Fill and Sign the Mississippi 13 Form

CHAPTER 13 MINI-PLAN CASE#       DEBTORS:       SS#:       NET MTLY EARNINGS:             SS#:       NET MTLY EARNINGS:       ADDRESS:       # OF DEPENDENTS:       PLAN PAYMENTS: DEBTOR(S) PROPOSE TO PAY $       PER       . WAGE ORDER TO BE DIRECTED TO:             OR DIRECTLY TO THE DEBTOR BECAUSE             . PRIORTY CREDITORS: IRS $       @$       PER MO. \ STATE TAX COMM. $       @$       PER MO. OTHER:       $       @$       PER MO. HOME MORTGAGE: MTG PMTS TO       STARTING       @$       PLAN DIRECT MTG PMTS TO       STARTING       @$       PLAN DIRECT MTG PMTS TO       STARTING       @$       PLAN DIRECT MTG ARREARAGE TO       FROM       THRU       $       @       MTH MTG ARREARAGE TO       FROM       THRU       $       @       MTH MTG ARREARAGE TO       FROM       THRU       $       @       MTH SECURED CLAIMS: Retain Lien uner 11 U.S.C. 1325 (A) (5) (B) (I) and be paid the sum set out in the column “AMOUNT TO BE PAID” or the Creditor’s Proof of Claim amount up to the value set out below, whichever is g r e a t e r . T h a t p o r t i o n o f t h e C r e d i t o r ’ s P r o o f o f C l a i m n o t p a i d a s s e c u r e d s h a l l b e p a i d a s a n u n s e c u r e d c l a i m . CREDITOR’S NAME & COLLATERAL AMT. OWED VALUE PROPOSED AMT. TO BE PAID PROPOSED MONTHLY PAYMENT IS VEHICLE INSURED?       $       $       $       $                   $       $       $       $                   $       $       $       $                   $       $       $       $                   $       $       $       $                   $       $       $       $             SPECIAL C LAIMANTS: Child Support, Co-signed Debts, Collateral for surrender or abandonments, etc. C L A I M P R O P O S A L           $                               $                               $                     UNSECURED DEBTS: The Holders of the allowed Unsecured Claims totaling approximately $       are to be paid in deferred payments: in Full Per Cent None Other       ADMINISTRATIVE: Pay fling fees, administrative fees pursuant to Court Order and/or Local Rules. ATTORNEY FEES OF $       to be paid through the Plan. REMARKS:       Name/Address/Phone # of vehicle Attorney for Debtor/Address/Phone # Insurance Company or Agent                                     Phone #       Phone #       The Debtor(s) request that the Court approve this plan for       months or until paid, not to exceed 60 months. DEBTOR’S SIGNATURE _________________________________________ S P O U S E ’ S S I G N A T U R E _________________________________________ ATTORNEY SIGNATURE _________________________________________