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UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: ) ) ) ) ) Debtor(s) ) _______________________________________)

CASE NO.

MOTION TO DISBURSE UNCLAIMED MONIES It appearing that in the above-nam case a dividend check in the amount of $ ed payable to a stop payment on the unnegotiated dividend check, and the Clerk having subsequently deposited the funds into the Registry Account for Unclaim Monies to be held in said account for the benefit ed of the Creditor, The Creditor, , now moves this Court to order the disbursement of said funds held in the Registry Account for Unclaimed Monies, and in support of this Motion states: made

, Creditor, was unnegotiated by said Creditor, the Trustee having issued

Local Form K

WHEREFORE, Claimant requests that the Courtissue an order directing the Clerk to m ake disbursement of said funds held in the Registry Account for Unclaimed Monies for the benefit of the Creditor, .

CERTIFICATE OF MAILING I hereby certify that on a true and correct c of the foregoing Motion to Disburse opy estern Distric t of

Unclaimed Monies was served upon the Unites States Attorney for the W

Kentucky, Bank of Louisville Building, 510 West Broadway, Louisville, Kentucky 40202.

Local Form K

UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: ) ) ) ) ) Debtor(s) ) _______________________________________)

CASE NO.

ORDER TO DISBURSE UNCLAIMED MONIES The Court f inds that an am ount of $ Unclaimed Monies for the benefit of Creditor, deposited in the Registry Account for , for reasons stated in the Motion filed

contemporaneously herewith, is due and owing to said Creditor, therefore, IT IS ORDERED that the Clerk, U. S. Bankr uptcy Court, Western District of Kentucky, disburse this unclaimed dividend of $ to:

Tendered by:

Local Form K