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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) Case No. _______________ ) ) Adv. Proc. No. ___________ ) ) Plaintiff(s) ) ) MOTION FOR MEDIATION ) ) Defendant(s) )

Debtor(s)

v.

The undersigned, who is the ________________________________________ in the matter: 1. Certifies all other interested parties have been contacted and all either (check one) HAVE HAVE NOT agreed to this motion (NOTE: If all parties have agreed, the court prefers submittal of this motion on LBF #204 or 204.5, whichever is appropriate [Stipulated Order Directing Mediation and Appointing Mediator]). 2. Moves the court to order the following adversary proceeding into court-annexed mediation:

3. Believes the benefits of mediating the matter are:

4. Certifies this matter has not been the subject of any previous mediation except as follows (NOTE: Provide details of each mediation on the matter including name of mediator, dates, summary of results; AND state reasons why another mediation attempt is warranted):

5. Certifies that on ____________ copies of this motion were served on the affected parties, at the addresses, listed below:

202.5 (2/14/94)

_________________________________________________ Signature OSB# _________________________________________________ Print or Type Name Relation to Case _________________________________________________ Telephone Number