UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1(b) In Re: Case No.: Chapter: ___________________ ___________________ Hearing Date: ___________________ Judge: ___________________ STATUS CHANGE FORM Pursuant to D.N.J. LBR 9013-3, the undersigned notifies the court that the matter identified below has been: Settled Withdrawn Matter: ___________________________________________________________________________ __________________________________________________________________________________ Date: ______________________ ________________________________ Signature rev.8/1/15 American LegalNet, Inc. www.FormsWorkFlow.com