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UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI __________ DIVISION In re DEBTOR NAME ) ) Debtor(s). ) ___________________________________ ) [Name of Plaintiff], ) Plaintiff, ) v. ) ) [Name of Defendant], ) Defendant(s). ) Case No. __-________-___ Chapter XX

Adversary Case No. __-____-_____

Trial Date/Time: _______________

Settlement Conference Report The undersigned counsel for Plaintiff in the above adversary proceeding reports to the Court as follows: ____ ____ A. B. The parties conducted a settlement conference on The conference resulted in the following: __________ Agreement signed (total resolution). The parties reached an impasse. The parties settled the following issues: (list) The parties and counsel in attendance were: Plaintiff: ________________________ ________________________ Parties or counsel who failed to appear were: ____ ____ C. D. The matter was settled prior to mediation conference. The parties were not able to meet for a settlement conference for the reason stated: Signature of Counsel for Plaintiff Defendant: ______________________ ______________________

Certificate of Service _____________________________ Name
(L.F. 21 Rev. 06/08)