LF007 UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TENNESSEE ____________________________________________________________________________________ In re Case No. Chapter 13 Debtor(s). ____________________________________________________________________________________ CERTIFICATE OF SERVICE ____________________________________________________________________________________ The undersigned party, attorney for a party, or agent therefor hereby certifies that on this ______ day of ________________________, _______, copies of the documents identified below were mailed or hand-delivered to the parties listed. DOCUMENTS SERVED: A pleading or proposed order captioned ______________________________________________ ____________________________________________________________________________________, filed by ____________________________________________________________________________ on _________________________, _______, and Notice of Hearing thereon. An Order of the court captioned ____________________________________________________ __________________________________________________________________________________ and entered on the docket _____________________________________, ________. _______________________________________ (Name) On behalf of (Name, address, telephone and facsimile numbers of party or attorney for party) _______________________________________ _______________________________________ _______________________________________ _______________________________________ NAMES AND ADDRESSES OF ENTITIES SERVED: American LegalNet, Inc. www.USCourtForms.com