This form is effective 10/1/08 IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS IN RE: Debtor(s) ' ' ' ' ' Case No. (Chapter 13) DEBTOR(S)’ NOTICE OF ADJUSTED AMOUNT/MORTGAGE PAYMENT CHANGE COMES NOW, ____________________________ (Name of Debtor(s)) and files this Notice of Adjusted Amount/Mortgage Payment Change and states the following: 1. The Mortgage Company/Servicer (directly or through the Chapter 13 Trustee) has provided the Debtor(s) with written notification that, pursuant to the express terms of the underlying Note and Deed of Trust/Mortgage, the regular contractual installment payments due by the Debtor(s) have changed, effective with the payment due on _______________. The new amount of the installment payment is $____________. 2. Although the Trustee has previously notified the Mortgage Company/Servicer of the Requirement of General Order 08-3 (stating that a Notice must be filed with the Court for said payment change to be effective), this entity has failed to do so. As such, the Debtor(s) are filing the required Notice so that the Trustee can pay the new mortgage payment. 3. Notwithstanding the Debtor(s) filing of this Notice, the Debtor(s) reserve the right to subsequently object to this payment change. American LegalNet, Inc. www.FormsWorkflow.com Respectfully submitted on this the ____ day of _____________, 20__. /s/___________________________ Debtor(s) Counsel Address City, State, ZIP Telephone: Telecopier: Email: Certificate of Service I hereby certify that a true and correct copy of the above and foregoing Debtor(s)’ Notice of Adjusted Amount/Mortgage Payment Change has been served upon the Debtor(s) and the affected creditor, via electronic mail or first class mail, postage pre-paid, and deposited into an official depository of the United States Postal Service on this the ____ day of _____________________, 200__. /s/___________________________ American LegalNet, Inc. www.FormsWorkflow.com