Fill and Sign the Local Bankruptcy Rules Interim Bankruptcy Rules Form

LBF 3015-1A UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW HAMPSHIRE In re:Bk. No. Chapter 13 Debtors CHAPTER 13 PLAN DATED _____________ This is a ______ month plan. If this plan is in excess of 36 months, the reason therefor is as follows: ____________________________________________________________________________________ ____________________________________________________________________________________ ______. Debtors:(H)_____________________SS #_____-___-______ (W)_____________________SS #_____-___-______ Plan Payment:Debtor(s) to pay to trustee monthly:$___________ Number of months: ___________ Total paid into plan $___________ I.ADMINISTRATIVE: Trustee’s fee pursuant to 11 U.S.C. § 1302 and debtor’s attorneys’ fees. A.Trustee’s maximum 10% fee: $__________ B.Attorney’s fee requested to be paid through the plan:$__________ C.Other: $__________ II.PRIORITY CREDITORS: TotalMonthly Plan Creditor Claim Payment LBF 3015-1A III.CREDITORS SECURED BY PRIMARY RESIDENCE: Regular mortgage payments and arrearage to be paid as follows: ( )outside plan – mortgage is current and payable directly by debtor. ( )the debtor's estimate of the fair market value of such primary residence is $__________. ( )the mortgage is not current and the arrearage only is to be paid through the plan as follows: Regular Total Monthly PaymentArrearage Plan Payment1st $_________$_________ $__________ 2nd$_________$_________ $__________ 3rd$_________$_________ $__________ IV.SECURED CREDITOR (OTHER) : ( ) outside plan: current regular payment to be made by debtor. Total CurrentArrearage Monthly MonthlyPayment Plan CollateralValuePaymentThru Plan PaymentV.UNSECURED CREDITORS: Unsecured creditors’ claims total $ . The percentage to be paid toward these claims will be determined after the bar date for filing claims has passed and will be specified in the proposed order of confirmation. Unsecured creditors will begin receiving payment on a pro rata basis with secured arrearages and priority claims. If all scheduled claims are allowed, the percentage distribution to creditors is estimated at _______%. Total available monthly for unsecured creditors: $_________ Monthly plan payment: $_________ LBF 3015-1A Liquidation AnalysisIn the event of a liquidation under Chapter 7, I/we would claim the state/federal exemptions, based on which unsecured creditors would receive_________%. I.REAL ESTATE (located at):_________________________________ Fair Mkt.Avail. Value LiensExemptionCh. 7A.1st 2nd 3rd B.1st 2nd 3rd C.1st 2nd 3rd D.1st 2nd 3rd E.1st 2nd 3rd Net Value Equity:$________ Basis for exemption___________________________________________. Value determined by___________________________________________. II.TANGIBLE ASSETS: A.Automobile (describe year, make, model): Avail. DescriptionValueLiensExemptionCh. 7 LBF 3015-1A Net Value Equity:$_________ Basis for exemption___________________________________________. Value determined by___________________________________________. B.Household Goods: Avail. DescriptionValueExemptionCh. 7Net Value Equity$_________ Basis for exemption___________________________________________. Value determined by_________________________________________. III.INTANGIBLE ASSETS: A.Litigation, Personal Injury Claims, etc. Please state estimated value and basis for determining same. Avail.$_________. IV.OTHER ASSETSAvail. DescriptionValueExemptionCh. 7A B. C. D. E. F. Net Value Equity:$_______ Basis for exemption___________________________________________. Value determined by__________________________________________. Total Available in Chapter 7$_________ LBF 3015-1A OTHER PROVISIONSIf any of the following issues are raised please indicate here and specify the details thereof by an attachment hereto: (a)Co-debtor matters (11 U.S.C. § 1301) (b)Cramdown (11 U.S.C. § 1322(b)(5)) (c)Executory contracts & leases (d)Undersecured claims (e)Lien avoidance (impairment of exemption or preferential lien) (f)Unliquidated claims (g)Liquidating plan — sale of property (h)Return of secured collateral (i)Other: I/We declare under penalty of perjury that the foregoing is true and correct. Date: ___________________________________________ Debtor Date: ___________________________________________ Debtor