Declaration Regarding Payment Advices (rev. 06/01/2026)

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Local Bankruptcy Forms

Petition Packages

Declaration_Regarding_Payment_Advices_(LF-10).pdf

LF-10 Declaration Regarding Payment Advices.docx

Form Number:

LF-10

Chapter Type:

Chapter 11

Chapter 12

Chapter Category:

Individual

Upcoming

Pending Fed. R. Bankr. P. and Official Forms Amendments

Privacy Requirements for Filed Documents

To protect the privacy of individuals, certain personal data identifiers as listed below must be redacted before a document is filed with the Court (see Fed. R. Bankr. P. 9037). The Court will not review filed documents to ensure personal data identifiers are redacted.

United States Bankruptcy Court

Southern District of Florida

Scott M. Grossman, Chief Judge
Joseph Falzone, Clerk of Court

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Declaration Regarding Payment Advices (rev. 06/01/2026)

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers