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FORM #3 United States Bankruptcy Court Western District of Michigan {INSERT BANKRUPTCY CASE/ADVERSARY PROCEEDING CAPTION} NOTICE OF SELECTION OF NEUTRAL(S) The undersigned parties hereby agree the following individual(s) will serve as ADR neutral(s) for purposes of conducting ADR proceedings in this matter: NEUTRAL MEDIATOR: _____________________________________________________________________________________ BLUE RIBBON CASE EVALUATORS: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Date: ____________________ _______________________________ Signature American LegalNet, Inc. www.FormsWorkFlow.com