UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF PENNSYLVANIA In re : : : : : Debtor. : : : : : : : : : : Plaintiff, v. Defendant. Chapter Bankruptcy No. Adversary No. MEDIATOR’S CERTIFICATE OF COMPLIANCE The undersigned Mediator, appointed pursuant to order entered on the _____ day of _________________, 20____ , reports to the Court as follows: A. A Mediation hearing was scheduled for and held on B. A settlement of this matter has ( ) has not C. Dated: . , 20____. been reached. ( ) Counsel for the Plaintiff ( ) / Defendant ( ) will prepare the stipulation for settlement, have it signed by all parties and the Mediator, and file with the Clerk of Court with a copy served on chambers. Mediator: , Esquire 2002 © American LegalNet, Inc.