Official Local Form 3 - Chapter 13 Plan Cover Sheet Page 2

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OFFICIAL LOCAL FORM 3
UNITED STATES BANKRUPTCY COURT
DISTRICT OF MASSACHUSETTS
PRE-CONFIRMATION CHAPTER 13 PLAN
Docket No.:_____________
DEBTOR(S):
(H)________________________________
SS#: _____________________
(W)________________________________
SS#: _____________________
I. PLAN PAYMENT AND TERM:
Debtor(s) shall pay monthly to the Trustee the sum of $__________ for the term of:
G 36 Months. 11 U.S.C. ' 1325(b)(4)(A)(i);
G 60 Months. 11 U.S.C. ' 1325(b)(4)(A)(ii);
G 60 Months. 11 U.S.C. ' 1322(d)(2). Debtor avers the following cause:
______________________________________________________________________________
______________________________________________________________________________
___________________________________________________________________________; or
G ____ Months. The Debtor states as reasons therefore: _________________________________
________________________________________________________________________________
________________________________________________________________________________
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