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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) Case No.________________ CHAPTER 11 TRUSTEE'S FINAL ACCOUNT RE CONFIRMED, CONVERTED, DISMISSED, OR TRANSFERRED CASE

Debtor(s)

I, _________________________________, the undersigned, was appointed a Chapter 11 trustee in this case on ___________, and certify under penalty of perjury that: 1. On ___________, this case was (check one): Confirmed. Converted from a Chapter 11 to a Chapter ____. Dismissed. Transferred to another office/district. 2. A detailed itemization of my receipts and disbursements as Chapter 11 trustee is attached. I collected a total of $________________, disbursed a total of $________________, and turned over the balance of $________________, to _____________________________________, who is the _________________________________________. (e.g., Chapter 7 trustee) 3. Attached is the final financial report as required by LBR 2015. Also attached are any previously unfiled monthly Fed. Bankruptcy Rule 2015 financial reports from at least the date of my appointment through the date of dismissal, conversion, transfer or confirmation (whichever is earlier). 4. I will file a timely proof of claim to assert any claim for a commission or out-of-pocket expenses incurred in this case. I will file a timely proof of claim for allowances as an administrative expense. 5. On ___________ copies of this final account were mailed to any successor trustee, the U.S. Trustee, the debtor(s), and any debtor(s)' attorney. I hereby request this final account be approved and I be discharged from my trust.

DATE: ___________

__________________________________ Trustee

1198 (4/1/09)