UNITED STATES BANKRUPTCY COURT
DISTRICT OF OREGON
In re
)
) Case No.________________
)
) NOTICE OF AMENDED CLAIM TO DEBTOR(S)
) NOT REPRESENTED BY AN ATTORNEY
) [FOR USE ONLY IN CHAPTER 12 AND 13 CASES]
Debtor(s)
)
I, the undersigned, certify that I was authorized, on behalf of __________________________________,
(creditor)
to file the attached amended proof of claim, which amends claim number __________, previously filed for the
amount of $_______________. The amended claim differs from the original in the following ways (e.g., amount,
status, etc.):
PLEASE BE ADVISED that: (1) 11 U.S.C. §502(a) provides that a proof of claim filed under §501 is
deemed allowed unless objected to, and (2) F.R.B.P. 3001(f) provides that a proof of claim executed and filed in
accordance with the Bankruptcy Rules shall constitute prima facie evidence of the validity and amount of the claim.
NOTICE IS NOW GIVEN that it is expected that any further disbursements made by the trustee will be
based on the amended claim unless, within 14 days of the service date of this notice, BOTH: (1) an objection is
filed by the debtor setting forth the specific grounds for such objections, with the Clerk of Court (i.e., if the 5-digit
portion of the Case No. begins with "3" or "4", mail to 1001 SW 5th Ave. #700, Portland OR 97204; OR if it begins
th
with "6" or "7", mail to 405 E 8
Ave #2600, Eugene OR 97401); AND (2) a copy of such objection is served on
the trustee whose name and service address are _________________________________________________
________________________________________________________________________________________.
______________________________________________________
Signature
(OSB# if attorney)
______________________________________________________
Signer's Name (Type or Print)
Signer's Relation to Creditor
______________________________________________________
Signer's Address
______________________________________________________
I certify that on __________ copies of the above notice and amended proof of claim referred to therein were
served on the debtor(s) and trustee.
______________________________________________________
Signature of Creditor or Attorney
302 (8/8/08)