COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. UNITED STATES BANKRUPTCY COURT No. : Index WESTERN DISTRICT OF WASHINGTON : ) Case No. Calendar No. In re: Debtor(s). -against- ) ) Plaintiff(s) ) ) :CHAPTER 13 PLAN [ JUDICIAL SUBPOENA Amended] : 1. Plan Payments: : Within 30 days of the filing of the Plan, the Debtor(s) will commence making payments to the Trustee as follows: A. AMOUNT: $ ______________; FREQUENCY: Monthly; Semi-Monthly;: Bi-Weekly; Weekly B. TAX REFUNDS: Debtor(s) COMMITS; DOES NOT COMMIT; all tax refunds to funding the Plan. If no Defendant(s) selection is made, tax refunds are committed. : . . . . . . . . Plan . . . . . . shall . . . . . . . . . . . . . . . . . . . . . . . . . . . C. PAYMENTS: . . . .payments . . . .be.deducted from .the. Debtor(s).wages unless .otherwise agreed to by the Trustee or ordered by the Court. D. OTHER: 2. PlanTHE PEOPLE OF THE STATE OF NEW YORK Duration: The length of the Plan is set forth in paragraph 3E2 below. The Plan will run a minimum of 36 months, unless all timely filed TO claims are sooner paid in full, plus appropriate interest. At the Trustee's discretion, and without notice or hearing, the Plan may be extended up to 60 months after confirmation in order to pay, in full, administrative expenses, secured claims, priority claims and any creditors placed in a special class for full payment. 3. Distribution of Plan Payments: GREETINGS: From the payments so received, the Trustee shall make disbursements in the following order: A. ADMINISTRATIVE EXPENSES: YOU, that all business and excuses being laid aside, you and each of you attend before WE COMMAND 1. Trustee. The percentage set pursuant to 28 USC §586(e). the Honorable at the Court 2. Attorney's Fees: Original attorney's fees of $___________ ; of which $___________ remains unpaid. located at County of Fees are to be paid: At the Trustee's discretion ; Prior to all creditors ; Minimum of $ monthly in room , on the day of , 20 , at o'clock in the noon, and at any recessed Other or adjourned date, to testify and give evidence asper witness in this action on theparagraphthe a month unless stated otherwise in part of 6 below. B. CURRENT CHILD SUPPORT/MAINTENANCE: $ C. SECURED CLAIMS/LEASES: Payments to creditors whose claims are filed, as follows, unless ranked otherwise. Interest rates are stated as per annum, uncompounded. Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to Rank the party on1st mortgage of $ this subpoena was issued for a maximumat of $50 and all damages sustained as a Current whose behalf , payments of $ monthly penalty % interest per annum, resultCurrent 2nd mortgage of $ of your failure to comply. , payments of $ monthly at % interest per annum, 1st mortgage arrears of $ , payments of $ monthly at % interest per annum, 2nd mortgage arrears of $ , payments of $ monthly at Witness, Honorable , % interest perJustices of the one of the annum, Lease payment to County, , of $ of monthly. Court in day , 20 _____ _____ _____ _____ _____ $ ____ $ ____ $ ____ $ ____ $ ____ monthly monthly monthly monthly monthly to to________ to________ to________ to________ Debtor(s) Value of Collateral $____________ $____________ $____________ $____________ $____________ Description of Collateral Interest Rate ___________ _______ % (Attorney must sign above and type name below) ___________ _______ % ___________ _______ % ___________ _______ % ___________ _______ % Attorney(s) for Secured creditors, except as provided in 26 USC 6621(a)(2) and 11 USC 1322(b)(2), will be paid the amount of their claim or the value of their collateral, whichever is less, plus interest as stated above. Interest rate and monthly payment in the Plan controls unless creditors timely file an objection to confirmation. Value of collateral stated in the Proof of Claim controls unless otherwise ordered following timely objection to claim. The unsecured portion of any claim shall be paid as a general unsecured claim unless Office and P.O. Address entitled to priority by law. For creditors holding secured claims not listed above, the interest rate shall be %. Interest rate is 15% if left blank. Telephone the Bankruptcy Code as D. PRIORITY CLAIMS: Debts entitled to priority under and in the order prescribed by §507 ofNo.: follows: Facsimile No.: Rank Name Amount of Claim Basis Address: E-Mailfor Priority __________________ ____ $ Mobile Tel. No.: __________________ ____ $ [Local Bankruptcy Form 13-1] American LegalNet, Inc. www.USCourtForms.com , COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. E. UNSECURED CLAIMS: From the balance remaining after the above payments, dividends to unsecured creditors whose : Index No. claims are allowed as follows: : Calendar No. 1. Special Unsecured Claims. The following unsecured claims will receive a higher distribution than general unsecured claims. Rank Name : Amount of Claim Percentage to be Paid Reason for Special Classification JUDICIAL SUBPOENA Plaintiff(s) $ % -against: $ % : 2. General Unsecured Claims. The Debtor(s) will pay 100% to claimants in this class, or make a minimum of 36 monthly payments: : A. % paid to unsecureds: 100% ____ 70% ____ Other ____ % or B. Best Efforts: 60 months___; 36 months___; Other___; yielding approximately ___% to general unsecureds Defendant(s) : ...................................................... 4. Secured Property Surrendered: The secured property described below will be surrendered to the following named creditors on confirmation. Creditor Property to be Surrendered THE PEOPLE OF THE STATE OF NEW YORK TO 5. Executory Contracts and Leases: The Debtor(s) will assume or reject executory contracts or unexpired leases as noted below. Assumption will be by separate motion and order, and all payments shall be paid pursuant to paragraph 3C or 6. Any executory contract or unexpired lease not GREETINGS: assumed pursuant to I I USC 365(d) is rejected. If rejected, the Debtor(s) shall surrender any collateral or leased property and any duly filed and allowed unsecured claim for damages shall be paid under paragraph 3E2. WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before Assumed or Rejected , at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Contract/Lease the Honorable 6. Direct Payments by Debtor(s) Outside of the Plan: The following creditors shall be paid directly by the Debtor(s) and shall receive no payments from the Trustee, Name Amount of Claim Monthly Payment Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to $ $ the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a $ $ result of your failure to comply. 7. Revestment of Property: Witness, Honorable , one of the Justices of Property of the estate shall revest in the Debtor(s) upon: Confirmation of the Plan, Dismissal or discharge only. the If Court in is made, property of the estate shall revest in the Debtor(s) upon confirmation. no selection County, day of , 20 8. Liquidation Analysis: The Debtor(s) estimates that there would be $_____ available to pay general unsecured creditors in a Chapter 7 liquidation. The Debtor(s) propose to pay at least this amount to unsecured creditors in this (Attorney must sign above and type name below) Plan. 9. Certification: The Debtor(s) or their attorney, certify that this Plan conforms with Local Bankruptcy Rule 3015-1, except as set forth below: Attorney(s) for 10. Other Plan Provisions: Attorney for Debtor(s) DEBTOR Last Four Digits SSN Office Date DEBTOR Last Four Digits SSN [Local Bankruptcy Form 13-1] Date and P.O. Address Date Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com