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Caption (Short Title) (United States)

This is caption (short title) and a supplemental form to a Bankruptcy form. The form provided here is simply a sample of what the actual Form B16B looks like.

Form B16B
12/94

FORM 16B. CAPTION (SHORT TITLE)

(May be used if 11 U.S.C. ยง 342(c) is not applicable)

UNITED STATES BANKRUPTCY COURT

_________________________ DISTRICT OF ________________________


In re _________________________,
Debtor

Case No. _______________________

Chapter _______________________

[Designation of Character of Paper]

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