E-filed on: _________________ UNITED STATES BANKRUPTCY COURT DISTRICT OF NEVADA In re: Case No.: Chapter Debtor(s), _____________________________________ Adversary No.: __________ Plaintiff, vs. Hearing Date: Time: Defendant. CERTIFICATE OF SERVICE Do not use th is form to p rove service of a summ ons an d com plaint. To prov e service o f a summ ons and com plaint use the certificate in the court form en titled "Adversary - Summon s and No tice of Scheduling C onference in an A dversary P roceeding" 1. On ____________ (date) I served the following document(s) (specify): 1 American LegalNet, Inc. www.FormsWorkFlow.com 2. I served the above-named document(s) by the following means to the persons as listed below: (Check all that apply) a. ECF System (You must attach the "No tice of Electron ic Filing", or list all person s and a ddresses and attach add itional paper if necessary) b. United States mail, postage fully prepaid (List person s and a ddresses. Attach additional paper if necessary) c. Personal Service (List person s and a ddresses. Attach additional paper if necessary) I personally delivered the document(s) to the p ersons at these addresses: For a party represented by an attorney, delivery was made by handing the document(s) to the attorney or by leaving the documents(s) at the attorney's office with a clerk or other person in charge, or if no one is in charge by leaving the documents(s) in a conspicuous place in the office. For a party, delivery was made by handing the document(s) to the party or by leaving the document(s)at the person's dwelling house or usual place of abode with someone of suitable age and discretion resid ing there. 2 American LegalNet, Inc. www.FormsWorkFlow.com d. By direct email (as opposed to through the ECF System) (List person s and em ail addre sses. Attach a dditiona l paper if ne cessary) Based upon the written agreement of the parties to accept service by email or a court order, I caused the do cument(s) to be sent to the p erson s at the em ail add resses listed below. I did not receive, within a reasonable time after the transmission, any electronic message or other indication that the transmission was unsuccessful. · e. By fax transmission (List person s and fa x num bers. Attach a dditiona l paper if ne cessary) Based upon the written agreement of the p arties to accep t service by fax transmissio n or a court order, I faxed the do cument(s) to the p ersons at the fax numbers listed below . No erro r was reported by the fax machine that I used . A copy of the record of the fax transmission is attached. · f. By messenger (List person s and a ddresses. Attach a dditiona l paper if ne cessary) I served the document(s) by placing them in an envelope or package addressed to the person s at the ad dresses listed b elow and p rovid ing them to a messeng er for service. (A declaratio n by the m essen ger m ust be attached to this C ertificate of Service). I declare under penalty of perjury that the foregoing is true and correct. Signed on (date): _______________ ______________________________ (NAME OF DECLARANT) +___________________________ (SIGNATURE OF DECLARANT) 19BFUWBVYFSGI 3 American LegalNet, Inc. www.FormsWorkFlow.com