENTITY AND SOCIAL SECURITY NUMBER

 

In re: (Debtor=s Name)                                    

Bankruptcy Case No.:                                      

Date of telephonic or video conference appearance at section 341 meeting of creditors:                  

I declare as follows:

1)                  My name is:           (Print or type)                                             

 

2)                  My work address is:                                                                  

 

3)                  My work telephone number is: (       )                                       

 

4)                  The address from where I participate in the section 341 meeting of creditors is:

                                                                                                                                    

 

5)                  I am a person authorized to administer oaths in the State of                          , by virtue of the following fact:

 

               I am a notary

               I am a court reporter

               I am a judicial officer

               I am authorized to give an oath under the Code of Military Justice

               Other: (Give legal authority for power to administer oath)

 

6)                  I personally verified the identity of the debtor by checking his/her original photo identification;

 

                Drivers License, (State & number)                                                   

                State Identification (State & number)                                               

                Passport (Country, number, expiration date)                                   

                Military Identification (Branch & ID number)                                   

                            Other (describe)                                                                                

 

7)                  I personally inspected the following original document as proof of the debtor=s social security number and orally confirmed it with the trustee.

                 Social Security Card

                 Social Security Administration Statement

                 W-2 Form

                 Recent Payroll Stub

                 Employers Health Card or Medical Insurance Card

                 Other (specify)                                                                                       

 

 

8)                  On        date                  I did administer an oath to the debtor, prior to the trustee commencing the questioning of the debtor for the telephonic or video conference interview of the debtor.

 

In accordance with 28 U.S.C. ' 1746, I declare under penalty of perjury that the foregoing is true and correct.  Executed this   date   day of   month ,   year , in    city                    ,   state .

 

                                                                                                                                             

Signature of Person Administrating Oath and Verifying Identity and Social Security Number.