Free Local Form LF3016 - LIST CLASSIFYING CLAIMS AND INTERESTS - Washington

LF 3016 (5/96) U N I TE D S TA T E S B A N K R U P TC Y C O U R T E A ST E RN D IS T RI CT O F W A SH I NG T O N

List Classifying Claims and Interests
CASE NAM E CASE NUMBER

The following is a list of CRED ITOR S, set out and alphabetized by CLA SS, as set forth in the debtor's Proposed Plan. The AM OUN T DUE is based on the amount of the claim as indicated by the debtor on the schedules (S), or by the am ount of the claim as filed by a creditor (C), or as determ ined by the cour t in a judicial hearing (J), whichever is latest in time. CLASS I/ U* MEM BER(s) OF CLASS** AMOUNT DUE BA SIS***

* **

"I" indicates im paired and "U" indicates unimp aired fo r each class. If the member appears in more than one class as a result of the claim being secured in part and unsecured in part, a "+ " to the right of the class member's name indicates that the claim is secured in part and unsecured in par t. If the am ount listed is ba sed upon the claim a s is scheduled by the debto r, an "S" is indicated u nder b asis. If the am ount listed is ba sed upon a p roof of claim filed by th e credito r, indicate "C" as the ba sis. If the am ount listed is ba sed upon a ju dicial determ ination o f the claim , indicate "J" as the ba sis.

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I hereby state under penalty of perjury that the information contained in the above List Classifying Claims and Interests is true and correct to the best of my knowledge and belief.

Proponent of Plan