UNITED STATES BANKRUPTCY COURT DISTRICT OF UTAH In re: _______________________________ _______________________________ Debtor(s). Case No: ______________ Chapter _____ _______________________________ Plaintiff(s) vs. Adversary No: __________ _______________________________ Defendant(s) APPLICATION FOR ORDER DIRECTING TRANSMITTAL OF MOTION FOR WITHDRAWAL OF REFERENCE TO THE UNITED STATES DISTRICT COURT ___________________________________, attorney for _______________________________, hereby applies for an order authorizing and directing transmittal of the attached motion for withdrawal of reference G 1. seeking resolution of a matter requiring consideration of both Title 11 and other laws of the United States regulating organizations or activities affecting interstate commerce [28 U.S.C. § 157(d)] G 2. involving an adversary proceeding regarding a personal injury or wrongful death tort claim against the estate [28 U.S.C. § 157(b)(5)] G 3. alleging that cause exists for the withdrawal of the action to the District Court pursuant to 28 U.S.C. § 157(d) to the United States District Court for the District of Utah for consideration. Dated:___________ _______________________________________ Signature _______________________________________ Address _______________________________________ Zip _______________________________________ Telephone Rev 1/07 American LegalNet, Inc. www.FormsWorkflow.com UNITED STATES BANKRUPTCY COURT DISTRICT OF UTAH In re: _______________________________ _______________________________ Debtor(s). Case No: ______________ Chapter _____ _______________________________ Plaintiff(s) v. Adversary No: __________ _______________________________ Defendant(s) ORDER DIRECTING TRANSMITTAL OF MOTION FOR WITHDRAWAL OF REFERENCE TO THE UNITED STATES DISTRICT COURT Pursuant to District Court Rules of Practice DUCivR 83-7.2, because the attached motion for withdrawal of reference: G 1. seeks resolution of a matter requiring consideration of both Title 11 and other laws of the United States regulating organizations or activities affecting interstate commerce [28 U.S.C. § 157(d)] G 2. involves an adversary proceeding regarding a personal injury or wrongful death tort claim against the estate [28 U.S.C. § 157(b)(5)] G 3. alleges that cause exists for the withdrawal of the action to the District Court pursuant to 28 U.S.C. § 157(d), it is hereby ordered transmitted to the United States District Court for the District of Utah for consideration. The Clerk of the Bankruptcy Court is ordered to submit a certified copy of this order, along with a certified copy of the attached motion for withdrawal of reference, to the Clerk of the District Court. Any objections or responses must be filed in the District Court. Not later than ten (10) days after entry of a dispositive order by the District Court, the prevailing party is hereby ordered to file a certified copy of the same with the Clerk of the Bankruptcy Court. The copy so filed shall include the case numbers appearing on this order. * * * END OF DOCUMENT * * * Rev 1/07 American LegalNet, Inc. www.FormsWorkflow.com