Free Local Form LF3018 C - BALLOT - Washington

. LF 3018 c (5/2006) UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF WASHINGTON

In re:

Case No.

BALLOT FOR ACCEPTING OR REJECTING PLAN OF REORGANIZATION

1.

The Plan of Reorganization referred to in this ballot was filed by _____________________________________ on ___________________. The Plan of Reorganization can be confirmed by the court and thereby made binding on you if it is accepted by the holders of two-thirds in amount and more than one-half in number of claims in each class. In order for your vote to count, you must complete and return this ballot within the time set forth below. The undersigned, a creditor or equity security holder of the above-named debtor, ACCEPTS (Check only one) REJECTS the Plan of Reorganization for the Debtor.

2.

3.

The Plan of Reorganization places my claim or interest in Class No. ________________.

4.

Name of creditor or equity security holder:

_______________________________________________ (Type or print) By: _______________________________________________ (Signature)

5.

Address of creditor or equity security holder:

_______________________________________________ _______________________________________________

6.

Return ballot on or before _______________ to:

Clerk, United States Bankruptcy Court PO Box 2164 Spokane, WA 99210-2164