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RETURN DATE : UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NEW YORK In re: NOTICE OF MOTION PLEASE TAKE NOTICE Date and time of hearing: Location : U.S. Bankruptcy Court 271-C Cadman Plaza East, Ste. 1595 Brooklyn, New York 11201-1800 Courtroom # _______, _______Floor (Signature)

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RETURN DATE :____________________

UNITED STATES BANKRUPTCY COURTEASTERN DISTRICT OF NEW YORK-------------------------------------------------------xIn re: Case No.

Chapter:

--------------------------------------------------------x

NOTICE OF MOTION

PLEASE TAKE NOTICE that upon the annexed application of

________________________________________, _______, , a hearing will be

held before the Hon. ________________________, Bankruptcy Judge, to consider the

________ motion for an Order granting relief as follows:

____________________________________________________________________________________________________________________________________________________________

Date and time of hearing: ___________________________

Location : U.S. Bankruptcy Court 271-C Cadman Plaza East, Ste. 1595

Brooklyn, New York 11201-1800 Courtroom # _______, _______Floor

Dated: ______________

__________________________ (Signature)

EASTERN DISTRICT OF NEW YORK-------------------------------------------------------xIn re: Case No.

Chapter:

--------------------------------------------------------x

APPLICATION IN SUPPORT OF MOTION

To the Hon.__________________________, Bankruptcy Judge:

I, ____________________________, _________ herein, make this application

in support of my motion for the following relief:

______________________________________________________________________________

_____________________________________________________________________________.

In support of this motion, I hereby allege as follows:

______________________________________________________________________________

_____________________________________________________________________________.

WHEREFORE, ________ prays for an Order granting relief requested.

Dated: ___________________________

_____________________________ (Signature)

UNITED STATES BANKRUPTCY COURTEASTERN DISTRICT OF NEW YORK-------------------------------------------------------xIn re: Case No.

Chapter:

--------------------------------------------------------x

CERTIFICATE OF SERVICE

The undersigned certifies that on ______________________, a copy of the annexed papers was

served by depositing same, enclosed in a properly addressed postage-paid envelope, in an

official depository under the exclusive care and custody of the United States Postal Service within the

State of New York, upon [below specify the name and mailing address of each party served]:

Dated: ___________________ ___________________________ (Signature)

Rev. 5/2012