B 206 (6/91)
United States Bankruptcy Court
________________ District Of_______________
In re Case No. ________ Debtor*
Social Security No.: Employer's Tax I.D. No. [if any]:
Chapter ________
CERTIFICATE OF COMMENCEMENT OF CASE I certify that on _____________________________________,
(date)
the above named debtor filed a petition requesting relief under chapter ________ of the Bankruptcy Code (title 11 of the United States Code), or
a petition was filed against the above named debtor under chapter ________ of the Bankruptcy Code (title 11 of the United States Code), and
that as of the date below the case has not been dismissed.
_______________________________________________________ Clerk of the Bankruptcy Court
_________________________ Date
By: ___________________________________________________________ Deputy Clerk
______________________________________________________________________________________________________ *Set forth all names, including trade names, used by the debtor within the last 6 years. (Fed. R. Bankr. P. 1005). For joint debtors set forth both social security numbers.