Fill and Sign the 13 F Form

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION In re: ) )       ) Case No.             ) Debtor(s) ) Chapter 13 ) Social Security #       ) Chapter 13 Plan The future earnings of the Debtor are submitted to the supervision and control of the Trustee and the Debtor shall pay to the Trustee, by wage assignment, the sum of $       monthly for       months. From the payments so received, the Trustee shall make disbursements as marked with an “x” below in the order indicated. 1. TRUSTEE’S FEES in such percentage as is allowed by law. 2. EXECUTORY CONTRACTS: Debtor hereby rejects executory contract with       , balance to be paid as unsecured claim. Debtor hereby accepts executory contract with_       . Current payments of $       /month to be paid by Debtor. Arrearages shall be cured by Trustee before payments on all other claims. 3. ATTORNEY’S FEES (incorporate language in Addendum 1). 4. LIEN(S) ON RESIDENCE: Payments on debts secured by lien(s) on Debtor’s residence shall be paid starting with the first monthly payment due after filing as noted below: 1st D/T Outside/Inside Plan $       per month to_       ; and 2nd D/T Outside/Inside Plan $       per month to       . 5. ARREARAGES of $       on 1st D/T and $       on 2nd D/T on Debtor’s residence shall be paid 100% of claim filed and proven. Arrearages will be cured by equal monthly payments over the first       months after the filing of Debtor’s Plan, together with       % interest. 6. OTHER SECURED CLAIMS: Creditors with debts secured by collateral other than Debtor’s residence shall be paid the value of their collateral with the balance of the debt treated as an unsecured claim. Claims secured by motor vehicles shall be paid a value determined by the average between NADA loan and retail values; claims secured by purchase—money furniture collateral shall be paid 70% of the purchase price if purchased within one year prior to filing, and 50% of said purchase price if over one year old. All secured debts, other than those involving non—purchase FORM F money security interests in consumer goods shall be allowed       interest per annum on the unpaid balance as such claims; non— purchase money debts shall receive no interest on their claims. 7. CHILD SUPPORT OR MAINTENANCE ARREARAGES shall be paid 100% of claim filed and proven, payable in equal monthly payments over the period of the Plan, with interest as provided by statute. 8. STUDENT LOAN(S) to be paid       % of claim filed and proven. If less than 100% of a student loan is to be paid, any balance not paid under this paragraph shall be paid pro-rata with paragraph 13, as a general unsecured claim. Claims to be paid 100% shall receive interest at the contract rate. 9. PRIORITY CLAIMS required to be paid by 11 USC 507 shall be paid in full. 10. CO—SIGNED LOANS or accounts shall be paid 100% of claim filed and proven with interest at the contract rate, pro—rata with paragraph 6 claims. OR Co-signed loans shall be paid outside the plan by the co-signer. If payments on such debt are not made when due, the creditor may repossess its collateral and any resulting deficiency shall be paid as a general unsecured claim pro-rata with paragraph 13 claims. 11. COLLATERAL TO BE RETURNED: Collateral shall be returned to,       sold by such creditor and the proceeds of such sale shall be applied to reduce the debt which such collateral secures, with any resulting deficiency paid as a general unsecured claim pro—rata with paragraph 13. 12. PLEDGES: Pledged credit union share or pledged certificates of deposit held by banks shall be applied to the balance before the filing of a claim by the relevant creditor. 13. UNSECURED CLAIMS: The remaining balance of the Plan Base shall be disbursed pro-rata among claims filed and proven, which are not otherwise paid in this Plan, until       % of such claims are paid, or until all payments to be made under the Plan have been made and the term of the Plan has expired, whichever occurs sooner, PROVIDED that in any event Debtor agrees that such unsecured claims shall receive a minimum payment of       % under the Plan. 14. OTHER PLAN PROVISIONS: A. Any post-petition claim filed and allowed under 11 USC 1305 shall be paid. B. Debtors may not incur any post-petition debt without permission of the Court except for emergency medical care of the Debtors and their dependents, or for rental of residential property in which the Debtors reside. C. Debtors shall maintain appropriate insurance on all property securing creditors in the plan with a deductible of not more than $250. FORM F D. The Trustee shall not make further payments to a creditor on any claim (1) where the collateral has been repossessed by, or returned to, such creditor; or (2) after a creditor has obtained relief from the automatic stay, and until such creditor files an amended claim which gives the debtor credit for the proceeds of the sale of the collateral, or until the order for relief from the automatic stay is vacated by the Court and provided to the Trustee. E. Debtor to request avoidance of lien on the following as a non— purchase money debt secured by consumer goods. Said debt to be paid as an unsecured claim. F. All Creditors shall retain the lien on their collateral except as stated in paragraph 14E. 15.TITLE OF PROPERTY TO REVEST IN DEBTOR: Property of the estate shall revest in the debtors upon confirmation. ____________ __________________________________ DATE DEBTOR ____________ __________________________________ DATE DEBTOR PLAN ANALYSIS DEBT SUMMARY: (Note: These are approximate figures only, and interested parties should examine claims.) Child Support       Co-Signed Debts       Student Loans       Priority Debts       Real Estate       General Unsecured Claims Arrearage       estimated % to unsecured       % Exec. Contract       Secured Debts       Debtor believes the distribution in a Chapter 7 to general unsecured creditors would be       . FORM F