Fill in this information to identify the case: Debtor __________________________________________________________________ (State) United States Bankruptcy Court for the: ______________________ District of __________ Case number (If known) ___________________________________________ Check if this is an Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims amended filing 12/15 Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY unsecured claims and Part 2 for creditors with NONPRIORITY unsecured claims. List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Assets - Real and Personal Property (Official Form 206A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 206G). Number the entries in Parts 1 and 2 in the boxes on the left. If more space is needed for Part 1 or Part 2, fill out and attach the Additional Page of that Part included in this form. Part 1: List All Creditors with PRIORITY Unsecured Claims 1. Do any creditors have priority unsecured claims? (See 11 U.S.C. § 507). No. Go to Part 2. Yes. Go to line 2. 2. List in alphabetical order all creditors who have unsecured claims that are entitled to priority in whole or in part. If the debtor has more than 3 creditors with priority unsecured claims, fill out and attach the Additional Page of Part 1. Total claim Priority amount $_________________ 2.1 Priority creditor's name and mailing address __________________________________________________________________ As of the petition filing date, the claim is: $______________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) Check all that apply. Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes 2.2 Priority creditor's name and mailing address __________________________________________________________________ As of the petition filing date, the claim is: $______________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) Check all that apply. $_________________ Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes 2.3 Priority creditor's name and mailing address __________________________________________________________________ As of the petition filing date, the claim is: $______________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) Check all that apply. $_________________ Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims American LegalNet, Inc. www.FormsWorkFlow.com page 1 of ___ Debtor _______________________________________________________ Name Case number (if known)_____________________________________ Part 1. Additional Page Copy this page if more space is needed. Continue numbering the lines sequentially from the previous page. If no additional PRIORITY creditors exist, do not fill out or submit this page. Priority creditor's name and mailing address As of the petition filing date, the claim is: _________________________________________________________________ Total claim Priority amount 2._ $______________________ $_________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) 2._ Check all that apply. Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes Priority creditor's name and mailing address As of the petition filing date, the claim is: _________________________________________________________________ $______________________ $_________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) 2._ Check all that apply. Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes Priority creditor's name and mailing address As of the petition filing date, the claim is: _________________________________________________________________ $______________________ $_________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) 2._ Check all that apply. Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes Priority creditor's name and mailing address _________________________________________________________________ As of the petition filing date, the claim is: $______________________ $_________________ ___________________________________________ ___________________________________________ Date or dates debt was incurred _________________________________ Last 4 digits of account number ___ ___ ___ ___ Specify Code subsection of PRIORITY unsecured claim: 11 U.S.C. § 507(a) (_____) Check all that apply. Contingent Unliquidated Disputed Basis for the claim: __________________________________ Is the claim subject to offset? No Yes Official Form 206E/F Schedule E/F: Creditors Who Have Unsecured Claims American Lega