Official Form 420B (Notice of Objection to Claim) (12/16) United States Bankruptcy Court _______________ District of _______________ In re [Set forth here all names including married, maiden, and trade names used by debtor within last 8 years.] Debtor Address ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. ________________ Chapter _________________ Last four digits of Social Security or Individual Tax-payer Identification (ITIN) No(s).,(if any): _______________________________________ Employer's Tax Identification (EIN) No(s).(if any): ____________ NOTICE OF OBJECTION TO CLAIM ____________________ has filed an objection to your claim in this bankruptcy case. Your claim may be reduced, modified, or eliminated. You should read these papers carefully and discuss them with your attorney, if you have one. If you do not want the court to eliminate or change your claim, then on or before (date), you or your lawyer must: {If required by local rule or court order.} [File with the court a written response to the objection, explaining your position, at: {address of the bankruptcy clerk's office} If you mail your response to the court for filing, you must mail it early enough so that the court will receive it on or before the date stated above. You must also send a copy to: {objector's attorney's name and address} {names and addresses of others to be served}] Attend the hearing on the objection, scheduled to be held on (date), (year) , at ___ a.m./p.m. in Courtroom____, United States Bankruptcy Court, {address}. If you or your attorney do not take these steps, the court may decide that you do not oppose the objection to your claim. Date: _________________ Signature: _______________________ Name: __________________________ Address: ________________________ American LegalNet, Inc. www.FormsWorkFlow.com