WPC  (%w/~ =x8YՔV|q?u""nħ03]! d􉠗߂%X.5dUG۽`0F;o8H4@:bL%,:arv>Z)Oviz-{ȭa3Чdbs+6Ye6qCl'rX ǻ ބ-&蓙#d|YM'Ͽ3"a@GHG<&c4fHO 290gOCDl 1Ǖ.T)0UCwG;-8~stc\<6jLoj,s^ 5cr1]s+qD+i_~2 Q5HI9Y/kLϰj{аO_%2Q֤y=AZFi(y/-JC W7~2aH5Bu-& \Jfm*@|БDsUigBᯱ,6#U N % 0: U@CNU<U <UNKK^ SSw_4ccw m B D3 0U 0J AMT T T T T T T T T T T T T T T T T T T T B* Adobe PDF,,,,,,,,0(9 Z6Times New Roman RegularX($USUS.,<6X9`((Courier 16.66cpi)\>  `$Dutch 801Romani XAZ$Tahoma Regulary|B  Z6Times New Roman Regular tL3s 1|,:i+003|xU d'dxd Level 1 Level 2 Level 3 Level 4 Level 5(-2$ !USUS.,  ("$ Figure     A<< c&0 d d !USUS.,  _XXXXXXhhXXB280 X (10/05) x #XXhh# 5XX#D 5u#D@ #DN#_%D#XX_% #XXUnitedStatesBankruptcyCourt#XX#_%XXԈ H #XX_%D#hz hXX@ #XX hhz#_%XX_______________DistrictOf________________  #XX_%#hz hXX#hc h hhz# hc h hhc# XdX h hcu#  X XdInre_____________________________ q     Debtor# XdX  #  X Xd#   #    `     h      p CaseNo.____________ 2      `     h      p Chapter_____________  \  # XdX  #  X Xd# XdX  +# hc hX Xd  @ # XdX h hco#  X XdDISCLOSUREOFCOMPENSATIONOFBANKRUPTCYPETITIONPREPARER  }     [Mustbefiledwiththepetitionifabankruptcypetitionpreparerpreparesthepetition.11U.S.C.110(h)(2).]   @   GӀ Y    XYX1.0  Under11U.S.C.110(h),IdeclareunderpenaltyofperjurythatIamnotanattorneyoremployeeofanattorney,thatIprepared   orcausedtobepreparedoneormoredocumentsforfilingbytheabovenameddebtor(s)inconnectionwiththisbankruptcycase,   andthatcompensationpaidtomewithinoneyearbeforethefilingofthebankruptcypetition,oragreedtobepaidtome,for D  servicesrenderedonbehalfofthedebtor(s)incontemplationoforinconnectionwiththebankruptcycaseisasfollows:]%%   FordocumentpreparationservicesIhaveagreedtoaccept...............................  $______________    PriortothefilingofthisstatementIhavereceived.............................................  $______________ a    BalanceDue.........................................................................................................0  $______________%% 2.  Ihavepreparedorcausedtobepreparedthefollowingdocuments(itemize): e    andprovidedthefollowingservices(itemize):  3.  Thesourceofthecompensationpaidtomewas: i     o!;+'Z \@@@E *CbDDo߀Debtor    o y!=-)Z \ @@Eo*bDDy߀Other(specify) * 4.  Thesourceofcompensationtobepaidtomeis: m!     y!=-)Z \ @@E CDDy߀Debtor    o y!=-)Z \ @@EoDDy߀Other(specify) ." 5.0  Theforegoingisacompletestatementofanyagreementorarrangementforpaymenttomeforpreparationofthepetitionfiled !$ bythedebtor(s)inthisbankruptcycase.%%% 6.0  Tomyknowledgenootherpersonhaspreparedforcompensationadocumentforfilinginconnectionwiththisbankruptcycase d ' exceptaslistedbelow:%!(%%   NAME   d    0 o SOCIALSECURITYNUMBER"O *o%o% x___________________________________0 o ______________________________ , _________________)$!,o%o%     Signature0 0 % % o SocialSecuritynumberofbankruptcy , 0%%Date$"-%% ____________________________________0 o petitionpreparer(Ifthebankruptcy%S#.o%o% Printednameandtitle,ifany,ofBankruptcy0 o petitionpreparerisnotanindividual,l&$/o%o%   PetitionPreparer0 0 % %0o%%statetheSocialSecuritynumberofthe-'$0o%o% Address:_____________________________0 o officer,principal,responsiblepersonor'%1o%o%      d     o partnerofthebankruptcypetitionpreparer.) (W&2 ____________________________________0 o (Requiredby11U.S.C.110.)#   #Q p)'3o%o% _# Q#   Ԅ_Ԅ }+%)6 Abankruptcypetitionpreparer'sfailuretocomplywiththeprovisionsoftitle11andtheFederalRulesofBankruptcyProceduremayresult ,*8 infinesorimprisonmentorboth.11U.S.C.110;18U.S.C.156.#   #Q  -h+9 # Qߋ#   #   #XXXX