Notice Of Bankruptcy

BKNoticeStateCourt (rev 0216) ________________________________________ Court Name ______________________________ Petitioner, Plaintiff or Case Title Vs. ______________________________ Respondent, Defendant or Blank ) ) ) ) ) ) ) Case No. _______________ NOTICE OF BANKRUPTCY The undersigned gives notice that a bankruptcy case has been filed by [Name of Debtor] in the Southern District of Indiana. Specific information about that case is as follows: Bankruptcy Case Name: Bankruptcy Case Number: Debtor Address: Date of Filing: ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ [Add next section if the attorney for the Debtor is NOT the attorney filing this notice] The attorney for the Debtor in the bankruptcy case is: Name: Address: ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Telephone Number: Respectfully submitted, _____________________________ [Typed name] [Address] [City, State, ZIP Code] [Phone: (xxx) xxx-xxxx] [Add a certificate of service or other information about distribution of this notice, as required by the court or administrative agency before which the matter is pending] American LegalNet, Inc. www.FormsWorkFlow.com