-VYT*
FORM 16C. CAPTION OF COMPLAINT IN ADVERSARY PROCEEDING
FILED BY A DEBTOR
UNITED STATES BANKRUPTCY COURT
___________________________ DISTRICT OF __________________________
In re ____________________________________,
)
Debtor
) Case No. ___________________
)
)
Address _______________________________________
) Chapter ____________________
)
_______________________________________________
)
)
Social Security No(s). _____________________ or
)
Employer’s Tax Identification No(s). [if any]_________
)
________________________________________________
)
)
)
____________________________________,
)
Plaintiff
)
)
v.
)
)
____________________________________,
) Adv. Proc. No. _____________
Defendant
)
COMPLAINT