Fill and Sign the Employer Reconciliation Process Social Security Form

Form B 13S 12/94United States Bankruptcy Court_______________ District Of _______________ In re Case No. _____________ Debtor* Ad dress: Chapter 11 Soc ial Sec urity N o(s).: (Sm all Business) Em ployer's Tax Identification No(s). [if any]: ORDER CONDITIONALLY APPROVING DISCLOSURE STATEMENT, FIXING TIME FOR FILING ACCEPTANCES OR REJECTIONS OF PLAN, AND FIXING THE TIME FOR FILING OBJECTIONS TO THE DISCLOSURE STATEMENT ANDTO THE CONFIRMATION OF THE PLAN, COMBINED WITH NOTICE THEREOFAND OF THE HEARING ON FINAL APPROVAL OF THE DISCLOSURE STATEMENT AND THE HEARING ON CONFIRMATION OF THE PLAN A disclosure statement under chapter 11 of the Bankruptcy Code having been filed by ___________- _________________________________, on _____________________ with respect to a plan under chapter 11 of the Code filed by _________________________________, on _____________________; and the debtor being, and having elected to be considered, a small business: IT IS ORD ERED , and notice is hereb y given, that: A. The disclosure statement filed by __________________________________ is conditionally approved. B. ___________________________________ is fixed as the last day for filing written acceptances or rejections of the plan referred to above. C. Within ____________ days after the entry of this order, the plan, the disclosure statement and a ballot conforming to Official Form 14 sh all be mailed to creditors, equ ity security holde rs, and other parties in interest, and shall be transmitted to the United States trustee. D. ______________________________________________________________________ is fixed for the hearing on final approval of the disclosure statement (if a written objection has been timely filed) and for the hearing on confirmation of the plan. E. _____ _____ _____ _____ _____ _____ _____ __ is fixed as the last da y for filing and servin g written objection s to the disclosure statement and confirmation of the plan. Dated: ________________________ BY THE COURT ____________________________________ United States Bankruptcy Judge _________________________________________________________________________________________________ *Set forth all names, including trade names, used by the debtor within the last 6 years. (Fed. R. Bankr. P. 1005). For joint debtors, set forth both social security numbers.