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| Debtor
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Bankruptcy No. ___________________________ |
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| Plaintiff
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vs.
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Adversary No. ____________________________ |
| Defendant
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IT IS HEREBY STIPULATED by and between all parties to the (adversary proceeding) (name of dispute in the main case) entitled herein, that pursuant to B.L.R. 9044-1, this matter be referred to the Bankruptcy Dispute Resolution Program. The parties have conferred and have agreed that the following individuals are mutually acceptable for appointment as Resolution Advocate and Alternate Resolution Advocate in this matter:
| Resolution Advocate: _______________________ | Alternate: _________________________________ |
| Name ____________________________________ | Name ____________________________________ |
| Address __________________________________ | Address ____________________________________ |
| City, State, Zip _____________________________ | City, State, Zip _______________________________ |
| Telephone ______________________________ | Telephone __________________________________ |
| The matter concerns (select one): | ||
| ( ) Breach of Contract | ( ) Classification of Claims | ( ) Construction Issues |
| ( ) Dischargeability | ( ) Injunctive or Declaratory Relief | ( ) Lien Avoidance |
| ( ) Multiple Litigations | ( ) Objection to Claim | ( ) Objection to Plan Confirmation |
| ( ) Preference/Fradulent Conveyance | ( ) Real Estate Issues | ( ) Validity of Lien |
| ( ) Violation of Stay | ( ) Other:___________________________________________________ | |
The attorneys for the parties are:
Rev. 11/02/2006