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B2060 Certificate of Commencement of Case

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B2060 (Form 206 0) (12/15)  	
United States Bankruptcy Court  	
_______________ District Of _______________  	
 
In re                                                                         \
        
Case No. _________ 
    Debtor* 
 
 
Address:                                                                          \
    
Chapter __________ 
                                                                          \
      
 
Last four digits of Social- Security or Individual Taxpayer -       
Identification (ITIN) No(s).,(if any):                                  
Employer Tax- Identification (EIN) No(s).(if any):          
                                                                        \
           
        	
CERTIFICATE OF COMMENCEMENT OF CASE 
 
 	
 
I certify that on _________________________________ (date), 
 
□   the above named debtor filed a petition requesting relief 
under chapter ________ of the Bankruptcy Code (title 11 
of the United States Code), or 
 
□   a petition was filed against the above named debtor under 
chapter ________ of the Bankruptcy Code (title 11 of the 
United States Code), and 
 
□    that as of the date below the case has not been dismissed. 
 
 
________________________ 
        Clerk of the Bankruptcy Court 
 
        By: 
        ________________________   
        Deputy Clerk	
 
 
        	
Date: ___________________ 	 
 	
________________________________________________________________________\
_____ 
* Set forth all names, including trade names, used by the debtor(s) wi\
thin 
the last 8 years. For joint debtors, set forth the last four digits of b\
oth 
social- security numbers or individual taxpayer- identification numbers.
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