UNITED STATES BANKRUPTCY COURT _________________________ DISTRICT OF ________________________ In re _________________________, Debtor Case No. _______________________ Chapter _______________________ [DO NOT DELETE ANY PROVISION OF THIS FORM. MARK PROVISIONS THAT DO NOT APPLY AS N/A. ANY ADDITIONAL PROVISIONS MUST BE RECITED IN PART V. G.] CHAPTER 13 PLAN INCLUDING VALUATION OF COLLATERAL AND CLASSIFICATION OF CLAIMS Date of Plan:________________________ I. RELEVANT INFORMATION A. Prior bankruptcies pending within one year of the petition date for this case: Case No. & Chapter Discharge or Dismissal/Conversion Date B. The debtor(s): ____is eligible for a discharge; or ____is not eligible for a discharge and is not seeking a discharge. C. Prior states of domicile: within 730 days______________________________________________ within 910 days______________________________________________. The debtor is claiming exemptions available in the state of _______________________________ or federal exemptions____. D. The debtor owes or anticipates owing a Domestic Support Obligation as defined in 11 U.S.C. § 101(14A). Notice will/should be provided to these parties in interest: E. 1. Parent____________________________________________________________________ 2. Government_______________________________________________________________ 3. Assignee or other___________________________________________________________ The debtor _____has provided the Trustee with the phone number of the Domestic Support Obligation recipient or _____cannot provide the phone number because it is not available. F. The current monthly income of the debtor, as reported on Interim Form B22C is: _____below _____equal to or ______above the applicable median income. II. PLAN ANALYSIS A. Total Debt Provided for under the Plan and Administrative Expenses 1. Total Priority Claims (Class One) a. Unpaid attorney’s fees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total attorney’s fees are estimated to be $_______________ of which $_______________ has been prepaid. b. Unpaid attorney’s costs (estimated) . . . . . . . . . . . . . . . . . . . . . c. Total Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Federal: $_______________; State: $_______________ d. Other . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. Total of payments to cure defaults (Class Two) . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ . . . . . . . . . $_______________ . . . . . . . . . $_______________ . . . . . . . . . $_______________ . . . . . . . . . $_______________ Transitional Local Bankruptcy Form 3015-1, 13 Plan American LegalNet, Inc. www.FormsWorkflow.com 3. 4. 5. 6. 7. Total payment on secured claims (Class Three) . . . . . . . Total of payments on unsecured claims (Class Four) . . . . Sub-total . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Total trustee's compensation (10% of debtor's payments) Total debt and administrative expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ $_______________ $_______________ $_______________ $_______________ B. Reconciliation with Chapter 7 THE PROPERTY VALUES SET FORTH BELOW ARE LIQUIDATION VALUES RATHER THAN REPLACEMENT VALUES WHICH MAY APPEAR IN CLASS THREE IN THE PLAN. 1. Assets available to Class Four unsecured creditors if Chapter 7 filed: a. Value of debtor's interest in non-exempt property . . . . . . . . . . . . . . . . . . . . $_______________ Property FMV Less costs of sale Less Liens X Debtor's Interest b. Plus: value of property recoverable under avoiding powers c. Less: estimated Chapter 7 administrative expenses . . . . . d. Less: amounts payable to priority creditors other than costs of administration . . . . . . . . . . . . . . . . . . . . . . . . . . e. Equals: estimated amount payable to Class Four creditors if Chapter 7 filed (if negative, enter zero) . . . . . . . . . . . . Less Exemptions = Net Value . . . . . . . . . . . . . . $_______________ . . . . . . . . . . . . . . $_______________ . . . . . . . . . . . . . . $_______________ . . . . . . . . . . . . . . $_______________ 2. Estimated payment to Class Four unsecured creditors under the Chapter 13 Plan plus any funds recovered from “other property” described in Section III.A.3 below. . . . $_______________ III. PROPERTIES AND FUTURE EARNINGS SUBJECT TO THE SUPERVISION AND CONTROL OF THE TRUSTEE A. The debtor submits to the supervision and control of the Trustee all or such portion of the debtor's future earnings or other future income as is necessary for the execution of the Plan, including: 1. Future earnings of $_________________ per month which shall be paid to the trustee for a period of approximately______________months, beginning____________________, 20____. Amount Number of Months Total One time payment and date 2. 3. Amounts for the payment of Class Five post-petition claims included in above . . . . $_______________ Other property (specify):_______________________________________________________________. AT THE TIME THE FINAL PLAN PAYMENT IS SUBMITTED TO THE TRUSTEE, THE DEBTOR SHALL FILE WITH THE COURT THE CERTIFICATION REGARDING DOMESTIC SUPPORT OBLIGATIONS REQUIRED BY 11 U.S.C. § 1328(a) AND, IF NOT ALREADY FILED, INTERIM FORM B23 REGARDING COMPLETION OF FINANCIAL MANAGEMENT INSTRUCTION REQUIRED BY 11 U.S.C. § 1328(g)(1). 2 American LegalNet, Inc. www.FormsWorkflow.com B. Debtor agrees to make payments under the Plan as follows: ___VOLUNTARY WAGE ASSIGNMENT TO EMPLOYER: (Employer’s Name, address, telephone number) ___________________________________________ ___________________________________________ ___________________________________________ (____) _____________________________________ ___ DIRECT PAYMENT: From debtor to Trustee Paid in the following manner: $_______________to be deducted _________________ (weekly, monthly, per pay period, etc.) IV. CLASSIFICATION AND TREATMENT OF CLAIMS CREDITOR RIGHTS MAY BE AFFECTED. A WRITTEN OBJECTION MUST BE FILED IN ORDER TO CONTEST THE TERMS OF THIS PLAN. CREDITORS OTHER THAN THOSE IN CLASS TWO A AND CLASS THREE MUST FILE TIMELY PROOFS OF CLAIM IN ORDER TO RECEIVE THE APPLICABLE PAYMENTS. A. Class One – Claims entitled to priority under 11 U.S.C. § 507. Unless other provision is made in paragraph V.(C), each creditor in Class One shall be paid in full in deferred cash payments prior to the commencement of distributions to any other class (except that the payments to the Trustee shall be made by deduction from each payment made by the debtor to the Trustee) as follows: 1. Allowed administrative expenses a. Trustee's compensation (10% of amounts paid by debtor under this Plan) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ b. Attorney's Fees (estimated and subject to allowance) . . . . . . . . . . . . . . . . . . $_______________ c. Attorney's Costs (estimated and subject to allowance) . . . . . . . . . . . . . . . . . $_______________ 2. Other priority claims to be paid in the order of distribution provided by 11 U.S.C. § 507 (if none, indicate) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ a. Domestic Support Obligations: A proof of claim must be timely filed in order for the Trustee to distribute amounts provided by the plan. Priority support arrearage: Debtor owes past due support to _____________________________ in the total amount of $___________________ that will be paid as follows: [ ] Distributed by the Trustee pursuant to the terms of the Plan; or [ ] Debtor is making monthly payments via a wage order [ ] or directly [ ] (reflected on Schedule I or J) in the amount of $_________________ to ________________________ _________________________. Of that monthly amount, $_____________is for current support payments and $_______________is to pay the arrearage. Other: For the duration of the plan, during the anniversary month of confirmation, the debtor shall file with the Court and submit to the Trustee an update of the required information regarding Domestic Support Obligations and the status of required payments. b. c. d. e. [ ] Federal Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ State Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $_______________ Other Taxes (describe):_____________________________________________ $_______________ Other Class One Claims (if any) (describe): _____________________________ $_______________ None 3 American LegalNet, Inc. www.FormsWorkflow.com B. Class Two – Defaults 1. Class Two A (if none, indicate) – Claims set forth below are secured only by an interest in real property that is the debtor's principal residence. Defaults shall be cured and regular payments shall be made: [ ] None Total Default Amount to be Cured 1 Creditor Interest Rate Total Amount to Cure Arrearage Regular Payment per No. of _________ (i.e. month, Months to week, etc.) to be Made Cure Directly to Creditor and Date of First Payment 2. Class Two B (if none, indicate) – Pursuant to 11 U.S.C. § 1322(b)(5), secured (other than claims secured only by an interest in real property that is the debtor's principal residence) or unsecured claims set forth below on which the last payment is due after the date on which the final payment under the Plan is due. Defaults shall be cured and regular payments shall be made: [ Creditor ] None Collateral Regular Payment per __________(i.e. Total Amount No. of Total Default Interest month, week, etc.) to to Cure Months to Amount to Rate be Made Directly to Arrearage Cure be Cured 2 Creditor and Date of First Payment 1 The lesser of this amount or the amount specified in the Proof of Claim. 2 The lesser of this amount or the amount specified in the Proof of Claim. 4 American LegalNet, Inc. www.FormsWorkflow.com 3. Class Two C – Executory contracts and unexpired leases. Executory contracts and unexpired leases are rejected, except the following which are assumed: Property, if any, Other Party to Lease Subject to the or Contract Contract or Lease Total Amount to Cure, if any No. of Months to Cure Regular Monthly Payment Made Directly to Creditor and Date of Payment IN THE EVENT THAT DEBTOR REJECTS THE LEASE OR CONTRACT, CREDITOR SHALL FILE A PROOF OF CLAIM OR AMENDED PROOF OF CLAIM REFLECTING THE REJECTION OF THE LEASE OR CONTRACT WITHIN 30 DAYS OF THE ENTRY OF THE ORDER CONFIRMING THIS PLAN, FAILING WHICH THE CLAIM MAY BE BARRED. C. Class Three – All other allowed secured claims (other than those designated in Classes Two A and Two B above) shall be divided into separate classes to which 11 U.S.C. § 506 shall or shall not apply as follows: 1. Secured claims subject to 11 U.S.C. § 506. The following creditors shall retain the liens securing their claims until discharge under 11 U.S.C. § 1328 or payment in full under nonbankruptcy law, and they shall be paid the amount specified which represents the lesser of: a. The value of their collateral or b. the remaining balance payable on the debt over the period required to pay the sum in full. Creditor Specify Replacement Treatment Description of Value of (select a or b Collateral Collateral above) Amount of Debt as Scheduled Interest Total Amount Rate Payable IF DEBTOR IS PROPOSING TO MODIFY THE RIGHTS OF A SECURED CREDITOR, DEBTOR MUST SPECIFICALLY SERVE SUCH CREDITOR IN THE MANNER SPECIFIED IN FED.R.BANKR.P. 9014 AND 7004. 2. Secured claims to which 11 U.S. C. § 506 shall not apply. The following creditors shall retain the liens securing their claims, and they shall be paid the amount specified which represents the remaining balance payable on the debt over the period required to pay the sum in full: Creditor Description of Collateral Amount of Debt as Scheduled Interest Rate Total Amount Payable 5 American LegalNet, Inc. www.FormsWorkflow.com 3. The debtor surrenders the following property securing an allowed secured claim to the holder of such claim: Creditor Property Anticipated Date of Surrender Relief from the automatic stay to permit enforcement of the liens encumbering surrendered property shall be deemed granted by the Court at the time of confirmation of this Plan. With respect to property surrendered, no distribution on the creditor’s claim shall be made unless that creditor files a proof of claim or an amended proof of claim to take into account the surrender of the property. 4. Adequate Protection: The following creditor(s) shall receive payments in the nature of adequate protection pursuant to T.L.B.R. 2083-1, if applicable, or upon confirmation of the plan as follows: Creditor [ Collateral Adequate Protection Adequate Protection Total Payable Payment Paid Payment Paid By Monthly in Equal Through the Trustee the debtor(s) Periodic Payments ] None D. Class Four – Allowed unsecured claims not otherwise referred to in the Plan. Class Four Claims are provided for in an amount not less than the greater of: 1. 2. The amount necessary to meet the best interests of creditors pursuant to 11 U.S.C. § 1325(a)(4) as set forth in Part II; or Total disposable income for the applicable commitment period defined by 11 U.S.C. § 1325(b)(1)-(4). The monthly disposable income of $_______________ has been calculated on Form B22C (Chapter 13). Total disposable income is $________________which is the product of monthly disposable income of _____________________ times the applicable commitment period of ________________________. a. [ ] b. [ ] Class Four claims are of one class and shall be paid pro rata the sum of $_______________ and shall be paid all funds remaining after payment by the Trustee of all prior classes; or A timely filed claim, found by the Court to be non-dischargeable pursuant to 11 U.S.C. § 523(a)(2), (4), or (6), will share in the distribution to Class Four. Collection of the balance is stayed until the case is dismissed, converted to a Chapter 7 or discharge enters, unless ordered otherwise. Class Four claims are divided into more than one class as follows: _________________________________________________________________________ ________________________________________________________________________. E. Class Five (if none, indicate) – Post-petition claims allowed under 11 U.S.C. § 1305. Post-petition claims allowed under 11 U.S.C. § 1305 shall be paid as follows: ________________ ______________________________________________________________________________ ______________________________________________________________________________. [ ] None 6 American LegalNet, Inc. www.FormsWorkflow.com V. OTHER PROVISIONS A. Payment will be made directly to the creditor by the debtor(s) on the following claims: Creditor Monthly Payment Amount Collateral, if any No. of Months to Payoff B. The effective date of this Plan shall be the date of entry of the Order of Confirmation. C. Order of Distribution: 1. [ ] The amounts to be paid to the Class One creditors shall be paid in full, except that the Chapter 13 Trustee’s fee shall be paid up to, but not more than, the amount accrued on actual payments made to date. After payment of the Class One creditors, the amounts to be paid to cure the defaults of the Class Two A, Class Two B and Class Two C creditors shall be paid in full before distributions to creditors in Classes Three, Four, and Five (strike any portion of this sentence which is not applicable). The amounts to be paid to the Class Three creditors shall be paid in full before distributions to creditors in Classes Four and Five. Distributions under the plan to unsecured creditors will only be made to creditors whose claims are allowed and are timely filed pursuant to Fed.R.Bankr.P. 3002 and 3004 and after payments are made to Classes One, Two A, Two B, Two C and Three above in the manner specified in Section IV. 2. [ ] Distributions to classes of creditors shall be in accordance with the order set forth above, except:______________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________. D. Motions to Void Liens under 11 U.S.C. § 522(f). In accordance with Fed.R.Bankr.P. 4003(d), the debtor intends to file or has filed, by separate motion served in accordance with Fed.R.Bankr.P. 7004, a motion to void lien pursuant to 11 U.S.C. § 522(f) as to the secured creditors listed below: Creditor Date Motion to Void Lien Filed Collateral, if any Date of Order Granting Motion or Pending E. Student Loans: [ [ ] ] No student loans Student loans are to be treated as follows:______________________________________ _______________________________________________________________________. 7 American LegalNet, Inc. www.FormsWorkflow.com F. Restitution: [ [ ] ] [ ] No restitution owed Debtor owes restitution in the total amount of $_______________which is paid directly to ______________________________in the amount of $_______________per month for a period of ___________ months. Debtor owes restitution to be paid as follows:___________________________________. G. Other (list all additional provisions here):_____________________________________________ _______________________________________________________________________________________ ______________________________________________________________________________________. VI. REVESTMENT OF PROPERTY IN DEBTOR All property of the estate shall vest in the debtor at the time of confirmation of this Plan. VII. INSURANCE Insurance in an amount to protect liens of creditors holding secured claims is currently in effect and will [ ] will not [ ] (check one) be obtained and kept in force throughout the period of the Plan. Creditor to Whom This Applies [ ] Collateral Covered Insurance Company, Policy No. Coverage Amount and Agent Name, Address and Telephone No. Applicable policies will be endorsed to provide a clause making the applicable creditor a loss payee of the policy. VIII. POST-CONFIRMATION MODIFICATION The debtor shall file and serve upon all parties in interest a modified plan which will provide for allowed priority and allowed secured claims which were not filed and/or liquidated at the time of confirmation. The value of property to satisfy 11 U.S.C. § 1325(a)(4) may be increased or reduced with the modification if appropriate. The modification will be filed no later than one year after the petition date. Failure of the debtor to file the modification may be grounds for dismissal. Dated: ___________________________________ _______________________________________ Signature of Debtor _________________________________________ Signature of Attorney for Debtor, or of Pro Se Debtor _______________________________________ Signature of Co-Debtor Spouse _________________________________________ Attorney’s or Pro Se Debtor’s Address _________________________________________ City, State and Zip Code _________________________________________ Telephone Number 8 American LegalNet, Inc. www.FormsWorkflow.com