LOCAL BANKRUPTCY FORM 3017-2.1 United States Bankruptcy Court _______________ District Of _______________ In re __________________________________________, [Set forth here all names including married, maiden, and trade names used by debtor within last 8 years.] Debtor ) ) ) ) ) Case No. ________________ ) Address ________________________________________ ) ) ________________________________________ ) Chapter ___________ ) Last four digits of Social-Security or Individual TaxPayer-Identification (ITIN) No(s).,(if any): ___________ ) ______________________________________________ ) Employer Tax-Identification (EIN) No(s).(if any): _____ ) _______________________________________________ ) American LegalNet, Inc. www.FormsWorkFlow.com ORDER RE: SMALL BUSINESS PLAN WITHOUT SEPARATE DISCLOSURE STATEMENT AND NOTICE OF DEADLINES The debtor is a “small business debtor” as that term is defined in 11 U.S.C. § 101(51D). , the debtor filed a motion pursuant to 11 U.S.C. § 1125(f)(1) On requesting that the court determine that the plan itself provides adequate information and that a separate disclosure statement is not necessary. The court has reviewed the plan and has preliminarily determined that the plan itself provides adequate information and that a separate disclosure statement is not necessary. Therefore, it is ORDERED, and notice is hereby given, that: A. The plan filed by the debtor (or other plan proponent) provides adequate information and a separate disclosure statement is not necessary, subject to final determination after notice and a hearing. B. On or before , counsel for the debtor must file with the court and serve the plan, a copy of this order and a suitable ballot for accepting or rejecting the plan on all creditors, equity security holders, and other parties in interest as provided in FED. R. BANKR. P. 3017(d). C. On or before , counsel for the debtor must file with this court a certificate of service as to the plan, order and ballot. D. , is fixed as the last day for filing written acceptances or rejections of the plan referred to above. E. , is fixed as the last day for filing and serving written objections to the information and disclosures contained in the plan and confirmation of the plan pursuant to FED. R. BANKR. P. 3020(b)(1). F. On or before , counsel for the debtor must prepare and file with this court, a summary report on the ballots. The report must reflect the name of the creditor by class as designated in the plan, the acceptance, rejection, or if no vote cast by the creditor, the amount of each creditor’s claim or amount of each creditor’s vote. The report must be summarized by each class of creditor established in the plan and must indicate if the number of acceptances obtained were by the holders of two-thirds in amount and more than one-half in number of claims in each class voting on the plan. The report must also identify and respond to any timely-filed objections to confirmation. A copy of the report must be served on the United States Trustee, each member of the Unsecured Creditors’ Committee and counsel for the Unsecured Creditors’ Committee, American LegalNet, Inc. www.FormsWorkFlow.com and any party objecting to confirmation of the plan or to the disclosure statement. The original report as filed with the Clerk must have a certificate of service reflecting proper service on the parties as indicated. G. The hearing on confirmation of the plan is scheduled as follows: DATE: TIME: COURTROOM: H. Witnesses and Exhibits: (Insert specific instructions here or refer parties to L.B.R. 9070-1 ). Dated:________________________ BY THE COURT: United States Bankruptcy Judge Commentary [Source: Director’s Procedural Form B13S (Form 13S) (08/07)] American LegalNet, Inc. www.FormsWorkFlow.com