UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA IN RE: Debtor(s) ) ) ) ) ) Case No: Chapter CERTIFICATE OF SERVICE I, the undersigned, hereby certify under penalty of perjury that I am, and at all times hereinafter mentioned, was more than 18 year of age, and that on the _____ day of __________, 20__, I served a copy of which was filed in this bankruptcy matter on the ____ day of __________, 20__. Mode of service (check one): MAILED HAND DELIVERED Name and Address of each party served (If necessary, you may attach a list.): I CERTIFY UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Dated: Signature: _______________________________________ Printed Name: Address: Phone: (Generic Certificate of Service ­ Revised 4/13) American LegalNet, Inc. www.FormsWorkFlow.com