UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK ___________________________________x : : : : : ___________________________________x Case No. _______________ Chapter 11 CLOSING REPORT IN CHAPTER 11 CASE To the best of my knowledge and belief, the following is a breakdown in this case: FEES AND EXPENSES (from case inception): __________ FEE for ATTORNEY for DEBTOR __________ OTHER PROFESSIONAL FEES and ALL EXPENSES _____________________________________________________________________ __________ TRUSTEE FEE (if applicable) __________ FEE for ATTORNEY for TRUSTEE (if applicable) _____________________________________________________________________ __________ % DIVIDEND PAID/TO BE PAID __________ FUTURE DIVIDENDS (check if % of future dividend under plan not yet able to be determined) ______________________________________________________________________ __________ INITIAL DISTRIBUTION UNDER THE PLAN COMPLETED __________ OTHER: (explain) ______________________________________________________________________ DATE: APPLICANT BY __________________________ American LegalNet, Inc. www.FormsWorkFlow.com