Official Local Form 3 - Chapter 13 Plan Cover Sheet Page 5

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IV. ADMINISTRATIVE CLAIMS:
A. Attorneys Fees (to be paid through the 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 utilizes a 10% Trustee's commission.
V. 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 Claim
Amount of Claim
__________________
_________________________
$_______________
__________________
_________________________
$_______________
__________________
_________________________
$_______________
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