Professional Documents
Culture Documents
Name of Transferor:
Simple Cleane,., LLC (2}
Phone:
212 967 4035
Last Four Digits of Acct #:
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PhOne:
Last
Four Digits of Acct.#:
I declare under penalty of perjury that the information provided In this notice is true and correct to the
best of my knowledge and bel!ef.
By:
ls/Frodric Gf'!:ass~c.::-==-------
TransfereelTrarlSteree's Agent
Date:
Penait; forme king !t false stetement: Fine & up to S500,000 or (r.prisl:!Nnent for up to 5 years, or both. 18 U.S.C. 152 & 3571.
,Name of AUeg~~tTransferor:
N:;mw of Transferee
-DEADLINE TO OBJECT TO TRANSFERthe transferor of claim named above is advised the this No!ice of Transfer of Claim Other than for Seourily has been
filed In !he clerk's office of this court as evidei'!Ce of the transfel. Objection must be filed with the court within 1Wenty
(20) days of t'te mal ling of thls no1ice. If no objection is timely reooived by the oourt, the transferee will be substituted
as the original claimant without further order of the ct~urt.
Date: _ _ _ _ __
Clerk of the Court
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