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) MORTGAGEE’S NOTICE OF ADJUSTED AMOUNT/MORTGAGE PAYMENT CHANGE COMES NOW, _______________________________ (Name of Mortgage Company/Servicer) and, pursuant to this Court’s General Order 08-3, files this Mortgagee’s Notice of Adjusted Amount/Mortgage Payment Change and states the following: 1. 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. Should the Debtor(s) dispute this change in the regular contractual installment payment(s), Debtor(s) must file an Objection thereto with the Court within twenty-five (25) days of the filing of this Notice. Absent such an Objection, the Trustee is authorized to begin disbursing the new contractual payment amount referenced above notwithstanding any Plan language to the contrary. Respectfully submitted on this the ____ day of _____________, 20__. /s/___________________________ Creditor’s Counsel Address City, State, ZIP Telephone: Telecopier: Email: Certificate of Service American LegalNet, Inc. www.FormsWorkflow.com I hereby certify that a true and correct copy of the above and foregoing Mortgagee’s Notice of Adjusted Amount/Mortgage Payment Change has been served upon the Debtor(s) and their counsel, 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