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MOW 1009-1.3 (05/07)

UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF MISSOURI In Re: Debtor(s) ) ) )

Case No.

NOTICE OF AMENDMENT OF SCHEDULE OF DEBTS AND ADDITION OF CREDITOR You are hereby notified that the debtor has filed amended schedules of debt to include creditors listed below or on the attachment. By separate copy, you are also notified of the full social security number of the debtor(s). [Edit paragraphs below as appropriate] 1. Creditor (name and address): 2. Claim (amount owed, nature of claim, date incurred): 3. This claim has been scheduled as [check box]: [ ] priority; [ ] secured; [ ] general unsecured. 4. Trustee, if one has been appointed: 5. Deadline for filing complaints objecting to discharge of specific debts or of debtor under 11 U.S.C. §§ 523, 727: This claim was added to the schedules after the deadline for filing complaints stated above. The creditor shall have 30 days after the date of service below to file complaints. 6. Deadline for filing proofs of claim [select the appropriate paragraph below]: This is a no-asset case. It is unnecessary to file a claim now. If it is determined there are assets to distribute, creditors will receive a notice setting a deadline to file claims. This claim was added to the schedules after the deadline for filing claims stated above. The creditor shall have 30 days after the date of service below to file a proof of claim on the form included with this notice. This is a Chapter 13 case. You have 30 days from the date of this notice or until the bar date, whichever is later, to file your proof of claim. Date: __________________ ________________________________________ Debtor's attorney (type name, address)

Certificate of Service: I,______________________________________, certify the above notice and a separate notice of the full social security number of the debtor(s) was served on the abovenamed creditor by first class, postage prepaid mail, on ___________________________. _______________________________. Typed Name or Signature Instructions: Edit all paragraphs as appropriate and serve on the affected creditor(s). ECF Event: Bankruptcy>Notices>Amendment to Schedules Adding Creditors (Fee Due)