Local Form Z UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: CASE NO. Debtor(s) NOTICE OF OBJECTION TO CLAIM {NAME OF MOVANT} has filed an objection to your claim in this bankruptcy case. Your claim may be reduced, modified or eliminated. You should read these papers carefully and discuss them with your attorney, if you have one. If you do not want the Court to eliminate or change your claim, then on or before {INSERT DATE 30 DAYS FROM DATE PLEADING TO BE FILED WITH THE COURT}, you or your lawyer must file with the Court a typewritten response, either electronically in compliance with L.B.R. 5005-4, or at: U.S. Bankruptcy Court 226 Western District of Kentucky 601 West Broadway, Suite 450 Louisville, KY 40202 If you mail your response to the Court for filing, you must mail it early enough so that the Court will receive it on or before the date stated above. You must also send a copy to: {objector222s attorney222s name and address/objector222s name and address, if pro se} {names and addresses of others to be served} If you or your attorney do not take these steps, the Court may decide that you do not oppose the objection to your claim. Dated: s/ Attorney for Movant/Movant Address Phone Number American LegalNet, Inc. www.FormsWorkFlow.com