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The Attachment is submitted as part of the Certificate of. Disclosure or the Annual Report, and is submitted under the penalty of perjury.An up-to-date fillable Form C005. A proof of claim is a written statement setting forth a creditor's claim. This form is for making a claim for payment in a bankruptcy case. Disclosure of bankruptcy estate's return information to debtor. 00 per copy certification fee. 4) File form SC-105 (and attachments) with the small claims clerk. 8 Completing the Certification and Signature Release Forms . Disclosures for variable rate loans must be given for the full term of the transaction and must be based on the terms in effect at the time of consummation.