COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Official Form 14 (12/03) : Index No. Calendar No. : Form 14. CLASS [ ] BALLOT FOR ACCEPTION JUDICIAL SUBPOENA OR REJECTING Plaintiff(s) PLAN OF REORGANIZATION -against- : [Caption as in Form 16A] : : CLASS [ ] BALLOT FOR ACCEPTION OR REJECTING Defendant(s) : . . . . . . . . . . . . . . . . . . . . . . . . . . . . .PLAN. OF .REORGANIZATION ..... ... ............... THE[Proponent] OF THE STATE OF NEW YORK(the “Plan”) for the Debtor in this case. The Court has PEOPLE filed a plan of reorganization dated [Date] TO [conditionally] approved a disclosure statement with respect to the Plan (the “Disclosure Statement”). The Disclosure Statement provides information to assist you in deciding how to vote your ballot. If you do not have a Disclosure Statement, you may obtain a copy from [name, address, telephone number and telecopy number of proponent/proponent’s attorney.] Court approval of the disclosure statement does not indicate approval of the Plan by the Court. GREETINGS: You should review the Disclosure Statement and the Plan before you vote. You may wish to seek legal advice WE COMMAND YOU, that all business and excuses being Your [claim] [equity each of you attend concerning the Plan and your classification and treatment under the Plan.laid aside, you and interest] has been the Honorable at the Court placed in class [ ] under the Plan. If you hold claims or equity interests in more than one class, you will receive a County of for each class in which youlocated at to vote. ballot are entitled before in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the If your ballot is not received by [name and address of proponent’s attorney or other appropriate address] on or before [date], and such deadline is not extended, your vote will not count as either an acceptance or rejection of the Plan. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalfby thesubpoena was issued for a maximum penalty of $50you vote. damages sustained as a If the Plan is confirmed this Bankruptcy Court it will be binding on you whether or not and all result of your failure to comply. Witness, Honorable Court in County, ACCEPTANCE OR REJECTION OF THE PLAN day of , one of the Justices of the , 20 [At this point the ballot should provide for voting by the particular class of creditors or equity holders receiving the ballot using one of the following alternatives;] [If the voter is the holder of a secured, priority, or unsecured nonpriority(Attorney must sign above and type name below) claim:] The undersigned, the holder of a Class [ ] claim against the Debtor in the unpaid amount of Dollars ($ Attorney(s) for ) [or, if the voter is the holder of a bond, debenture, or other debt security:] The undersigned, the holder of a Class [ ] claim against the Debtor, consisting of Dollars ($ ) principal amount of [describe bond, debenture, or other debt security] of the Debtor (For purposesand P.O. Address necessary of this Ballot, it is not Office and you should not adjust the principal amount for any accrued or unmatured interest.) [or, if the voter is the holder of an equity interest:] Telephone No.: Facsimile No.: The undersigned, the holder of Class [ ] equity interest in the Debtor, consisting of E-Mail Address: interests of [describe equity interest] in the Debtor Mobile Tel. No.: shares or other American LegalNet, Inc. www.USCourtForms.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : Index No. : Official Form 14 continued (12/03) Plaintiff(s) -against- Calendar No. : JUDICIAL SUBPOENA : [In each case, the following language should be included:] : : (Check one box only) Defendant(s) : . . . . . . . . . . . .ACCEPTS THE.PLAN . . . . . . . . . . . . . . . . . . .REJECTS .THE PLAN .......... .... ...... . THE PEOPLE OF THE STATE OF NEW YORK Dated: TO Print of type name: Signature: GREETINGS: Title (if corporation or partnership) WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable Address: at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a result of your failure to comply. RETURN THIS BALLOT TO: Witness, Honorable Court in County, , one of the Justices of the day of , 20 [Name and address of proponent's attorney or other appropriate address] (Attorney must sign above and type name below) Attorney(s) for Office and P.O. Address Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com