LOCAL BANKRUPTCY FORM 3022-1.3 United States Bankruptcy Court _______________ District Of _______________ In re __________________________________________, [Set forth here all names including married, maiden, and trade names used by debtor within last 8 years.] Debtor ) ) ) ) ) Case No. ________________ ) Address ________________________________________ ) ) ________________________________________ ) Chapter ___________ ) Last four digits of Social-Security or Individual TaxPayer-Identification (ITIN) No(s).,(if any): ___________ ) ______________________________________________ ) Employer Tax-Identification (EIN) No(s).(if any): _____ ) _______________________________________________ ) American LegalNet, Inc. www.FormsWorkFlow.com FINAL DECREE (Chapter 11 business debtor) The estate of the above-named debtor having been fully administered, it is ORDERED that the chapter 11 case of the above-named debtor is hereby closed. Dated:________________________ BY THE COURT: United States Bankruptcy Judge American LegalNet, Inc. www.FormsWorkFlow.com