(Put caption of case or adversary proceeding here)
Please take notice that (plaintiff/defendant, name of party) was unable to file his/her (title of document) in a timely manner due to technical difficulties. The deadline for filing the document was (filing deadline date). The reason(s) that I was unable to file the document in a timely manner and the good faith efforts I made prior to the filing deadline to both file in a timely manner and to inform the Court and the other parties that I could not do so are set forth below.
[Statement of reasons and good faith efforts to file and to inform (including dates and times)]
I declare under penalty of perjury that the foregoing is true and correct.
*(Note: Signature format acceptable if filed electronically; if not electronically, a wet signature is required.)
History of Changes
11/15/2011 - Formatting changes made to document.