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Fill and Sign the Certificate of Service Re Chapter 13 Plan Original Form

Fill and Sign the Certificate of Service Re Chapter 13 Plan Original Form

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LBF 3015-1c 1/1/01 code: COS3 Attorney or Party Name, Address, Phone No.: For court use only UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII Case No.: Chapter 13Debtor: and, if any,Joint Debtor: CERTIFICATE OF SERVICE RE: Chapter 13 Plan: Original The undersigned certifies that a copy of the above-identified plan was served on all creditors and parties in interest whose names and addresses appear below, including: Howard M.S. HuChapter 13 Trustee1132 Bishop Street, Suite 301Honolulu, Hawaii 96813Special Procedures FunctionInternal Revenue ServicePJKK Federal Building, M/S H240300 Ala Moana Blvd., Box 50089Honolulu, Hawaii 96850-4992State of Hawaii, Dep’t of TaxationBankruptcy Unit Collection BranchP.O. Box 259Honolulu, Hawaii 96809-0259[List of creditors and parties in interest served; attach additional pages as necessary.] LBF 3015-1c 1/1/01 code: COS3Service was made on: by: First class mail or Other (describe): Dated: _________________________________________ Person certifying service:

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