(rev 5/22/12) UNITED STATES BANKRUPT COURT Southern District Of Indiana In re: [Name of Debtor(s)], Debtor(s). ) ) ) ) Case No. (xx-xxxxx) CERTIFICATE OF SERVICE: NOTICE OF HEARING The movant(s), [name of movant(s)], hereby certify/certifies that the Notice of Hearing on the (name of motion/application) has been mailed by first class U.S. mail, postage prepaid and properly addressed, to the following creditors: (List creditors with mailing addresses.) /s/ Counsel for Movant(s) Counsel for Movant(s) (required signature block) American LegalNet, Inc. www.FormsWorkFlow.com