Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. & Email Address FOR COURT USE ONLY Debtor(s) appearing without attorney Attorney for: UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re: CASE NO.: CHAPTER: ORDER ON OBJECTIONS TO CLAIMS DATE: TIME: COURTROOM: PLACE: Debtor(s). The Debtor or trustee having filed objections to certain claims, the court having considered the evidence and argument presented in support and in opposition to such objections, if any, and good cause appearing, the court makes the following ruling as to the objections to claims: (NOTES FOR USE OF THIS FORM: List claims in ascending numerical order based upon the clerk's claim number. Use a separate box below for each claim. Attach as many continuation pages as are necessary.) Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured: $ Priority: $ This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. December 2013 Page 1 F 3007-1.1.ORDER.OBJ.CLAM Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured: $ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured:$ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured:$ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured:$ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured:$ Priority: $ This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. December 2013 Page 2 F 3007-1.1.ORDER.OBJ.CLAM Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured: $ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured: $ Priority: $ Calendar Number: Claimant Name: Disallowed Comments: Allowed Claim Number: Claim Amount: $ Unsecured: $ Priority: $ Date: _____________________ United States Bankruptcy Judge This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. December 2013 Page 3 F 3007-1.1.ORDER.OBJ.CLAM