Free Local Form LF3018 F - CH 11 BALLOT SUMMARY INSTRUCTIONS - Washington

LF 3018 f (5/2006) UNITED STATES BANKRUPTCY COUR5T EASTERN DISTRICT OF WASHINGTON

BALLOT SUMMARY INSTRUCTIONS

Case No. Debtor: Proponent: Plan Filed: Ballots Due:

Enter case number Enter debtor(s) name Enter proponent (i.e. debtor in possession, The Plan Company) Enter date plan filed, along with date amended plans filed Enter ballot due date Creditor Name (4) Vote (5) $ Amount (6) Reason (7)

Class Dkt # File date (1) (2) (3)

Group ballots on ballot summary by class: (1) (2) (3) (4) (5) (6) (7) Enter the first class. Enter the ballot document number (from case docket). Enter the ballot file date. Enter the creditor name from the ballot. Enter the ballot vote (A = Accept; R = Reject). Enter the allowed dollar amount (from List Classifying Claims). If applicable: Enter the Reason the ballot will not be counted for the Report of Balloting.

Ballots are not counted if: · · · · · · Filed after the balloting deadline. Neither accept or reject is marked on the ballot form. Cannot determine creditor from the signature on the ballot. Ballot is a duplicate of an earlier ballot. Ballot is amending an earlier ballot filed in the same ballot period. Ballot is amended with later filed ballot pursuant to court order, or an additional balloting period.

Repeat for each voting ballot in class. Repeat for each class.