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Official Form 16D (12/04)

Form 16D. CAPTION FOR USE IN ADVERSARY PROCEEDING

United States Bankruptcy Court
_______________ District Of _______________
In re __________________________________, Debtor ) ) ) ) ) ) ) ) ) ) ) ) )

Case No. ________________________

Chapter ___________________

__________________________________, Plaintiff

__________________________________, Defendant

Adv. Proc. No.____________________

COMPLAINT [or other Designation]

[If in a Notice of Appeal (see Form 17) or other notice filed and served by a debtor, this caption must be altered to include the debtor's address and Employer's Tax Identification Number(s) or last four digits of Social Security Number(s) as in Form 16A.]