UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re: ) ) ) ) ) ) ) Case No. ________________ [ONLY FOR CHAPTER 12 AND 13 CASES] DEBTOR'S MOTION FOR ORDER FOR ALLOWANCE AND FUTURE PAYMENT ON UNTIMELY FILED CLAIM(S); AND ORDER AND NOTICE THEREON Debtor(s) 1. The debtor moves the court for an order allowing and providing for future payments on the untimely claim(s) filed by, or on behalf of, the following creditor(s) with the status (e.g., priority, secured, unsecured) and amount shown as if such claim(s) were timely filed: CREDITOR NAME AND SERVICE ADDRESS STATUS AMOUNT 1365 (12/1/12) Page 1 of 2 *** SEE NEXT PAGE *** American LegalNet, Inc. www.FormsWorkFlow.com 2. The debtor's failure to timely file claims for the above creditors [see Fed. Bankruptcy Rules 3004 and 9006(b)(1)] was due to the following excusable neglect: 3. Allowance and future payment of the claim(s) as if such claim(s) were timely filed will benefit the debtor, for any listed creditor who was scheduled in time to file a claim prior to expiration of the bar date, as follows [NOTE: Explain each separately if applicable]: 4. The name/service address for debtor copies are: ATTACHED is a copy of the original proof of claim that has either been filed or, but only if the debtor is not represented by an attorney, is included as a SEPARATE document for filing. DATE: ___________ ___________________________________________________________ Signature ___________________________________________________________ Debtor's Address & Taxpayer ID#(s) (last 4 digits) STOP: BEFORE SERVING COPIES, SUBMIT THE MOTION TO OBTAIN A JUDGE'S SIGNATURE! CERTIFICATE OF SERVICE I certify that on ___________ (1) a copy of (a) this motion and order thereon, (b) any Notice of Hearing prepared by the court per the judge's order, (c) the notice of any pending confirmation hearing plus all documents required to be attached thereto indicating any proposed plan(s) under consideration, (d) the latest, if any, confirmed or approved plan, (e) any pending Notice of Modification of Plan and all required attachments thereto, and (f) the applicable proof of claim was served on each creditor listed above; (2) a copy of (a) this motion and order thereon, and (b) all applicable proofs of claim were served on the trustee; AND (3) [only if any creditor listed was NOT scheduled prior to the first date set for the confirmation hearing] a copy of this motion and order thereon were served on all creditors. ____________________________________________________ Signature & Relation to Debtor IMPORTANT: After service, complete the "Certificate of Service" above using a copy of this document that includes the court's order, and then promptly file the Certificate (WITHOUT any attachments). 1365 (12/1/12) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com