alea-institute/kl3m-data-sample-004-shuffled huggingface dataset:
John D. McIntyre (VSB No. 35925)

MCINTYRE STEIN, PLLC

101 West Main Street, Suite 920

Norfolk, Virginia 23510

Telephone: (757) 961-3900

Telecopier: (757) 961-3966

jmcintyre@mcintyrestein.com

Counsel for David La Clair

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE EASTERN DISTRICT OF VIRGINIA

Newport News Division

INSIGNIA TECHNOLOGY Bankruptcy Case No. 19-50277-SCS

SERVICES, LLC, Chapter 11

Debtor.

NOTICE OF HEARING 

PLEASE TAKE NOTICE that a hearing will be held before the United States Bankruptcy 

Court for the Eastern District of Virginia, Newport News Division, United States Courthouse, 

2400 West Avenue, Newport News, Virginia 23607, on Friday, October 11, 2019, at 11:00 a.m.

to consider and act upon the following:

i. The Motion to Dismiss and Supporting Memorandum [Dkt. No. 177] (the 

“Motion to Dismiss”) filed on behalf of John P. Fitzgerald, II, Acting 

United States Trustee (the “Trustee”); and

ii. The Emergency Motion for the Appointment of a Chapter 11 Trustee [Dkt. 

No. 155] (the “Trustee Motion”), filed on behalf of Mr. David La Clair 

(“Mr. La Clair”). 

Your rights may be affected. You should read these papers carefully and discuss 

them with your attorney, if you have one in this bankruptcy case. (If you do not have an 

attorney, you may wish to consult one.)

Under Local Rule 9013-1, if you wish to file a response to the Motion to Dismiss or the 

Trustee Motion, or if you wish the Court to consider your views on either Motion, then or your 

attorney must submit a written response, filed with the Clerk of the Bankruptcy Court and served 

Case 19-50277-SCS Doc 237 Filed 09/06/19 Entered 09/06/19 00:55:35 Desc Main

 Document Page 1 of 2
2

on (i) counsel for Insignia Technology Services, LLC (the “Debtor”), the undersigned, and 

counsel for the Trustee, at least seven (7) days prior to the scheduled hearing date. If you mail 

your response to the Court for filing, you must mail it early enough so that the Court will receive 

it in a timely manner. 

If you file a response, or if you have already filed a response, then you must also appear 

at the scheduled hearing or the Court may deem any opposition to the applicable Motion as 

waived, treat the Motion as conceded, and issue an order granting the requested relief without 

further notice or hearing.

PLEASE GOVERN YOURSELF ACCORDINGLY.

Respectfully Submitted,

David La Clair

By: /s/ John D. McIntyre

Of Counsel 

John D. McIntyre (VSB No. 35925)

McIntyre Stein, PLLC

101 W. Main Street, Suite 920 

Norfolk, VA 23510 

757-961-3900 (T) 

757-961-3966 (F)

jmcintyre@mcintyrestein.com

Counsel for David La Clair

Case 19-50277-SCS Doc 237 Filed 09/06/19 Entered 09/06/19 00:55:35 Desc Main

 Document Page 2 of 2
(No. 77-CC-1868

#### Larry F. Gooden, Claimant, *v.*State of Illinois, Respondent.

*Order filed October 27, 1977.*

Per Curiam.

Claimant, an inmate of an Illinois penal institution, has brought this action to recover the value of *266certain items of personal property of which he was allegedly possessed while incarcerated. Claimant contends that his property was lost, misplaced, stolen or destroyed while he was imprisoned, and that the loss of his property was proximately caused by the negligence of employees of the State of Illinois.

In *Bargas u. State, 32*Ill.Ct.Cl.__, this Court held that the State of Illinois does not owe a duty to inmates of its penal institutions to safeguard property which inmates keep in their cells. In the companion case of *Doubling v. State, 32 Ill.Ct.Cl.1,*we further held that only where the State takes actual physical possession of the property of an inmate, as during the course of his transfer between penal institutions, does a duty arise to use reasonable care in protecting the inmate’s property.

The complaint in this action does not allege that Claimant’s property was delivered to agents of the State, but rather that the property disappeared or was damaged in Claimant’s cell. Under our reasoning in *Bargas v. State, supra,*and *Doubling v. State, supra,*the complaint herein fails to state a claim upon which relief can be granted.

It is therefore ordered that this cause be, and hereby is, dismissed.
SERVED: April 5, 2016 

U.S. DEPARTMENT OF TRANSPORTATION 

In The Matter Of: 

ROMNEY CYCLE CENTER 

Respondent 

OFFICE OF HEARINGS 

W ASIDNGTON, DC 

) 

) 

) 

) 

) 

Docket No. FAA-2015-0203 

Case No. 2013S0700320 

ORDER DISMISSING PROCEEDING 

On March 22, 2016, an Order Setting Filing Deadline was filed. Among other things, this 

Order set an April 8, 2016 deadline for the parties to file any settlement documents and, absent 

such settlement, reconfirmed the Hearing set for May 17-18,2016. 

· On April 4, 2016, the parties filed a two-page, joint letter, stating "that the parties ... 

have reached a settlement[;] [t]herefore, Respondent, Romney Cycle Center, withdraws its 

request for a hearing and the Complainant, FAA, withdraws its complaint." 

After having reviewed the case file, all pleadings and motions, all relevant caselaw, 

statutes, regulations, rules, and authority, and being fully advised; 

IT IS HEREBY ORDERED: 

1. The Hearing set for May 17-18,2016, is cancelled. 

2. Pursuant to 14 C.F.R. § 13.215, the parties have withdrawn their respective pleadings, 

and this proceeding is dismissed with prejudice. 

Attachment: Service List 
i 

Docket No. FAA-2015-0203 

(Civil Penalty Action) 

SERVICE LIST- BY U.S. MAIL 

ORIGINAL & ONE COPY 

Federal Aviation Administration 

800 Independence Avenue, S.W. 

Washington, DC 20591 

Attention: Hearing Docket Clerk, AGC-430 

Wilbur Wright Building-Suite 2Wl0001 

Ms. Jeanine C. Gotimer 

Complainant's Counsel 

Federal Aviation Administration 

Enforcement Division, Northeast Team 

1 Aviation Plaza 

Jamaica, NY 11434 

TEL: 718-553-3272 

FAX: 718-995-5699 

Mr. Brian W. Stolarz 

Respondent's Counsel 

Leclair Ryan 

2318 Mill Road, Suite 1100 

Alexandria, VA 22314 

TEL: 703-684-8007 

FAX: 703-684-8075 

ONE COPY 

Romney Cycle Center 

Respondent · 

Attn: President 

51 Industrial Park 

Romney, WV 26757 

E-MAIL: Brian.Stolarz@leclairryan.com 

Judge J.E. Sullivan 

US. Administrative Law Judge 

Office of Hearings, M-20 

U.S. Department of Transportation 

1200 New Jersey Avenue, S.E. (E11-310) 

. Washington, DC 20590 

TEL: 202-366-6941 

FAX: 202-366-7536 

1 Service was by U.S. Mail. For service in person or by expedited courier, use the following address: Federal 

Aviation Administration, 600 Independence A venue, S. W ., Wilbur Wright Building-8uite 2Wl 000, Washington, 

DC 20591; Attention: Hearing Docket Clerk, AGC-430. ·
(No. 6608

#### Ace Sign Company, Claimant, *vs.*State of Illinois, Secretary of State, Respondent.

*Opinion filed September 5, 1973.*

Ace Sign Company, Claimant, pro se.

William J. Scott, Attorney General; William E. Webber, Assistant Attorney General, for Respondent.

Per Curiam.
#### § 19.321 General.

This subpart covers storage operations at distilled spirits plants. A proprietor qualified as a warehouseman and authorized to store bulk distilled spirits and wines must conduct storage operations in accordance with the provisions of this subpart. Subpart V of this part sets forth recordkeeping requirements that apply to storage operations.

(26 U.S.C. 5201)
**Exhibit (32.2)****Certification of Periodic Financial Report Pursuant to 18 U.S.C. Section 1350**     For the purposes of 18 U.S.C. Section 1350, as adopted pursuant to Section 906 of theSarbanes-Oxley Act of 2002, the undersigned, Paul A. Smith, the chief financial officer of ImperialOil Limited (the “Company”), hereby certifies that to his knowledge:(i) the Annual Report on Form 10-K of the Company for the year ended December 31, 2005, as filedwith the Securities and Exchange Commission (the “Report”), fully complies with therequirements of section 13(a) or 15(d) of the Securities Exchange Act of 1934; and(ii) the information contained in the Report fairly presents, in all material respects, thefinancial condition and results of operations of the Company.Date: February 27, 2006   /s/  Paul A. Smith    Paul A. Smith  Controller and Senior Vice-President,  Finance and Administration  (Chief Financial Officer)
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

DAY ELEV

 1,198.41

 1,198.42

 1,198.42

 1,198.43

 1,198.42

 1,198.43

 1,198.42

 1,198.41

 1,198.40

 1,198.40

 1,198.39

 1,198.38

 1,198.38

 1,198.39

 1,198.39

 1,198.38

 1,198.38

 1,198.37

 1,198.36

 1,198.37

 1,198.37

 1,198.34

 1,198.33

 1,198.32

 1,198.31

 1,198.29

 1,198.26

 1,198.24

 1,198.23

 1,198.22

 48.62

 48.63

 48.63

 48.65

 48.63

 48.65

 48.63

 48.62

 48.60

 48.60

 48.58

 48.56

 48.56

 48.58

 48.58

 48.56

 48.56

 48.55

 48.53

 48.55

 48.55

 48.49

 48.48

 48.46

 48.44

 48.41

 48.35

 48.32

 48.30

 48.28

STORAGE

+0.02

+0.02

+0.00

+0.02

-0.02

+0.02

-0.02

-0.02

-0.02

+0.00

-0.02

-0.02

+0.00

+0.02

+0.00

-0.02

+0.00

-0.02

-0.02

+0.02

+0.00

-0.05

-0.02

-0.02

-0.02

-0.04

-0.05

-0.04

-0.02

-0.02

CHANGE

17

19

16

23

5

25

12

9

-6

13

2

-1

7

19

16

7

20

11

17

30

16

-1

15

13

14

3

-14

1

5

9

INFLOW

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

SPILL

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

 1

OUTLET

 7

 9

 15

 13

 13

 15

 20

 17

 2

 12

 10

 7

 6

 9

 15

 15

 19

 19

 25

 20

 15

 25

 23

 21

 22

 20

 12

 18

 13

 17

C.F.S.

 .13

 .15

 .26

 .23

 .23

 .26

 .35

 .30

 .04

 .21

 .18

 .13

 .11

 .15

 .27

 .26

 .33

 .33

 .44

 .35

 .27

 .43

 .40

 .36

 .39

 .35

 .21

 .31

 .23

 .29

INCHES

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .01

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

 .00

PRECIP

UNITED STATES DEPARTMENT OF THE INTERIOR

U.S. BUREAU OF RECLAMATION-ORLAND PROJECT-CALIFORNIA

JUNE 2017 EAST PARK RESERVOIR DAILY OPERATIONS RUN DATE: 12/06/2017

IN LAKE

EVAPORATION

INCHES

C.F.S.

COMPUTED*

1000 ACRE-FEET

RELEASE - C.F.S.

TOTALS -.34 322 30 0 454 7.95 .01

ACRE-FEET -340 639 60 0 901

COMMENTS:

* COMPUTED INFLOW IS THE SUM OF CHANGE IN STORAGE, RELEASES AND EVAPORATION.

DATA BASED ON 24 HOUR PERIOD ENDING 0800 AM.

SUMMARY RELEASE (ACRE-FEET)

SPILL 0

OUTLET

TOTAL

 60

 60

PRECIPITATION

THIS MONTH =

TO DATE =

 .01

JULY 1, 2016 25.37

 48.60

OCT 1, 2016 TO DATE = 25.37
<PAGE>
                                                                    Exhibit 99.4

              Certification Pursuant to Section 1350 of Chapter 63
                      of Title 18 of the United States Code

      I, Ronald C. Brown, the Chief Financial Officer of Starwood Hotels &
Resorts ("Starwood"), certify that (i) the Form 10-K for the fiscal year ended
December 31, 2002 (the "Form 10-K") fully complies with the requirements of
Section 13(a) or 15(d) of the Securities Exchange Act of 1934 and (ii) the
information contained in the Form 10-K fairly presents, in all material
respects, the financial condition and results of operations of Starwood.

                                       /s/ Ronald C. Brown
                                       -----------------------------------
                                       Ronald C. Brown
                                       Chief Financial Officer
                                       Starwood Hotels & Resorts
                                       February 26, 2003
EXHIBIT 32

                  CERTIFICATION OF PRINCIPAL EXECUTIVE OFFICER
                       PURSUANT TO 18 U.S.C. SECTION 1350
                       AS ADOPTED PURSUANT TO SECTION 906
                        OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of Herley Industries,  Inc. (the "Company")
on Form 10-K for the year ended July 29, 2007, as filed with the  Securities and
Exchange  Commission on the date hereof (the "Report"),  I, Myron Levy, Chairman
of the  Board  and Chief  Executive  Officer  of the  Company,  hereby  certify,
pursuant to 18 U.S.C.  Section 1350,  as adopted  pursuant to Section 906 of the
Sarbanes-Oxley Act of 2002, that, to my knowledge:

     (1)  Such Report fully complies with the  requirements  of Section 13(a) or
          15(d) of the Securities Exchange Act of 1934; and

     (2)  The  information  contained  in such Report  fairly  presents,  in all
          material respects,  the financial  condition and results of operations
          of the Company.


                                          Date:    October 11, 2007

                                          By:      /S/     Myron Levy
                                                   -----------------------------
                                          Name:     Myron Levy
                                          Title:   Chairman of the Board and
                                                   Chief Executive Officer



                  CERTIFICATION OF PRINCIPAL FINANCIAL OFFICER
                       PURSUANT TO 18 U.S.C. SECTION 1350
                       AS ADOPTED PURSUANT TO SECTION 906
                        OF THE SARBANES-OXLEY ACT OF 2002

In connection with the Annual Report of Herley Industries,  Inc. (the "Company")
on Form 10-K for the year ended July 29, 2007, as filed with the  Securities and
Exchange  Commission  on the date hereof (the  "Report"),  I, Kevin J.  Purcell,
Chief Financial  Officer of the Company,  hereby certify,  pursuant to 18 U.S.C.
Section 1350, as adopted  pursuant to Section 906 of the  Sarbanes-Oxley  Act of
2002, that, to my knowledge:

     (1)  Such Report fully complies with the  requirements  of Section 13(a) or
          15(d) of the Securities Exchange Act of 1934; and

     (2)  The  information  contained  in such Report  fairly  presents,  in all
          material respects,  the financial  condition and results of operations
          of the Company.

                                         Date:    October 11, 2007

                                         By:          /S/     Kevin J. Purcell
                                                  ------------------------------
                                         Name:    Kevin J. Purcell
                                         Title:   Chief Financial Officer
#### § 12.1 Scope.

The regulations in this part relate to foreign names of geographic significance used in the designation of wines which are recognized as nongeneric under 27 CFR 4.24, and include those nongeneric names which the Administrator has found to be distinctive designations of wine, as defined in § 4.24(c)(1) of this chapter.
(April 19, 1943.)

#### George Adams Lumber Co., Inc., Respondent, v. Albert Marin, Appellant.

Present — Hagarty, Carswell, Johnston and Adel, JJ.; Lewis, J., not voting.
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

DAY

 464.59

 465.51

 466.11

 466.46

 467.07

 467.68

 468.20

 468.62

 469.04

 469.20

 469.28

 469.47

 469.66

 469.85

 470.16

 470.26

 470.54

 470.61

 470.69

 470.63

 471.06

 471.82

 472.13

 472.68

 472.78

 472.85

 473.29

 473.61

 473.79

 473.83

 473.88

 1,120,438

 1,130,010

 1,136,266

 1,139,921

 1,146,300

 1,152,691

 1,158,147

 1,162,561

 1,166,979

 1,168,664

 1,169,507

 1,171,509

 1,173,512

 1,175,516

 1,178,789

 1,179,845

 1,182,804

 1,183,545

 1,184,391

 1,183,756

 1,188,306

 1,196,362

 1,199,653

 1,205,499

 1,206,563

 1,207,308

 1,211,993

 1,215,405

 1,217,325

 1,217,752

 1,218,285

 0

 0

 375

 1,490

 1,499

 1,502

 2,258

 1,501

 1,502

 1,116

 1,853

 2,637

 0

 0

 375

 1,885

 3,766

 3,761

 2,241

 0

 2,260

 4,096

 2,585

 1,485

 1,484

 1,485

 1,487

 1,480

 1,118

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 0

 1,152

UNITED STATES DEPARTMENT OF THE INTERIOR

U.S. BUREAU OF RECLAMATION-CENTRAL VALLEY PROJECT-CALIFORNIA

SAN LUIS RESERVOIR FEDERAL January 29, 2019

DAILY OPERATIONS

OCTOBER 2018 RUN DATE:

FEDERAL

CHANGE CHANGE

PACHECO

PUMP

TOTALS 103,245 1,152 13,657 32,968

FEDERAL

PUMP ADJ

FEDERAL

GEN

 5,398

 9,572

 6,256

 3,655

 6,379

 6,391

 5,456

 4,414

 4,418

 1,685

 843

 2,002

 2,003

 2,004

 3,273

 1,056

 2,959

 741

 846

-635

 4,550

 8,056

 3,291

 5,846

 1,064

 745

 4,685

 3,412

 1,920

 427

 533

 509

 517

 528

 486

 493

 495

 461

 513

 478

 451

 453

 474

 479

 447

 465

 473

 448

 442

 456

 445

 417

 472

 458

 484

 374

 314

 266

 240

 275

 316

 528

-962

-288

-503

895

619

741

1,362

797

822

595

1,124

2,049

-745

-713

-462

1,243

3,138

3,194

4,407

1,870

3,569

3,354

3,246

723

1,076

966

979

1,095

809

-663

-1,369

ELEV STORAGE

 45,241

 400,053

 399,765

 399,262

 400,157

 400,776

 401,517

 402,879

 403,676

 404,498

 405,093

 406,217

 408,266

 407,521

 406,808

 406,346

 407,589

 410,727

 413,921

 418,328

 420,198

 423,767

 427,121

 430,367

 431,090

 432,166

 433,132

 434,111

 435,206

 436,015

 435,352

 433,983

FEDERAL

STORAGE

COMMENTS : 

VALUES IN ACRE-FEET

 401,015

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

0

2,400

2,400

2,400

0

2,000

0

0

0

0

0

0

0

0

9,200
Exhibit 32.1

CERTIFICATION OF CHIEF EXECUTIVE OFFICER PURSUANT TO 18 U.S.C. SECTION 1350,

AS ADOPTED PURSUANT
TO SECTION 906 OF THE SARBANES-OXLEY ACT OF 2002

I, Manouch Moshayedi, Chief Executive Officer of STEC, Inc. (the Company), certify,
pursuant to 18 U.S.C. § 1350, as adopted pursuant to § 906 of the Sarbanes-Oxley Act of 2002, that to my knowledge:

(1) the Quarterly Report of
the Company on Form 10-Q for the quarterly period ending September 30, 2007, as filed with the Securities and Exchange Commission (the Report), fully complies with the requirements of Section 13(a) or 15(d) of the Securities
Exchange Act of 1934; and

(2) the information contained in the Report fairly presents, in all material respects, the financial condition and results of
operations of the Company.



|                       
|-----------------------
|/s/ MANOUCH MOSHAYEDI  
|Manouch Moshayedi      
|Chief Executive Officer

November 13, 2007
1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

30

31

DAY HIGH

 996

 944

 879

 827

 779

 835

 896

 943

 961

 929

 953

 921

 965

 1,100

 1,160

 1,174

 1,149

 1,142

 1,051

 991

 982

 984

 861

 771

 715

 728

 783

 754

 718

 763

 724

 362

 430

 406

 428

 396

 381

 350

 338

 340

 342

 363

 382

 398

 557

 475

 557

 589

 635

 585

 536

 545

 462

 434

 411

 402

 398

 413

 404

 418

 424

 462

 536

 563

 587

 622

 609

 581

 581

 566

 623

 564

 591

 644

 846

 876

 874

 919

 949

 946

 875

 792

 781

 692

 609

 598

 523

 510

 521

 552

 529

 578

 584

LOW MEAN

UNITED STATES DEPARTMENT OF THE INTERIOR

U.S. BUREAU OF RECLAMATION-CENTRAL VALLEY PROJECT-CALIFORNIA

MARCH 2008 WATER QUALITY REPORT RUN DATE:April 8, 2008

ELECTRICAL CONDUCTIVITY, UMHOS 

TDS

 347

 364

 379

 400

 392

 375

 375

 366

 401

 365

 381

 414

 539

 557

 556

 584

 602

 601

 557

 505

 499

 444

 392

 386

 339

 331

 338

 357

 343

 373

 377

TOTAL 20,621

Comments:

0 reading indicates that the station was out of service.

DELTA MENDOTA CANAL AT HEADWORKS
<TABLE> <S> <C>


<ARTICLE>                     5
<LEGEND>
     (Replace this text with the legend)
</LEGEND>
<CIK>                         0000789882
<NAME>                        Enex Oil & Gas Income Program II - 8, L.P.
       
<S>                             <C>
<PERIOD-TYPE>                   YEAR
<FISCAL-YEAR-END>                              dec-31-1995
<PERIOD-START>                                 jan-01-1995
<PERIOD-END>                                   dec-31-1995
<CASH>                                         11001
<SECURITIES>                                   0
<RECEIVABLES>                                  20914
<ALLOWANCES>                                   0
<INVENTORY>                                    0
<CURRENT-ASSETS>                               37986
<PP&E>                                         2391295
<DEPRECIATION>                                 1739738
<TOTAL-ASSETS>                                 689543
<CURRENT-LIABILITIES>                          56307
<BONDS>                                        0
<PREFERRED-MANDATORY>                          0
<PREFERRED>                                    0
<COMMON>                                       0
<OTHER-SE>                                     556848
<TOTAL-LIABILITY-AND-EQUITY>                   689543
<SALES>                                        269337
<TOTAL-REVENUES>                               269337
<CGS>                                          90831
<TOTAL-COSTS>                                  196854
<OTHER-EXPENSES>                               31078
<LOSS-PROVISION>                               0
<INTEREST-EXPENSE>                             (112)
<INCOME-PRETAX>                                0
<INCOME-TAX>                                   0
<INCOME-CONTINUING>                            0
<DISCONTINUED>                                 0
<EXTRAORDINARY>                                0
<CHANGES>                                      0
<NET-INCOME>                                   41293
<EPS-PRIMARY>                                  0
<EPS-DILUTED>                                  0
        




</TABLE>
United States Bankruptcy Court for the District  

WITHDRAWAL OF CLAIM 

Debtor Name and Case Number:

Creditor Name and Address:

Court Claim Number (if known):

Date Claim Filed:

Total Amount of Claim Filed:

I, the undersigned, am the above‐referenced creditor, or an authorized signatory for the above‐referenced 

creditor.  I hereby withdraw the above‐referenced claim and authorize the Clerk of this Court, or their                  

duly appointed Claims Agent, to reflect this withdrawal on the official claims register for the above‐     

referenced Debtor. 

Dated:__________________________      Signature________________________________ 

              Print Name:______________________________ 

              Title (if applicable):________________________

DEFINITIONS

Debtor

The person, corporation, or other entity that has filed a bankruptcy case is called the debtor. 

Creditor

A creditor is any person, corporation, or other entity to which the debtor owed a debt. 

Proof of Claim

A form filed with the clerk of the bankruptcy court where the bankruptcy case was filed, to tell the bankruptcy court how much the debtor owed a  

creditor (the amount of the creditor’s claim). 

ITEMS TO BE COMPLETED ON THIS WITHDRAWAL OF CLAIM

Court, name of Debtor and Case Number:

Fill in the name of the federal judicial district where the bankruptcy was filed (for example, Central District of California), the name of the debtor in the 

bankruptcy case, and the bankruptcy case number. If you received a notice of the case from the court, all of this information is near the top of the notice. 

Information about Creditor:

Complete the section giving the name and address of the creditor that was listed on the previously filed Proof of Claim form. 

Information identifying the Claim that is to be withdrawn:

Complete the section giving the court claim number, date claim was filed and total amount of claim filed to help identify the claim that is to be withdrawn 

Sign and print the name and title, if any, of the creditor or other person authorized to file this withdrawal of claim (attach copy of power of attorney, if 

any). 

This form must be filed with the clerk of the bankruptcy court where the bankruptcy case was filed or, if applicable, with 

their duly appointed Claims Agent as per any procedure approved by the court in the above‐referenced bankruptcy 

proceeding.

Case 20-32181-KLP Doc 615 Filed 07/15/20 Entered 07/15/20 13:30:59 Desc Main

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