CSD 3007 [10/01/12] UNITED STATES BANKRUPTCY COURT Southern District of California In re Bankruptcy Case No. Debtor Adversary Proceeding No. Plaintiff v. Defendant SUMMONS IN AN ADVERSARY PROCEEDING YOU ARE SUMMONED and required to submit a motion or answer to the complaint which is attached to this summons with the Clerk of the Bankruptcy Court within 30 days from the date of issuance of this summons, except that the United States and its offices and agencies shall submit a motion or answer to the complaint within 35 days of issuance. Address of Clerk Clerk, United States Bankruptcy Court Southern District of California 325 West "F" Street San Diego, California 92101-6991 At the same time, you must also serve a copy of the motion or answer upon the plaintiff's attorney. Name and Address of Plaintiff's Attorney If you make a motion, your time to answer is governed by Federal Rule of Bankruptcy Procedure 7012. IF YOU FAIL TO RESPOND TO THIS SUMMONS, YOUR FAILURE WILL BE DEEMED TO BE YOUR CONSENT TO ENTRY OF A JUDGMENT BY THE BANKRUPTCY COURT AND JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF DEMANDED IN THE COMPLAINT. Barry K. Lander, Clerk Dated: CSD 3007 By: , Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com CSD 3007 (Page 2) [10/01/12] PROOF OF SERVICE I, , certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. I further certify that the service of this summons and a copy of the complaint was made by: [date] [ ] Mail Service: Regular, first class United States mail, postage fully pre-paid, addressed to: [ ] Personal Service: By leaving the documents with the following defendants or an officer or agent of the defendant at: [ ] Residence Service: By leaving the documents with the following adult at: [ ] Certified Mail Service on an Insured Depository Institution: By sending the process by certified mail addressed to the following officer of the defendant at: [ ] Publication: The defendant was served as follows: [describe briefly] [ ] State Law : The defendant was served pursuant to the laws of the State of follows: [describe briefly] , as If serve was made by personal service, by residence service, or pursuant to state law, I further certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. Under penalty of perjury, I declare that the foregoing is true and correct. [Date] [Signature] Print Name Business Address City CSD 3007 State ZIP American LegalNet, Inc. www.FormsWorkFlow.com