Free UNITED STATES BANKRUPTCY COURT _________________ DISTRICT OF ________________ - Alabama

B210 (12/04)

United States Bankruptcy Court
_______________ District Of _______________
In re ______________________________, Case No. ________________
Court ID (Court use only)_____________

NOTICE OF TRANSFER OF CLAIM OTHER THAN FOR SECURITY
A CLAIM HAS BEEN FILED IN THIS CASE or deemed filed under 11 U.S.C. § 1111(a). Transferee hereby gives notice pursuant to Rule 3001(e)(2), Fed. R. Bankr. P., of the transfer, other than for security, of the claim referenced in this notice. ______________________________________ Name of Transferee Name and Address where notices to transferee should be sent ____________________________________ Name of Transferor Court Record Address of Transferor (Court Use Only)

Phone: ______________________________ Last Four Digits of Acct #: ______________ Name and Address where transferee payments should be sent (if different from above)

Last Four Digits of Acct. #: ___________ Name and Current Address of Transferor

Phone: _______________________________ Last Four Digits of Acct #: _______________ Court Claim # (if known): _______________ Date Claim Filed: ______________________

Phone: ___________________________ Last Four Digits of Acct. #: ___________

I declare under penalty of perjury that the information provided in this notice is true and correct to the best of my knowledge and belief. By:__________________________________ Transferee/Transferee's Agent Date: ____________________________

Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. §§ 152 & 3571.

~~DEADLINE TO OBJECT TO TRANSFER~~ The transferor of claim named above is advised that this Notice of Transfer of Claim Other Than for Security has been filed in the clerk's office of this court as evidence of the transfer. Objections must be filed with the court within twenty (20) days of the mailing of this notice. If no objection is timely received by the court, the transferee will be substituted as the original claimant without further order of the court.

Date:___________

______________________________ CLERK OF THE COURT