UNITED STATES BANKRUPTCY COURT

DISTRICT OF NEW MEXICO

In re

Debtor(s).	No. ______________________________

SIGNATURE PAGE: DECLARATION BY DEBTOR

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

My attorney has assured me that he or she understands that failure to file an electronic version of this declaration which shows my signature1 at the same time the petition is filed may result in no case having been commenced and the electronic file will be closed. Unless otherwise ordered by the Court, any filing fee paid will not be refunded.

I request relief in accordance with the chapter of title 11, United States Code, specified in the petition.

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.

Signature of debtor	Date	Signature of joint debtor	Date

[If petitioner is not an individual] I declare under penalty of perjury that I have been authorized to file this petition on behalf of the debtor.

Signature of authorized individual	Printed name of authorized individual

Title of authorized individual	Date