CHAPTER 13 PLAN AND COVER SHEET UNITED STATES BANKRUPTCY COURT DISTRICT OF MASSACHUSETTS

CHAPTER 13 PLAN AND COVER SHEET
UNITED STATES BANKRUPTCY COURT
DISTRICT OF MASSACHUSETTS

Filing Date: ____________________ Docket #: ______________________

Debtor: _________________________ Co-Debtor: _____________________

SS#: ____________________________ SS#: ___________________________

Address: ________________________ Address: _______________________

________________________________ ________________________________

Debtor's Counsel: _______________

Address: ________________________

_________________________________

Telephone #: ____________________

Facsimile #: ____________________

ATTACHED TO THIS COVER SHEET IS THE CHAPTER 13 PLAN FILED BY THE DEBTOR(S) IN THIS CASE. THIS PLAN SETS OUT THE PROPOSED TREATMENT OF THE CLAIMS OF CREDITORS. THE CLAIMS ARE SET FORTH IN THE BANKRUPTCY SCHEDULES FILED BY DEBTOR(S) WITH THE BANKRUPTCY COURT.

YOU WILL RECEIVE A SEPARATE NOTICE FROM THE BANKRUPTCY COURT OF THE SCHEDULED CREDITORS' MEETING PURSUANT TO 11 U.S.C. ' 341. THAT NOTICE WILL ALSO ESTABLISH THE BAR DATE FOR FILING PROOFS OF CLAIMS.

PURSUANT TO THE MASSACHUSETTS LOCAL BANKRUPTCY RULES, YOU HAVE UNTIL THIRTY (30) DAYS AFTER THE SECTION 341 MEETING TO FILE AN OBJECTION TO CONFIRMATION OF THE CHAPTER 13 PLAN, WHICH OBJECTION MUST BE SERVED ON THE DEBTOR, DEBTOR'S COUNSEL AND THE CHAPTER 13 TRUSTEE.

UNITED STATES BANKRUPTCY COURT

DISTRICT OF MASSACHUSETTS

CHAPTER 13 PLAN Docket # ___________

DEBTORS: (H) ____________________________ SS# _________________

(W) ____________________________ SS# _________________

TERM OF THE PLAN _________________________ Months

(If the plan is longer than thirty-six (36) months, a statement of cause pursuant to 11 U.S.C. ' 1322(d) must be attached hereto.)

PLAN PAYMENT: Debtor(s) to pay monthly: $ ________________________

I. SECURED CLAIMS

A. CLAIMS TO BE PAID THROUGH THE PLAN (INCLUDING ARREARS):

Creditor Description of claim (pre- Amount of claim petition arrears, purchase

money, etc.)

_____________ __________________________ $________________

Total of secured claims to be paid through the Plan $ ________

B. CLAIMS TO BE PAID DIRECTLY TO CREDITORS (Not through Plan):

Creditor Description of Claim

____________________________ ________________________________

II. PRIORITY CLAIMS

Creditor Description of claim Amount of claim

_____________ __________________________ _________________

Total of priority claims to be paid through the plan $ _______

III. ADMINISTRATIVE CLAIMS

A. Attorneys fees (to be paid through the plan): $ __________

(to be paid in first 12 months of plan)

B. Miscellaneous fees:

Creditor Description of claim Amount of claim

_____________ __________________________ _________________

C. The chapter 13 trustee's fee is determined by order of the United States Attorney General. The calculation of the Plan payment set forth below utilizes a 10% trustee's commission.

In the event that the trustee's commission is less than 10%, the additional funds collected by the trustee shall be disbursed to unsecured creditors up to 100% of the allowed claims.

IV. UNSECURED CLAIMS

The general unsecured creditors shall receive a dividend of ______% of their claims.

A. General unsecured claims: $______________

B. Undersecured claims arising after lien avoidance/cramdown:

Creditor Description of Amount of Claim

claim

__________________ __________________ ______________________

Total of A + B general unsecured claims: $___________________

C. Multiply total by percentage of dividend: $______________

(Example: Total of $38,500.00 x .22 dividend = $8,470.00)

D. Separately classified unsecured claims (co-borrower/student loan, etc.):

Creditor Description of claim Amount of claim

__________________ ______________________ $________________

Total amount of separately classified

claims payable at _____%: $______________

V. OTHER PROVISIONS

A. Liquidation of assets to be used to fund plan: ____________

______________________________________________________________

B. Modification of Secured Claims: Set forth details of modifications below or on attached sheets. This information should include name of creditor and detailed explanation of the modification. The total amount of the secured claim that is to be paid through the plan (inclusive of interest) should be set forth in Section I of this Plan.

______________________________________________________________

C. Miscellaneous provisions: _________________________________

______________________________________________________________

VI. CALCULATION OF PLAN PAYMENT

a. Secured claims (Section I-A Total): $__________

b. Priority claims (Section II Total): +$__________

c. Administrative claims (Section III A + B Total): +$__________

d. General unsecured claims (Section IV-C Total): +$__________

e. Separately classified unsecured claims

(Section IV-D Total): +$__________

f. Total of (a) through (e) above: =$__________

g. Divide (f) by .90 for total including

Trustee=s fee: Cost of Plan =$__________

(This represents the total amount to be paid into the chapter 13 plan)

h. Divide (g) Cost of Plan by Term of plan: _____ months

i. Round up to nearest dollar: Monthly Plan Payment: $_______

(Enter this amount on page 1)

Pursuant to 11 U.S.C. ' 1326(a)(1), unless the Court orders otherwise, a debtor shall commence making the payments proposed by a plan within thirty (30) days after the plan is filed.

LIQUIDATION ANALYSIS

I. Real Estate:

Address Fair Market Value Recorded Liens (Schedule D)

__________________ $______________________ $________________

Total Net Equity for Real Property: $___________

Less Exemptions (Schedule C): $_________________

Available Chapter 7: $_________________

II. Automobile (Describe year, make and model):

_____________ Value $_________ Lien $______ Exemption $_______

Net Value of Equity: $__________________________

Less Exemptions (Schedule C): $_________________

Available Chapter 7: $__________________________

III. All Other Assets (All remaining items on Schedule B): (Itemize as necessary)

Value:$________ Less Exemptions (Schedule C): $__________

Available Chapter 7: $__________

SUMMARY (Total amount available under Chapter 7):

Net Equity (I and II) Plus Other Assets (III) less all claimed exemptions: $__________

Additional Comments regarding Liquidation Analysis:

______________________________________________________________

Pursuant to the Chapter 13 rules, the debtor or his or her counsel is required to serve a copy of the Amended Plan upon the Chapter 13 trustee, all creditors and interested parties, and to file a certificate of service accordingly.

______________________________ ___________________________

Debtor's counsel Date

Address: ______________________

_______________________________

Telephone#:____________________

I/WE DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING REPRESENTATIONS OF FACT ARE TRUE AND CORRECT TO THE BEST OF

OUR KNOWLEDGE AND BELIEF.

_______________________________ ___________________________

Debtor Date

_______________________________ ___________________________

Debtor Date