Local Form BUNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: CASE NUMBER:CHAPTER: Debtor(s) AMENDMENT TO SCHEDULES INSTRUCTIONS: 1.Check applicable boxes below and describe details of amendment in box provided.2.For amendments to schedules other than D or E/F, it is acceptable to check the box on this form, type a briefdescription in the box for details and attach a new schedule. ANY CHANGES to D, E/F or the mailing matrixmust be made using the format on Page 2 of this form; if amendment does not comply, it may be stricken.3.Debtor may use this form to amend the Social Security Number but amendments to the Social Security Numbermust be filed separately from other amendments (and if filed electronically, using the separate event forAmendment to Social Security Number). CHECK THE APPLICABLE BOXES BELOW: Amendment to Petition: Name Address Alias Social Security Number Statement of Financial Affairs Statement of Intention Schedule A/B Schedule C Schedule D or Schedule E/F Add creditors or change amount or classification of debt - Fee Required, or Change address of a creditor listed on the schedules 226 No Fee Required Schedule G Schedule H Schedule I Schedule J Other Document Included with Schedules, e.g., Disclosure of Compensation of Attorney Additional Details of Amendment (attach separate page if needed): AFFIRMATION OF DEBTOR(S): I declare under penalty of perjury that I have read this document and any attached schedules or documents, and that they are true and correct to the best of my knowledge, information and belief. DATE: SIGNATURE: DATE: SIGNATURE: American LegalNet, Inc. www.FormsWorkFlow.com Local Form BName(s) of Debtor(s): Case Number: CORRECTIONS TO SCHEDULES D, E/F AND/OR THE CREDITORS MATRIX INSTRUCTIONS: 1.For all changes, the schedule on which creditor is/will be listed should be noted.2.Each creditor or list of creditors should indicate whether creditors are being added, deleted, or modified in anotherway, e.g., 223change amount to ,224 or 223move creditor from D to E/F.224 For added or deleted creditors, the fullname and address of the creditor should be listed.3.For creditors whose addresses are being corrected, the current address of the creditor on file with the Court andthe new one should both be listed and labeled appropriately so the Court can update the correct creditor.If the amendment lists you as a creditor, FOR ADDITIONAL CHANGES TO SCHEDULES D, E/F AND/OR THE CREDITORS MATRIX, INSERT A NEW PAGE AND CONTINUE American LegalNet, Inc. www.FormsWorkFlow.com Local Form B UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: CASE NUMBER: CHAPTER: Debtor(s) CERTIFICATE OF SERVICE AND NOTICE OF AMENDMENT TO SCHEDULES INSTRUCTIONS: 1. Debtor or debtor222s attorney should complete and file the certificate of service with a complete list of all parties and creditors served. 2. Debtor or debtor222s attorney must serve the amendment on all affected parties and creditors, e.g., any added or modified creditors, the trustee, and/or other parties listed on or affected by the amendment. Parties who receive electronic service such as the trustee and U.S. Trustee should be listed on the certificate of service but it is not necessary to serve a copy by mail on these parties. 3. Any added creditor or creditor for whom a new address is being filed must be sent a copy of the Notice of Bankruptcy Case (Official Form 309 226 All Chapters) and a copy of the Chapter 13 Plan (Chapter 13 Cases). 4. For changes to the names, aliases or Social Security Number of the debtor(s), a certificate of service and service by the debtor/debtor222s attorney on all parties and creditors in the case is required. CERTIFICATION OF SERVICE I hereby certify that on (DATE), a copy of the attached Amendment to Schedules and, if required, a copy of Official Form 309 226 Notice of Bankruptcy Case and the Chapter 13 Plan was served upon the following by first class mail: DATE: SIGNATURE: American LegalNet, Inc. www.FormsWorkFlow.com