Fill and Sign the List Creditors Form

B4B (Official Form B4) (12/07) United States Bankruptcy Court       District Of       In re       , Case No.       Debtor Chapter       LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Following is the list of the debtor’s creditors holding the 20 largest unsecured claims. The list is prepared in accordance with Fed. R. Bankr. P. 1007(d) for filing in this chapter 11 [ or chapter 9] case. The list does not include (1) persons who come within the definition of "insider" set forth in 11 U.S.C. § 101, or (2) secured creditors unless the value of the collateral is such that the unsecured deficiency places the creditor among the holders of the 20 largest unsecured claims. If a minor child is one of the creditors holding the 20 largest unsecured claims, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). (1) (2) (3) (4) (5) Name of Creditor Name, telephone number and Nature of claim Indicate if claim Amount of claim and complete complete mailing address, (trade,debt,bank is contingent [if secured also mailing address including zip code, of loan,government unliquidated state value of including zip employee, ,agent, or department contract, etc.) disputed or security] code of creditor familiar with subject to setoff claim who may be contacted [List attached on a separate sheet] _______________________________ ________________ Debtor Date [Declaration as in Form 2]