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EFTA00603367

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Case 12-38702-KCF Doc 1 Filed 12/07/12 Entered 12/07/12 16:48:45 Desc Main B1 Official Form 1) 12/11 x 0 E LL United States Bankruptcy Court District of New Jersey Voluntary Petition Name of Debtor (if individual. enter Last. First. Middle): Ross, Michael Robert Name of Joint Debtor (Spouse) (Last. First Middle): All Other Names used by the Debtor in the last 8 years (include married, maiden and trade names): All Other Names used by the Joint Debtor in the last 8 years (include married, maiden and trade names): Last four digits of Sac. Sec. or Individual-Taxpayer I.D. (ITIN) /Complete UN (if more than one, state all): Last four digits of Soc. Sec. or Individual-Taxpayer I.D. °TWO/Complete ElN (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): ZIPCODE ZIPCODE Count of Residence or of the Principal Place of Business: County of Residence or of the Principal Place of Business: Mailing Address of Debtor (if different front street address) Mailing Address of Joint Debtor (if different front street address): ZIPCODE ZIPCODE Location of Principal Assets of Business Debtor (if different from street address above): ZIPCODE Type of Debtor (Form of Organization) (Check one box.) grIndividual (includes Joint Debtors) See Erhibir D on page 2 of this form. O Corporation (includes LLC and LLP) Nature of Business (Check one box.) Business Real Estate as defined in II Broker Bank Chapter of Bankruptcy the Petition grChapter 7 MI Chapter 9 Code Under Which is Filed (Check one box.) O Chapter 15 Petition for Recognition of a Foreign Main Proceeding O Chapter 15 Petition for Recognition of a Foreign Nonmain Proceeding • Health Care M Single Asset U.S.C. 5101(51B) • Chapter II • Railroad • Chapter 12 • Partnership • Stockbroker • Chapter 13 O Other (If debtor is not one of the above entities. check this b

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