File Administrative Expense Claim - Klausner Lumber One LLC

File Administrative Expense Claim Request

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.

IMPORTANT WARNING: A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571.

ACCEPT THE ABOVE RULES TO PROCEED:

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

This form is to be used only for claims arising between April 30, 2020 and September 30, 2020.

Filers must leave out or redact information that is entitled to privacy on this form or on any attached documents. Attach redacted copies of any documents that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, judgments, mortgages, and security agreements. If the documents are not available, explain in an attachment.

1. Name of claimant:

2. Name of Debtor claim asserted against:

3. Nature and description of the claim. You may attach a separate summary:

4. Date(s) claim arose:

5. Amount of claim:

6. Attachments / Supporting Documentation

Documentation supporting the claim must be attached hereto. Documentation should include both evidence of the nature of the administrative expense claim asserted as well as evidence of the date or dates on which the administrative expense claim arose.

Attachments:

Necessary documentation can be attached to the Claim Request before the information for the form is submitted
Attachments to the Claim Request are required to be PDF files.
Multiple attachments to the Claim Request are permitted.
Do not upload a completed Claim Request form as an attachment to this filing. Attaching a completed Claim Request will result in multiple versions of the form being filed (the electronically created claim form plus the claim request attached). If filing an Amended Claim Request, the attachment of the previously filed claim request is allowed.

Click below to attach documentation (see instructions) .

Attach…

The person completing this claim request must sign and date it. FRBP 9011(b).

If you file this claim electronically, FRBP 5005(a)(2) authorizes courts to establish local rules specifying what a signature is.

A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U.S.C. §§ 152, 157, and 3571.

Print the name of the person who is completing and signing this claim:

Acknowledge you are a human

Verify debtor name prior to submitting claim to be filed.

Penalty for presenting fraudulent claim: Fine of up to $500,000 or imprisonment for up to 5 years, or both.
18 U.S.C. §§ 152, 157, and 3571.