United States Bankruptcy Court Eastern District of Louisiana In re Bankruptcy Case No. Debtor Chapter Plaintiff Adversary Proceeding No. Defendant SUMMONS IN AN ADVERSARY PROCEEDING To: YOU ARE SUMMONED and required file a motion or answer to the complaint which is attached to this summons with the clerk of the bankruptcy court within 30 days after the date of issuance of this summons, except that the United States and its offices and agencies shall file a motion or answer to the complaint within 35 days. Address of Clerk: U.S. Bankruptcy Court Hale Boggs Federal Building 500 Poydras Street, Room B-601 New Orleans, LA 70130 At the same time, you must also serve a copy of the motion or answer upon the plaintiff’s attorney. Name and Address of Plaintiff’s Attorney: If you make a motion, your time to answer is governed by Fed. R. Bankr. P. 7012. IF YOU FAIL TO RESPOND TO THIS SUMMONS, YOUR FAILURE WILL BE DEEMED TO BE YOUR CONSENT TO ENTRY OF A JUDGMENT BY THE BANKRUPTCY COURT AND JUDGMENT BY DEFAULT MAY BE TAKEN AGAINST YOU FOR THE RELIEF DEMANDED IN THE COMPLAINT. Marla Hamilton Clerk of the Bankruptcy Court By: Date Deputy Clerk UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF LOUISANA IN THE MATTER OF: ADVERSARY NO. BANKRUPTCY NO. CERTIFICATE OF SERVICE I, , certify that I am, and at all times during the service of process was, not less than 18 years of age and not a party to the matter concerning which service of process was made. I further certify that the service of this summons and a copy of the complaint was made: by: Mail Service: Regular, First Class United States mail, postage fully pre-paid, addressed to: Personal Service: By leaving the process with defendant or with an officer or agent of defendant at: Residence Service: By leaving the process with the following adult at: Certified Mail Service on an Insured Depository Institution: By sending the process by certified mail addressed to the following officer of the defendant at: Publication: The defendant was served as follows: (Describe briefly) State Law: The defendant was served under the law of the State of as follows: (Describe briefly) Under penalty of perjury, I declare that the foregoing is true and correct. Date Signature Name Business Address City, State Zip Code