CSD 1119 [05/05/10] UNITED STATES BANKRUPTCY COURT Southern District of California In re Bankruptcy No. Tax I.D.#: Social Security #: Debtor* SUMMONS TO DEBTOR IN INVOLUNTARY CASE A petition under Title 11, United States Code, was filed against you on in this Bankruptcy Court, requesting an order for relief under Chapter , 20 , of the Bankruptcy Code (Title 11 of the United States Code). YOU ARE SUMMONED and required to submit to the Clerk of the Bankruptcy Court a motion or answer to the petition within 21 days after the service of this summons. A copy of the petition is attached. 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 on petitioner's attorney. Name and Address of Petitioner's Attorney If you make a motion, your time to answer is governed by Federal Rule of Bankruptcy Procedure 1011(c). IF YOU FAIL TO RESPOND TO THIS SUMMONS, THE ORDER FOR RELIEF WILL BE ENTERED. Barry K. Lander, Clerk Dated: By: , Deputy Clerk *Set forth all names, including trade names, used by the debtor within the last 8 years. (Fed. R. Bankr. P. 1005). CSD 1119 American LegalNet, Inc. www.FormsWorkFlow.com CSD 1119 (Page 2) [05/05/10] 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. by: I further certify that the service of this summons and a copy of the involuntary petition was made [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(s) or an officer or agent of the defendant(s) at: [ ] Residence Service - By leaving the documents with the following adult at: [ ] Publication - The defendant was served as follows: [describe briefly] , as [ ] State Law - The defendant was served pursuant to the laws of the State of follows: [describe briefly] Under penalty of perjury, I declare that the foregoing is true and correct. [Date] [Signature] Print Name Business Address City CSD 1119 State ZIP American LegalNet, Inc. www.FormsWorkFlow.com