IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA In Re: Debtor : : : : : : : : : : : Bankruptcy No. Chapter Movant v. Related to Document No. Respondent (if none, then "No Respondent") AMENDMENT COVER SHEET Amendment(s) to the following petition, list(s), schedule(s), or statement(s) are transmitted herewith: _____ Voluntary Petition - Specify reason for amendment: Official Form 6 Schedules (Itemization of Changes Must Be Specified) Summary of Schedules Schedule A - Real Property Schedule B - Personal Property Schedule C - Property Claimed as Exempt Schedule D - Creditors holding Secured Claims Check one: _____ Creditor(s) added _____ NO creditor(s) added _____ Creditor(s) deleted Schedule E - Creditors Holding Unsecured Priority Claims Check one: _____ Creditor(s) added _____ NO creditor(s) added _____ Creditor(s) deleted Schedule F - Creditors Holding Unsecured Nonpriority Claims Check one: _____ Creditor(s) added _____ NO creditor(s) added _____ Creditor(s) deleted Schedule G - Executory Contracts and Unexpired Leases Check one: _____ Creditor(s) added _____ NO creditor(s) added _____ Creditor(s) deleted Schedule H - Codebtors Schedule I - Current Income of Individual Debtor(s) Schedule J - Current Expenditures of Individual Debtor(s) Statement of Financial Affairs Chapter 7 Individual Debtor's Statement of Intention Chapter 11 List of Equity Security Holders Chapter 11 List of Creditors Holding 20 Largest Unsecured Claims Disclosure of Compensation of Attorney for Debtor Other: ________________________________________________________________________ Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ _____ PAWB Local Form 6 (07/13) NOTICE OF AMENDMENT(S) TO AFFECTED PARTIES Pursuant to Fed.R.Bankr.P. 1009(a) and Local Bankruptcy Rule 1009-1, I certify that notice of the filing of the amendment(s) checked above has been given this date to the U.S. Trustee, the trustee in this case, and to entities affected by the amendment as follows: Date: _________________________ _____________________________________________ Attorney for Debtor(s) [or pro se Debtor(s)] _____________________________________________ (Typed Name) _____________________________________________ (Address) _____________________________________________ (Phone No.) _____________________________________________ List Bar I.D. and State of Admission Note: An amended matrix of creditors added by the amendment must be submitted on disk with the amendment. Attorneys filing electronically on the Case Management/Electronic Case Filing System may add creditors to the case electronically. PAWB Local Form 6 (07/13) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com