Guo Wengui / Miles Guo — bankruptcy case · ECF #3364

United States Bankruptcy Court for the District of Connecticut

## **0**

| Debtor Name and Case Number: | 22-~oo<br>3 | |--------------------------------|------------------------------------------------------------------------| | Creditor Name and Address: | -;-A-o<br>At-J<br>l ~ fL '><br>/t-Vt;,<br>s<br>o 2.-',<br>-,::.L<br>"3 | | Court Claim Number (if.known): | | | Date Claim Filed: | | | Total Amount of Claim Filed: | |

## **WITHDRAWAL OF CLAIM**

I, the undersigned, am the above-referenced creditor, or an authorized signatory for the above-referenced creditor. I hereby withdraw the above-referenced claim and authorize the Clerk of this Court, or their duly appointed Claims Agent, to reflect this withdrawal on the official claims register for the abovereferenced Debtor.

| referenced Debtor. | | | | | |-----------------------------------------------------------------------------------------------------------------------------------------------------|------------------------------------------|-----------------------------------------------------|---------|----------| | ------"--------<br>O 7 { t> ~ / )_ Q 1--4<br>Dated: | | ~ | | | | | Print Name: | | | | | | Title (if applicable):----.,-.----=,,,.- | | | | | | | ,.,,"•. | C:> | | | ---------------------------------~-!=--~.,.,.:--:=:~-----------<br>DEFINITIONS | | ;.,.!_,,. | I | | | Debtor<br>The person, corporation, or other entity that has filed a bankruptcy case is called the debtor. | | !'.~ ol~<br>,:::,.·<>~;.<br>ii~<br>;-:,;, c·, :<,~: | t<br>00 | '\l'":f\ | | Creditor<br>:::;:;;,::person, corporation, or other entity to which the debtorowed a debt. | | '~i~ti | V<br>~ | -~ii. | | A form filed with the clerk of the bankruptcy court where the bankruptcy case was filed, to tell the bankruptcy court liow miJai the debtor oweti a | | | | |

creditor (the amount of the creditor's claim). •«·'

# **ITEMS TO BE COMPLETED ON Tms WITHDRA w AL OF CLAIM**

## *Court, Name of Debtor and Case Number:*

Fill in the name of the federal judicial district where the bankruptcy case was filed (for example, Central District of California), the name of the debtor in the bankruptcy case, and the bankruptcy case number. If you received a notice of the case from the court, all ofthis information is near the top of the notice.

### *Information about Creditor:*

Complete the section giving the name and address of the creditor that was listed on the previously filed Proof of Claim form.

### *Information identifying the Claim that is to be withdrawn:*

Complete the section giving the court claim number, date claim was filed and total amount of claim filed to help identify the claim that is to be withdrawn.

**Sign and print the name and title,** if **any, of the creditor or other person authorized to file this withdrawal of claim (attach copy of power of attorney, if any).**

**This form must be fded with the clerk of the bankruptcy court where the bankruptcy case was filed or, if applicable, with their duly appointed Claims Agent as per any procedure approved by the court in the above-referenced bankru tc roceedin** .

United States Bankruptcy Court for the District of Connecticut **0**

## **WITHDRAW AL OF CLAIM**

| Debtor Name and Case Number: | \-\o \/J A-N kw o L <c, £-,-<br="">Al. c.A St:<br/>So o '7 3<br/>=t¼ :i.2.-</c,> | |--------------------------------|--------------------------------------------------------------------------------------| | Creditor Name and Address: | ,A-rJ<br>-rA--o | | | sw<br>,A-IH:;.<br>t 8-3 JLD<br>4S--S-S---<br>,-pl_<br>~"2,cn_",<br>W\ 1fl.ll--MAtl., | | Court Claim Number (if known): | \oO | | Date Claim Filed: | <:>1(20, /2-02s | | Total Amount of Claim Filed: | (_Du\> U lA'Tt )<br>-11, So✓ bol/, . 4-o<br>-- |

I, the undersigned, am the above-referenced creditor, or an authorized signatory for the above-referenced creditor. I hereby withdraw the above-referenced claim and authorize the Clerk of this Court, or their duly appointed Claims Agent, to reflect this withdrawal on the official claims register for the abovereferenced Debtor.

| DEFINITIONS | | | | | |-----------------------------------------------------------------------------------------------------------|--|--|-----|--| | Debtor<br>The person, corporation, or other entity that has filed a bankruptcy case is called the debtor. | | | | | | Creditor<br>A creditor is any person, corporation, or other entity to which the debtor owed a debt. | | | <.n | | | Proof of Claim | | | r:: | |

A form filed with the clerk of the bankruptcy court where the bankruptcy case was filed, to tell the bankruptcy court how much the debtor owed a creditoi: (the.amount of the creditor's claim).

## **ITEMS TO BE COMPLETED ON TIDS WITHDRAW AL OF CLAIM**

## *Court, Name of Debtor and Case Number:*

Fill in the name of the federal judicial district where the bankruptcy case was filed (for example, Central District of California), the name of the debtor in the bankruptcy case, and the bankruptcy case number. If you received a notice of the case from the court, all of this information is near the top of the notice.

### *Information about Creditor:*

Complete the section giving the name and address of the creditor that was listed on the previously filed Proof of Claim form.

### *Information identifying the Claim that is to be withdrawn:*

Complete the section giving the court claim number, date claim was filed and total amount of claim filed to help identify the claim that is to be withdrawn.

Sign and print the name and title, if any, of the creditor or other person authorized to file this withdrawal of claim (attach copy of power of attorney, if any).

This form must be fded with the clerk of the bankruptcy court where the bankruptcy case was filed or, if applicable, with their duly appointed Claims Agent as per any procedure approved by the court in the above-referenced bankruptcy proceedine.