1234, Main Street
Boston, MA 02123
05 April, 2005
<Recipient Address Goes Here>
Re: Bankruptcy Case No. <Case number>
I have got information that [Company or individual name], with the above mentioned case number is bankrupt and has initiated the formal procedure
I am one of the creditors in this bankruptcy case, writing in to request you to officially include me in the list of creditors and, regard the [Company or individual name]’s account with me for disbursement through the insolvency process.
Till date, the total amount due to me by [company or individual name] is [$ ??].
I will be thankful, if you would send me any forms that must be submitted to complete the formalities.
Thank you for your attention in this mater.
I look forward for a reply from you.
encl: <List of enclosed items goes here>