UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF NORTH CAROLINA _______________ DIVISION IN RE: CASE NO. CHAPTER DEBTOR(S) CERTIFICATE OF SERVICE I, _________________, of the law firm of _________________________, certify: That I am, and at all times hereinafter mentioned was, more than eighteen (18) years of age: That on ___________, I electronically filed the foregoing ______________ with the Clerk of the Court using the CM/ECF system which will send notification of such filing to the parties listed below. I further certify that I have mailed the document to the non CM/ECF participants as set out below by first class/certified mail. I certify under penalty of perjury that the foregoing is true and correct. Dated: Signature: _________________________________ Name: Address: RECIPIENTS: Name and Address of Recipient(s), and type of service (CM/ECF, U.S. Mail or Certified) American LegalNet, Inc. www.FormsWorkFlow.com