CSD 1000 [12/01/03]
Name, Address, Telephone No. & I.D. No.
UNITED STATES BANKRUPTCY COURT
SOUTHERN DISTRICT OF CALIFORNIA
325 West F Street, San Diego, California 92101-6991
In Re
BANKRUPTCY NO.
[add if filing in response to hearing]
Date of Hearing:
Time of Hearing:
Tax I.D.(EIN)#:
/S.S.#:XXX-XX-
Debtor.
Name of Judge:
CSD 1000