6/2017 KSJC 1 IN THE JUDICIAL DISTRICT DISTRICT COURT OF COUNTY, KANSAS ) Plaintiff, ) v ) Case No. ) Defendant. ) NOTICE OF BANKRUPTCY , hereby notifies the Court of the filing of a bankruptcy proceeding in the United States District Court for the District of Kansas by . On , 20 , filed a voluntary petition for relief under Chapter of the United States Bankruptcy Code in the U.S. Bankruptcy Court for the District of Kansas, Case No. (the 223Bankruptcy Case224). A copy of the Notice of Bankruptcy Case Filing is attached hereto as Exhibit A. As such, the automatic stay imposed by 11 U.S.C. 247 362 is in effect as to . respectfully requests that the Court take Notice of said Defendant222s bankruptcy, and for such other and further relief as the Court deems just and proper. (Signature of attorney) (Name), Attorney for (party) Bar Registration Number Address Telephone [Facsimile number] [Email address] American LegalNet, Inc. www.FormsWorkFlow.com 6/2017 KSJC 2 CERTIFICATE OF SERVICE I certify that a copy of the above Notice of Bankruptcy was served on (name) on the day of , 20 , as follows: . (Signature of attorney) American LegalNet, Inc. www.FormsWorkFlow.com