IN THE UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF WEST VIRGINIA IN RE: Debtor. ) ) ) ) ) CASE NO. Chapter 7 APPLICATION FOR PAYMENT OUT OF PRE-CONFIRMATION FUNDS PURSUANT TO GENERAL ORDER 06-06 The above-styled Debtor’s Chapter 13 case was either converted to a case under another Chapter, or was dismissed, before confirmation of the Debtor’s proposed Chapter 13 plan. _______________ (the “Creditor”) files this application for payment out of the pre-confirmation funds that the Chapter 13 trustee may be holding on behalf of the Debtor, and in support of this Application states: 1. The Debtor filed a voluntary petition under Chapter 13 of the Bankruptcy Code on ______________ . 2. The Creditor is a holder of a claim against the Debtor that arises out of: [ ] A lease of personal property for that portion of the obligation that becomes due after the order for relief [ ] An allowed claim secured by personal property to the extent the claim is attributable to the purchase of such property of the debtor for that portion of the obligation that becomes due after the order for relief, and to the extent that the payment is necessary to provide such creditor with adequate protection [ ] An unpaid claim allowed under 11 U.S.C. § 503(b) [ ] A claim to payment pursuant to any court order under § 1326(a)(3) modifying, increasing, or reducing payments required under § 1326(a)(1)(B) and (C). 3. The Creditor claims that $_________ is due the Creditor from the pre-confirmation funds that may be held by the Debtor’s Chapter 13 trustee. Said amount is the total owed from the date of the petition to the date of the pre-confirmation conversion or dismissal. Proof of the indebtedness is [ ] evidenced by the Creditor’s allowed proof of claim, which is designated as Claim No. ___ on Page 1 of 2 American LegalNet, Inc. www.FormsWorkflow.com the Claims Register for the Debtor’s case, or [ ] evidenced by the documents attached hereto as Exhibit A. 4. The Creditor’s mailing address for payment is: ________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ WHEREFORE, the Creditor respectfully requests that the Chapter 13 trustee remit payment to the Creditor in the above-stated amount before returning any of the pre-confirmation funds that the Chapter 13 trustee may be holding to the Debtor. Page 2 of 2 American LegalNet, Inc. www.FormsWorkflow.com