UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1( ) In Re: Case No.: Chapter: Hearing Date: Judge: ___________________ 13 ___________________ ___________________ ORDER ON MOTION/APPLICATION TO DISMISS/CONVERT CHAPTER 13 CASE The relief set forth on the following pages, numbered two (2) through three (3) is ORDERED. American LegalNet, Inc. www.FormsWorkFlow.com Page 2 This matter having come before the Court on Motion/Application of ________________________, for an Order Dismissing/Converting Debtor's case, and good cause having been shown, it is hereby ORDERED as follows: case is dismissed. case is converted to a proceeding under Chapter 7. case is converted to a proceeding under Chapter 11. case is allowed to continue under Chapter 13 upon the following terms and conditions: (a) payments to the Trustee shall continue in the amount of ______________ dollars/month for an additional _____________ months; (b) Debtor(s) shall prepare and file with the Court a Wage Order for continuing Trustee payments; (c) If the Debtor(s) fail to make regular plan payments to the Trustee for a period of more than 30 consecutive days, upon the Certification of the Trustee of such non-payment, with Notice of the Certification to the debtor(s) and the debtor(s) attorney, if any, the within case shall be dismissed; (d) Other (ie, Counsel Fee Award or other relief to moving party) ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Page 3 Upon case dismissal/conversion, any funds held by the Chapter 13 Trustee from payments made on account of debtor(s) Plan, shall be disbursed to the Debtor(s), except as follows: (a) $_____________ shall be disbursed to Debtor(s) Counsel for Counsel Fees and Costs hereby allowed as an Administrative Expense; (b) $______________ to _________________________________ (Creditor) for adequate protection payments pursuant to prior Order of the Court. (c) Other: ____________________________________________________________ __________________________________________________________________ __________________________________________________________________ rev.8/1/15 American LegalNet, Inc. www.FormsWorkFlow.com