PDF-B Official Form NITED TATES ANKRUPTCY OURT District of PROOF OF CLAIM Name of Debtor Case Number COURT USE ONLY NOTE Do not use this form to make a claim for an administr ative expense that arise
You may file a request for payment of an administra tive expense according to 11 USC 503 Name of Creditor the person or other entity to whom the debtor owes money
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