IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF ILLINOIS In Re: Enter Debtor(s) Name(s) In Proceedings Under Chapter 13 Debtor(s) Enter Name of Objector BK Case # vs. (Objector) Enter Name of Respondent (Respondent) NOTICE OF OBJECTION TO CLAIM An objection to your claim has been mailed this date to the U.S. Bankruptcy Court for the Southern District of Illinois, hereto. Any response in opposition to the objection must be filed with the Court within thirty (30) days of the date of this Notice, with a copy forwarded to all interested parties. If no response is filed, the Court may enter an order sustaining the objection and disallowing or modifying the claim without further notice to any party. If a response is filed, a hearing on the objection will be held at 9:00 a.m. on the ---of Select Month of Illinois, , 20 -day Select Court Address . A copy is attached , before the United States Bankruptcy Court for the Southern District . If a party fails to appear in person or Select Hearing Location by counsel, the Court may proceed with the scheduled hearing and may enter an appropriate order on the objection. You will receive no further notice of the hearing. American LegalNet, Inc. www.FormsWorkFlow.com Instructions for Notice of Objection to Claim (1) Choose the appropriate Clerk's office address from the drop-down list: 750 Missouri Ave, East St. Louis, IL 62201-2988 301 W Main St, Benton, IL 62812-1362 (2) Obtain the hearing date and Court location for the remaining blanks by visiting our web site at http://www.ilsb.uscourts.gov or by telephoning the Clerk's Office at (618) 482-9400 for East St. Louis cases or (618) 435-2200 for Benton cases. American LegalNet, Inc. www.FormsWorkFlow.com