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separateExhibitD.)
o
(Addressoflandlord)
o
Debtorclaimsthatunderapplicablenonbankniptcylaw,therearecircumstancesunderwhicbthedebIDrwouldbepermitted
to
curetheentiremonetarydefaultthatgaverise
to
thejudgmentforpossession,afterthejudgmentforpossessionwasentered,and
AddressHiLne,ueotcrrequeatsthereliefinaccordancewiththechapteroftideII,UnitedStates
-r-'--,------
petition,
=,'u......,...
DODGERSLLCDodgersHoldingCompanyLLC,
its
solememberand
DateSignatureofbankruptcypetitionpreparerorofficer,principal,responsibleperson,partnerwhoseSocial-Securitynumberisprovidedabove.
4........
,u''"".~
its
solememberandmanager
its
solememberandmanagerMcCl:lurt-BroclerickLimitedPartnership,
its
solememberand
Names.and
Social-Securitynumbersofallotherindividualswhoprepared
"".>."",LI11""1",1111;
thisdocumentunlessthebankruptcypetitionpreparerisadditionalsheets
preparer'sfai1uretocomplywith,theprovisionsoftitle
J
I
may
resulttnfinesorimprisonment
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