Form 2 - Chapter 13 Plan - United States Bankruptcy Court - Western District Of Tennessee
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1FORM NO. 2 (LF002)
UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF TENNESSEE
WESTERN DIVISION
_______________________________________________________________________________________________
In re
Case No.
Chapter 13
Debtor(s).
_____________________________________________________________________________________________
CHAPTER 13 PLAN
(INDIVIDUAL ADJUSTMENT OF DEBTS)
_______________________________________________________________________________________________
DEBTOR(S):
(H)
S.S.#____________________________
(W)_________________________________ S.S.#____________________________
ADDRESS:
_____________________________________
_____________________________________
PLAN PAYMENT:
Debtor(s) to pay $____________ (
weekly, every two weeks, semi-monthly, monthly)
PAYROLL DEDUCTION:
__________________________ OR ( ) DIRECT PAY
________________________________ BECAUSE:____________________________
________________________ FIRST PAYMENT DATE:_______________________
PLACE OF EMPLOYMENT: _____________________________________
ADMINISTRATIVE:
Pay filing fee, Trustee’s fee, and debtor’s attorney fee, pursuant to Court Order.
MONTHLY
PLAN PMT.
AUTO INSURANCE:
( )Not included in Plan ( ) Included in Plan
$____________
CHILD SUPPORT:
Future support through Plan to ________________________
$__________
Child support arrearage amount _______________________
$__________
PRIORITY CREDITORS:
______________________________________
$__________
______________________________________
HOME MORTGAGE:
If no arrearage, ongoing payments are to be paid directly by the debtor(s).
_______________________________________ongoing pmt. begin ____________________________, ______
$____________
Approx. arrearage ______________________Interest_________%
$_______________
_______________________________________ongoing pmt. begin ____________________________, ______
$_____________
Approx. arrearage _______________________Interest_________%
$_______________
SECURED CREDITORS:
VALUE
RATE OF
MONTHLY
(retain lien 11 U.S.C. § 1325{a}{5})
COLLATERAL
INTEREST
PLAN PMT.
___________________________________________ $____________
_________%
$__________
___________________________________________ $____________
_________%
$___________
___________________________________________ $____________
_________%
$_____________
___________________________________________ $____________
_________%
$_____________
___________________________________________ $____________
_________%
$____________
___________________________________________ $____________
_________%
$__________
___________________________________________ $____________
_________%
$____________
UNSECURED CREDITORS:
Pay _____________% of these claims after above claims are paid or pay all disposable
income for term of plan;
ESTIMATED TOTAL UNSECURED, NON-PRIORITY DEBT:______________________
TERMINATION:
Plan shall terminate upon payment of the above, approximately _____ months.
*ADEQUATE PROTECTION PAYMENT WILL BE 1/4 (25%) OF PROPOSED CREDITOR MONTHLY
PAYMENT.
FAILURE TO FILE TIMELY WRITTEN OBJECTION TO CONFIRMATION WILL BE DEEMED ACCEPTANCE
OF PLAN.
Absent a specific court order otherwise, all claims, other than those specifically provided for above, shall be paid as general
unsecured debts. General unsecured creditors will receive ___________ %
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