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United States District Court Eastern District of Michigan

Bankruptcy Matter Civil Case Cover Sheet

District Court Label

In re: Case No.:

Name, Address & Telephone Number of Attorney for filing party

CAUSE OF ACTION/NATURE OF SUIT: [422] 28 U.S.C. 158 [422] 28 U.S.C. 158 [423] 28 U.S.C. 157(d) [423] 28 U.S.C. 157(c) (1)

(This matter is referred to the district court for the following reasons)

Bankruptcy Appeal Motion for Leave to Appeal Motion for Withdrawal of Reference Proposed Findings of Fact and Conclusions of Law Order of Contempt

[423] 28 U.S.C. 158 (c) (a)

Date:

/s/ Name:

Bankruptcy Staff Use Only Please check as appropriate pursuant to LF 83.50(e) There is a previous civil matter in this bankruptcy case. That matter was given civil case and assigned to District Judge _____________. number This is a new matter and not previously assigned to a district court judge.

Revised 05/01/2008