UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) )
Case No. _______________
MOTION FOR MEDIATION
Debtor(s)
The undersigned, who is the ________________________________________ in the matter: 1. Certifies all other interested parties have been contacted and all either (check one) HAVE HAVE NOT agreed to this motion (NOTE: If all parties have agreed, the court prefers submittal of this motion on LBF #204 or 204.5, whichever is appropriate [Stipulated Order Directing Mediation and Appointing Mediator]). 2. Moves the court to order the following contested matter into court-annexed mediation:
3. Believes the benefits of mediating the matter are:
4. Certifies this matter has not been the subject of any previous mediation except as follows (NOTE: Provide details of each mediation on the matter including name of mediator, dates, summary of results; AND state reasons why another mediation attempt is warranted):
5. Certifies that on ____________ copies of this motion were served on the affected parties, at the addresses, listed below:
202 (2/14/94)
_________________________________________________ OSB# Signature _________________________________________________ Print or Type Name Relation to Case _________________________________________________ Telephone Number