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Get Official Form 410a

(Spouse, if filing) United States Bankruptcy Court for the: District of (State) Case number Official Form 410 Proof of Claim 12/15 Read the instructions before filling out this form. This form is for making a claim for payment in a bankruptcy case. Do not use this form to make a request for payment of an administrative expense. Make such a request according to 11 U.S.C. 503. Filers must leave out or red.

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