...................................................... : Index No. : Calendar LOCAL BANKRUPTCY FORM NO. 15No. : JUDICIAL SUBPOENA Plaintiff(s) IN THE UNITED STATES BANKRUPTCY COURT -against: WESTERN DISTRICT OF PENNSYLVANIA : : : IN RE: : Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .:. . . . . . . . Bankruptcy No: __________ : REPORT FOR BANKRUPTCY JUDGES IN CASES TO BE CLOSED THE PEOPLE OF THE STATE OF NEW YORK CHAPTER 7 CASES TO DATE PETITION FILED:__________________ _______________Gross Cash Receipts A. GREETINGS: ___________________Total Disbursements Fees and Expenses WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before __________Trustee's Statutory Compensation __________Fee for Accountant , the Honorable at the Court __________Fee for Attorney for Trustee __________Fee for Broker located at County of __________Fee for Attorney for Debtor __________Fee for Auctioneer in room , on the day of , 20 , at o'clock in the noon, and at any recessed __________Fee for Attorney for Creditors' Committee __________Other or adjourned date, to testify and give evidence as a witness in this action on the part of the __________Expenses Awarded to Professionals* B. Distributions Your failure__________Securedthis subpoena is punishable as a contempt of court and will make you liable to to comply with Creditors the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a __________Equity Security Holders result of your failure to comply. __________Priority Creditors Witness, Court in __________Debtor __________Unsecured Creditors Honorable __________Others County, day of , one of the Justices of the , 20 Total Disbursements (sum of A & B): _______________________________________________________________________ If applicable, list portion of this total distributed by Trustee in Chapter other than Chapter 7 (DO NOT include Payments to (Attorney must sign above and type name below) Debtor):___________________________ ========================================================== ITEMIZATIONS (in dollars) Attorney(s) FEES PAID TO OTHER PROFESSIONALS __________________________ _________________________ __________________________ _________________________ Office for and P.O. Address EXPENSES AWARDED TO PROFESSIONALS ___________Trustee __________Attorney for Debtor ___________Attorney for Trustee __________Attorney for Creditors' Committee Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com : : _____________________ __________________________________ _____________________ Plaintiff(s) __________________________________ -against- DISTRIBUTIONS (OTHERS) Index No. Calendar No. : JUDICIAL SUBPOENA : : _____________________ __________________________________ _____________________ __________________________________ Defendant(s) : : ...................................................... I certify under penalty of perjury that the information provided on this form is true and correct to the best of my knowledge, information, and belief. THE PEOPLE OF THE STATE OF NEW YORK ____________________ TODATE _______________________________ PREPARER ________________________________________ SIGNATURE GREETINGS: WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. Witness, Honorable Court in County, , one of the Justices of the day of , 20 (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com