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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) ) ) ) ) ) )

CERTIFICATE OF SERVICE OF SUMMONS Case No. __________________

Debtor(s)

Plaintiff(s) v.

Adv. Proc. No. ______________

Defendant(s)

I, __________________________________________________________________________ (name) of _______________________________________________________________________________ (mailing address) certify under penalty of perjury: That I am, and at all times hereinafter mentioned was, more than 18 years of age; That on __________, I served a copy of the within summons, together with the complaint filed in this proceeding AND a copy of Local Bankruptcy Rule 7026-1, on:

the defendant in this proceeding, by (describe here the mode of service):

on the said defendant at:

Executed on __________ (date) 305 (1/1/08)

___________________________________ (signature)