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UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI ____________DIVISION In re DEBTOR NAME ) ) ) )

Case No. ___- _______ - ___ Chapter ____

Debtor(s).

EXHIBIT SUMMARY Pursuant to the Local Rules of Bankruptcy Procedure, the following exhibits are referenced in support of _____________ _____________________ (the motion, pleading, or claim to be filed). Copies of these exhibits will be provided as required by the Local Rules:

1 2 3

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Signature

(The Exhibit Summary is to be attached to and filed with the motion, pleading, or claim to which it relates. Pursuant to L.R. 9040 (L.B.R. 9040-1 for cases filed before June 5, 2008), the Exhibit Summary shall describe the exhibits in sufficient detail to permit the Court and parties to evaluate the factual elements relevant to the motion, pleading, or claim. The description shall include the following, when applicable: 1. basis for the debt, including date; 2. balance of the indebtedness; and 3. date and manner of perfection, including book and page number, certificate of title, or UCC-1 recording. If exhibit(s) is/are two pages or less in length, the exhibit(s) may be filed in place of an Exhibit Summary.)

(L.F. 9 Rev. 06/08)