---
type: court_doc
id: "court_ctb_79_0"
court: "CTB"
case_no: "22-50073"
doc_number: 79
doc_type: "UNKNOWN"
filed_date: null
lang: "zh"
url: "https://mubeitech.com/court/court_ctb_79_0"
json_url: "https://mubeitech.com/api/court/court_ctb_79_0"
---
# |                                                                 | Fill in this information to identify your case: |



> 原始法庭文件为英文；下方为英文全文，顶部为中文摘要。

|                                                                 | Fill in this information to identify your case: |             |           |  |
|-----------------------------------------------------------------|-------------------------------------------------|-------------|-----------|--|
| Debtor 1                                                        | Ho Wan Kwok                                     |             |           |  |
|                                                                 | First Name                                      | Middle Name | Last Name |  |
| Debtor 2                                                        |                                                 |             |           |  |
| (Spouse if, filing)                                             | First Name                                      | Middle Name | Last Name |  |
| United States Bankruptcy Court for the: DISTRICT OF CONNECTICUT |                                                 |             |           |  |
| Case number                                                     | 22-50073                                        |             |           |  |
| (if known)                                                      |                                                 |             |           |  |
|                                                                 |                                                 |             |           |  |

## Official Form 106Dec Declaration About an Individual Debtor's Schedules

12/15

lf two married people are filing together, both are equally responsible for supplying correct information.

You must file this form whenever you file bankruptcy schedules. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to \$250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

| Sign Below                                                                                                                                        |                                                                                                 |  |  |  |  |  |
|---------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------|--|--|--|--|--|
| Did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms?                                                 |                                                                                                 |  |  |  |  |  |
| No                                                                                                                                                |                                                                                                 |  |  |  |  |  |
| Yes. Name of person                                                                                                                               | Attach Bankruptcy Petition Preparer's Notice,<br>Declaration, and Signature (Official Form 119) |  |  |  |  |  |
| Under penalty of perjury, I declare that I have read the summary and schedules filed with this declaration and<br>that they are true and correct. |                                                                                                 |  |  |  |  |  |
| Ho Wan Kwok                                                                                                                                       | ×<br>Signature of Debtor 2                                                                      |  |  |  |  |  |
| Signature of Debtor 1                                                                                                                             |                                                                                                 |  |  |  |  |  |
| 22<br>9<br>20<br>Date                                                                                                                             | Date                                                                                            |  |  |  |  |  |

Official Form 106Dec

Software Copyright (c) 1996-2022 Best Case, LLC - www.bestcase.com