Free Attorney or Party Name, Address and Telephone NumberAttorney for - California

Attorney or Party Name, Address, Telephone & FAX Numbers, and California State Bar Number

FOR COURT USE ONLY

UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA
In re:

CHAPTER: CASE NO.:

DECLARATION TO BE FILED WITH MOTION ESTABLISHING ADMINISTRATIVE PROCEDURES RE 28 U.S.C. § 156(c)
Debtor(s).

I have obtained the most recent and applicable version of the Mega Case Procedures Checklist from the Clerk of Court and have consulted with the Clerk or designee. The completed checklist is attached. I declare under penalty of perjury under the laws of the United States of America that the attached Mega Case Procedures Checklist is true and correct and that this Declaration was executed on , , at (city, state).

Print Declarant's Name

Signature of Declarant

This form is mandatory by Order of the United States Bankruptcy Court for the Central District of California. January 2009

F 5075-1.1