UNITED STATES BANKRUPTCY COURT DISTRICT OF UTAH In re: _________________________ _________________________ Debtor(s). Case No. ______________ Chapter _____ Trustee: ___________________ AMENDED MATRIX $30 Fee Required _____ IFP Waiver File amended matrix with ONLY the amended creditors. File separate change of address form to change the debtor's address. Fee required except for change of address or adding attorney for listed creditor. Conversion? (13 to 7) ___ Yes ___ No. It is the debtor's responsibility to notify additional creditors by sending a 341 notice and/or Discharge Order to the creditors added. A certificate of mailing should be filed with the Clerk's office (see below). If adding more than eight (8) creditors, attach a scannable list to this cover sheet rather than beginning the list on this page. The scannable list needs to be in Courier 10 pitch, Prestige Elite or Letter Gothic fonts and contain no more than four (4) lines per creditor address. Matrix: Adding_____ Correcting_____ Deleting_____ Please type the creditors' address(es) changes/additions below: 1) 2) 3) 4) 5) 6) 7) 8) CERTIFICATE OF MAILING I hereby certify that a true and correct copy of the foregoing was mailed, postage prepaid, to the creditors added to this estate as follows (please mark the appropriate line(s): ___341 Notice ________________ DATE ___________________________ ATTORNEY FOR DEBTOR(S) Rev. 11/11 American LegalNet, Inc. www.FormsWorkFlow.com ____Discharge Notice ____Plan/Amended Plan