Free Chapter 11 Ballot - St. Paul - Minnesota

UNITED STATES BANKRUPTCY COURT DISTRICT OF MINNESOTA In re: Case No. BKY _______________________

____________________________________, Debtor(s)

Chapter 11 Case

BALLOT FOR ACCEPTING OR REJECTING PLAN OF REORGANIZATION This ballot is being sent to all creditors, for acceptance or rejection of the plan. The plan as filed or modified by the debtor is dated __________________ and filed on _________________. The plan is accompanied by a disclosure statement. The statement as filed or amended is dated __________________, and was filed on __________________ and approved by the court on __________________. To have your vote count, you must complete and return this ballot. Under 11 U.S.C. § 1126 and Bankruptcy Rule 3018, a class of claims has accepted a plan if the plan has been accepted by creditors that hold at least two-thirds in amount and more than one-half in number of the allowed claims of such class held by creditors that have accepted or rejected the plan. The undersigned, a creditor having a claim in the amount of $_______________, hereby: Accepts Check one box: Rejects the plan of reorganization of the debtor described herein. Dated: Signed: Name of Creditor: Address:

Return completed ballot to: Clerk of Bankruptcy Court 200 Warren E. Burger Federal Building and U.S. Courthouse 316 North Robert Street St. Paul, MN 55101

This ballot must be received by the Clerk of Bankruptcy Court no later than .

05/03/93;051297