United States Bankruptcy Court
District of Massachusetts
In re Case No
Chapter
Debtor
VERIFICATION OF MATRIX
The above-named debtor(s) verify(ies) under penalty of perjury that the attached List of
Creditors, which consists of _____ pages and a total of _____ creditors, is true, correct
and complete to the best of my knowledge.
Date: __________ ______________________
Debtor
____________________
Joint Debtor