Fill and Sign the Involuntary Petition Form

B5 (Official Form 5) (12/07) United States Bankruptcy Court       District of       INVOLUNTARY PETITION IN RE (Name of Debtor - If Individual: Last, First, Middle)                   ALL OTHER NAMES used by debtor in the last 8 years (Include married, maiden, and trade names.)                         Last four digits of Social-Security or other Individual’s Tax-I.D. No./ Complete EIN (If more than one, state all.):       STREET ADDRESS OF DEBTOR (No. and street, city, state, and zip code)                         MAILING ADDRESS OF DEBTOR (If different from street address)                         COUNTY OF RESIDENCE OR PRINCIPAL PLACE OF BUSINESS                   ZIP CODE       ZIP CODE       LOCATION OF PRINCIPAL ASSETS OF BUSINESS DEBTOR (If different from previously listed addresses)       CHAPTER OF BANKRUPTCY CODE UNDER WHICH PETITION IS FILED Chapter 7 Chapter 11 INFORMATION REGARDING DEBTOR (Check applicable boxes) Nature of Debts (Check one box.) Petitioners believe: Debts are primarily consumer debts Debts are primarily business debts Type of Debtor (Form of Organization) Individual (Includes Joint Debtor) Corporation (Includes LLC and LLP) Partnership Other (If debtor is not one of the above entities, check this box and state type of entity below.)       Nature of Business (Check one box.) Health Care Business Single Asset Real Estate as defined in 11 U.S.C. § 101(51)(B) Railroad Stockbroker Commodity Broker Clearing Bank Other       VENUE Debtor has been domiciled or has had a residence, principal place of business, or principal assets in the District for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District. A bankruptcy case concerning debtor’s affiliate, general partner or partnership is pending in this District. FILING FEE (Check one box) Full Filing Fee attached Petitioner is a child support creditor or its representative, and the form specified in § 304(g) of the Bankruptcy Reform Act of 1994 is attached. [If a child support creditor or its representative is a petitioner, and if the petitioner files the form specified in § 304(g) of the Bankruptcy Reform Act of 1994, no fee is required.] PENDING BANKRUPTCY CASE FILED BY OR AGAINST ANY PARTNER OR AFFILIATE OF THIS DEBTOR (Report information for any additional cases on attached sheets.) Name of Debtor       Case Number       Date       Relationship       District       Judge       ALLEGATIONS (Check applicable boxes) 1. Petitioner(s) are eligible to file this petition pursuant to 11 U.S.C. § 303(b). 2. The debtor is a person against whom an order for relief may be entered under title 11 of the United States Code. 3.a. The debtor is generally not paying such debtor’s debts as they become due, unless such debts are the subject of a bona fide dispute as to liability or amount; or b. Within 120 days preceding the filing of this petition, a custodian, other than a trustee receiver, or agent appointed or authorized to take charge of less than substantially all of the property of the debtor for the purpose of enforcing a lien against such property, was appointed or took possession. COURT USE ONLY B5 (Official Form B5) (12/07) – Page 2 Name of Debtor       Case No.       TRANSFER OF CLAIM Check this box if there has been a transfer of any claim against the debtor or to any petitioner. Attach all documents that evidence the transfer and any statements that are required under Bankruptcy Rule 1003(a). REQUEST FOR RELIEF Petitioner(s) request that an order for relief be entered against the debtor under the chapter of title 11, United States Code, specified in this petition. If any petitioner is a foreign representative appointed in a foreign proceeding, a certified copy of the order of the court granting recognition is attached. Petitioner(s) declare under penalty of perjury that the foregoing is true and correct according to the best of their knowledge, information, and belief. X Signature of Petitioner or Representative (State title)             Name of Petitioner Date Signed X       Signature of Attorney Date       Name of Attorney Firm (If any)       Address       Telephone No.Name & Mailing Address of Individual Signing in Representative Capacity                               X Signature of Petitioner or Representative (State title)             Name of Petitioner Date Signed X       Signature of Attorney Date       Name of Attorney Firm (If any)       Address       Telephone No.Name & Mailing Address of Individual Signing in Representative Capacity                               X Signature of Petitioner or Representative (State title)             Name of Petitioner Date Signed Name & Mailing Address of Individual Signing in Representative Capacity X       Signature of Attorney Date       Name of Attorney Firm (If any)       Address       Telephone No. PETITIONING CREDITORS Name and Address of Petitioner             Nature of Claim             Amount of Claim             Name and Address of Petitioner             Nature of Claim             Amount of Claim             Name and Address of Petitioner             Nature of Claim             Amount of Claim             Note: If there are more than three petitioners, attach additional sheets with the statement under penalty of perjury, each petitioner’s signature under the statement and the name of attorney and petitioning creditor information in the format above. Total Amount of Petitioners’ Claims             continuation sheets attached