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# Your Statement About Your Social Security Numbers

** Download Form (pdf, 30.02 KB)

Form Number: B 121

Category: Individual Debtors

Effective onDecember 1, 2015

	This is an Official Bankruptcy Form. Official Bankruptcy Forms are approved by the Judicial Conference and must be used under Bankruptcy Rule 9009.

## Committee Notes

** Download Committee Notes (pdf, 28.9 KB)

## Services & Forms

          - Forms             - Your Statement About Your Social Security Numbers
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## Notification

This form is derived from Official Form 21

## **About Federal Courts

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## **Judges & Judgeships

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## **Services & Forms

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## **Rules & Policies

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