VTB Form C 11/11 United States Bankruptcy Court District of Vermont Case No.: Chapter: In re: Debtor(s) Notice of Amendment Cover Sheet Cover Sheet for Amendments to Schedules & Statements and for Schedules not Previously Filed* [Note: Refer to Vt. LBR 1009-1] Amendment/Schedule Information (Check One) Amendment to Previously Filed Document** Schedule Not Previously Filed Schedule of Post-Petition Debts (Result of conversion; no fee due.) Creditor/Schedule Information (Check One) No creditors are being added/deleted from the initial list of creditors by this amendment/schedule. Information regarding a creditor's address is being amended/changed (no fee due), AND A mailing list in the format prescribed by the Clerk with the amended/changed address of the creditor is attached. NOTE: Do not repeat creditor information from a previously filed mailing list. Creditors are being added by this amendment/schedule, AND The $30.00 amendment fee is attached for adding parties, AND A mailing list in the format prescribed by the Clerk with the complete names and addresses of the parties added is attached. NOTE: Do not repeat creditor information from a previously filed mailing list. Creditors are being deleted by this amendment, AND The $30.00 amendment fee for deleting parties is attached. Schedules of creditors are being modified to change amount of debt or classification of debt, AND The $30.00 amendment fee is attached. I certify that I have served all parties who are affected by this amendment/schedule with a copy thereof and a copy of the Notice of Bankruptcy Case Meeting of Creditors and Deadlines ("341 Meeting Notice"), if applicable, and have the case trustee, if any. Date Signature of Debtor's Attorney or of Debtor if pro se I certify under penalty of perjury that I have read this Notice of Amendment and the attached schedules, lists, statements, etc., consisting of sheets, numbered 1 through , and that they are true and correct to the best of my knowledge, information, and belief. Date Signature of Debtor Date Signature of Co-Debtor, if Joint Case * If filed electronically, no additional copies are needed. However, if filed non-electronically, Vt. LBR 1002-1(e) requires an original for cases filed under Chapter 7, 12, or 13 of the Bankruptcy Code, and an original plus three (3) copies for cases filed under Chapter 9 or 11 of the Bankruptcy Code. Copies of this Notice of Amendment must be attached to each copy of the amended documents. ** If dollar amounts on amended schedules change the total for any schedule, an amended Summary of Schedules document should also be filed. American LegalNet, Inc. www.FormsWorkFlow.com