B104 (Form 104)(08/07)

+---------------------------------------+------------------------------+
| ADVERSARY PROCEEDING COVER SHEET      | **ADVERSARY PROCEEDING       |
|                                       | NUMBER**                     |
| (Instructions on Reverse)             |                              |
|                                       | (Court Use Only)             |
+---------------------------------------+------------------------------+

+----------------------------------+-----------------------------------+
| PLAINTIFFS                       | DEFENDANTS                        |
+----------------------------------+-----------------------------------+
| ATTORNEYS (Firm Name, Address,   | ATTORNEYS (If Known)              |
| and Telephone No.)               |                                   |
+----------------------------------+-----------------------------------+
| PARTY (Check One Box Only)       | PARTY (Check One Box Only)        |
|                                  |                                   |
| Debtor U.S. Trustee/Bankruptcy   | Debtor U.S. Trustee/Bankruptcy    |
| Admin                            | Admin                             |
|                                  |                                   |
| Creditor Other                   | Creditor Other                    |
|                                  |                                   |
| Trustee                          | Trustee                           |
+----------------------------------+-----------------------------------+
| CAUSE OF ACTION (WRITE A BRIEF   |                                   |
| STATEMENT OF CAUSE OF ACTION,    |                                   |
| INCLUDING ALL U.S. STATUES       |                                   |
| INVOLVED)                        |                                   |
+----------------------------------+-----------------------------------+
| NATURE OF SUIT                   |                                   |
|                                  |                                   |
| (Number up to five (5) boxes     |                                   |
| starting with lead cause of      |                                   |
| action as 1, first alternative   |                                   |
| cause as 2, second alternative   |                                   |
| cause as 3, etc.)                |                                   |
+----------------------------------+-----------------------------------+
| **FRBP 7001(1) - Recovery of     | > **FRBP 7001(6) -                |
| Money/Property**                 | > Dischargeability (continued)**  |
|                                  |                                   |
| 11-Recovery of money/property -  | 61-Dischargeability - §523(a)(5), |
| § 542 turnover of property       | domestic support                  |
|                                  |                                   |
| 12-Recovery of money/property -  | 68-Dischargeability - §523(a)(6), |
| § 547 preference                 | willful and malicious injury      |
|                                  |                                   |
| 13-Recovery of money/property -  | 63-Dischargeability - §523(a)(8), |
| § 548 fraudulent transfer        | student loan                      |
|                                  |                                   |
| 14 Recovery of money/property -- | 64-Dischargeability -             |
| Other                            | §523(a)(15), divorce or           |
|                                  | separation obligation (other than |
| > **FRBP 7001(2) - Validity,     | domestic support)                 |
| > Priority or Extent of Lien**   |                                   |
|                                  | 65-Dischargeability - other       |
| 21-Validity, priority or extent  |                                   |
| of lien or other interest in     | > **FRBP 7001(7) - Injunctive     |
| property                         | > Relief**                        |
|                                  |                                   |
| > **FRBP 7001(3) - Approval of   | 71-Injunctive relief - imposition |
| > Sale of Property**             | of stay                           |
|                                  |                                   |
| 31-Approval of sale of property  | 72-Injunctive relief - other      |
| of estate and a of co-owner      |                                   |
| §363(h)                          | > **FRBP 7001(8) Subordination of |
|                                  | > Claim or Interest**             |
| > **FRBP 7001(4) -               |                                   |
| > Objection/Revocation of        | -   81-Subordination of claim or  |
| > Discharge**                    |     interest                      |
|                                  |                                   |
| -   41-Objection / revocation of | **FRBP 7001(9) Declaratory        |
|     discharge §727(c),(d),(e)    | Judgment**                        |
|                                  |                                   |
| > **FRBP 7001(5) - Revocation of | 91-Declaratory judgment           |
| > Confirmation**                 |                                   |
|                                  | > **FRBP 7001(10) Determination   |
| 51-Revocation of Confirmation    | > of Removed Action**             |
|                                  |                                   |
| > **FRBP 7001(6) -               | -   01-Determination of removed   |
| > Dischargeability**             |     claim or cause                |
|                                  |                                   |
| 66-Dischargeability -            | > **Other**                       |
| §523(a)(1),(14),(14A) priority   |                                   |
| tax claims                       | SS-SIPA Case - 15 U.S.C. §§78aaa  |
|                                  | *et.seq.*                         |
| 62-Dischargeability -            |                                   |
| §523(a)(2), false pretenses,     | 02-Other (e.g. other actions that |
| false representation, actual     | would have been brought in state  |
| fraud                            | court if unrelated to bankruptcy  |
|                                  | case)                             |
| 67-Dischargeability -            |                                   |
| §523(a)(4), fraud as fiduciary,  |                                   |
| embezzlement, larceny            |                                   |
|                                  |                                   |
| > **(Continued next column)**    |                                   |
+----------------------------------+-----------------------------------+
| Check if this case involves a    | Check if this is asserted to be a |
| substantive issue of state law   | class action under FRCP 23        |
+----------------------------------+-----------------------------------+
| Check if a jury trial is         | Demand \$                         |
| demanded in complaint            |                                   |
+----------------------------------+-----------------------------------+
| Other Relief Sought              |                                   |
+----------------------------------+-----------------------------------+

B104 (FORM 104) (08/07), Page 2

  -----------------------------------------------------------------------
  BANKRUPTCY CASE IN WHICH THIS ADVERSARY PROCEEDING ARISES

  -----------------------------------------------------------------------

  -------------------------------------- --------------------------------
  NAME OF DEBTOR                         BANKRUPTCY CASE NO.

  -------------------------------------- --------------------------------

  -------------------------------- -------------- -----------------------
  DISTRICT IN WHICH CASE IS        DIVISIONAL     NAME OF JUDGE
  PENDING                          OFFICE         

  RELATED ADVERSARY PROCEEDING (IF                
  ANY)                                            
  -------------------------------- -------------- -----------------------

  ------------------------ ---------------------- ------------------------
  PLAINTIFF                DEFENDANT              ADVERSARY PROCEEDING NO.

  ------------------------ ---------------------- ------------------------

  -------------------------------- -------------- -----------------------
  DISTRICT IN WHICH ADVERSARY IS   DIVISIONAL     NAME OF JUDGE
  PENDING                          OFFICE         

  SIGNATURE OF ATTORNEY (0R                       
  PLAINTIFF)                                      
  -------------------------------- -------------- -----------------------

  ------------------------ ----------------------------------------------
  DATE                     PRINT NAME OF ATTORNEY (OR PLAINTIFF)

  ------------------------ ----------------------------------------------

**INSTRUCTIONS**

The filing of a bankruptcy case creates an \"estate\" under the
jurisdiction of the bankruptcy court which consists of all of the
property of the debtor, wherever that property is located. Because the
bankruptcy estate is so extensive and the jurisdiction of the court so
broad, there may be lawsuits over the property or property rights of the
estate. There also may be lawsuits concerning the debtor's discharge. If
such a lawsuit is filed in a bankruptcy court, it is called an adversary
proceeding.

A party filing an adversary proceeding must also must complete and file
Form 104, the Adversary Proceeding Cover Sheet, unless the party files
the adversary proceeding electronically through the court's Case
Management/Electronic Case Filing system (CM/ECF). (CM/ECF captures the
information on Form 104 as part of the filing process.) When completed,
the cover sheet summarizes basic information on the adversary
proceeding. The clerk of court needs the information to process the
adversary proceeding and prepare required statistical reports on court
activity.

The cover sheet and the information contained on it do not replace or
supplement the filing and service of pleadings or other papers as
required by law, the Bankruptcy Rules, or the local rules of court. The
cover sheet, which is largely self-explanatory, must be completed by the
plaintiff's attorney (or by the plaintiff if the plaintiff is not
represented by an attorney). A separate cover sheet must be submitted to
the clerk for each complaint filed.

**Plaintiffs and Defendants.** Give the names of the plaintiffs and
defendants exactly as they appear on the complaint.

**Attorneys.** Give the names and addresses of the attorneys, if known.

**Party.** Check the most appropriate box in the first column for the
plaintiffs and the second column for the defendants.

**Demand.** Enter the dollar amount being demanded in the complaint.

**Signature.** This cover sheet must be signed by the attorney of record
in the box on the second page of the form. If the plaintiff is
represented by a law firm, a member of the firm must sign. If the
plaintiff is pro se, that is, not represented by an attorney, the
plaintiff must sign.