Download Free Connecticut Bankruptcy Proof of Claim Form
Use this form to file for bankruptcy in the state of Connecticut.
Preview of form –
I declare under penalty of perjury that the information provided in this claim is true and correct to the best of my knowledg e, information, and reasonable belief.
Print Name: _________________________________________________
Address and telephone number (if different from notice address above): (Signature) (Date)
Telephone number: email:
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 and 3571.