UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF MICHIGAN COVER SHEET FOR AMENDMENTS CASE NAME: CASE NUMBER: The enclosed documents amend the matrix, schedules and/or list of creditors previously filed in this case. Please check the appropriate boxes: The purpose of this amendment is to: [ ] Add creditors. How many? [ ] Correct the addresses of creditors already listed on the schedules and matrix previously filed. (Use back of this form) [ ] File new schedules because the case has been converted to another chapter and amendments are required by the court rules. [ ] Other (please explain) THE FOLLOWING DOCUMENTS ARE ATTACHED: [ ] $26.00 AMENDMENT FEE. This fee is required whenever you add creditors to a case. The fee is not required when correcting addresses of previously listed creditors. It is not required when new schedules are filed in a converted case. [ ] AMENDED SCHEDULES AND LIST OF CREDITORS. Send the original and as many copies as are required by Local Bankruptcy Rule 1007.1. Schedules must be verified by the debtor(s). [ ] MATRIX. Send a matrix in the new format, listing only the amended creditors being added. Please do not send a matrix adding creditors to a case unless you also send the amended schedules. Do not send a new matrix to correct an address – use the back of this form. The creditor matrix must adhere to the form required by the Clerk. Effective July 9, 2003, the Clerk’s Office will only accept creditor matrices on diskette. The customer should save the matrix to disk in ASCII format, as a TXT file. The matrix should be saved on disk with a file name of the debtor’s last name and first initial (i.e. SmithK.txt). The verification of matrix is still required and must be submitted in hard copy along with the disk containing the matrix file. A Verification of Matrix form must be signed by the attorney preparing the matrix. (DO NOT SIGN THE ACTUAL MATRIX.) NOTE: BR 1009 requires the attorney amending such pleadings to notify parties affected by the amendments. American LegalNet, Inc. www.FormsWorkflow.com CORRECTIONS TO MAILING MATRIX Use this form to make corrections to the names and addresses of any creditors or parties in interest who are listed on the current matrix of the case. You may also delete names from the matrix by using this form. *** DO NOT USE THIS FORM TO ADD NEW CREDITORS TO THIS CASE. *** NAME OF CREDITOR (As it now appears) Previous address: Please change to the following: NAME OF CREDITOR (As it now appears) Previous address: Please change to the following: NAME OF CREDITOR (As it now appears) Previous address: Please change to the following: SIGNED: IF YOU HAVE MORE CHANGES JUST COPY THIS SHEET AND KEEP TYPING (amendform) Rev. 03/31/06 American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com American LegalNet, Inc. www.FormsWorkflow.com