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LOCAL BANKRUPTCY FORM 9019-1
IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : Debtor(s) : : : Plaintiff(s)/Movant(s) : vs. : : : Defendant(s)/Respondent(s) : : CHAPTER CASE NO. -bk-ap-
ADVERSARY NO. (if applicable) Nature of Proceeding: Pleading: Document #:
REQUEST TO REMOVE FROM THE HEARING/TRIAL LIST* CHECK ONE: The undersigned hereby withdraws the above identified pleading with the consent of the opposition, if any. The undersigned counsel certifies as follows: (1) A settlement has been reached which will be reduced to writing, executed and filed within (please check only one). Thirty (30) days. Forty-five (45) days. Sixty (60) days. (2) If a stipulation is not filed or a hearing requested within the above-stated time frame, the Court may dismiss the matter without further notice. (3) Contemporaneous with the filing of this request, the undersigned has served a copy of this request upon all counsel participating in this proceeding. Dated:______________________ _____________________________________ Attorney for___________________________
*No alterations or interlineations of this document are permitted. This request must be filed twenty-four (24) hours prior to the hearing.