UNITED STATES BANKRUPTCY COURT

WESTERN DISTRICT OF MISSOURI

IN RE: Enter debtor(s) name	)

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Debtor(s)	)	Case No. Enter Case No.

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STATEMENT OF CHAPTER 7 BUSINESS OPERATIONS

In a Chapter 7 case in which the debtor is operating a business at the time of filing,

the following information is required:

(1)	Chief Operating Officer or other contact person

Enter Name and Title

(2)	Address of Business

Enter Street, City, State and Zip Code

(3)	Telephone Number(s) where Chief Operating Officer or other contact person can be reached

Enter Telephone Number(s)

(4)	Business no longer in operation Enter text.

Enter signature

cc: U.S. Trustee

Instructions: File as a separate document on the date the voluntary petition is filed.

ECF Event: Bankruptcy>Other>Statement of Chapter 7 Business Operations