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B 261B (8/96)

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

Case No. ___________________ Chapter ____________________

______________________________________, Plaintiff v. ______________________________________, Defendant

Adv. Proc. No. ______________

JUDGMENT BY DEFAULT

Default was entered against defendant ___________________________________________
(name)

on _____________________. Therefore, on motion of the plaintiff, judgment is entered against that
(date)

defendant in favor of the plaintiff as follows. IT IS ORDERED THAT:

________________________ Date

__________________________________________________________ Bankruptcy Judge