IN THE UNITED STATES BANKRUPTCY COURT FOR THE EASTERN DISTRICT OF OKLAHOMA IN RE: Case No. Chapter 11 Debtor(s). CHAPTER 11 FINAL REPORT IN A UNCONFIRMED CHAPTER 11 CASE The above-referenced case was (Dismissed/Converted/Transferred) Information required to close case: The Percentage dividend reported is that which is to be paid to the general class of unsecured creditors under the confirmed plan. If the plan contemplates no payment to unsecured creditors, enter a "0" in dividend space. % Dividend to be paid. 1. 2. 3. Trustee/U.S. Trustee Compensation Fee for Attorney for Trustee Other Professional Fees ( Fee for Attorney for Debtor Fee for Accountant ( Fee for Auctioneer ( Fee for ( Fee for ( Fee for ( 4. ) ) ) ) ) ) on (Date)
Total of all expenses for all professionals TOTAL OF LINES 1 through 4
5. 6. 7.
Total of Secured Claims Allowed Total of Priority Claims Allowed Total of Unsecured Claims Allowed
Items 5 through 7 should reflect the total amount allowed to each class of creditor, regardless of whether or not that particular class will be paid in full. Dated: Attorney Name & Bar No. Address
Phone and Fax Number