B420B (Official Form 420B) (Notice of Objection to Claim) (12/16) EDVA (12/16) UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA Division In re: ) ) [Set forth here all names including married, maiden, and ) trade names used by debtor within last 8 years.] ) Case No. ) Debtor ) Chapter ) Address ) ) ) 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 , you or your attorney must: File with the court, at the address below, a written response to the objection and a request for a hearing. Unless a written response is filed and served by the date specified, the court may decide that you do not oppose the objection to your claim. 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. Clerk of Court United States Bankruptcy Court American LegalNet, Inc. www.FormsWorkFlow.com 2 You must also send a copy to: Attend the hearing on the objection scheduled to be held on at m. at United States Bankruptcy Court, . Attend a hearing to be scheduled at a later date. You will receive separate notice of hearing. If no timely response has been filed opposing the relief requested, the court may grant the relief without holding a hearing. 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 and telephone number of person giving notice: Virginia State Bar No. Counsel for Certificate of Service I hereby certify that I have this day of , 20, mailed or hand-delivered a true copy of the foregoing Notice of Objection to Claim to the parties listed on the attached service list. American LegalNet, Inc. www.FormsWorkFlow.com