UNITED STATES BANKRUPTCY COURT

FOR THE DISTRICT OF NEW MEXICO

In Re:

Debtor(s).

SIGNATURE PAGE: DECLARATION

BY SELF-REPRESENTED INDIVIDUAL

I have submitted a bankruptcy petition package, and I authorize the filing of my Bankruptcy Package (Id number ______________ if applicable), with the United States Bankruptcy Court for the District of New Mexico.

DECLARATIONS

You must sign and date each section for every form submitted as part of the bankruptcy petition package.

Voluntary Petition (Official Form 1): I declare under penalty of perjury that the information provided in the petition is true and correct.

Check box if appropriate:

[If petitioner is an individual whose debts are primarily consumer debts and has chosen to file under chapter 7] I am aware that I may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief available under each such chapter, and choose to proceed under chapter 7.

I have obtained and read the notice required by 11 U.S.C. § 342(b). I request relief in accordance with the chapter of title 11, United States Code, specified in the petition.

_______________________________________	_______________________________________

Signature of debtor	Date	Signature of joint debtor	Date

Declaration Concerning Debtor's Schedules (Official Form 6 – Declaration): I declare under penalty of perjury that I have read the:

Check appropriate boxes, identifying documents submitted:

Summary of Schedules, including Statistical Summary of Certain Liabilities (Form B 6) and

Schedules (Form B 6A – B 6J), [consisting of ______ sheets],

and that they are true and correct to the best of my knowledge, information, and belief.

_______________________________________	_______________________________________

Signature of debtor	Date	Signature of joint debtor	Date

Statement of Financial Affairs (Official Form 7): I declare under penalty of perjury that I have read the answers contained in the statement of financial affairs and any attachments thereto and that they are true and correct.

_______________________________________	_______________________________________

Signature of debtor	Date	Signature of joint debtor	Date

Statement of Intention (Official Form 8): I declare under penalty of perjury that the Statement of Intention indicates my intention as to any property of my estate securing a debt and/or personal property subject to an unexpired lease.

_______________________________________	_______________________________________

Signature of debtor	Date	Signature of joint debtor	Date

If you used the court's electronic submission program to submit your paperwork, verify:

Verification of:

Check only one box identifying document submitted:

Statement of Current Monthly Income and Means Test Calculation – Ch 7 Only (Form B 22A), or

Statement of Current Monthly Income and Calculation of Commitment Period and Disposable Income –

Ch 13 Only (Form B 22C)

I declare under penalty of perjury that the information provided in the Statement is true and correct.

_______________________________________	_______________________________________

Signature of debtor	Date	Signature of joint debtor	Date