Official Local Form 3a - Post-Confirmation Amended Chapter 13 Plan Page 5

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____________________
__________________________
$______________
Total of Unsecured Claims(A + B + C):
$______________
D. Multiply total by percentage:
$______________
(Example: Total of $38,500.00 x .22 dividend = $8,470.00)
E. Separately classified unsecured claims (co-borrower, etc.):
Creditor
Description of Claim
Amount of Claim
____________________
___________________________
$______________
____________________
___________________________
$______________
____________________
__________________________
$______________
Total amount of separately classified claims payable at ____%:
$______________
VI. OTHER PROVISIONS:
A. Liquidation of assets to be used to fund plan:________________________________________
_______________________________________________________________________________.
B. Miscellaneous Provisions:
_______________________________________________________________________________
_______________________________________________________________________________.
C. Set forth below, all changes from the previously Confirmed Plan:
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