United States Bankruptcy Court Western District of North Carolina

File Reaffirmation Agreement
Case Number
Existing creditor parties in case should click Next
to select from List of Creditors. If correct name is NOT
available, type in the name of creditor to create a new party.
Name of Creditor

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.

I understand that, if I file, I must comply with the redaction rules. I have read this notice.