USE OF THIS FORM IS MANDATORY

UNITED STATES BANKRUPTCY COURT

DISTRICT OF NEW MEXICO

In re:

BANKRUPTCY CAPTION

ADVERSARY CAPTION

CONSENT OR REFUSAL TO CONSENT TO THE BANKRUPTCY COURT HEARING AND DETERMINING CLAIMS

28 U.S.C. Section 157 provides that bankruptcy judges may hear and determine certain matters regardless of whether the parties consent, and may hear but may not determine other matters unless the parties consent to the bankruptcy court determining such matters.1 Indicate below whether you consent to the Bankruptcy Court hearing and determining claims in this adversary proceeding subject to review under 28 U.S.C. § 158.

_____	1. All claims. The undersigned party consents to the bankruptcy court hearing and determining all claims in this adversary proceeding, and to entering final orders and judgments (including money judgments if appropriate) on all claims, subject to appellate review.

_____	2. No claims. The undersigned party does not consent to the bankruptcy court hearing and determining any claims in this adversary proceeding.

_____	3. Certain claims. The undersigned party consents to the bankruptcy court hearing and determining only the following claims in this adversary proceeding, and to entering final orders and judgments (including money judgments if appropriate) on such claims, subject to appellate review, but does not consent to the bankruptcy court hearing and determining any other claims in this adversary proceeding).

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[attorney signature block]

or if pro se

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Party

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Signature

[certificate of service]