(rev 5/30/12) UNITED STATES BANKRUPTCY COURT Southern District of Indiana (Put caption of case or adversary proceeding here.) DECLARATION THAT PARTY WAS UNABLE TO FILE IN A TIMELY MANNER DUE TO TECHNICAL DIFFICULTIES (Name of plaintiff/defendant or name of party) was unable to file his/her (title of document) in a timely manner due to technical difficulties. The deadline for filing the document was (filing deadline date). The reason(s) that I was unable to file the document in a timely manner and the good faith efforts I made prior to the filing deadline to both file in a timely manner and to inform the Court and the other parties that I could not do so are set forth below. [Statement of reasons and good faith efforts to file and inform (including dates and times).] I declare under penalty of perjury that this Declaration is true and correct. /s/ (Typewritten Name of E-filer) * Name of E-Filer Address City, State, ZIP Code Phone: (xxx) xxx-xxxx Fax: (xxx) xxx-xxxx E-mail: xxx@xxx.xxx *(Note: Signature format acceptable if filed electronically; if not electronically, a wet signature is required.) American LegalNet, Inc. www.FormsWorkFlow.com