Form 253 (08/07)
United States Bankruptcy Court
_______________ District Of _______________
In re Debtor* Address: Last four digits of Social-Security or Individual TaxpayerIdentification (ITIN) No(s).,(if any): Employer Tax-Identification (EIN) No(s).(if any): Chapter __________ Case No. _________
ORDER FOR RELIEF IN AN INVOLUNTARY CASE
On consideration of the petition filed on ________________________________ (date) against the above-named debtor, an order for relief under chapter ____ of the Bankruptcy Code (title 11 of the United States Code) is granted.
Date: ________________________
BY THE COURT
___________________________
United States Bankruptcy Judge
____________________________________________________________________________________
* Set forth all names, including trade names, used by the debtor(s) within the last 8 years. For joint debtors, set forth the last four digits of both social-security numbers or individual taxpayer-identification numbers.