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The F 61 Georgia form is an essential document for individuals filing for bankruptcy without an attorney, known as pro se petitioners. This affidavit serves to accompany the bankruptcy petition and confirms that the individual is representing themselves in their case. It requires basic information such as the debtor's name, contact details, and the case number. The form also includes a declaration under oath, where the petitioner affirms their self-representation and provides truthful answers to questions regarding any assistance received during the petition preparation. Additionally, it asks whether any fees were charged for such assistance, as well as details about any previous bankruptcy filings. The form must be signed in front of a notary public, ensuring its authenticity. Understanding the F 61 form is crucial for anyone navigating the bankruptcy process on their own, as it outlines the necessary steps and information required by the United States Bankruptcy Court for the Northern District of Georgia.

F 61 Georgia Example

AFFIDAVIT TO ACCOMPANY PETITION FILED PRO SE. PLEASE PRINT.

UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF GEORGIA

___________________________

CASE NO. _____________________

NAME OF DEBTOR(S)

 

___________________________

TELEPHONE NO. ________________

ADDRESS

 

___________________________

 

CITY, STATE, ZIP

 

PRO SE AFFIDAVIT TO ACCOMPANY PETITION FOR ORDER OF RELIEF

I, the undersigned, being under oath and declare under penalty of perjury, that I do not have an attorney to represent me in this case, that I represent myself in this case, that I am the petitioner in the above-stated bankruptcy case under Title 11 of the United States Code, and that the answers given below are true according to the best of my knowledge, information and belief.

Did anyone assist you in any way in the preparation of this petition?

ANSWER: YES ( )

NO ( )

If someone did assist you, list their name and address:

______________________________

NAME

______________________________

ADDRESS

______________________________

__________________________

CITY, STATE, ZIP CODE

TELEPHONE NUMBER

Did the person assisting you charge or collect any money for helping you in any way?

ANSWER: YES ( ) NO ( ) IF "YES", HOW MUCH ($_______)

Have you filed a bankruptcy case in the past?

ANSWER: YES ( )

NO ( )

If you have filed a bankruptcy case in the past, list the case number, chapter and judge:

___________________________________________

 

___________________________________

 

PRO SE PETITIONER

Subscribed and sworn to before me on the ____ day of ______________,______

_________________________________

___________________________________

NOTARY PUBLIC

DEPUTY CLERK

F61 (psafdt)04/04

Document Breakdown

Fact Name Details
Form Purpose The F 61 Georgia form is an affidavit that accompanies a bankruptcy petition filed by an individual representing themselves, known as "pro se." It verifies that the petitioner does not have legal representation.
Governing Law This form is governed by Title 11 of the United States Code, which outlines federal bankruptcy laws applicable in all states, including Georgia.
Assistance Disclosure The form requires the petitioner to disclose if anyone assisted in preparing the petition and whether any fees were charged for that assistance.
Notary Requirement The affidavit must be signed in the presence of a notary public, confirming the authenticity of the petitioner's statements under penalty of perjury.
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