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Source document (2026-04-17)

Date
2024-12-18

Summary

A withdrawal of claim filed April 17, 2026 as Doc 1161 in Case No. 24-11217-BLS in the U.S. Bankruptcy Court for the District of Delaware, concerning debtor Vyaire Medical 202, Inc., Case No. 24-11230. The creditor is the Tennessee Department of Revenue (TDOR), in care of the TN Attorney General's Office. The form withdraws Court Claim Number 8, filed December 18, 2024 in the total amount of $104,525.00, and authorizes the clerk or claims agent to reflect the withdrawal on the claims register. It is signed by Senior Assistant Attorney General Laura L. McCloud. The one-page form also sets out definitions and instructions for completing a withdrawal of claim.

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Full text

Case 24-11217-BLS Doc1161 Filed 04/17/26 Page1of1

United States Bankruptcy Court for the District Of Delaware

WITHDRAWAL OF CLAIM

Debtor Name and Case Number: | Vyaire Medical 202, Inc. - Case No. 24-11230

Tennessee Department of Revenue (TDOR)
c/o TN Attorney General's Office, BK Div.
PO Box 20207

Nashville, Tennessee 37202-0207

Creditor Name and Address:

Court Claim Number (if known): 8

Date Claim Filed: 1 2/1 8/2024
Total Amount of Claim Filed: $1 04,525.00

|, the undersigned, am the above-referenced creditor, or an authorized signatory for the above-referenced
creditor. | 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 above-
referenced Debtor.

Dated: (7/26 Signature. Lace Wel beuk
Laura L. McCloud

Senior Assistant Attorney General

Print Name:

Title (if applicable):

DEFINITIONS
Debtor
The person, corporation, or other entity that has filed a bankruptcy case is called the debtor.

Creditor
A creditor is any person, corporation, or other entity to which the debtor owed a debt.

Proof of Claim
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
creditor (the amount of the creditor’s claim).

ITEMS TO BE COMPLETED ON THIS WITHDRAWAL OF CLAIM

Court, name of Debtor and Case Number:
Fill in the name of the federal judicial district where the bankruptcy 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 filed 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
proceeding.

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