APPENDIX A

NOTICE OF FILING OF CASE IN BANKRUPTCY COURT

IN THE CIRCUIT COURT FOR

____________________ COUNTY, MARYLAND

IN RE :

:

: Civil No. _____________

vs. :

:

:

- - - - - - - - - - - - - - - :

NOTICE OF FILING OF CASE IN BANKRUPTCY COURT

You are hereby notified of the filing of a case in the _______________ Division of the United States Bankruptcy Court for the District of Maryland for the following debtor(s):_______________________________________________________. The bankruptcy Case No. is __________________________. It is a case under Chapter _____ filed on _____________________________. The case is now pending.

____________________________________ ____________________________________

Attorney for Debtor(s) OR Debtor(s), if Pro Se

Name:_______________________________ Name:_______________________________

Address:____________________________ Address:____________________________

____________________________________ ____________________________________

____________________________________ ____________________________________

Tel. No.____________________________ Tel. No.____________________________

OR

Attorney for Petitioning Creditor(s)__________________________________________

Address:______________________________________________________________________

Tel. No.______________________________________________________________________

Petitioning Creditor(s)_______________________________________________________

_______________________________________________________

_______________________________________________________

* * * * * *

I hereby certify that copies of the foregoing Notice of Filing of Bankruptcy Case were mailed this _______ day of _______________, 19____, to the Judge of this court assigned this case and to the following counsel of record:

____________________________________

Signature of Affiant

Local Bankruptcy Form A

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