UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TENNESSEE ________________________________________________________________________ In re Case No. _____________ Chapter 13 Debtor(s). ________________________________________________________________________ NOTICE OF CONVERSION FROM CHAPTER 13 CASE TO CHAPTER 7 CASE AND NOTICE TO EMPLOYER TO CEASE CHAPTER 13 PAYROLL DEDUCTIONS ________________________________________________________________________ Comes now the above-named debtor(s) and hereby notifies the Court that pursuant to 11 U.S.C. § 1307(a) and Bankruptcy Rule 1017(d), this Chapter 13 case is hereby converted to a Chapter 7 case, and the Chapter 13 Standing Trustee may file his Final Report. The debtor's employer, _______________________________________________, is hereby notified that any payroll deduction for payments to the Standing Chapter 13 Trustee shall cease. _________________________________________ Attorney of Record for Debtor(s) CERTIFICATE OF SERVICE I, as attorney for the above-named debtor(s), hereby certify that a copy of this notice shall promptly be mailed postage prepaid to all of the employer(s) of the debtor(s) that are making Chapter 13 payroll deductions. Date of Service ___________________________________. __________________________________________ Attorney for Debtor(s) cc: Debtor(s) Debtor(s)' Attorney Standing Chapter 13 Trustee All Creditors American LegalNet, Inc. www.USCourtForms.com