UNITED STATES BANKRUPTCY COURT
DISTRICT OF MINNESOTA
In re: Case No.
Debtors: Chapter 11 Case
AFFIDAVIT OF MAILING
STATE OF MINNESOTA )
COUNTY OF
)
I,
, hereby declare:
That I am employed by
, the attorney for the debtor-in-possession
named above;
And that on the
day of , true and correct copies conformed to the original of the
confirmation hearing Notice and Order dated
, a Ballot conforming to the official
form, the final Plan, as filed or as modified dated
, and the final Disclosure
Statement as filed or as amended and approved by the court dated
, were placed
by me in individual envelopes with the First Class Mail postage prepaid affixed thereto or imprinted
thereon; that said envelopes were addressed individually to each of the entities named hereinafter at their
last known addresses; and that said envelopes were sealed and on the day aforesaid were placed in the
United States mail at
,Minnesota to:
1. All creditors of debtor, as named in and at the address stated in the creditors’ mailing matrix filed
in this case consisting of
pages;
2. (Strike if not applicable) All equity security holders of the debtor, consisting of holders, being the
holders of record as disclosed by the appropriate records of the debtor or transfer agent of the
debtor for the transfer of interests held by such holders;
3. The United States Trustee, United States Attorney, IRS District Counsel, IRS District Director,
Securities and Exchange Commission if debtor is a corporation, and the Tax Compliance Division
of the Minnesota Department of Revenue; and
4. The debtor, debtor’s attorney, trustee or examiner if any, the attorney for and each member of
every appointed official committee, any creditor who has requested notice under Rule 2002(i), and
any attorney who has filed a notice of appearance under Rule 9010(b).
I declare under penalty of perjury that the foregoing is true and correct.
Executed on:
Subscriber
