Free 11ballot - Virginia


File Size: 14.9 kB
Pages: 2
Date: May 17, 1999
File Format: PDF
State: Virginia
Category: Bankruptcy
Author: NN-SRL
Word Count: 496 Words, 3,238 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.vaeb.uscourts.gov/bkforms/B14.pdf

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Form B14 (Official Form 14) (9/97)

USBC, EDVA, 3/1/98

SAMPLE
UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA DIVISION In re ) ) * Debtor ) ) ) Address ) ) ) and all ) Social Security No(s). Employer's Tax Identification No(s). [if any])
)

Case No.

Chapter

CLASS [ ] BALLOT FOR ACCEPTING OR REJECTING PLAN OF REORGANIZATION [Proponent] filed a plan of reorganization dated [Date] (the "Plan") for the Debtor in this case. The Court has [conditionally] approved a disclosure statement with respect to the Plan (the "Disclosure Statement"). The Disclosure Statement provides information to assist you in deciding how to vote your ballot. If you do not have a Disclosure Statement, you may obtain a copy from [name, address, telephone number and telecopy number of proponent/proponent's attorney.] Court approval of the disclosure statement does not indicate approval of the Plan by the Court. You should review the Disclosure Statement and the Plan before you vote. You may wish to seek legal advice concerning the Plan and your classification and treatment under the Plan. Your [claim] [equity interest] has been placed in class [ ] under the Plan. If you hold claims or equity interests in more than one class, you will receive a ballot for each class in which you are entitled to vote. If your ballot is not received by [name and address of proponent's attorney or other appropriate address] on or before [date], and such deadline is not extended, your vote will not count as either an acceptance or rejection of the Plan. If the Plan is confirmed by the Bankruptcy Court it will be binding on you whether or not you vote. ACCEPTANCE OR REJECTION OF THE PLAN [At this point the ballot should provide for voting by the particular class of creditors or equity holders receiving the ballot using one of the following alternatives;] [If the voter is the holder of a secured, priority, or unsecured nonpriority claim:]
*Set forth here all names including married, maiden, and trade names used by debtor within last 6 years.

Form B14 Continued (9/97)

USBC, EDVA, 3/1/98

The undersigned, the holder of a Class [ ] claim against the Debtor in the unpaid amount of __________ ________________________________________________________Dollars ($ ) [or, if the voter is the holder of a bond, debenture, or other debt security:] The undersigned, the holder of a Class [ ] claim against the Debtor, consisting of ____________________ _______________________________________________ Dollars ($ ) principal amount of [describe bond, debenture, or other debt security] of the Debtor (For purposes of this Ballot, it is not necessary and you should not adjust the principal amount for any accrued or unmatured interest.) [or, if the voter is the holder of an equity interest:] The undersigned, the holder of Class [ ] equity interest in the Debtor, consisting of interests of [describe equity interest] in the Debtor [In each case, the following language should be included:] (Check one box only) [ ] ACCEPTS THE PLAN Dated: Print or type name: Signature: Title (if corporation or partnership: Address: [ ] REJECTS THE PLAN shares or other

RETURN THIS BALLOT TO: [Name and address of proponent's attorney or other appropriate address]