Certification Of Concurrence For Remote Testimony {9074-1}

LOCAL BANKRUPTCY FORM 9074-1 IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : : : : : : : : : : : : : : : CHAPTER CASE NO. -bk- Debtor(s) ADVERSARY NO. (if applicable) - -ap- Plaintiff(s)/Movant(s) vs. Nature of Proceeding: Pleading: Defendant(s)/Respondent(s) Document #: CERTIFICATION OF CONCURRENCE FOR TELEPHONIC TESTIMONY VIA COURTCALL (Certification must be received at least 2 business days before the scheduled hearing. If a certification cannot be filed timely, leave to provide telephonic testimony must be obtained from the Court.) 1. HEARING INFORMATION Hearing Type (e.g., Motion to Dismiss, Trial) Hearing Date _________________ _____________________________ Hearing Time ____________________ 2. WITNESSES SCHEDULED TO PROVIDE TELEPHONIC TESTIMONY 3. I hereby certify that all parties participating in the above-described hearing have concurred in the telephonic appearance of the witness(es) set forth in paragraph 2 above. ______________________ Date ________________________________________ Signature of certifying attorney or pro se party ________________________________________ Name of attorney or pro se party American LegalNet, Inc. www.FormsWorkFlow.com