Appeal Cover Sheet

UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF FLORIDA APPEAL COVER SHEET APPELLANT: APPELLEE: Bankruptcy Case Number: Adversary Case Number: Attorney: (Name, address & telephone number) Attorney: (Name, address & telephone number) NATURE OF PROCEEDING Appeal pursuant to 28 U.S.C. 158 Notice of Appeal filed: Date of Order Appealed: Title of Order Appealed: Debtor(s) County of Residence: Motion to Withdraw Reference Filed: By: Interlocutory Appeal Title of Interlocutory Order or Decree: Date of Order or Decree: Brief Description of Matter Appealed: Motion for Leave to Appeal Date filed: Other: Designation in Appeal: Have arrangements been made with Court Reporter for Transcript? Yes No If not, do you intend to do so? If ordered, on what date? __________________________________________ Attorney/Appellant 3/19/2003