Local Rule 5004. DISQUALIFICATION: DISCLOSURE OF INTERESTED PARTIES OR AFFILIATES
(a) Unless otherwise ordered, when counsel for a nongovernmental party enters an adversary proceeding, the counsel must file a certificate listing all persons, associations of persons, firms, partnerships, or corporations known to have an interest in the outcome of the case including the names of any parent, subsidiary, affiliate or insider of the named nonindividual parties, as follows:
"Number and Caption of Case"
"Number and Caption of Adversary Proceeding"
"Certificate Required by LR 5004"
"The undersigned, counsel of record for _______________, certifies that the following have an interest in the outcome of this adversary proceeding:"
(List the names of all such parties including the names of all parent, subsidiary, affiliate, and/or insider of the named nonindividual parties, and identify their interests.)
"These representations are made to enable judges of the court to evaluate possible recusal."
"Attorney of Record for ____________________."