(Attorney Name) (Firm Name) (Address) (City, State, Zip) Telephone: ( ) Fax: ( ) Email: ( ) Attorney for: ( AK LBF 39 [11/15] ) UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF ALASKA In re: (Debtor's Name) and (Joint Debtor's Name), Debtor(s). Case No. ( ) Chapter ( ) NOTICE OF DEBTOR'S MOTION TO CONVERT CASE TO A CASE UNDER CHAPTER (NUMBER) NOTICE IS HEREBY GIVEN THAT Debtor (s) has(have) filed a motion to convert this case to a case under Chapter (Number) of the Code. Your rights may be affected. You should read these papers carefully and discuss them with your attorney, if you have one in this bankruptcy. (If you do not have an attorney, you may wish to consult one.) 1. The basis for the motion is (summarize grounds for relief) . The motion or application may be examined at the Office of the Clerk of the Bankruptcy Court, Suite 138, Old Federal Building, 605 West Fourth Avenue, Anchorage, Alaska or at the office of the undersigned. 2. FURTHER TAKE NOTICE that if you OBJECT to the conversion of the case to a case under Chapter (Number) of the Code you must file a written objection with the Clerk of the Bankruptcy Court at 605 West Fourth Avenue, Suite 138, Anchorage, Alaska 99501-2296 and serve a copy on the undersigned on or before (Date) . 3. SHOULD YOU FAIL TO SO OBJECT OR HAVING OBJECTED FAIL TO TIMELY REQUEST A HEARING, PLEASE BE ADVISED THAT THE COURT MAY ENTER AN ORDER GRANTING THE REQUESTED CONVERSION WITHOUT FURTHER NOTICE TO YOU. Dated: ( Date ) (Firm Name) Attorney for ( Client Name ) By: _________________________________ (Attorney Name) American LegalNet, Inc. www.FormsWorkFlow.com