FORM B1

FORM B1 United States Bankruptcy Court _____________________ District of _____________________		Voluntary Petition
Name of Debtor (if individual, enter Last, First, Middle):	Name of Joint Debtor (Spouse) (Last, First, Middle):
All Other Names used by the Debtor in the last 6 years	All Other Names used by the Joint Debtor in the last 6 years
(include married, maiden, and trade names):	(include married, maiden, and trade names):
Soc. Sec./Tax I.D. No. (if more than one, state all):	Soc. Sec./Tax I.D. No. (if more than one, state all):
Street Address of Debtor (No. & Street, City, State & Zip Code):	Street Address of Joint Debtor (No. & Street, City, State & Zip Code):
County of Residence or of the	County of Residence or of the
Principal Place of Business:	Principal Place of Business:
Mailing Address of Debtor (if different from street address):	Mailing Address of Joint Debtor (if different from street address):
Location of Principal Assets of Business Debtor
(if different from street address above):


Information Regarding the Debtor (Check the Applicable Boxes)
Venue (Check any applicable box)
? Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.
? There is a bankruptcy case concerning debtor’s affiliate, general partner, or partnership pending in this District.
Type of Debtor (Check all boxes that apply)	Chapter or Section of Bankruptcy Code Under Which
? Individual(s) ? Railroad ? Corporation ? Stockbroker ? Partnership ? Commodity Broker ? Other ______________	The Petition is Filed (Check one box) ? Chapter 7 ٱ Chapter 11 ٱ Chapter 13 ? Chapter 9 ? Chapter 12 ? Sec. 304 - Case ancillary to foreign proceeding
Nature of Debts (Check one box)
? Consumer/Non-Business ? Business	Filing Fee (Check one box)
Chapter 11 Small Business (Check all boxes that apply) ? Debtor is a small business as defined in 11 U.S.C. §101 ? Debtor is and elects to be considered a small business under 11 U.S.C. §1121(e)(Optional)	? Full Filing Fee attached ٱ Filing Fee to be paid in installments (Applicable to individuals only). Must attach signed application for the court’s consideration certifying that the debtor is unable to pay fee except in installments. Rule 1006(b). See Official Form No. 3.
Statistical/Administrative Information (Estimates only) ? Debtor estimates that funds will be available for distribution to unsecured creditors.			THIS SPACE 6 FOR COURT USE ONLY
? Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available for distribution to unsecured creditors.
Estimated Number of Creditors 1-15 16-49 50-99 100-199 200-999 1000-over ? ٱ ٱ ٱ ٱ ٱ
Estimated Assets $0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than $50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million ٱ ٱ ٱ ٱ ٱ ٱ ٱ ٱ Estimated Debts $0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than $50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million ? ٱ ٱ ٱ ٱ ٱ ٱ ٱ

Voluntary Petition (This page must be completed and filed in every case)	Name of Debtor(s): FORM B1, Page 2
Prior Bankruptcy Case Filed within Last 6 Years (If more than one, attach additional sheet)
Location Where Filed	Case Number:	Date filed:
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet)
Name of Debtor:	Case Number:	Date filed:
District:	Relationship:	Judge:
Signatures
Signature(s) of Debtor(s)(Individual/Joint) I declare under penalty of perjury that the information provided in this petition is true and correct. [If petitioner is an individual whose debts are primarily consumer debts and has chose to file under chapter 7] I am aware that I may proceed under chapter 7, 11, 12 or 13 of the title 11, United States Code, understand the relief available under each such chapter, and choose to proceed under chapter 7. I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. X _____________________________________ Signature of Debtor X ______________________________________ Signature of Joint Debtor ______________________________________ Telephone Number (If not represented by Attorney) ________________________________________ Date	Signature of Debtor (Corporation/Partnership) I declare under penalty of perjury that the information provided in this petition is true and correct, and that I have been authorized to file this petition on behalf of the debtor. The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition. X _____________________________________ Signature of Authorized Individual ______________________________________ Printed Name of Authorized Individual _______________________________________ Title of Authorized Individual ________________________________________ Date
Signature of Attorney _________________________________________ Signature of Attorney for Debtor(s) _________________________________________ Printed Name of Attorney for Debtor(s) _________________________________________ Firm Name _________________________________________ Address _________________________________________ _________________________________________ Telephone Number _________________________________________ Date	Signature of Non-Attorney Petition Preparer I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. §110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. __________________________________________ Printed Name of Bankruptcy Petition Preparer ___________________________________________ Social Security Number ____________________________________________ Address _____________________________________________ Names and Social Security numbers of all other individuals who prepared or assisted in preparing this document. If more than one person prepared this document, attach additional sheets conforming to the appropriate official form for each person X _____________________________________________ Signature of Bankruptcy Petition Preparer ______________________________________________ Date A bankruptcy petition preparer’s failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedures may result in fines or imprisonment or both 11 U.S.C. §110; 18 U.S.C. §156.
Exhibit A (To be completed if debtor is required to file periodic reports (e.g., forms 10K and 10Q) with the Securities and Exchange Commission pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and is requesting relief under chapter 11) ٱ Exhibit A is attached and made a part of this petition.
Exhibit B (To be completed if debtor is an individual whose debts are primarily consumer debts) I, the attorney for the petitioner named in the foregoing petition, declare that I have informed the petitioner that [he or she] may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained, the relief available under each such chapter. X__________________________________________ Signature of Attorney for Debtor(s) Date

Form 131, Exh. A (9/97)

Exhibit "A"

[If debtor is required to file periodic reports (e.g., forms lOK and lOQ) with the Securities and Exchange Commission pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and is requesting relief under chapter 1 I of the Bankruptcy Code, this Exhibit "A" shall be completed and attached to the petition.]

[Caption as in Form. 16B]

Exhibit "A" to Voluntary Petition

1. If any of the debtor's securities are registered under Section 12 of the Securities Exchange Act of 1934, the

SEC file number is

2. The following financial data is the latest available information and refers to the debtor's condition on

a. Total assets $ ___________________________

b. Total debts (including debts listed in 2.c., below) $ ___________________________

Approximate number of holders

c. Debt securities held by more than 500 holders.

secured/ / unsecured/ / subordinated / / $___________________ _______________

secured/ / unsecured/ / subordinated / / $____________________ _______________

secured/ / unsecured/ / subordinated / / $___________________ _______________

d. Number of shares of preferred stock ____________________ _______________

e. Number of shares common stock ____________________ _______________

Comments, if any: _______________________________________________________________________

_______________________________________________________________________________________

3. Brief description of debtor's business: ________________________________________________________

_______________________________________________________________________________________________

4. List the names of any person who directly or indirectly owns, controls, or holds, with power to vote, 5% or

more of the voting securities of debtor:

_______________________________________________________________________________________________