Number range CHAPTER**UNITED STATES BANKRUPTCY COURT**

**EASTERN DISTRICT OF TENNESSEE**

**IN RE CASE NO.\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**(Case Name) CHAPTER 11**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Debtor(s)**

**QUARTERLY OPERATING REPORT**

**FOR INDIVIDUALS - POST CONFIRMATION**

**FOR QUARTER ENDING \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,
20\_\_\_**

**Comes now
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,
debtor in possession,**

**and hereby submits its Quarterly Operating Report for the period
commencing**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ and ending
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ as shown by the report and**

**exhibits consisting of \_\_\_\_\_ pages and containing the following,
as indicated:**

**\_\_\_\_\_ Reconciliation of Cash/Cash Disbursements Detail (Exhibit
A)**

**\_\_\_\_\_ Detail of Post-Petition Liabilities (Exhibit B)**

**\_\_\_\_\_ Transfer of Property (Exhibit C)**

**\_\_\_\_\_ Statement of Plan Payments (Exhibit D)**

**\_\_\_\_\_ Certificate of Service**

**I declare under penalty of perjury that this report and all
attachments are true and**

**correct to the best of my knowledge and belief. I also hereby certify
that the original**

**Quarterly Operating Report was filed with the Bankruptcy Court Clerk
and a copy**

**delivered to the parties as listed on the attached Certificate of
Service.**

**Date: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_ DEBTOR-IN-POSSESSION**

> **\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
> (Signature)**

**Name and
Title:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
(Print or Type)**

**Address:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**Telephone
Number:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**NOTE: These report forms are available on our website at**

**www.usdoj.gov/ust/r08/tennessee/chattanooga_staff.htm**

**(the space between "chattanooga" and "staff" is an underscore)**

**For more information, contact:**

**Tom DuBose**

**Bankruptcy Analyst**

**Office of U. S. Trustee**

**31 E. 11st Street, 4th Floor**

**Chattanooga, TN 37402**

**(423) 752-5159**

[**[Tom.DuBose@usdoj.gov]{.underline}**](mailto:Tom.DuBose@usdoj.gov)

**EXHIBIT A \[Complete an Exhibit A for each bank account\]**

**CASE NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**CASE NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**[RECONCILIATION OF CASH]{.underline}**

**QUARTER
ENDING\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**BANK NAME
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**ACCOUNT NO.
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**BEGINNING CASH PER BOOKS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**PLUS RECEIPTS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**PLUS TRANSFERS IN \*
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**LESS DISBURSEMENTS**

**{LIST BELOW}
{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_}**

**LESS TRANSFERS OUT \*
{\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_}**

**ENDING CASH PER BOOKS**

**(to "Cash", Statement**

**of Assets and Liabilities)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**\* Use Transfer line only for transfers between multiple bank
accounts.**

**[CASH DISBURSEMENTS DETAIL]{.underline}**

**[DATE]{.underline} [PAYEE]{.underline} [AMOUNT]{.underline}
[PURPOSE]{.underline}**

**TOTAL DISBURSEMENTS:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

[EXHIBIT B]{.underline}

CASE NAME: DETAIL OF POST PETITION LIABILITIES

CASE NUMBER: QUARTER ENDED:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

DATE DATE AMOUNT 0-30 31-60 61-90 91-120

INCURRED DUE DUE DAYS DAYS DAYS DAYS

PAYROLL TAX \_\_\_\_\_\_

SALES TAX \_\_\_\_\_\_

RENT \_\_\_\_\_\_

OTHER (LIST SEPARATELY) \_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

\_\_\_\_\_\_

TOTALS: \_\_\_\_\_\_

I HEREBY SWEAR (OR AFFIRM) THAT ALL POST PETITION DEBTS OR OBLIGATIONS
(INCLUDING TAXES TO ALL TAXING AUTHORITIES) ARE BEING PAID ON A TIMELY
BASIS. (IF NOT, ATTACH EXPLANATION)

SIGNATURE\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**EXHIBIT C**

**CASE NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**CASE NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**During the current period has any property of the debtor been sold or
otherwise transferred other than in the ordinary course of the debtor\'s
business?**

**If so, give a description of the property, to whom it was transferred,
the date of the transfer, costs and expenses associated with the
transfer (including all seller closing costs and loan payoff amounts)
and the net amount received. If available, attach a copy of the
settlement statement associated with the closing.**

**EXHIBIT D**

**CASE NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

**CASE NUMBER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_**

STATEMENT OF PLAN PAYMENTS

\[List all plan payments made during quarter under the following
headings\]

CLASS

NAME OF CREDITOR (OR TYPE IF MORE THAN ONE - UNSECURED, e.g.)

AMOUNT PAID DURING CURRENT QUARTER

AMOUNT REMAINING DUE

CERTIFICATE OF SERVICE

I hereby certify that a true copy of the foregoing Quarterly Operating
Report was sent by

U. S. Mail properly addressed and with correct postage to the persons or
offices listed below.

Done this \_\_\_\_\_\_\_ day of \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_,
20\_\_\_\_.

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Signature)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Printed name)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Street address)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(City, state, zip)

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

(Telephone)

ORIGINAL FILED WITH:

U. S. Bankruptcy Court

31 E. 11th Street

Chattanooga, TN 37402

\[electronically\]

COPIES MAILED TO:

\[CASES WITH IRS DEBT\]

Internal Revenue Service

SB/SE - Insolvency

801 Broadway, MDP 146

Nashville, TN 37203

Members of Creditors Committee

(if applicable list names and

addresses on separate sheet)