UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA In re: Chapter 13 Case No. MOTION TO DISMISS CASE; CERTIFICATE OF SERVICE Debtor(s)_________________________________/ Pursuant to 11 U.S.C. 1307(b), the Debtor(s) herein request the dismissal of this Chapter 13 case forthwith. Dated: ____________________ _______________________________________ Debtor _______________________________________ Debtor _______________________________________ Attorney(s) for Debtor(s) Dated: ____________________ Dated: ____________________ CERTIFICATE OF SERVICE I am not less than 18 years of age and not a party to the within case. My business address is ________________________________________________________. I served this MOTION TO DISMISS CASE by first-class United States Mail, postage pre-paid, at _________________, California, on the date noted below and addressed to those listed in Exhibit A attached hereto which includes all parties entitled to receive regularly mailed notices. The Chapter 13 Trustee will receive such notice upon the electronic filing of this document. I declare, under penalty of perjury, that the foregoing is true and correct. Dated: ___________________________ at _______________________________, California. _______________________________________ Rev. 2/05 American LegalNet, Inc. www.USCourtForms.com