INTERIM AMENDMENTS TO THE FEDERAL (2019)

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INTERIM AMENDMENTS TO THE FEDERAL

RULES OF BANKRUPTCY PROCEDURE1

Rule 1007. Lists, Schedules, Statements, and Other

Documents; Time Limits

*****

(b) SCHEDULES, STATEMENTS, AND OTHER

DOCUMENTS REQUIRED.

*****

(5) An individual debtor in a chapter 11 case

(unless under subchapter V) shall file a statement of

current monthly income, prepared as prescribed by

the appropriate Official Form.

*****

These interim bankruptcy rules (the Interim Rules) have been

prepared by the Advisory Committee on Bankruptcy Rules and approved

by the Judicial Conference of the United States to be adopted as local

rules by the Bankruptcy Courts to implement the procedural and

substantive changes to the Bankruptcy Code made by the Small Business

Reorganization Act of 2019. The Interim Rules will be withdrawn after

similar amendments can made to the Rules of Bankruptcy Procedure

under the normal Rules Enabling Act process.

INTERIM RULES OF BANKRUPTCY PROCEDURE

(h) INTERESTS ACQUIRED OR ARISING

AFTER PETITION. If, as provided by § 541(a)(5) of the

Code, the debtor acquires or becomes entitled to acquire any

interest in property, the debtor shall within 14 days after the

information comes to the debtor’s knowledge or within such

further time the court may allow, file a supplemental

schedule in the chapter 7 liquidation case, chapter 11

reorganization case, chapter 12 family farmer’s debt

adjustment case, or chapter 13 individual debt adjustment

case. If any of the property required to be reported under

this subdivision is claimed by the debtor as exempt, the

debtor shall claim the exemptions in the supplemental

schedule.

continues even after the case is closed, except for property

acquired after an order is entered:

This duty to file a supplemental schedule

(1) confirming a chapter 11 plan (other than one

confirmed under § 1191(b)); or

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(2) discharging the debtor in a chapter 12 case, a

chapter 13 case, or a case under subchapter V of

chapter 11 in which the plan is confirmed under

§ 1191(b).

*****

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 1020. Chapter 11 Reorganization Case for Small

Business Debtors

(a)

SMALL

BUSINESS

DEBTOR

DESIGNATION. In a voluntary chapter 11 case, the debtor

shall state in the petition whether the debtor is a small

business debtor and, if so, whether the debtor elects to have

subchapter V of chapter 11 apply. In an involuntary chapter

11 case, the debtor shall file within 14 days after entry of the

order for relief a statement as to whether the debtor is a small

business debtor and, if so, whether the debtor elects to have

subchapter V of chapter 11 apply. The status of the case as

a small business case or a case under subchapter V of chapter

11 shall be in accordance with the debtor’s statement under

this subdivision, unless and until the court enters an order

finding that the debtor’s statement is incorrect.

(b) OBJECTING TO DESIGNATION. The United

States trustee or a party in interest may file an objection to

the debtor’s statement under subdivision (a) no later than 30

INTERIM RULES OF BANKRUPTCY PROCEDURE

days after the conclusion of the meeting of creditors held

under § 341(a) of the Code, or within 30 days after any

amendment to the statement, whichever is later.

(c)

PROCEDURE

FOR

OBJECTION

DETERMINATION. Any objection or request for a

determination under this rule shall be governed by Rule 9014

and served on: the debtor; the debtor’s attorney; the United

States trustee; the trustee; the creditors included on the list

filed under Rule 1007(d) or, if a committee has been

appointed under § 1102(a)(3), the committee or its

authorized agent and any other entity as the court directs.

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Rule

2009.

Administration Ordered

(a)

Trustees

for

Estates

When

Joint

ELECTION OF SINGLE TRUSTEE FOR

ESTATES BEING JOINTLY ADMINISTERED. If the

court orders a joint administration of two or more estates

under Rule 1015(b), creditors may elect a single trustee for

the estates being jointly administered, unless the case is

under subchapter V of chapter 7 or subchapter V of chapter

11 of the Code.

(b)

RIGHT OF CREDITORS TO ELECT

SEPARATE TRUSTEE. Notwithstanding entry of an order

for joint administration under Rule 1015(b), the creditors of

any debtor may elect a separate trustee for the estate of the

debtor as provided in § 702 of the Code, unless the case is

under subchapter V of chapter 7 or subchapter V of chapter

11.

(c)

APPOINTMENT OF TRUSTEES FOR

ESTATES BEING JOINTLY ADMINISTERED.

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*****

(2) Chapter 11 Reorganization Cases. If the

appointment of a trustee is ordered or is required by

the Code, the United States trustee may appoint one

administered in chapter 11 cases.

trustees

for

*****

estates

being

jointly

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Rule 2012. Substitution of Trustee or Successor

Trustee; Accounting

(a) TRUSTEE. If a trustee is appointed in a chapter

11 case (other than under subchapter V), or the debtor is

removed as debtor in possession in a chapter 12 case or in a

case under subchapter V of chapter 11, the trustee is

substituted automatically for the debtor in possession as a

party in any pending action, proceeding, or matter.

*****

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Rule 2015. Duty to Keep Records, Make Reports, and

Give Notice of Case or Change of Status

(a) TRUSTEE OR DEBTOR IN POSSESSION. A

trustee or debtor in possession shall:

(1) in a chapter 7 liquidation case and, if the

court directs, in a chapter 11 reorganization case

(other than under subchapter V), file and transmit to

the United States trustee a complete inventory of the

property of the debtor within 30 days after qualifying

as a trustee or debtor in possession, unless such an

inventory has already been filed;

(2) keep a record of receipts and the

disposition of money and property received;

(3) file the reports and summaries required by

§ 704(a)(8) of the Code, which shall include a

statement, if payments are made to employees, of the

amounts of deductions for all taxes required to be

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withheld or paid for and in behalf of employees and

the place where these amounts are deposited;

(4)

soon

possible

after

the

commencement of the case, give notice of the case to

every entity known to be holding money or property

subject to withdrawal or order of the debtor,

including every bank, savings or building and loan

association, public utility company, and landlord

with whom the debtor has a deposit, and to every

insurance company which has issued a policy having

a cash surrender value payable to the debtor, except

that notice need not be given to any entity who has

knowledge or has previously been notified of the

case;

(5) in a chapter 11 reorganization case (other

than under subchapter V), on or before the last day

of the month after each calendar quarter during

which there is a duty to pay fees under 28 U.S.C.

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§ 1930(a)(6), file and transmit to the United States

trustee a statement of any disbursements made

during that quarter and of any fees payable under 28

U.S.C. § 1930(a)(6) for that quarter; and

(6) in a chapter 11 small business case, unless

the court, for cause, sets another reporting interval,

file and transmit to the United States trustee for each

calendar month after the order for relief, on the

appropriate Official Form, the report required by

§ 308. If the order for relief is within the first 15 days

of a calendar month, a report shall be filed for the

portion of the month that follows the order for relief.

If the order for relief is after the 15th day of a

calendar month, the period for the remainder of the

month shall be included in the report for the next

calendar month. Each report shall be filed no later

than 21 days after the last day of the calendar month

following the month covered by the report. The

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obligation to file reports under this subparagraph

terminates on the effective date of the plan, or

conversion or dismissal of the case.

(b) TRUSTEE, DEBTOR IN POSSESSION, AND

DEBTOR IN A CASE UNDER SUBCHAPTER V OF

CHAPTER 11. In a case under subchapter V of chapter 11,

the debtor in possession shall perform the duties prescribed

in (a)(2)–(4) and, if the court directs, shall file and transmit

to the United States trustee a complete inventory of the

debtor’s property within the time fixed by the court. If the

debtor is removed as debtor in possession, the trustee shall

perform the duties of the debtor in possession prescribed in

this subdivision (b). The debtor shall perform the duties

prescribed in (a)(6).

POSSESSION.

In a chapter 12 family farmer’s debt

adjustment case, the debtor in possession shall perform the

duties prescribed in clauses (2)–(4) of subdivision (a) of this

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rule and, if the court directs, shall file and transmit to the

United States trustee a complete inventory of the property of

the debtor within the time fixed by the court. If the debtor is

removed as debtor in possession, the trustee shall perform

the duties of the debtor in possession prescribed in this

subdivision (c).

(d)

CHAPTER 13 TRUSTEE AND

DEBTOR.

(1) Business Cases. In a chapter 13

individual’s debt adjustment case, when the debtor is

engaged in business, the debtor shall perform the

duties prescribed by clauses (2)–(4) of subdivision

(a) of this rule and, if the court directs, shall file and

transmit to the United States trustee a complete

inventory of the property of the debtor within the

time fixed by the court.

(2) Nonbusiness Cases. In a chapter 13

individual’s debt adjustment case, when the debtor is

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not engaged in business, the trustee shall perform the

duties prescribed by clause (2) of subdivision (a) of

this rule.

(e) FOREIGN REPRESENTATIVE. In a case in

which the court has granted recognition of a foreign

proceeding under chapter 15, the foreign representative shall

file any notice required under § 1518 of the Code within 14

days after the date when the representative becomes aware

of the subsequent information.

(f) TRANSMISSION OF REPORTS. In a chapter

100

11 case the court may direct that copies or summaries of

101

annual reports and copies or summaries of other reports shall

102

be mailed to the creditors, equity security holders, and

103

indenture trustees. The court may also direct the publication

104

of summaries of any such reports. A copy of every report or

105

summary mailed or published pursuant to this subdivision

106

shall be transmitted to the United States trustee.

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3010. Small Dividends and Payments in Cases

Under Chapter 7, Subchapter V of Chapter 11, Chapter

12, and Chapter 13

*****

(b) CASES UNDER SUBCHAPTER V OF

CHAPTER 11, CHAPTER 12, AND CHAPTER 13. In a

case under subchapter V of chapter 11, chapter 12, or chapter

13, no payment in an amount less than $15 shall be

distributed by the trustee to any creditor unless authorized

by local rule or order of the court. Funds not distributed

because of this subdivision shall accumulate and shall be

paid whenever the accumulation aggregates $15. Any funds

remaining shall be distributed with the final payment.

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Rule 3011. Unclaimed Funds in Cases Under Chapter 7,

Subchapter V of Chapter 11, Chapter 12, and Chapter

The trustee shall file a list of all known names and

addresses of the entities and the amounts which they are

entitled to be paid from remaining property of the estate that

is paid into court pursuant to § 347(a) of the Code.

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3014.

Election Under § 1111(b) by Secured

Creditor in Chapter 9 Municipality or Chapter 11

Reorganization Case

An election of application of § 1111(b)(2) of the

Code by a class of secured creditors in a chapter 9 or 11 case

may be made at any time prior to the conclusion of the

hearing on the disclosure statement or within such later time

as the court may fix.

conditionally approved pursuant to Rule 3017.1, and a final

hearing on the disclosure statement is not held, the election

of application of § 1111(b)(2) may be made not later than the

date fixed pursuant to Rule 3017.1(a)(2) or another date the

court may fix. In a case under subchapter V of chapter 11 in

which § 1125 of the Code does not apply, the election may

be made not later than a date the court may fix. The election

shall be in writing and signed unless made at the hearing on

the disclosure statement. The election, if made by the

If the disclosure statement is

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majorities required by § 1111(b)(1)(A)(i), shall be binding

on all members of the class with respect to the plan.

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3016. Filing of Plan and Disclosure Statement in a

Chapter 9 Municipality or Chapter 11 Reorganization

Case

(a) IDENTIFICATION OF PLAN. Every proposed

plan and any modification thereof shall be dated and, in a

chapter 11 case, identified with the name of the entity or

entities submitting or filing it.

(b) DISCLOSURE STATEMENT. In a chapter 9 or

11 case, a disclosure statement, if required under § 1125 of

the Code, or evidence showing compliance with § 1126(b)

shall be filed with the plan or within a time fixed by the

court, unless the plan is intended to provide adequate

information under § 1125(f)(1). If the plan is intended to

provide adequate information under § 1125(f)(1), it shall be

so designated, and Rule 3017.1 shall apply as if the plan is a

disclosure statement.

*****

INTERIM RULES OF BANKRUPTCY PROCEDURE

(d) STANDARD FORM SMALL BUSINESS

DISCLOSURE STATEMENT AND PLAN. In a small

business case or a case under subchapter V of chapter 11, the

court may approve a disclosure statement and may confirm

a plan that conform substantially to the appropriate Official

Forms or other standard forms approved by the court.

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule

Statement in a Small Business Case or in a Case Under

Subchapter V of Chapter 11

3017.1.

(a)

Court

Consideration

CONDITIONAL

Disclosure

APPROVAL

DISCLOSURE STATEMENT. In a small business case or

in a case under subchapter V of chapter 11 in which the court

has ordered that § 1125 applies, the court may, on

application of the plan proponent or on its own initiative,

conditionally approve a disclosure statement filed in

accordance with Rule 3016. On or before conditional

approval of the disclosure statement, the court shall:

(1) fix a time within which the holders of claims and

interests may accept or reject the plan;

(2) fix a time for filing objections to the disclosure

statement;

(3) fix a date for the hearing on final approval of the

disclosure statement to be held if a timely objection

is filed; and

INTERIM RULES OF BANKRUPTCY PROCEDURE

(4) fix a date for the hearing on confirmation.

*****

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3017.2. Fixing of Dates by the Court in Subchapter

V Cases in Which There Is No Disclosure Statement

In a case under subchapter V of chapter 11 in which

§ 1125 does not apply, the court shall:

(a)

fix a time within which the holders of claims

and interests may accept or reject the plan;

(b)

or creditor whose claim is based on a security must

be the holder of record of the security in order to be

eligible to accept or reject the plan;

(c)

fix a date for the hearing on confirmation; and

(d)

fix a date for transmission of the plan, notice

of the time within which the holders of claims and

interests may accept or reject the plan, and notice of

the date for the hearing on confirmation.

fix a date on which an equity security holder

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3018. Acceptance or Rejection of Plan in a Chapter

9 Municipality or a Chapter 11 Reorganization Case

(a)

ENTITIES ENTITLED TO ACCEPT OR

REJECT

REJECTION. A plan may be accepted or rejected in

accordance with § 1126 of the Code within the time fixed by

the court pursuant to Rule 3017, 3017.1, or 3017.2. Subject

to subdivision (b) of this rule, an equity security holder or

creditor whose claim is based on a security of record shall

not be entitled to accept or reject a plan unless the equity

security holder or creditor is the holder of record of the

security on the date the order approving the disclosure

statement is entered or on another date fixed by the court

under Rule 3017.2, or fixed for cause after notice and a

hearing. For cause shown, the court after notice and hearing

may permit a creditor or equity security holder to change or

withdraw an acceptance or rejection. Notwithstanding

objection to a claim or interest, the court after notice and

PLAN;

TIME

FOR

ACCEPTANCE

INTERIM RULES OF BANKRUPTCY PROCEDURE

hearing may temporarily allow the claim or interest in an

amount which the court deems proper for the purpose of

accepting or rejecting a plan.

*****

INTERIM RULES OF BANKRUPTCY PROCEDURE

Rule 3019. Modification of Accepted Plan in a Chapter

9 Municipality or a Chapter 11 Reorganization Case

*****

(b)

MODIFICATION

PLAN

AFTER

CONFIRMATION IN INDIVIDUAL DEBTOR CASE. If

the debtor is an individual, a request to modify the plan under

§ 1127(e) of the Code is governed by Rule 9014. The request

shall identify the proponent and shall be filed together with

the proposed modification. The clerk, or some other person

as the court may direct, shall give the debtor, the trustee, and

all creditors not less than 21 days’ notice by mail of the time

fixed to file objections and, if an objection is filed, the

hearing to consider the proposed modification, unless the

court orders otherwise with respect to creditors who are not

affected by the proposed modification. A copy of the notice

shall be transmitted to the United States trustee, together

with a copy of the proposed modification. Any objection to

the proposed modification shall be filed and served on the

INTERIM RULES OF BANKRUPTCY PROCEDURE

debtor, the proponent of the modification, the trustee, and

any other entity designated by the court, and shall be

transmitted to the United States trustee.

(c)

MODIFICATION

PLAN

AFTER

CONFIRMATION IN A SUBCHAPTER V CASE. In a

case under subchapter V of chapter 11, a request to modify

the plan under § 1193(b) or (c) of the Code is governed by

Rule 9014, and the provisions of this Rule 3019(b) apply.

Fill in this information to identify your case:

United States Bankruptcy Court for the:

__________ District of

__________

________________

District

of ________

Case number (If known): _________________________ Chapter you are filing under:

 Chapter 7

 Chapter 11

 Chapter 12

 Chapter 13

 Check if this is an

amended filing

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy

02/20

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a

joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,”

the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and

Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The

same person must be Debtor 1 in all of the forms.

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number

(if known). Answer every question.

Part 1:

Identify Yourself

Bring your picture

identification to your meeting

with the trustee.

All other names you

have used in the last 8

years

Include your married or

maiden names.

About Debtor 2 (Spouse Only in a Joint Case):

__________________________________________________

First name

__________________________________________________

First name

__________________________________________________

Middle name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

Last name

___________________________

Suffix (Sr., Jr., II, III)

___________________________

Suffix (Sr., Jr., II, III)

__________________________________________________

First name

__________________________________________________

First name

__________________________________________________

Middle name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

Last name

__________________________________________________

First name

__________________________________________________

First name

__________________________________________________

Middle name

__________________________________________________

Middle name

__________________________________________________

Last name

__________________________________________________

Last name

Your full name

Write the name that is on your

government-issued picture

identification (for example,

your driver’s license or

passport).

About Debtor 1:

Only the last 4 digits of

your Social Security

number or federal

Individual Taxpayer

Identification number

(ITIN)

Official Form 101

xxx

– xx – ____ ____ ____ ____

xxx

– xx – ____ ____ ____ ____

9 xx – xx – ____ ____ ____ ____

Voluntary Petition for Individuals Filing for Bankruptcy

page 1

Debtor 1

_______________________________________________________

First Name

Middle Name

Any business names

and Employer

Identification Numbers

(EIN) you have used in

the last 8 years

Include trade names and

doing business as names

About Debtor 1:

About Debtor 2 (Spouse Only in a Joint Case):

 I have not used any business names or EINs.

_________________________________________________

Business name

_________________________________________________

Business name

_________________________________________________

Business name

_________________________________________________

Business name

___ ___ – ___ ___ ___ ___ ___ ___ ___

EIN

___ ___ – ___ ___ ___ ___ ___ ___ ___

EIN

___ ___ – ___ ___ ___ ___ ___ ___ ___

EIN

___ ___ – ___ ___ ___ ___ ___ ___ ___

EIN

If Debtor 2 lives at a different address:

Where you live

Why you are choosing

this district to file for

bankruptcy

_________________________________________________

Number

Street

_________________________________________________

Number

Street

_________________________________________________

City

State

ZIP Code

_________________________________________________

City

State

ZIP Code

_________________________________________________

County

_________________________________________________

County

If your mailing address is different from the one

above, fill it in here. Note that the court will send

any notices to you at this mailing address.

If Debtor 2’s mailing address is different from

yours, fill it in here. Note that the court will send

any notices to this mailing address.

_________________________________________________

Number

Street

_________________________________________________

Number

Street

_________________________________________________

P.O. Box

_________________________________________________

P.O. Box

_________________________________________________

City

State

ZIP Code

_________________________________________________

City

State

ZIP Code

Check one:

 Over the last 180 days before filing this petition,

I have lived in this district longer than in any

other district.

I have lived in this district longer than in any

other district.

 I have another reason. Explain.

Official Form 101

Case number (if known)_____________________________________

Last Name

 I have another reason. Explain.

(See 28 U.S.C. § 1408.)

________________________________________

Voluntary Petition for Individuals Filing for Bankruptcy

page 2

Debtor 1

_______________________________________________________

First Name

Part 2:

Middle Name

Case number (if known)_____________________________________

Last Name

Tell the Court About Your Bankruptcy Case

The chapter of the

Bankruptcy Code you

are choosing to file

under

Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing

for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box.

 Chapter 7

 Chapter 11

 Chapter 12

 Chapter 13

How you will pay the fee

 I will pay the entire fee when I file my petition. Please check with the clerk’s office in your

local court for more details about how you may pay. Typically, if you are paying the fee

yourself, you may pay with cash, cashier’s check, or money order. If your attorney is

submitting your payment on your behalf, your attorney may pay with a credit card or check

with a pre-printed address.

 I need to pay the fee in installments. If you choose this option, sign and attach the

Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A).

 I request that my fee be waived (You may request this option only if you are filing for Chapter 7.

By law, a judge may, but is not required to, waive your fee, and may do so only if your income is

less than 150% of the official poverty line that applies to your family size and you are unable to

pay the fee in installments). If you choose this option, you must fill out the Application to Have the

Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition.

Have you filed for

bankruptcy within the

last 8 years?

10. Are any bankruptcy

cases pending or being

filed by a spouse who is

not filing this case with

you, or by a business

partner, or by an

affiliate?

 No

 Yes. District __________________________ When

_______________ Case number ___________________________

MM / DD / YYYY

District __________________________ When

_______________ Case number ___________________________

MM / DD / YYYY

District __________________________ When

_______________ Case number ___________________________

MM / DD / YYYY

 No

 Yes. Debtor _________________________________________________ Relationship to you

District __________________________ When

_______________ Case number, if known____________________

MM / DD / YYYY

Debtor _________________________________________________ Relationship to you

District __________________________ When

11. Do you rent your

residence?

_____________________

_______________ Case number, if known____________________

MM / DD / YYYY

 No. Go to line 12.

 Yes. Has your landlord obtained an eviction judgment against you?

 No. Go to line 12.

 Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as

part of this bankruptcy petition.

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy

page 3

Debtor 1

_______________________________________________________

First Name

Part 3:

Middle Name

Case number (if known)_____________________________________

Last Name

Report About Any Businesses You Own as a Sole Proprietor

12. Are you a sole proprietor

of any full- or part-time

business?

A sole proprietorship is a

business you operate as an

individual, and is not a

separate legal entity such as

a corporation, partnership, or

LLC.

If you have more than one

sole proprietorship, use a

separate sheet and attach it

to this petition.

 No. Go to Part 4.

 Yes. Name and location of business

_______________________________________________________________________________________

Name of business, if any

_______________________________________________________________________________________

Number

Street

_______________________________________________________________________________________

_______________________________________________

City

_______

State

__________________________

ZIP Code

Check the appropriate box to describe your business:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))

 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))

 Stockbroker (as defined in 11 U.S.C. § 101(53A))

 Commodity Broker (as defined in 11 U.S.C. § 101(6))

 None of the above

13. Are you filing under

Chapter 11 of the

Bankruptcy Code and

are you a small business

debtor?

For a definition of small

business debtor, see

11 U.S.C. § 101(51D).

If you are filing under Chapter 11, the court must know whether you are a small business debtor so that it

can set appropriate deadlines. If you indicate that you are a small business debtor, you must attach your

most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or if

any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).

 No. I am not filing under Chapter 11.

 No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in

the Bankruptcy Code.

 Yes. I am filing under Chapter 11, I am a small business debtor according to the definition in the Bankruptcy

Code, and I do not choose to proceed under Subchapter V of Chapter 11.

 Yes. I am filing under Chapter 11, I am a small business debtor according to the definition in the

Bankruptcy Code, and I choose to proceed under Subchapter V of Chapter 11.

Part 4:

Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention

14. Do you own or have any

property that poses or is

alleged to pose a threat

of imminent and

identifiable hazard to

public health or safety?

Or do you own any

property that needs

immediate attention?

For example, do you own

perishable goods, or livestock

that must be fed, or a building

that needs urgent repairs?

 No

 Yes. What is the hazard?

________________________________________________________________________

If immediate attention is needed, why is it needed? _______________________________________________

________________________________________________________________________

Where is the property? ________________________________________________________________________

Number

Street

________________________________________________________________________

________________________________________ _______

City

State

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy

____________________

ZIP Code

page 4

Debtor 1

_______________________________________________________

First Name

Part 5:

Middle Name

Case number (if known)_____________________________________

Last Name

Explain Your Efforts to Receive a Briefing About Credit Counseling

15. Tell the court whether

you have received a

briefing about credit

counseling.

The law requires that you

receive a briefing about credit

counseling before you file for

bankruptcy. You must

truthfully check one of the

following choices. If you

cannot do so, you are not

eligible to file.

If you file anyway, the court

can dismiss your case, you

will lose whatever filing fee

you paid, and your creditors

can begin collection activities

again.

About Debtor 1:

About Debtor 2 (Spouse Only in a Joint Case):

You must check one:

 I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, and I received a

certificate of completion.

counseling agency within the 180 days before I

filed this bankruptcy petition, and I received a

certificate of completion.

Attach a copy of the certificate and the payment

plan, if any, that you developed with the agency.

Attach a copy of the certificate and the payment

plan, if any, that you developed with the agency.

 I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, but I do not have a

certificate of completion.

counseling agency within the 180 days before I

filed this bankruptcy petition, but I do not have a

certificate of completion.

Within 14 days after you file this bankruptcy petition,

you MUST file a copy of the certificate and payment

plan, if any.

Within 14 days after you file this bankruptcy petition,

you MUST file a copy of the certificate and payment

plan, if any.

 I certify that I asked for credit counseling

services from an approved agency, but was

unable to obtain those services during the 7

days after I made my request, and exigent

circumstances merit a 30-day temporary waiver

of the requirement.

To ask for a 30-day temporary waiver of the

requirement, attach a separate sheet explaining

what efforts you made to obtain the briefing, why

you were unable to obtain it before you filed for

bankruptcy, and what exigent circumstances

required you to file this case.

To ask for a 30-day temporary waiver of the

requirement, attach a separate sheet explaining

what efforts you made to obtain the briefing, why

you were unable to obtain it before you filed for

bankruptcy, and what exigent circumstances

required you to file this case.

Your case may be dismissed if the court is

dissatisfied with your reasons for not receiving a

briefing before you filed for bankruptcy.

If the court is satisfied with your reasons, you must

still receive a briefing within 30 days after you file.

You must file a certificate from the approved

agency, along with a copy of the payment plan you

developed, if any. If you do not do so, your case

may be dismissed.

Any extension of the 30-day deadline is granted

only for cause and is limited to a maximum of 15

days.

Your case may be dismissed if the court is

dissatisfied with your reasons for not receiving a

briefing before you filed for bankruptcy.

If the court is satisfied with your reasons, you must

still receive a briefing within 30 days after you file.

You must file a certificate from the approved

agency, along with a copy of the payment plan you

developed, if any. If you do not do so, your case

may be dismissed.

Any extension of the 30-day deadline is granted

only for cause and is limited to a maximum of 15

days.

 I am not required to receive a briefing about

credit counseling because of:

 Incapacity.

 Disability.

I have a mental illness or a mental

deficiency that makes me

incapable of realizing or making

rational decisions about finances.

My physical disability causes me

to be unable to participate in a

briefing in person, by phone, or

through the internet, even after I

reasonably tried to do so.

 Disability.

I have a mental illness or a mental

deficiency that makes me

incapable of realizing or making

rational decisions about finances.

My physical disability causes me

to be unable to participate in a

briefing in person, by phone, or

through the internet, even after I

reasonably tried to do so.

 Active duty. I am currently on active military

duty in a military combat zone.

If you believe you are not required to receive a

briefing about credit counseling, you must file a

motion for waiver of credit counseling with the court.

Official Form 101

 I certify that I asked for credit counseling

services from an approved agency, but was

unable to obtain those services during the 7

days after I made my request, and exigent

circumstances merit a 30-day temporary waiver

of the requirement.

If you believe you are not required to receive a

briefing about credit counseling, you must file a

motion for waiver of credit counseling with the court.

Voluntary Petition for Individuals Filing for Bankruptcy

page 5

Debtor 1

_______________________________________________________

First Name

Part 6:

Middle Name

Case number (if known)_____________________________________

Last Name

Answer These Questions for Reporting Purposes

16. What kind of debts do

you have?

16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8)

as “incurred by an individual primarily for a personal, family, or household purpose.”

 No. Go to line 16b.

 Yes. Go to line 17.

16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain

money for a business or investment or through the operation of the business or investment.

 No. Go to line 16c.

 Yes. Go to line 17.

16c. State the type of debts you owe that are not consumer debts or business debts.

_______________________________________________________________

17. Are you filing under

Chapter 7?

Do you estimate that after

any exempt property is

excluded and

administrative expenses

are paid that funds will be

available for distribution

to unsecured creditors?

18. How many creditors do

you estimate that you

owe?

19. How much do you

estimate your assets to

be worth?

20. How much do you

estimate your liabilities

to be?

Part 7:

 No. I am not filing under Chapter 7. Go to line 18.

 Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and

administrative expenses are paid that funds will be available to distribute to unsecured creditors?

 No

 Yes

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5,001-10,000

 10,001-25,000

 25,001-50,000

 50,001-100,000

 More than 100,000

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

Sign Below

For you

I have examined this petition, and I declare under penalty of perjury that the information provided is true and

correct.

If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13

of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed

under Chapter 7.

If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out

this document, I have obtained and read the notice required by 11 U.S.C. § 342(b).

I request relief in accordance with the chapter of title 11, United States Code, specified in this petition.

I understand making a false statement, concealing property, or obtaining money or property by fraud in connection

with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both.

18 U.S.C. §§ 152, 1341, 1519, and 3571.



______________________________________________

Signature of Debtor 1

Executed on _________________

Official Form 101

/ DD

_____________________________

Signature of Debtor 2

Executed on __________________

/ YYYY

Voluntary Petition for Individuals Filing for Bankruptcy

MM / DD

/ YYYY

page 6

Debtor 1

_______________________________________________________

First Name

Middle Name

For your attorney, if you are

represented by one

If you are not represented

by an attorney, you do not

need to file this page.

Case number (if known)_____________________________________

Last Name

I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility

to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief

available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s)

the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no

knowledge after an inquiry that the information in the schedules filed with the petition is incorrect.

_________________________________

Date

Signature of Attorney for Debtor

_________________

DD / YYYY

_________________________________________________________________________________________________

Printed name

_________________________________________________________________________________________________

Firm name

_________________________________________________________________________________________________

Number Street

_________________________________________________________________________________________________

______________________________________________________ ____________ ______________________________

City

State

ZIP Code

Contact phone _____________________________________

Email address

______________________________

______________________________________________________ ____________

Bar number

State

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy

page 7

Debtor 1

_______________________________________________________

First Name

Middle Name

For you if you are filing this

bankruptcy without an

attorney

If you are represented by

an attorney, you do not

need to file this page.

Case number (if known)_____________________________________

Last Name

The law allows you, as an individual, to represent yourself in bankruptcy court, but you

should understand that many people find it extremely difficult to represent

themselves successfully. Because bankruptcy has long-term financial and legal

consequences, you are strongly urged to hire a qualified attorney.

To be successful, you must correctly file and handle your bankruptcy case. The rules are very

technical, and a mistake or inaction may affect your rights. For example, your case may be

dismissed because you did not file a required document, pay a fee on time, attend a meeting or

hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit

firm if your case is selected for audit. If that happens, you could lose your right to file another

case, or you may lose protections, including the benefit of the automatic stay.

You must list all your property and debts in the schedules that you are required to file with the

court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt

in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list

property or properly claim it as exempt, you may not be able to keep the property. The judge can

also deny you a discharge of all your debts if you do something dishonest in your bankruptcy

case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy

cases are randomly audited to determine if debtors have been accurate, truthful, and complete.

Bankruptcy fraud is a serious crime; you could be fined and imprisoned.

If you decide to file without an attorney, the court expects you to follow the rules as if you had

hired an attorney. The court will not treat you differently because you are filing for yourself. To be

successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of

Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also

be familiar with any state exemption laws that apply.

Are you aware that filing for bankruptcy is a serious action with long-term financial and legal

consequences?

 No

 Yes

Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are

inaccurate or incomplete, you could be fined or imprisoned?

 No

 Yes

Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms?

 No

 Yes. Name of Person_____________________________________________________________________.

Attach Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119).

By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I

have read and understood this notice, and I am aware that filing a bankruptcy case without an

attorney may cause me to lose my rights or property if I do not properly handle the case.



_______________________________________________

______________________________

Signature of Debtor 1

Signature of Debtor 2

Date

_________________

MM / DD / YYYY

Contact phone ______________________________________

Contact phone

________________________________

Cell phone

________________________________

Email address

________________________________

_________________

MM / DD / YYYY

______________________________________

Email address ______________________________________

Official Form 101

Voluntary Petition for Individuals Filing for Bankruptcy

Save As...

Add Attachment

page 8

Reset

Fill in this information to identify the case:

United States Bankruptcy Court for the:

____________________ District of _________________

(State)

Case number (If known): _________________________ Chapter _____

 Check if this is an

amended filing

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy

02/20

If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write the debtor’s name and the case

number (if known). For more information, a separate document, Instructions for Bankruptcy Forms for Non-Individuals, is available.

Debtor’s name

All other names debtor used

in the last 8 years

Include any assumed names,

trade names, and doing business

as names

______________________________________________________________________________________________________

Debtor’s federal Employer

Identification Number (EIN)

___ ___ – ___ ___ ___ ___ ___ ___ ___

Debtor’s address

Principal place of business

Mailing address, if different from principal place

of business

______________________________________________

Number

Street

_______________________________________________

Number

Street

______________________________________________

_______________________________________________

P.O. Box

______________________________________________

City

State

ZIP Code

_______________________________________________

City

State

ZIP Code

Location of principal assets, if different from

principal place of business

______________________________________________

County

_______________________________________________

Number

Street

_______________________________________________

City

State

ZIP Code

Debtor’s website (URL)

Official Form 201

____________________________________________________________________________________________________

Voluntary Petition for Non-Individuals Filing for Bankruptcy

page 1

Debtor

_______________________________________________________

Name

Type of debtor

Describe debtor’s business

Case number (if known)_____________________________________

 Corporation (including Limited Liability Company (LLC) and Limited Liability Partnership (LLP))

 Partnership (excluding LLP)

 Other. Specify: __________________________________________________________________

A. Check one:

 Health Care Business (as defined in 11 U.S.C. § 101(27A))

 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))

 Railroad (as defined in 11 U.S.C. § 101(44))

 Stockbroker (as defined in 11 U.S.C. § 101(53A))

 Commodity Broker (as defined in 11 U.S.C. § 101(6))

 Clearing Bank (as defined in 11 U.S.C. § 781(3))

 None of the above

B. Check all that apply:

 Tax-exempt entity (as described in 26 U.S.C. § 501)

 Investment company, including hedge fund or pooled investment vehicle (as defined in 15 U.S.C.

§ 80a-3)

 Investment advisor (as defined in 15 U.S.C. § 80b-2(a)(11))

C. NAICS (North American Industry Classification System) 4-digit code that best describes debtor. See

http://www.uscourts.gov/four-digit-national-association-naics-codes .

___ ___ ___ ___

Under which chapter of the

Bankruptcy Code is the

debtor filing?

Check one:

 Chapter 7

 Chapter 9

 Chapter 11. Check all that apply:

 Debtor’s aggregate noncontingent liquidated debts (excluding debts owed to

insiders or affiliates) are less than $2,725,625 (amount subject to adjustment on

4/01/22 and every 3 years after that).

 The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D). If the

debtor is a small business debtor, attach the most recent balance sheet, statement

of operations, cash-flow statement, and federal income tax return or if all of these

documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).

The debtor is a small business debtor as defined in 11 U.S.C. § 101(51D), and it

chooses to proceed under Subchapter V of Chapter 11.

 A plan is being filed with this petition.

 Acceptances of the plan were solicited prepetition from one or more classes of

creditors, in accordance with 11 U.S.C. § 1126(b).

 The debtor is required to file periodic reports (for example, 10K and 10Q) with the

Securities and Exchange Commission according to § 13 or 15(d) of the Securities

Exchange Act of 1934. File the Attachment to Voluntary Petition for Non-Individuals Filing

for Bankruptcy under Chapter 11 (Official Form 201A) with this form.

 The debtor is a shell company as defined in the Securities Exchange Act of 1934 Rule

12b-2.

 Chapter 12

Were prior bankruptcy cases

filed by or against the debtor

within the last 8 years?

If more than 2 cases, attach a

separate list.

Official Form 201

 No

 Yes. District _______________________ When _______________ Case number _________________________

MM / DD / YYYY

District _______________________ When _______________ Case number _________________________

MM / DD / YYYY

Voluntary Petition for Non-Individuals Filing for Bankruptcy

page 2

Debtor

_______________________________________________________

Case number (if known)_____________________________________

Name

10. Are any bankruptcy cases

pending or being filed by a

business partner or an

affiliate of the debtor?

List all cases. If more than 1,

attach a separate list.

11. Why is the case filed in this

district?

 No

 Yes. Debtor _____________________________________________ Relationship _________________________

District _____________________________________________ When

__________________

MM / DD / YYYY

Case number, if known ________________________________

Check all that apply:

 Debtor has had its domicile, principal place of business, or principal assets in this district for 180 days

immediately preceding the date of this petition or for a longer part of such 180 days than in any other

district.

 A bankruptcy case concerning debtor’s affiliate, general partner, or partnership is pending in this district.

12. Does the debtor own or have

possession of any real

property or personal property

that needs immediate

attention?

 No

 Yes. Answer below for each property that needs immediate attention. Attach additional sheets if needed.

Why does the property need immediate attention? (Check all that apply.)

 It poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety.

What is the hazard? _____________________________________________________________________

 It needs to be physically secured or protected from the weather.

 It includes perishable goods or assets that could quickly deteriorate or lose value without

attention (for example, livestock, seasonal goods, meat, dairy, produce, or securities-related

assets or other options).

 Other _______________________________________________________________________________

Where is the property?_____________________________________________________________________

Number

Street

____________________________________________________________________

_______________________________________

City

_______ ________________

State ZIP Code

Is the property insured?

 No

 Yes. Insurance agency ____________________________________________________________________

Contact name

____________________________________________________________________

Phone

________________________________

Statistical and administrative information

13. Debtor’s estimation of

available funds

14. Estimated number of

creditors

Official Form 201

Check one:

 Funds will be available for distribution to unsecured creditors.

 After any administrative expenses are paid, no funds will be available for distribution to unsecured creditors.

 1-49

 50-99

 100-199

 200-999

 1,000-5,000

 5,001-10,000

 10,001-25,000

Voluntary Petition for Non-Individuals Filing for Bankruptcy

 25,001-50,000

 50,001-100,000

 More than 100,000

page 3

Debtor

_______________________________________________________

Case number (if known)_____________________________________

Name

15. Estimated assets

16. Estimated liabilities

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

 $0-$50,000

 $50,001-$100,000

 $100,001-$500,000

 $500,001-$1 million

 $1,000,001-$10 million

 $10,000,001-$50 million

 $50,000,001-$100 million

 $100,000,001-$500 million

 $500,000,001-$1 billion

 $1,000,000,001-$10 billion

 $10,000,000,001-$50 billion

 More than $50 billion

Request for Relief, Declaration, and Signatures

WARNING -- Bankruptcy fraud is a serious crime. Making a false statement in connection with a bankruptcy case can result in fines up to

$500,000 or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

17. Declaration and signature of

authorized representative of

debtor

The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this



petition.



I have been authorized to file this petition on behalf of the debtor.



I have examined the information in this petition and have a reasonable belief that the information is true and

correct.

I declare under penalty of perjury that the foregoing is true and correct.

Executed on _________________

MM / DD / YYYY



_____________________________________________

_______________________________________________

Signature of authorized representative of debtor

Printed name

Title _________________________________________

18. Signature of attorney



_____________________________________________

Date

Signature of attorney for debtor

_________________

/ DD / YYYY

_________________________________________________________________________________________________

Printed name

_________________________________________________________________________________________________

Firm name

_________________________________________________________________________________________________

Number

Street

____________________________________________________

City

____________ ______________________________

State

ZIP Code

____________________________________

Contact phone

__________________________________________

Email address

______________________________________________________ ____________

Bar number

State

Official Form 201

Voluntary Petition for Non-Individuals Filing for Bankruptcy

page 4

Information to identify the case:

Debtor 1

Debtor 2

__________________________________________________________________

First Name

Middle Name

Last Name

EIN

________________________________________________________________

(Spouse, if filing) First Name

Middle Name

Last Name

(State)

_______________________________________

___ ___ – ___ ___ ___ ___ ___ ___ ___

Last 4 digits of Social Security number or ITIN ___ ___ ___ ___

EIN

United States Bankruptcy Court for the: ______________________ District of _________

Case number:

Last 4 digits of Social Security number or ITIN ___ ___ ___ ___

___ ___ – ___ ___ ___ ___ ___ ___ ___

[Date case filed for chapter 11

[Date case filed in chapter _____

Date case converted to chapter 11

______________

MM / DD / YYYY] OR

______________

MM / DD / YYYY

______________]

MM / DD / YYYY

Official Form 309E1 (For Individuals or Joint Debtors)

Notice of Chapter 11 Bankruptcy Case

02/20

For the debtors listed above, a case has been filed under chapter 11 of the Bankruptcy Code. An order for relief has

been entered.

This notice has important information about the case for creditors and debtors, including information about the

meeting of creditors and deadlines. Read both pages carefully.

The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to

collect debts from the debtors or the debtors’ property. For example, while the stay is in effect, creditors cannot sue, garnish wages, assert a

deficiency, repossess property, or otherwise try to collect from the debtors. Creditors cannot demand repayment from debtors by mail, phone,

or otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney’s fees. Under certain

circumstances, the stay may be limited to 30 days or not exist at all, although debtors can ask the court to extend or impose a stay.

Confirmation of a chapter 11 plan may result in a discharge of debt. Creditors who assert that the debtors are not entitled to a discharge of any

debts or who want to have a particular debt excepted from discharge may be required to file a complaint in the bankruptcy clerk’s office within

the deadlines specified in this notice. (See line 10 below for more information.)

To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk’s office at the address

listed below or through PACER (Public Access to Court Electronic Records at www.pacer.gov).

The staff of the bankruptcy clerk’s office cannot give legal advice.

To help creditors correctly identify debtors, debtors submit full Social Security or Individual Taxpayer Identification Numbers, which

may appear on a version of this notice. However, the full numbers must not appear on any document filed with the court.

Do not file this notice with any proof of claim or other filing in the case. Do not include more than the last four digits of a Social

Security or Individual Taxpayer Identification Number in any document, including attachments, that you file with the court.

About Debtor 1:

Debtor’s full name

All other names used in

the last 8 years

Address

Debtor’s attorney

About Debtor 2:

If Debtor 2 lives at a different address:

Contact phone

______________________________

Name and address

______________________________

Bankruptcy clerk’s office

Hours open

_______________________________

Contact phone

_______________________________

Documents in this case may be

filed at this address.

You may inspect all records filed

in this case at this office or

online at www.pacer.gov.

For more information, see page 2 ►

Official Form 309E1 (For Individuals or Joint Debtors)

Notice of Chapter 11 Bankruptcy Case

page 1

Meeting of creditors

Debtors must attend the meeting

to be questioned under oath. In

a joint case, both spouses must

attend.

Creditors may attend, but are

not required to do so.

Deadlines

The bankruptcy clerk’s office

must receive these documents

and any required filing fee by the

following deadlines.

_______________ at

Date

___________

Time

Location:

The meeting may be continued or adjourned to a later date.

If so, the date will be on the court docket.

File by the deadline to object to discharge or to challenge

whether certain debts are dischargeable:

You must file a complaint:

if you assert that the debtor is not entitled to receive a

discharge of any debts under 11 U.S.C. § 1141(d)(3) or



First date set for hearing on confirmation of

plan. The court will send you a notice of that

date later.

Filing deadline for dischargeability

complaints:

__________________

if you want to have a debt excepted from discharge

under 11 U.S.C. § 523(a)(2), (4), or (6).

Deadline for filing proof of claim:

[Not yet set. If a deadline is set, the court will

send you another notice.] or

[date, if set by the court)]

A proof of claim is a signed statement describing a creditor’s claim. A proof of claim form may be

obtained at www.uscourts.gov or any bankruptcy clerk’s office.

Your claim will be allowed in the amount scheduled unless:

 your claim is designated as disputed, contingent, or unliquidated;

 you file a proof of claim in a different amount; or

 you receive another notice.

If your claim is not scheduled or if your claim is designated as disputed, contingent, or unliquidated,

you must file a proof of claim or you might not be paid on your claim and you might be unable to vote

on a plan. You may file a proof of claim even if your claim is scheduled.

You may review the schedules at the bankruptcy clerk’s office or online at www.pacer.gov.

Secured creditors retain rights in their collateral regardless of whether they file a proof of claim. Filing a proof of

claim submits a creditor to the jurisdiction of the bankruptcy court, with consequences a lawyer can explain. For

example, a secured creditor who files a proof of claim may surrender important nonmonetary rights, including

the right to a jury trial.

Deadline to object to exemptions:

The law permits debtors to keep certain property as exempt.

If you believe that the law does not authorize an exemption

claimed, you may file an objection.

Filing deadline: 30 days after the

conclusion of the meeting

of creditors

Creditors with a foreign

address

If you are a creditor receiving mailed notice at a foreign address, you may file a motion asking the court to

extend the deadlines in this notice. Consult an attorney familiar with United States bankruptcy law if you have

any questions about your rights in this case.

Filing a Chapter 11

bankruptcy case

Chapter 11 allows debtors to reorganize or liquidate according to a plan. A plan is not effective unless the court

confirms it. You may receive a copy of the plan and a disclosure statement telling you about the plan, and you

may have the opportunity to vote on the plan. You will receive notice of the date of the confirmation hearing, and

you may object to confirmation of the plan and attend the confirmation hearing. Unless a trustee is serving, the

debtor will remain in possession of the property and may continue to operate the debtor’s business.

10. Discharge of debts

11. Exempt property

Confirmation of a chapter 11 plan may result in a discharge of debts, which may include all or part of a debt. See

11 U.S.C. § 1141(d). However, unless the court orders otherwise, the debts will not be discharged until all

payments under the plan are made. A discharge means that creditors may never try to collect the debt from the

debtors personally except as provided in the plan. If you believe that a particular debt owed to you should be

excepted from the discharge under 11 U.S.C. § 523 (a)(2), (4), or (6), you must file a complaint and pay the filing

fee in the bankruptcy clerk’s office by the deadline. If you believe that the debtors are not entitled to a discharge

of any of their debts under 11 U.S.C. § 1141 (d)(3), you must file a complaint and pay the filing fee in the clerk’s

office by the first date set for the hearing on confirmation of the plan. The court will send you another notice

telling you of that date.

The law allows debtors to keep certain property as exempt. Fully exempt property will not be sold and distributed

to creditors, even if the case is converted to chapter 7. Debtors must file a list of property claimed as exempt.

You may inspect that list at the bankruptcy clerk’s office or online at www.pacer.gov. If you believe that the law

does not authorize an exemption that the debtors claim, you may file an objection. The bankruptcy clerk’s office

must receive the objection by the deadline to object to exemptions in line 7.

Official Form 309E1 (For Individuals or Joint Debtors)

Notice of Chapter 11 Bankruptcy Case

page 2

Information to identify the case:

Debtor 1

__________________________________________________________________

Debtor 2

First Name

Middle Name

Last Name

EIN

________________________________________________________________

(Spouse, if filing) First Name

Middle Name

Last Name

(State)

_______________________________________

___ ___ – ___ ___ ___ ___ ___ ___ ___

Last 4 digits of Social Security number or ITIN ___ ___ ___ ___

EIN

United States Bankruptcy Court for the: ______________________ District of _________

Case number:

Last 4 digits of Social Security number or ITIN ___ ___ ___ ___

___ ___ – ___ ___ ___ ___ ___ ___ ___

[Date case filed for chapter 11

[Date case filed in chapter _____

Date case converted to chapter 11

______________

MM / DD / YYYY] OR

______________

MM / DD / YYYY

______________]

MM / DD / YYYY

Official Form 309E2 (For Individuals or Joint Debtors under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

02/20

For the debtors listed above, a case has been filed under chapter 11 of the Bankruptcy Code. An order for relief has

been entered.

This notice has important information about the case for creditors, debtors, and trustees, including information about

the meeting of creditors and deadlines. Read all pages carefully.

The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to

collect debts from the debtors or the debtors’ property. For example, while the stay is in effect, creditors cannot sue, garnish wages, assert a

deficiency, repossess property, or otherwise try to collect from the debtors. Creditors cannot demand repayment from debtors by mail, phone,

or otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney’s fees. Under certain

circumstances, the stay may be limited to 30 days or not exist at all, although debtors can ask the court to extend or impose a stay.

Confirmation of a chapter 11 plan may result in a discharge of debt. Creditors who assert that the debtors are not entitled to a discharge of any

debts or who want to have a particular debt excepted from discharge may be required to file a complaint in the bankruptcy clerk’s office within

the deadlines specified in this notice. (See line 11 below for more information.)

To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk’s office at the address

listed below or through PACER (Public Access to Court Electronic Records at www.pacer.gov).

The staff of the bankruptcy clerk’s office cannot give legal advice.

To help creditors correctly identify debtors, debtors submit full Social Security or Individual Taxpayer Identification Numbers, which

may appear on a version of this notice. However, the full numbers must not appear on any document filed with the court.

Do not file this notice with any proof of claim or other filing in the case. Do not include more than the last four digits of a Social

Security or Individual Taxpayer Identification Number in any document, including attachments, that you file with the court.

About Debtor 1:

Debtor’s full name

All other names used in the

last 8 years

Address

Debtor’s attorney

Name and address

Bankruptcy trustee

Name and address

About Debtor 2:

If Debtor 2 lives at a different address:

Contact phone

______________________________

Contact phone

______________________________

For more information, see page 2 ►

Official Form 309E2 (For Individuals or Joint Debtors under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

page 1

Bankruptcy clerk’s office

Hours open

_______________________________

Documents in this case may be

filed at this address.

You may inspect all records filed

in this case at this office or online

at www.pacer.gov.

Meeting of creditors

Debtors must attend the meeting

to be questioned under oath. In a

joint case, both spouses must

attend.

Creditors may attend, but are not

required to do so.

Deadlines

The bankruptcy clerk’s office

must receive these documents

and any required filing fee by the

following deadlines.

Contact phone

_______________________________

_______________ at

Date

___________

Time

Location:

The meeting may be continued or adjourned to a later date.

If so, the date will be on the court docket.

File by the deadline to object to discharge or to challenge

whether certain debts are dischargeable:

You must file a complaint:

if you assert that the debtor is not entitled to receive a

discharge of any debts under 11 U.S.C. § 1141(d)(3) or



First date set for hearing on confirmation of

plan. The court will send you a notice of that

date later.

Filing deadline for dischargeability

complaints:

__________________

if you want to have a debt excepted from discharge

under 11 U.S.C. § 523(a)(2), (4), or (6).

Deadline for filing proof of claim:

[Not yet set. If a deadline is set, the court will

send you another notice.] or

[date, if set by the court)]

A proof of claim is a signed statement describing a creditor’s claim. A proof of claim form may be

obtained at www.uscourts.gov or any bankruptcy clerk’s office.

Your claim will be allowed in the amount scheduled unless:

 your claim is designated as disputed, contingent, or unliquidated;

 you file a proof of claim in a different amount; or

 you receive another notice.

If your claim is not scheduled or if your claim is designated as disputed, contingent, or unliquidated,

you must file a proof of claim or you might not be paid on your claim and you might be unable to vote

on a plan. You may file a proof of claim even if your claim is scheduled.

You may review the schedules at the bankruptcy clerk’s office or online at www.pacer.gov.

Secured creditors retain rights in their collateral regardless of whether they file a proof of claim. Filing a proof of

claim submits a creditor to the jurisdiction of the bankruptcy court, with consequences a lawyer can explain. For

example, a secured creditor who files a proof of claim may surrender important nonmonetary rights, including

the right to a jury trial.

Deadline to object to exemptions:

The law permits debtors to keep certain property as

exempt.

If you believe that the law does not authorize an exemption

claimed, you may file an objection.

Creditors with a foreign

address

10. Filing a Chapter 11

bankruptcy case

Filing deadline: 30 days after the

conclusion of the meeting

of creditors

If you are a creditor receiving mailed notice at a foreign address, you may file a motion asking the court to

extend the deadlines in this notice. Consult an attorney familiar with United States bankruptcy law if you have

any questions about your rights in this case.

Chapter 11 allows debtors to reorganize or liquidate according to a plan. A plan is not effective unless the court

confirms it. You may receive a copy of the plan and a disclosure statement telling you about the plan, and you

may have the opportunity to vote on the plan. You will receive notice of the date of the confirmation hearing,

and you may object to confirmation of the plan and attend the confirmation hearing. The debtor will generally

remain in possession of the property and may continue to operate the debtor’s business.

For more information, see page 3 ►

Official Form 309E2 (For Individuals or Joint Debtors under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

page 2

11. Discharge of debts

Confirmation of a chapter 11 plan may result in a discharge of debts, which may include all or part of a debt.

See 11 U.S.C. § 1141(d). A discharge means that creditors may never try to collect the debt from the debtors

personally except as provided in the plan. If you believe that a particular debt owed to you should be excepted

from the discharge under 11 U.S.C. § 523 (a)(2), (4), or (6), you must file a complaint and pay the filing fee in

the bankruptcy clerk’s office by the deadline. If you believe that the debtors are not entitled to a discharge of

any of their debts under 11 U.S.C. § 1141 (d)(3), you must file a complaint and pay the filing fee in the clerk’s

office by the first date set for the hearing on confirmation of the plan. The court will send you another notice

telling you of that date.

12. Exempt property

The law allows debtors to keep certain property as exempt. Fully exempt property will not be sold and

distributed to creditors, even if the case is converted to chapter 7. Debtors must file a list of property claimed as

exempt. You may inspect that list at the bankruptcy clerk’s office or online at www.pacer.gov. If you believe that

the law does not authorize an exemption that the debtors claim, you may file an objection. The bankruptcy

clerk’s office must receive the objection by the deadline to object to exemptions in line 8.

Official Form 309E2 (For Individuals or Joint Debtors under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

page 3

Information to identify the case:

Debtor

__________________________________________________________________

Name

United States Bankruptcy Court for the: ______________________ District of _________

(State)

Case number:

_______________________________________

EIN

___ ___ – ___ ___ ___ ___ ___ ___ ___

[Date case filed for chapter 11

[Date case filed in chapter _____

Date case converted to chapter 11

______________

MM / DD / YYYY OR

______________

MM / DD / YYYY

______________]

MM / DD / YYYY

Official Form 309F1 (For Corporations or Partnerships)

Notice of Chapter 11 Bankruptcy Case

02/20

For the debtor listed above, a case has been filed under chapter 11 of the Bankruptcy Code. An order for relief has

been entered.

This notice has important information about the case for creditors and debtors, including information about the

meeting of creditors and deadlines. Read both pages carefully.

The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to

collect debts from the debtor or the debtor’s property. For example, while the stay is in effect, creditors cannot sue, assert a deficiency,

repossess property, or otherwise try to collect from the debtor. Creditors cannot demand repayment from the debtor by mail, phone, or

otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney’s fees.

Confirmation of a chapter 11 plan may result in a discharge of debt. A creditor who wants to have a particular debt excepted from discharge

may be required to file a complaint in the bankruptcy clerk’s office within the deadline specified in this notice. (See line 11 below for more

information.)

To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk’s office at the address

listed below or through PACER (Public Access to Court Electronic Records at www.pacer.gov).

The staff of the bankruptcy clerk’s office cannot give legal advice.

Do not file this notice with any proof of claim or other filing in the case.

Debtor’s full name

All other names used in

the last 8 years

Address

Debtor’s attorney

Contact phone

______________________________

Name and address

______________________________

Bankruptcy clerk’s office

Hours open

_______________________________

Contact phone

_______________________________

Documents in this case may be

filed at this address.

You may inspect all records filed

in this case at this office or

online at www.pacer.gov.

Meeting of creditors

The debtor’s representative

must attend the meeting to be

questioned under oath.

Creditors may attend, but are

not required to do so.

_______________ at

Date

___________

Time

Location:

The meeting may be continued or adjourned to a later

date. If so, the date will be on the court docket.

For more information, see page 2 ►

Official Form 309F1 (For Corporations or Partnerships) Notice of Chapter 11 Bankruptcy Case

page 1

Debtor

_______________________________________________________

Name

Proof of claim deadline

Case number (if known)_____________________________________

Deadline for filing proof of claim:

[Not yet set. If a deadline is set, the court will send

you another notice.] or

[date, if set by the court)]

A proof of claim is a signed statement describing a creditor’s claim. A proof of claim form may be obtained at

www.uscourts.gov or any bankruptcy clerk’s office.

Your claim will be allowed in the amount scheduled unless:

 your claim is designated as disputed, contingent, or unliquidated;

 you file a proof of claim in a different amount; or

 you receive another notice.

If your claim is not scheduled or if your claim is designated as disputed, contingent, or unliquidated, you must file

a proof of claim or you might not be paid on your claim and you might be unable to vote on a plan. You may file

a proof of claim even if your claim is scheduled.

You may review the schedules at the bankruptcy clerk’s office or online at www.pacer.gov.

Secured creditors retain rights in their collateral regardless of whether they file a proof of claim. Filing a proof of

claim submits a creditor to the jurisdiction of the bankruptcy court, with consequences a lawyer can explain. For

example, a secured creditor who files a proof of claim may surrender important nonmonetary rights, including

the right to a jury trial.

Exception to discharge

deadline

The bankruptcy clerk’s office

must receive a complaint and

any required filing fee by the

following deadline.

Creditors with a foreign

address

If § 523(c) applies to your claim and you seek to have it excepted from discharge, you must start a judicial

proceeding by filing a complaint by the deadline stated below.

Deadline for filing the complaint:

_________________

If you are a creditor receiving notice mailed to a foreign address, you may file a motion asking the court to

extend the deadlines in this notice. Consult an attorney familiar with United States bankruptcy law if you have

any questions about your rights in this case.

10. Filing a Chapter 11

Chapter 11 allows debtors to reorganize or liquidate according to a plan. A plan is not effective unless the court

confirms it. You may receive a copy of the plan and a disclosure statement telling you about the plan, and you

may have the opportunity to vote on the plan. You will receive notice of the date of the confirmation hearing, and

you may object to confirmation of the plan and attend the confirmation hearing. Unless a trustee is serving, the

debtor will remain in possession of the property and may continue to operate its business.

11. Discharge of debts

Confirmation of a chapter 11 plan may result in a discharge of debts, which may include all or part of your debt.

See 11 U.S.C. § 1141(d). A discharge means that creditors may never try to collect the debt from the debtor

except as provided in the plan. If you want to have a particular debt owed to you excepted from the discharge

and § 523(c) applies to your claim, you must start a judicial proceeding by filing a complaint and paying the filing

fee in the bankruptcy clerk’s office by the deadline.

bankruptcy case

Official Form 309F1 (For Corporations or Partnerships) Notice of Chapter 11 Bankruptcy Case

page 2

Information to identify the case:

Debtor

__________________________________________________________________

Name

United States Bankruptcy Court for the: ______________________ District of _________

(State)

Case number:

_______________________________________

EIN

___ ___ – ___ ___ ___ ___ ___ ___ ___

[Date case filed for chapter 11

[Date case filed in chapter _____

Date case converted to chapter 11

______________

MM / DD / YYYY OR

______________

MM / DD / YYYY

______________]

MM / DD / YYYY

Official Form 309F2 (For Corporations or Partnerships under

Subchapter V)

Notice of Chapter 11 Bankruptcy Case

02/20

For the debtor listed above, a case has been filed under chapter 11 of the Bankruptcy Code. An order for relief has

been entered.

This notice has important information about the case for creditors, debtors, and trustees, including information about

the meeting of creditors and deadlines. Read both pages carefully.

The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to

collect debts from the debtor or the debtor’s property. For example, while the stay is in effect, creditors cannot sue, assert a deficiency,

repossess property, or otherwise try to collect from the debtor. Creditors cannot demand repayment from the debtor by mail, phone, or

otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney’s fees.

Confirmation of a chapter 11 plan may result in a discharge of debt. A creditor who wants to have a particular debt excepted from discharge

may be required to file a complaint in the bankruptcy clerk’s office within the deadline specified in this notice. (See line 12 below for more

information.)

To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk’s office at the address

listed below or through PACER (Public Access to Court Electronic Records at www.pacer.gov).

The staff of the bankruptcy clerk’s office cannot give legal advice.

Do not file this notice with any proof of claim or other filing in the case.

Debtor’s full name

All other names used in

the last 8 years

Address

Debtor’s attorney

Name and address

Bankruptcy trustee

Name and address

Bankruptcy clerk’s office

Documents in this case may be

filed at this address.

You may inspect all records filed

in this case at this office or

online at www.pacer.gov.

Contact phone

______________________________

Contact phone

______________________________

Hours open

_______________________________

Contact phone

_______________________________

For more information, see page 2 ►

Official Form 309F2 (For Corporations or Partnerships under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

page 1

Debtor

_______________________________________________________

Case number (if known)_____________________________________

Name

Meeting of creditors

The debtor’s representative

must attend the meeting to be

questioned under oath.

Creditors may attend, but are

not required to do so.

_______________ at

___________

Date

Time

Proof of claim deadline

Deadline for filing proof of claim:

Location:

The meeting may be continued or adjourned to a later

date. If so, the date will be on the court docket.

[Not yet set. If a deadline is set, the court will send

you another notice.] or

[date, if set by the court)]

A proof of claim is a signed statement describing a creditor’s claim. A proof of claim form may be obtained at

www.uscourts.gov or any bankruptcy clerk’s office.

Your claim will be allowed in the amount scheduled unless:

 your claim is designated as disputed, contingent, or unliquidated;

 you file a proof of claim in a different amount; or

 you receive another notice.

If your claim is not scheduled or if your claim is designated as disputed, contingent, or unliquidated, you must file

a proof of claim or you might not be paid on your claim and you might be unable to vote on a plan. You may file a

proof of claim even if your claim is scheduled.

You may review the schedules at the bankruptcy clerk’s office or online at www.pacer.gov.

Secured creditors retain rights in their collateral regardless of whether they file a proof of claim. Filing a proof of

claim submits a creditor to the jurisdiction of the bankruptcy court, with consequences a lawyer can explain. For

example, a secured creditor who files a proof of claim may surrender important nonmonetary rights, including the

right to a jury trial.

Exception to discharge

deadline

The bankruptcy clerk’s office

must receive a complaint and

any required filing fee by the

following deadline.

If § 523(c) applies to your claim and you seek to have it excepted from discharge, you must start a judicial

proceeding by filing a complaint by the deadline stated below.

Deadline for filing the complaint:

_________________

10. Creditors with a foreign

If you are a creditor receiving notice mailed to a foreign address, you may file a motion asking the court to

extend the deadlines in this notice. Consult an attorney familiar with United States bankruptcy law if you have

any questions about your rights in this case.

11. Filing a Chapter 11

Chapter 11 allows debtors to reorganize or liquidate according to a plan. A plan is not effective unless the court

confirms it. You may receive a copy of the plan and a disclosure statement telling you about the plan, and you

may have the opportunity to vote on the plan. You will receive notice of the date of the confirmation hearing, and

you may object to confirmation of the plan and attend the confirmation hearing. The debtor will generally remain

in possession of the property and may continue to operate the debtor’s business.

12. Discharge of debts

Confirmation of a chapter 11 plan may result in a discharge of debts, which may include all or part of your debt.

See 11 U.S.C. § 1141(d). A discharge means that creditors may never try to collect the debt from the debtor

except as provided in the plan. If you want to have a particular debt owed to you excepted from the discharge

and § 523(c) applies to your claim, you must start a judicial proceeding by filing a complaint and paying the filing

fee in the bankruptcy clerk’s office by the deadline.

address

bankruptcy case

Official Form 309F2 (For Corporations or Partnerships under Subchapter V)

Notice of Chapter 11 Bankruptcy Case

page 2

Official Form 314 (02/20)

[Caption as in 416A]

Class [ ] Ballot for Accepting or Rejecting Plan of Reorganization

[Proponent] filed a plan of reorganization dated [Date] (the Plan) for the Debtor in this case. {The Court has

[conditionally] approved a disclosure statement with respect to the Plan (the Disclosure Statement). The Disclosure

Statement provides information to assist you in deciding how to vote your ballot. If you do not have a Disclosure

Statement, you may obtain a copy from [name, address, telephone number and telecopy number of

proponent/proponent’s attorney.]}

{Court approval of the Disclosure Statement does not indicate approval of the Plan by the Court.}

You should review {the Disclosure Statement and} the Plan before you vote. You may wish to seek legal

advice concerning the Plan and your classification and treatment under the Plan. Your [claim] [equity

interest] has been placed in class [ ] under the Plan. If you hold claims or equity interests in more than one

class, you will receive a ballot for each class in which you are entitled to vote.

If your ballot is not received by [name and address of proponent’s attorney or other appropriate address] on

or before [date], and such deadline is not extended, your vote will not count as either an acceptance or

rejection of the Plan.

If the Plan is confirmed by the Bankruptcy Court, it will be binding on you whether or not you vote.

Acceptance or Rejection of the Plan

[At this point the ballot should provide for voting by the particular class of creditors or equity holders receiving the

ballot using one of the following alternatives;]

[If the voter is the holder of a secured, priority, or unsecured nonpriority claim:]

The undersigned, the holder of a Class [ ] claim against the Debtor in the unpaid amount of Dollars ($

)

[or, if the voter is the holder of a bond, debenture, or other debt security:]

The undersigned, the holder of a Class [ ] claim against the Debtor, consisting of Dollars ($

) principal amount of

[describe bond, debenture, or other debt security] of the Debtor (For purposes of this Ballot, it is not necessary and

you should not adjust the principal amount for any accrued or unmatured interest.)

[or, if the voter is the holder of an equity interest:]

The undersigned, the holder of Class [ ] equity interest in the Debtor, consisting of ______ shares or other interests

of [describe equity interest] in the Debtor

Official Form 314 (02/20)

page 2

[In each case, the following language should be included:]

Check one box only

 Accepts the plan

 Rejects the plan

Dated:

___________________

Print or type name: _________________________________________

Signature:

_________________________________________ Title (if corporation or partnership) ________

Address:

_________________________________________

Return this ballot to:

[Name and address of proponent’s attorney or other appropriate address]

Official Form 315 (02/20)

[Caption as in 416A]

Order Confirming Plan

The plan under chapter 11 of the Bankruptcy Code filed by _____________________________________, on

____________________ [if applicable, as modified by a modification filed on ______________________,] or a

summary thereof, having been transmitted to creditors and equity security holders; and

It having been determined after hearing on notice that the requirements for confirmation set forth in

11 U.S.C. § 1129(a) [or, if appropriate, 11 U.S.C. § 1129(b), 1191(a), or 1191(b)] have been

satisfied;

IT IS ORDERED that:

The plan filed by ________________________________________________, on _________________,

[If appropriate, include dates and any other pertinent details of modifications to the plan] is confirmed. [If

the plan provides for an injunction against conduct not otherwise enjoined under the Code, include the

information required by Rule 3020.]

A copy of the confirmed plan is attached.

_____________

MM / DD / YYYY

By the court: _____________________________

United States Bankruptcy Judge

Fill in this information to identify the case:

Debtor Name __________________________________________________________________

United States Bankruptcy Court for the:_______________________ District of __________

(State)

Case number: _________________________

 Check if this is an amended filing

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

[ Name of Proponent

02/20

]’s Plan of Reorganization, Dated [ Insert Date ]

[If this plan is for a small business debtor under Subchapter V, 11 U.S.C. § 1190 requires that it include “(A) a brief history of the business operations

of the debtor; (B) a liquidation analysis; and (C) projections with respect to the ability of the debtor to make payments under the proposed plan of

reorganization.” The Background section below may be used for that purpose. Otherwise, the Background section can be deleted from the form, and

the Plan can start with “Article 1: Summary”]

Background for Cases Filed Under Subchapter V

A. Description and History of the Debtor’s Business

The Debtor is a [corporation, partnership, etc.]. Since [insert year operations commenced], the Debtor has been in the

business of __________________________________________. [Describe the Debtor’s business].

B. Liquidation Analysis

To confirm the Plan, the Court must find that all creditors and equity interest holders who do not accept the Plan

will receive at least as much under the Plan as such claim and equity interest holders would receive in a chapter

7 liquidation. A liquidation analysis is attached to the Plan as Exhibit___.

C. Ability to make future plan payments and operate without further reorganization

The Plan Proponent must also show that it will have enough cash over the life of the Plan to make the required

Plan payments and operate the debtor’s business.

The Plan Proponent has provided projected financial information as Exhibit ___.

The Plan Proponent’s financial projections show that the Debtor will have projected disposable income (as

defined by § 1191(d) of the Bankruptcy Code) for the period described in § 1191(c)(2) of $ _________.

The final Plan payment is expected to be paid on _________.

[Summarize the numerical projections, and highlight any assumptions that are not in accord with past experience. Explain why such

assumptions should now be made.]

You should consult with your accountant or other financial advisor if you have any questions pertaining to these

projections.

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 1

Debtor Name

_______________________________________________________

Case number_____________________________________

Article 1: Summary

This Plan of Reorganization (the Plan) under chapter 11 of the Bankruptcy Code (the Code) proposes to pay

creditors of [insert the name of the Debtor] (the Debtor) from [Specify sources of payment, such as an infusion of capital, loan

proceeds, sale of assets, cash flow from operations, or future income].

This Plan provides for:

classes of priority claims;

classes of secured claims;

classes of non-priority unsecured clams; and

classes of equity security holders.

Non-priority unsecured creditors holding allowed claims will receive distributions, which the proponent of this

Plan has valued at approximately __ cents on the dollar. This Plan also provides for the payment of

administrative and priority claims.

All creditors and equity security holders should refer to Articles 3 through 6 of this Plan for information

regarding the precise treatment of their claim. A disclosure statement that provides more detailed information

regarding this Plan and the rights of creditors and equity security holders has been circulated with this Plan.

Your rights may be affected. You should read these papers carefully and discuss them with your attorney, if you

have one. (If you do not have an attorney, you may wish to consult one.)

Article 2: Classification of Claims and Interests

2.01

Class 1 ................................

All allowed claims entitled to priority under § 507(a) of the Code (except administrative

expense claims under § 507(a)(2), [“gap” period claims in an involuntary case under § 507(a)(3),]

and priority tax claims under § 507(a)(8)).

[Add classes of priority claims, if applicable]

2.02

Class 2 ...................................

The claim of

________________________________

allowed as a secured claim under § 506 of the Code.

, to the extent

[Add other classes of secured creditors, if any. Note: Section 1129(a)(9)(D) of the Code provides that a

secured tax claim which would otherwise meet the description of a priority tax claim under § 507(a)(8) of the

Code is to be paid in the same manner and over the same period as prescribed in § 507(a)(8).]

2.03

Class 3 ...................................

All non-priority unsecured claims allowed under § 502 of the Code.

[Add other classes of unsecured claims, if any.]

2.04

Class 4 ...................................

Equity interests of the Debtor. [If the Debtor is an individual, change this heading to The interests of

the individual Debtor in property of the estate.]

Article 3: Treatment of Administrative Expense Claims, Priority Tax Claims, and Quarterly and Court Fees

3.01

Unclassified claims

Under section § 1123(a)(1), administrative expense claims, [“gap” period claims in an

involuntary case allowed under § 502(f) of the Code,] and priority tax claims are not in classes.

3.02

Administrative expense

claims

a “gap” claim in an involuntary case allowed under § 502(f) of the Code,] will be paid in full on the

Each holder of an administrative expense claim allowed under § 503 of the Code, [and

effective date of this Plan, in cash, or upon such other terms as may be agreed upon

by the holder of the claim and the Debtor.

Each holder of an administrative expense claim allowed under § 503 of the Code, [and

a “gap” claim in an involuntary case allowed under § 502(f) of the Code,] will be paid [specify terms of

treatment, including the form, amount, and timing of distribution, consistent with section 1191(e) of the

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 2

Debtor Name

_______________________________________________________

Case number_____________________________________

Code].

[Note: the second provision is appropriate only in a subchapter V plan that is confirmed non-consensually

under section 1191(b).]

3.03

Priority tax claims

Each holder of a priority tax claim will be paid [Specify terms of treatment consistent

with § 1129(a)(9)(C) of the Code].

3.04

Statutory fees

All fees required to be paid under 28 U.S.C. § 1930 that are owed on or before the

effective date of this Plan have been paid or will be paid on the effective date.

3.05

Prospective quarterly fees

All quarterly fees required to be paid under 28 U.S.C. § 1930(a)(6) or (a)(7) will accrue

and be timely paid until the case is closed, dismissed, or converted to another chapter

of the Code.

Article 4: Treatment of Claims and Interests Under the Plan

4.01

Claims and interests shall be treated as follows under this Plan:

Class

Impairment

Treatment

Class 1 - Priority claims

excluding those in Article 3

 Impaired

 Unimpaired

Class 2 – Secured claim of

[Insert name of secured

creditor.]

 Impaired

 Unimpaired

[Insert treatment of priority claims in this Class, including the

form, amount and timing of distribution, if any.

For example: “Class 1 is unimpaired by this Plan, and each

holder of a Class 1 Priority Claim will be paid in full, in cash,

upon the later of the effective date of this Plan, or the date

on which such claim is allowed by a final non-appealable

order. Except: ________ .”]

[Add classes of priority claims if applicable]

[Insert treatment of secured claim in this Class, including

the form, amount and timing of distribution, if any.]

[Add classes of secured claims if applicable]

Class 3 – Non-priority

unsecured creditors

 Impaired

 Unimpaired

[Insert treatment of unsecured creditors in this Class,

including the form, amount and timing of distribution, if any.]

 Impaired

 Unimpaired

[Insert treatment of equity security holders in this Class,

including the form, amount and timing of distribution, if any.]

Class 4 - Equity security

holders of the Debtor

[Add administrative convenience class if applicable]

Article 5: Allowance and Disallowance of Claims

5.01

Disputed claim

A disputed claim is a claim that has not been allowed or disallowed [by a final nonappealable order], and as to which either:

(i) a proof of claim has been filed or deemed filed, and the Debtor or another party in

interest has filed an objection; or

(ii) no proof of claim has been filed, and the Debtor has scheduled such claim as

disputed, contingent, or unliquidated.

5.02

Delay of distribution on a

disputed claim

No distribution will be made on account of a disputed claim unless such claim is

allowed [by a final non-appealable order].

5.03

Settlement of disputed

claims

The Debtor will have the power and authority to settle and compromise a disputed

claim with court approval and compliance with Rule 9019 of the Federal Rules of

Bankruptcy Procedure.

Article 6: Provisions for Executory Contracts and Unexpired Leases

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 3

Debtor Name

6.01

_______________________________________________________

Assumed executory

contracts and unexpired

leases

Case number_____________________________________

(a) The Debtor assumes, and if applicable assigns, the following executory

contracts and unexpired leases as of the effective date:

[List assumed, or if applicable assigned, executory contracts and unexpired leases.]

(b) Except for executory contracts and unexpired leases that have been assumed,

and if applicable assigned, before the effective date or under section 6.01(a) of

this Plan, or that are the subject of a pending motion to assume, and if

applicable assign, the Debtor will be conclusively deemed to have rejected all

executory contracts and unexpired leases as of the effective date.

A proof of a claim arising from the rejection of an executory contract or

unexpired lease under this section must be filed no later than __________ days

after the date of the order confirming this Plan.

Article 7: Means for Implementation of the Plan

[Insert here provisions regarding how the plan will be implemented as required under § 1123(a)(5) of the

Code. For example, provisions may include those that set out how the plan will be funded, including any

claims reserve to be established in connection with the plan, as well as who will be serving as directors,

officers or voting trustees of the reorganized Debtor.]

Article 8: General Provisions

8.01

Definitions and rules of

construction

The definitions and rules of construction set forth in §§ 101 and 102 of the

Code shall apply when terms defined or construed in the Code are used in

this Plan, and they are supplemented by the following definitions:

[Insert additional definitions if necessary].

8.02

Effective date

8.03

Severability

8.04

Binding effect

8.05

Captions

[8.06

Controlling effect

[8.07

Corporate governance

Official Form 425A

The effective date of this Plan is the first business day following the date that

is 14 days after the entry of the confirmation order. If, however, a stay of the

confirmation order is in effect on that date, the effective date will be the first

business day after the date on which the stay expires or is otherwise

terminated.

If any provision in this Plan is determined to be unenforceable, the

determination will in no way limit or affect the enforceability and operative

effect of any other provision of this Plan.

The rights and obligations of any entity named or referred to in this Plan will

be binding upon, and will inure to the benefit of the successors or assigns of

such entity.

The headings contained in this Plan are for convenience of reference only and

do not affect the meaning or interpretation of this Plan.

Unless a rule of law or procedure is supplied by federal law (including the

Code or the Federal Rules of Bankruptcy Procedure), the laws of the State of

____________ govern this Plan and any agreements, documents, and

instruments executed in connection with this Plan, except as otherwise

provided in this Plan.]

[If the Debtor is a corporation include provisions required by § 1123(a)(6) of the Code.]

Plan of Reorganization for Small Business Under Chapter 11

page 4

Debtor Name

[8.08

_______________________________________________________

Retention of Jurisdiction

Case number_____________________________________

Language addressing the extent and the scope of the bankruptcy court’s jurisdiction

after the effective date of the plan.]

Article 9: Discharge

[Include the appropriate provision in the Plan]

[No Discharge -- Section 1141(d)(3) IS applicable.]

In accordance with § 1141(d)(3) of the Code, the Debtor will not receive any discharge of debt in this bankruptcy

case.

[Discharge -- Section 1141(d)(3) IS NOT applicable; use one of the alternatives below]

[The following 3 alternatives apply to cases in which a discharge is applicable and the Debtor DID NOT elect to proceed under Subchapter V of Chapter

11.]

[Discharge if the Debtor is an individual and did not proceed under Subchapter V]

Confirmation of this Plan does not discharge any debt provided for in this Plan until the court grants a discharge on

completion of all payments under this Plan, or as otherwise provided in § 1141(d)(5) of the Code. The Debtor will

not be discharged from any debt excepted from discharge under § 523 of the Code, except as provided in Rule

4007(c) of the Federal Rules of Bankruptcy Procedure.

[Discharge if the Debtor is a partnership and did not proceed under Subchapter V]

On the effective date of this Plan, the Debtor will be discharged from any debt that arose before confirmation of this

Plan, to the extent specified in § 1141(d)(1)(A) of the Code. The Debtor will not be discharged from any debt

imposed by this Plan.

[Discharge if the Debtor is a corporation and did not proceed under Subchapter V]

On the effective date of this Plan, the Debtor will be discharged from any debt that arose before confirmation of this

Plan, to the extent specified in § 1141(d)(1)(A) of the Code, except that the Debtor will not be discharged of any debt:

(i) imposed by this Plan; or

(ii) to the extent provided in § 1141(d)(6).

[The following 3 alternatives apply to cases in which the Debtor DID elect to proceed under Subchapter V of Chapter 11.]

[Discharge if the Debtor is an individual under Subchapter V]

If the Debtor’s Plan is confirmed under § 1191(a), on the effective date of the Plan, the Debtor will be discharged from any

debt that arose before confirmation of this Plan, to the extent specified in § 1141(d)(1)(A) of the Code. The Debtor will not

be discharged from any debt:

(i) imposed by this Plan; or

(ii) excepted from discharge under § 523(a) of the Code, except as provided in Rule 4007(c) of the

Federal Rules of Bankruptcy Procedure.

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 5

Debtor Name

_______________________________________________________

Case number_____________________________________

If the Debtor’s Plan is confirmed under § 1191(b), confirmation of the Plan does not discharge any debt provided for in this

Plan until the court grants a discharge on completion of all payments due within the first 3 years of this Plan, or as

otherwise provided in § 1192 of the Code. The Debtor will not be discharged from any debt:

(i) on which the last payment is due after the first 3 years of the plan, or as otherwise provided in § 1192;

(ii) excepted from discharge under § 523(a) of the Code, except as provided in Rule 4007(c) of the

Federal Rules of Bankruptcy Procedure.

[Discharge if the Debtor is a partnership under Subchapter V]

If the Debtor’s Plan is confirmed under § 1191(a), on the effective date of the Plan, the Debtor will be discharged from any

debt that arose before confirmation of this Plan, to the extent specified in § 1141(d)(1)(A) of the Code. The Debtor will not

be discharged from any debt imposed by this Plan.

If the Debtor’s Plan is confirmed under § 1191(b), confirmation of the Plan does not discharge any debt provided for in this

Plan until the court grants a discharge on completion of all payments due within the first 3 years of this Plan, or as

otherwise provided in § 1192 of the Code. The Debtor will not be discharged from any debt:

(i) on which the last payment is due after the first 3 years of the plan, or as otherwise provided in § 1192;

(ii) excepted from discharge under § 523(a) of the Code, except as provided in Rule 4007(c) of the

Federal Rules of Bankruptcy Procedure.

[Discharge if the Debtor is a corporation under Subchapter V]

If the Debtor’s Plan is confirmed under § 1191(a), on the effective date of the Plan, the Debtor will be discharged from any

debt that arose before confirmation of this Plan, to the extent specified in § 1141(d)(1)(A) of the Code, except that the

Debtor will not be discharged of any debt:

(i) imposed by this Plan; or

(ii) to the extent provided in § 1141(d)(6).

If the Debtor’s Plan is confirmed under § 1191(b), confirmation of this Plan does not discharge any debt provided for in this

Plan until the court grants a discharge on completion of all payments due within the first 3 years of this Plan, or as

otherwise provided in § 1192 of the Code. The Debtor will not be discharged from any debt:

(i) on which the last payment is due after the first 3 years of the plan, or as otherwise provided in § 1192;

(ii) excepted from discharge under § 523(a) of the Code, except as provided in Rule 4007(c) of the

Federal Rules of Bankruptcy Procedure.

Article 10: Other Provisions

[Insert other provisions, as applicable.]

Respectfully submitted,

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 6

Debtor Name

_______________________________________________________



Case number_____________________________________

____________________________________________________

[Signature of the Plan Proponent]

[Printed Name]



____________________________________________________

[Signature of the Attorney for the Plan Proponent]

[Printed Name]

Official Form 425A

Plan of Reorganization for Small Business Under Chapter 11

page 7

B2000 (Form 2000) (02/20)

UNITED STATES BANKRUPTCY COURT

REQUIRED LISTS, SCHEDULES, STATEMENTS, AND FEES

Voluntary Chapter 7 Case

☐

Filing Fee of $245. If the fee is to be paid in installments or the debtor requests a waiver of the fee, the debtor must be an individual and must

file a signed application for court approval. Official Form 103A or 103B and Fed.R.Bankr.P. 1006(b), (c).

☐

Administrative fee of $75 and trustee surcharge of $15. If the debtor is an individual and the court grants the debtor’s request, these fees are

payable in installments or may be waived.

☐

Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101) or Voluntary Petition for Non-Individuals Filing for

Bankruptcy (Official Form 201); Names and addresses of all creditors of the debtor. Must be filed WITH the petition. Fed.R.Bankr.P. 1007(a)(1).

☐

Notice to Individual Debtor with Primarily Consumer Debts under 11 U.S.C. § 342(b) (Director’s Form 2010), if applicable. Required if

the debtor is an individual with primarily consumer debts. The notice must be GIVEN to the debtor before the petition is filed. Certification that the

notice has been given must be FILED with the petition or within 15 days. 11 U.S.C. §§ 342(b), 521(a)(1)(B)(iii), 707(a)(3). Official Form 101 contains

spaces for the certification.

☐

Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119). Required if a “bankruptcy petition preparer”

prepares the petition. Must be submitted WITH the petition. 11 U.S.C. § 110(b)(2).

☐

Statement About Your Social Security Numbers (Official Form 121). Required if the debtor is an individual. Must be submitted WITH the

petition. Fed.R.Bankr.P. 1007(f).

☐

Credit Counseling Requirement (Official Form 101); Certificate of Credit Counseling and Debt Repayment Plan, if applicable; Section

109(h)(3) certification or § 109(h)(4) request, if applicable. If applicable, the Certificate of Credit Counseling and Debt Repayment Plan must be filed

with the petition or within 14 days. If applicable, the § 109(h)(3) certification or the § 109(h)(4) request must be filed WITH the petition. Fed.R.Bankr.P.

1007(b)(3), (c).

☐

Statement disclosing compensation paid or to be paid to a “bankruptcy petition preparer” (Director’s Form 2800). Required if a

“bankruptcy petition preparer” prepares the petition. Must be submitted WITH the petition. 11 U.S.C. §110(h)(2).

☐

Statement of Your Current Monthly Income (Official Form 122A). Required if the debtor is an individual. Must be filed with the petition

or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Schedules of assets and liabilities (Official Forms 106 or 206). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b),(c).

☐

Schedule of Executory Contracts and Unexpired Leases (Schedule G of Official Form 106 or 206). Must be filed with the petition or within

14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Schedules of Your Income and Your Expenses (Schedules I and J of Official Form 106). If the debtor is an individual, Schedules I and J of

Official Form 106 must be filed with the petition or within 14 days. 11 U.S.C. § 521(1) and Fed.R.Bankr.P. 1007(b), (c).

☐

Statement of financial affairs (Official Form 107 or 207). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Copies of all payment advices or other evidence of payment received by the debtor from any employer within 60 days before the filing of

the petition. Required if the debtor is an individual. Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Statement of Intention for Individuals Filing Under Chapter 7 (Official Form 108). Required ONLY if the debtor is an individual and the

schedules of assets and liabilities contain debts secured by property of the estate or personal property subject to an unexpired lease. Must be filed within

30 days or by the date set for the Section 341 meeting of creditors, whichever is earlier. 11 U.S.C. §§ 362(h) and 521(a)(2).

☐

Statement disclosing compensation paid or to be paid to the attorney for the debtor (Director's Form 2030). Required if the debtor is

represented by an attorney. Must be filed within 14 days or any other date set by the court. 11 U.S.C. § 329 and Fed.R.Bankr.P. 2016(b).

☐

Certification About a Financial Management Course (Official Form 423), if applicable. Required if the debtor is an individual, unless the

course provider has notified the court that the debtor has completed the course. Must be filed within 60 days of the first date set for the meeting of

creditors. 11 U.S.C. § 727(a)(11) and Fed.R.Bankr.P. 1007(b)(7), (c).

B2000 (Form 2000) (02/20)

REQUIRED LISTS, SCHEDULES, STATEMENTS, AND FEES

Voluntary Chapter 11 Case

☐

Filing fee of $1,167. If the fee is to be paid in installments, the debtor must be an individual and must file a signed application for court

approval. Official Form 103A and Fed.R.Bankr.P. 1006(b).

☐

Administrative fee of $550. If the debtor is an individual and the court grants the debtor’s request, this fee is payable in installments.

☐

United States Trustee quarterly fee. The debtor, or trustee if one is appointed, is required also to pay a fee to the United States trustee at the

conclusion of each calendar quarter until the case is dismissed or converted to another chapter. The calculation of the amount to be paid is set out in 28

U.S.C. § 1930(a)(6). As authorized by 28 U.S.C. § 1930(a)(7), the quarterly fee is paid to the clerk of court in chapter 11 cases in Alabama and North

Carolina.

☐

Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101) or Voluntary Petition for Non-Individuals Filing for

Bankruptcy (Official Form 201); Names and addresses of all creditors of the debtor. Must be filed WITH the petition. Fed.R.Bankr.P. 1007(a)(1).

☐

Notice to Individual Debtor with Primarily Consumer Debts under 11 U.S.C. § 342(b) (Director's Form 2010), if applicable. Required if

the debtor is an individual with primarily consumer debts. The notice must be GIVEN to the debtor before the petition is filed. Certification that the

notice has been given must be FILED with the petition or within 15 days. 11 U.S.C. §§ 342(b), 521(a)(1)(B)(iii), 1112(e). Official Form 101 contains

spaces for the certification.

☐

Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119). Required if a “bankruptcy petition preparer”

prepares the petition. Must be submitted WITH the petition. 11 U.S.C. § 110(b)(2).

☐

Statement About Your Social Security Numbers (Official Form 121). Required if the debtor is an individual. Must be submitted WITH the

petition. Fed.R.Bankr.P. 1007(f).

☐

Credit Counseling Requirement (Official Form 101); Certificate of Credit Counseling and Debt Repayment Plan, if applicable; Section

109(h)(3) certification or § 109(h)(4) request, if applicable. If applicable, the Certificate of Credit Counseling and Debt Repayment Plan must be filed

with the petition or within 14 days. If applicable, the § 109(h)(3) certification or the § 109(h)(4) request must be filed WITH the petition. Fed.R.Bankr.P.

1007(b)(3), (c).

☐

Statement disclosing compensation paid or to be paid to a “bankruptcy petition preparer” (Director’s Form 2800). Required if a

“bankruptcy petition preparer” prepares the petition. Must be submitted WITH the petition. 11 U.S.C. §110(h)(2).

☐

Statement of Your Current Monthly Income (Official Form 122B). Required if the debtor is an individual unless the case is filed under

subchapter V. Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims Against You and Are Not Insiders

(Official Form 104) or Chapter 11 or Chapter 9 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims and Are Not Insiders

(Official Form 204). Must be filed WITH the petition. Fed.R.Bankr.P. 1007(d).

☐

Names and addresses of equity security holders of the debtor. Must be filed with the petition or within 14 days, unless the court orders

otherwise. Fed.R.Bankr.P. 1007(a)(3).

☐

Schedules of Assets and Liabilities (Official Form 106 or 206). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b),

(c).

☐

Schedule of Executory Contracts and Unexpired Leases (Schedule G of Official Form 106 or 206). Must be filed with the petition or within

14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Schedules of Current Income and Expenditures. If the debtor is an individual, Schedules I and J of Official Form 106 must be used for this

purpose. Must be filed with the petition or within 14 days. 11 U.S.C. § 521(1) and Fed.R.Bankr.P. 1007(b), (c).

☐

Statement of Financial Affairs (Official Form 107 or 207). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Copies of all payment advices or other evidence of payment received by debtor from any employer within 60 days before the filing of the

petition. Required if the debtor is an individual. Must be filed WITH the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Statement disclosing compensation paid or to be paid to the attorney for the debtor (Director’s Form 2030), if applicable. Required if the

debtor is represented by an attorney. Must be filed within 14 days or any other date set by the court. 11 U.S.C. § 329 and Fed.R.Bankr.P. 2016(b).

☐

Certification About a Financial Management Course (Official Form 423), if applicable. Required if the debtor is an individual and §

1141(d)(3) applies, unless the course provider has notified the court that the debtor has completed the course. Must be filed no later than the date of the

last payment under the plan or the filing of a motion for a discharge under § 1141(d)(5)(B). 11 U.S.C. § 1141(d)(3) and Fed.R.Bankr.P. 1007(b)(7), (c).

☐

Statement concerning pending proceedings of the kind described in § 522(q)(1), if applicable. Required if the debtor is an individual and

has claimed exemptions under state or local law as described in § 522(b)(3) in excess of $170,350*. Must be filed no later than the date of the last

payment made under the plan or the date of the filing of a motion for a discharge under § 1141(d)(5)(B). 11 U.S.C. § 1141(d)(5)(C) and Fed.R.Bankr.P.

1007(b)(8), (c).

* Amount subject to adjustment on 4/01/22, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

B2000 (Form 2000) (02/20)

REQUIRED LISTS, SCHEDULES, STATEMENTS, AND FEES

Chapter 12 Case

☐

Filing Fee of $200. If the fee is to be paid in installments, the debtor must be an individual and must file a signed application for court

approval. Official Form 103A and Fed.R.Bankr.P. 1006(b).

☐

Administrative fee of $75. If the debtor is an individual and the court grants the debtor's request, this fee is payable in installments.

☐

Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101) or Voluntary Petition for Non-Individuals Filing for

Bankruptcy (Official Form 201). Names and addresses of all creditors of the debtor. Must be filed WITH the petition. Fed.R.Bankr.P. 1007(a)(1).

☐

Notice to Individual Debtor with Primarily Consumer Debts under 11 U.S.C. § 342(b) (Director's Form 2010), if applicable. Required if

the debtor is an individual with primarily consumer debts. The notice must be GIVEN to the debtor before the petition is filed. Certification that the

notice has been given must be FILED with the court in a timely manner. 11 U.S.C. §§ 342(b), 521(a)(1)(B)(iii). Official Form 101 contains spaces for the

certification.

☐

Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119). Required if a “bankruptcy petition preparer”

prepares the petition. Must be submitted WITH the petition. 11 U.S.C. § 110(b)(2).

☐

Statement of Your Social Security Numbers (Official Form 121). Required if the debtor is an individual. Must be submitted WITH the

petition. Fed.R.Bankr.P. 1007(f).

☐

Credit Counseling Requirement (Official Form 101); Certificate of Credit Counseling and Debt Repayment Plan, if applicable; Section

109(h)(3) certification or § 109(h)(4) request, if applicable. If applicable, the Certificate of Credit Counseling and Debt Repayment Plan must be filed

with the petition or within 14 days. If applicable, the § 109(h)(3) certification or the § 109(h)(4) request must be filed WITH the petition. Fed.R.Bankr.P.

1007(b)(3), (c).

☐

Statement disclosing compensation paid or to be paid to a “bankruptcy petition preparer” (Director’s Form 2800). Required if a

“bankruptcy petition preparer” prepares the petition. Must be submitted WITH the petition. 11 U.S.C. §110(h)(2).

☐

(c).

Schedules of Assets and Liabilities (Official Form 106 or 206). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b),

☐

Schedule of Executory Contracts and Unexpired Leases (Schedule G of Official Form 106 or 206). Must be filed with the petition or within

14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Schedules of Current Income and Expenditures. If the debtor is an individual, Schedule I and J of Official Form 106 must be used for this

purpose. Must be filed with the petition or within 14 days. 11 U.S.C. § 521(1) and Fed.R.Bankr.P. 1007(b), (c).

☐

Statement of Financial Affairs (Official Form 107 or 207). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Copies of all payment advices or other evidence of payment received by the debtor from any employer within 60 days before the filing of the

petition if the debtor is an individual. Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

☐

Statement disclosing compensation paid or to be paid to the attorney for the debtor (Director’s Form 2030), if applicable. Must be filed

within 14 days or any other date set by the court. 11 U.S.C. § 329 and Fed.R.Bankr.P. 2016(b).

☐

Chapter 12 Plan. Must be filed within 90 days. 11 U.S.C. § 1221.

☐

Statement concerning pending proceedings of the kind described in § 522(q)(1), if applicable. Required if the debtor is an individual and

has claimed exemptions under state or local law as described in §522(b)(3) in excess of $170,350*. Must be filed no later than the date of the last payment

made under the plan or the date of the filing of a motion for a discharge under § 1228(b). 11 U.S.C. § 1228(f) and Fed.R.Bankr.P. 1007(b)(8), (c).

* Amount subject to adjustment on 4/01/22, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

B2000 (Form 2000) (02/20)

REQUIRED LISTS, SCHEDULES, STATEMENTS, AND FEES

Chapter 13 Case

☐

Filing fee of $235. If the fee is to be paid in installments, the debtor must file a signed application for court approval. Official Form 103A and

Fed.R.Bankr.P. 1006(b).

☐

Administrative fee of $75. If the court grants the debtor’s request, this fee is payable in installments.

☐

Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101). Names and addresses of all creditors of the debtor. Must

be filed WITH the petition. Fed.R.Bankr.P. 1007(a)(1).

☐

Notice to Individual Debtor with Primarily Consumer Debts under 11 U.S.C. § 342(b) (Director’s Form 2010), if applicable. Required if

the debtor is an individual with primarily consumer debts. The notice must be GIVEN to the debtor before the petition is filed. Certification that the

notice has been given must be FILED with the petition or within 15 days. 11 U.S.C. §§ 342(b), 521(a)(1)(B)(iii), 1307(c)(9). Official Form 101 contains

spaces for the certification.

☐

Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119). Required if a “bankruptcy petition preparer”

prepares the petition. Must be submitted WITH the petition. 11 U.S.C. § 110(b)(2).

☐

Statement of Social Security Number (Official Form 121). Must be submitted WITH the petition. Fed.R.Bankr.P. 1007(f).

☐

Credit Counseling Requirement (Official Form 101); Certificate of Credit Counseling and Debt Repayment Plan, if applicable; Section

109(h)(3) certification or § 109(h)(4) request, if applicable. If applicable, the Certificate of Credit Counseling and Debt Repayment Plan must be filed

with the petition or within 14 days. If applicable, the § 109(h)(3) certification or the § 109(h)(4) request must be filed WITH the petition. Fed.R.Bankr.P.

1007(b)(3), (c).

☐

Statement disclosing compensation paid or to be paid to a “bankruptcy petition preparer” (Director's Form 2800). Required if a

“bankruptcy petition preparer” prepares the petition. Must be submitted WITH the petition. 11 U.S.C. §110(h)(2).

☐

Statement of Your Current Monthly Income (Official Form 122C). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007.

☐

Schedules of Assets and Liabilities (Official Form 106). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

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Schedule of Executory Contracts and Unexpired Leases (Schedule G of Official Form 106). Must be filed with the petition or within 14

days. Fed.R.Bankr.P. 1007(b), (c).

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Schedules of Current Income and Expenditures (Schedules I and J of Official Form 106). Must be filed with the petition or within 14 days.

11 U.S.C. § 521(1) and Fed.R.Bankr.P. 1007(b), (c).

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Statement of Financial Affairs (Official Form 107). Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

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Copies of all payment advices or other evidence of payment received by the debtor from any employer within 60 days before the filing of

the petition. Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 1007(b), (c).

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Chapter 13 Plan. (Official Form 113), or local form plan (check with your local court for required plan version). Fed.R.Bankr.P

3015.1. Must be filed with the petition or within 14 days. Fed.R.Bankr.P. 3015.

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Statement disclosing compensation paid or to be paid to the attorney for the debtor (Director’s Form 2030), if applicable. Must be filed

within 14 days or any other date set by the court. 11 U.S.C. § 329 and Fed.R.Bankr.P. 2016(b).

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Certification About a Financial Management Course (Official Form 423), if applicable. Must be filed no later than the date of the last

payment made under the plan or the date of the filing of a motion for a discharge under § 1328(b), unless the course provider has notified the court that the

debtor has completed the course. 11 U.S.C. § 1328(g)(1) and Fed.R.Bankr.P. 1007(b)(7), (c).

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Statement concerning pending proceedings of the kind described in § 522(q)(1), if applicable. Required if the debtor has claimed

exemptions under state or local law as described in §522(b)(3) in excess of $170,350*. Must be filed no later than the date of the last payment made under

the plan or the date of the filing of a motion for a discharge under § 1328(b). 11 U.S.C. § 1328(h) and Fed.R.Bankr.P. 1007(b)(8), (c).

* Amount subject to adjustment on 4/01/22, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.