Local Form 3015-1(a) Chapter 13 Plan Page 1 Local Form 3015-1(a) Chapter 13 Plan 12/17 Part 1: Notices To Debtors: This form sets out options that may be appropriate in some cases, but the presence of an option on the form does not indicate that the option is appropriate in your circumstances or that it is permissible in your judicial district. Plans that do not comply with local rules and judicial rulings may not be confirmable. In the following notice to creditors, you must check each box that applies. To Creditors: Your rights may be affected by this plan. Your claim may be reduced, modified, or eliminated. You should read this plan carefully and discuss it with your attorney if you have one in this bankruptcy case. If you do not have an attorney, you may wish to consult one. If you oppose the plan222s treatment of your claim or any provision of this plan, you or your attorney must file an objection to confirmation at least 7 days before the date set for the hearing on confirmation, unless otherwise ordered by the Bankruptcy Court. The Bankruptcy Court may confirm this plan without further notice if no objection to confirmation is filed. See Bankruptcy Rule 3015. In addition, you may need to file a timely proof of claim in order to be paid under any plan. The following matters may be of particular importance. Debtors must check one box on each line to state whether or not the plan includes each of the following items. If an item is checked as 223Not Included224 or if both boxes are checked, the provision will be ineffective if set out later in the plan. 1.1 A limit on the amount of a secured claim, set out in Section 3.2, which may result in a partial payment or no payment at all to the secured creditor Included Not included 1.2 Avoidance of a judicial lien or nonpossessory, nonpurchase-money security interest, set out in Section 3.4 Included Not included 1.3 Nonstandard provisions, set out in Part 8 Included Not included Part 2: Plan Payments and Length of Plan 2.1 Debtor(s) will make regular payments to the trustee as follows: $ per for months [and $ per for months.] Insert additional lines if needed. If fewer than 60 months of payments are specified, additional monthly payments will be made to the extent necessary to make the payments to creditors specified in this plan. Check if this is an amended plan, and list below the sections of the plan that have been changed. Debtor 1 First Name Middle Name Last Name Debtor 2 (Spouse, if filing) First Name Middle Name Last Name United States Bankruptcy Court for the: District of (State) Case number (If known) Fill in this information to identify your case: American LegalNet, Inc. www.FormsWorkFlow.com Debtor Case number Local Form 3015-1(a) Chapter 13 Plan Page 2 2.2 Regular payments to the trustee will be made from future income in the following manner: Check all that apply. Debtor(s) will make payments pursuant to a payroll deduction order. Debtor(s) will make payments directly to the trustee. Other (specify method of payment):. 2.3 Income tax refunds. Check one. Debtor(s) will retain any income tax refunds received during the plan term. Debtor(s) will supply the trustee with a copy of each income tax return filed during the plan term within 14 days of filing the return and will turn over to the trustee all income tax refunds received during the plan term. Debtor(s) will treat income tax refunds as follows: 2.4 Additional payments. Check one. None. If 223None224 is checked, the rest of 247 2.4 need not be completed or reproduced. Debtor(s) will make additional payment(s) to the trustee from other sources, as specified below. Describe the source, estimated amount, and date of each anticipated payment. 2.5 The total amount of estimated payments to the trustee provided for in 247247 2.1 and 2.4 is $ . Part 3:: Treatment of Secured Claims 3.1 Maintenance of payments and cure of default, if any. Check one. None. If 223None224 is checked, the rest of 247 3.1 need not be completed or reproduced. The debtor(s) will maintain the current contractual installment payments on the secured claims listed below, with any changes required by the applicable contract and noticed in conformity with any applicable rules. These payments will be disbursed either by the trustee or directly by the debtor(s), as specified below. Any existing arrearage on a listed claim will be paid in full through disbursements by the trustee, with interest, if any, at the rate stated. Unless otherwise ordered by the court, the amounts listed on a proof of claim filed before the filing deadline under Bankruptcy Rule 3002(c) control over any contrary amounts listed below as to the current installment payment and arrearage. In the absence of a contrary timely filed proof of claim, the amounts stated below are controlling. If relief from the automatic stay is ordered as to any item of collateral listed in this paragraph, then, unless otherwise ordered by the court, all payments under this paragraph as to that collateral will cease, and all secured claims based on that collateral will no longer be treated by the plan. The final column includes only payments disbursed by the trustee rather than by the debtor(s). Name of creditor Collateral Current installment payment (including escrow ) Amount of arrearage (if any) Interest rate on arrearage (if applicable) Monthly plan payment on arrearage Estimated total payments by trustee $ Disbursed by: Trustee Debtor(s) $ % $ $ $ Disbursed by: Trustee Debtor(s) $ % $ $ Insert additi onal claims as n eeded. American LegalNet, Inc. www.FormsWorkFlow.com Debtor Case number Local Form 3015-1(a) Chapter 13 Plan Page 3 3.2 Request for valuation of security, payment of fully secured claims, and modification of undersecured claims. Check one. None. If 223None224 is checked, the rest of 247 3.2 need not be completed or reproduced. The remainder of this paragraph will be effective only if the applicable box in Part 1 of this plan is checked. The debtor(s) request that the court determine the value of the secured claims listed below. For each non-governmental secured claim listed below, the debtor(s) state that the value of the secured claim should be as set out in the column headed Amount of secured claim. For secured claims of governmental units, unless otherwise ordered by the court, the value of a secured claim listed in a proof of claim filed in accordance with the Bankruptcy Rules controls over any contrary amount listed below. For each listed claim, the value of the secured claim will be paid in full with interest at the rate stated below. The portion of any allowed claim that exceeds the amount of the secured claim will be treated as an unsecured claim under Part 5 of this plan. If the amount of a creditor222s secured claim is listed below as having no value, the creditor222s allowed claim will be treated in its entirety as an unsecured claim under Part 5 of this plan. Unless otherwise ordered by the court, the amount of the creditor222s total claim listed on the proof of claim controls over any contrary amounts listed in this paragraph. The holder of any claim listed below as having value in the column headed Amount of secured claim will retain the lien on the property interest of the debtor(s) or the estate(s) until the earlier of: (a) payment of the underlying debt determined under nonbankruptcy law, or (b) discharge of the underlying debt under 11 U.S.C. 247 1328, at which time the lien will terminate and be released by the creditor. Name of creditor Estimated amount of creditor222s total claim Collateral Value of collateral Amount of claims senior to creditor222s claim Amount of secured claim Interest rate* Monthly payment to creditor Estimated total of monthly payments $ $ $ $ % $ $ $ $ $ $ % $ $ Insert additional claims as needed. *If blank, the interest rate shall be the WSJ Prime Rate on the date of confirmation plus 2 percentage points. An allowed secured tax claim shall be paid with interest at the applicable statutory rate in effect on the date on which the plan is confirmed, notwithstanding any contrary provision of the plan. 3.3 Secured claims excluded from 11 U.S.C. 247 506. Check one