Affidavit In Support Of Application For Entry Of Fact Of Default Page 6
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10Revised 1/2005
Suggested Form D102
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF NEW YORK
In Re:
ENTRY OF FACT OF
DEFAULT
Debtor(s).
[Bankruptcy Rule 7055(a)]
BK Case No.
Plaintiff(s),
vs.
AP Case No.
Defendant(s).
Plaintiff has requested entry of the Fact of Default by the filing of an “Affidavit in Support
of Application for Entry of Fact of Default,” pursuant to Federal Rules of Bankruptcy Procedure
(“Bankruptcy Rule”) 7055(a).
It appears from the record that Defendant, _____________________________________,
(“Defendant”), has failed to plead or otherwise defend this Adversary Proceeding as required by the
Federal Rules of Bankruptcy Procedure.
Therefore, the Fact of Default is entered against Defendant as authorized by Bankruptcy Rule
7055(a).
Dated: _________________
___________________________________
Clerk of Court
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