Withdrawal of Claim No. 20 — California Dept. of Tax and Fee Administration, Vyaire Medical 211, Inc.
- Date
- 2026-04-02
Summary
A Withdrawal of Claim filed April 2, 2026 as Doc 1159 in Case 24-11217-BLS in the United States Bankruptcy Court for the District of Delaware. The creditor, the California Dept. of Tax and Fee Administration, withdraws Court Claim Number 20 against debtor Vyaire Medical 211, Inc., Case No. 24-11234. The form lists the claim as filed September 6, 2024 in the total amount of 188,348.38. It authorizes the Clerk or the Claims Agent to reflect the withdrawal on the claims register, carries the signature block of an authorized representative, and includes the form's definitions and completion instructions.
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Full text
Case 24-11217-BLS Doc 1159 Filed 04/02/26 Page 1 of 1
United States Bankruptcy Court for the District of Delaware
WITHDRAWAL OF CLAIM
Debtor Name and Case Number: Vyaire Medical 211, Inc. 24-11234
California Dept. of Tax and Fee Administration
Collections Support Bureau MIC: 29
Creditor Name and Address:
PO Box 942879
Sacramento, CA 94279-0029
Court Claim Number (if known): 20
Date Claim Filed: September 6, 2024
Total Amount of Claim Filed: 188,348.38
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 above‐
referenced Debtor.
April 2, 2026
Dated:__________________________ Signature________________________________
Radhika Aggarwal
Print Name:______________________________
Authorized Representative
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.
File and source
- File
- gov.uscourts.deb.193283.1159.0.pdf
- Size
- 128,438 bytes
- SHA-256
- 677511f70164bc11a0cdf61645aa15b794e5020f9430ddf2475d8d3cd07b10e8
- Original
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