(Attorney Name)

(Firm Name)

(Address)

(City, State, Zip)

Telephone: ( )

Fax: ( )

Email: ( )

Attorney for: ( )	AK LBF 18

[11/15]

UNITED STATES BANKRUPTCY COURT

FOR THE DISTRICT OF ALASKA

In re:

(Debtor's Name) and

(Joint Debtor's Name),

Debtor(s).

Case No. ( )

Chapter ( )

Notice of Application for Order of

Dismissal or Conversion of Case

NOTICE IS HEREBY GIVEN THAT the undersigned has made application to the above entitled court for an ORDER CONVERTING the above entitled case from a case under Chapter (Chapter) to a case under Chapter (Chapter) or DISMISSING the above entitled case. The application is based upon the following: (Enter reasons).

Your rights may be affected. You should read these papers carefully and discuss them with your attorney, if you have one in this bankruptcy. (If you do not have an attorney, you may wish to consult one.)

FURTHER TAKE NOTICE THAT if you OBJECT to the DISMISSAL/CONVERSION of this case that you must object in writing on or before (Date) by filing your written objection with the Office of the Clerk of the above entitled Court at 605 West Fourth Avenue, Suite 138, Anchorage, Alaska 99501-2296 and serve a copy on the undersigned on or before said date.

The application for ORDER OF DISMISSAL/CONVERSION of Case may be inspected at the office of the Clerk at Suite 138, Old Federal Building, 605 West Fourth Avenue, Anchorage, Alaska or at the office of the undersigned.

Should you fail to so object please be advised that the case may be dismissed or converted without further notice to you.

Dated: ( Date )
(Firm Name)

Attorney for ( Client Name )

By: _________________________________

(Attorney Name)