Fill and Sign the Nh Chapter 13 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 : Creditor Total Claim Monthly Plan 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 Payment Arrearage Plan Payment 1st $       $       $       2nd $       $       $       3rd $       $       $       IV. SECURED CREDITOR (OTHER) : outside plan: current regular payment to be made by debtor. Collateral Value Current Monthly Payment Arrearage Payment Thru Plan Total Monthly Plan Payment                               V. 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 Analysis In 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. Value Liens Exemption Avail. Ch. 7 A. 1 st                         2 nd                         3 rd                         B. 1 st                         2 nd                         3 rd                         C. 1 st                         2 nd                         3 rd                         D. 1 st                         2 nd                         3 rd                         E. 1 st                         2 nd                         3 rd                         Net Value Equity: $       Basis for exemption       . Value determined by       . II. TANGIBLE ASSETS: A. Automobile (describe year, make, model): Description Value Liens Exemption Avail. Ch. 7                                                                                           LBF 3015-1A Net Value Equity: $       Basis for exemption       . Value determined by       . B. Household Goods: Description Value Exemption Avail. Ch. 7                                                                         Net 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 ASSETS Description Value Exemption Avail. Ch. 7 A.                         B.                         C.                         D.                         E.                         F.                         Net Value Equity: $       Basis for exemption       . Value determined by       . Total Available in Chapter 7 $       LBF 3015-1A O THER P ROVISIONS If 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