Summons In (Section 304) Ancillary Proceeding {128}

UNITED STATES BANKRUPTCY COURT District of DelawareIn re: Bankruptcy Case No.Debtor(s)* SUMMONS IN SECTION 304 ANCILLARY PROCEEDING To: A petition under title 11, United States Code, was filed on in thisbankruptcy court, requesting an order for relief under 11 U.S.C. 304. YOU ARE SUMMONED and required to submit to the clerk of the bankruptcy courta motion or answer to the petition within 20 days after the service of this summons. A copyof the petition is attached. Address of Clerk 824 Market Street Wilmington, DE 19801 At the same time you must also serve a copy of your motion or answer on petitionersattorney. Name and Address of Petitioners Attorney If you make a motion, your time to serve an answer is governed by Bankruptcy Rule1011(c). If you fail to respond to this summons, the order for relief will be entered.United States Bankruptcy Court for the District of Delaware Date Clerk of Court *Set forth all names, including trade names, used by the debtor within the last 6 years. (Bankruptcy Rule 1005). For joint debt ors, set forth both socialsecurity numbers. Page 1 of 2<<<<<<<<<********>>>>>>>>>>>>> 2 Case No. CERTIFICATION OF SERVICE I, , of** , certify: That I am, and at all times hereinafter mentioned was, more than 18 years of age; That on the day of , 20 ,I served a copy of the within summons, together with the petition filed in this case, on the debtor in this case, by the said debtor at I certify under penalty of perjury that the foregoing is true and correct. Executed on (Date) (Signature) ** State mailingaddress Page 2 of 2