FORM B10 (Official Form 10) (10/05)

+--------+-----------------------+---+----------------+-------------------+
| **     |                       |   |                | **PROOF OF        |
| United |                       |   |                | CLAIM**           |
| States |                       |   |                |                   |
| Bank   |                       |   |                |                   |
| ruptcy |                       |   |                |                   |
| Court  |                       |   |                |                   |
| Di     |                       |   |                |                   |
| strict |                       |   |                |                   |
| of     |                       |   |                |                   |
| Mon    |                       |   |                |                   |
| tana** |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| Name   |                       | C |                | **This space is   |
| of     |                       | a |                | for Court Use     |
| Debtor |                       | s |                | Only**            |
|        |                       | e |                |                   |
|        |                       | N |                |                   |
|        |                       | u |                |                   |
|        |                       | m |                |                   |
|        |                       | b |                |                   |
|        |                       | e |                |                   |
|        |                       | r |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| NOTE:  |                       |   |                |                   |
| This   |                       |   |                |                   |
| form   |                       |   |                |                   |
| should |                       |   |                |                   |
| not be |                       |   |                |                   |
| used   |                       |   |                |                   |
| to     |                       |   |                |                   |
| make a |                       |   |                |                   |
| claim  |                       |   |                |                   |
| for an |                       |   |                |                   |
| ad     |                       |   |                |                   |
| minist |                       |   |                |                   |
| rative |                       |   |                |                   |
| e      |                       |   |                |                   |
| xpense |                       |   |                |                   |
| a      |                       |   |                |                   |
| rising |                       |   |                |                   |
| after  |                       |   |                |                   |
| the    |                       |   |                |                   |
| commen |                       |   |                |                   |
| cement |                       |   |                |                   |
| of the |                       |   |                |                   |
| case.  |                       |   |                |                   |
| A      |                       |   |                |                   |
| "re    |                       |   |                |                   |
| quest" |                       |   |                |                   |
| for    |                       |   |                |                   |
| p      |                       |   |                |                   |
| ayment |                       |   |                |                   |
| of an  |                       |   |                |                   |
| ad     |                       |   |                |                   |
| minist |                       |   |                |                   |
| rative |                       |   |                |                   |
| e      |                       |   |                |                   |
| xpense |                       |   |                |                   |
| may be |                       |   |                |                   |
| filed  |                       |   |                |                   |
| pu     |                       |   |                |                   |
| rsuant |                       |   |                |                   |
| to 11  |                       |   |                |                   |
| U.S.C. |                       |   |                |                   |
| § 503. |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| Name   |                       |   | Check box if   |                   |
| of     |                       |   | you are aware  |                   |
| Cr     |                       |   | that           |                   |
| editor |                       |   |                |                   |
| (The   |                       |   | anyone else    |                   |
| person |                       |   | has filed a    |                   |
| or     |                       |   | proof of       |                   |
| other  |                       |   |                |                   |
| entity |                       |   | claim relating |                   |
| to     |                       |   | to your claim. |                   |
| whom   |                       |   |                |                   |
| the    |                       |   | Attach copy of |                   |
| debtor |                       |   | statement      |                   |
| owes   |                       |   | giving         |                   |
|        |                       |   |                |                   |
| money  |                       |   | particulars.   |                   |
| or     |                       |   |                |                   |
| prop   |                       |   | Check box if   |                   |
| erty): |                       |   | you have never |                   |
|        |                       |   |                |                   |
|        |                       |   | received any   |                   |
|        |                       |   | notices from   |                   |
|        |                       |   | the            |                   |
|        |                       |   |                |                   |
|        |                       |   | bankruptcy     |                   |
|        |                       |   | court in this  |                   |
|        |                       |   | case.          |                   |
|        |                       |   |                |                   |
|        |                       |   | Check box if   |                   |
|        |                       |   | the address    |                   |
|        |                       |   | differs        |                   |
|        |                       |   |                |                   |
|        |                       |   | from the       |                   |
|        |                       |   | address on the |                   |
|        |                       |   |                |                   |
|        |                       |   | envelope sent  |                   |
|        |                       |   | to you by the  |                   |
|        |                       |   |                |                   |
|        |                       |   | court.         |                   |
+--------+-----------------------+---+----------------+-------------------+
| Name   |                       |   |                |                   |
| and    |                       |   |                |                   |
| a      |                       |   |                |                   |
| ddress |                       |   |                |                   |
| where  |                       |   |                |                   |
| n      |                       |   |                |                   |
| otices |                       |   |                |                   |
| should |                       |   |                |                   |
| be     |                       |   |                |                   |
| sent:  |                       |   |                |                   |
|        |                       |   |                |                   |
| Tel    |                       |   |                |                   |
| ephone |                       |   |                |                   |
| n      |                       |   |                |                   |
| umber: |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
|        |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| Last   |                       |   | Check here     |                   |
| four   |                       |   |                |                   |
| digits |                       |   | replaces       |                   |
| of     |                       |   |                |                   |
| a      |                       |   | if this claim  |                   |
| ccount |                       |   | a previously   |                   |
| or     |                       |   | filed claim,   |                   |
| other  |                       |   | dated:         |                   |
| number |                       |   | \_\_\_\_\_     |                   |
| by     |                       |   | \_\_\_\_\_\_\_ |                   |
| which  |                       |   |                |                   |
| cr     |                       |   | > amends       |                   |
| editor |                       |   |                |                   |
| iden   |                       |   |                |                   |
| tifies |                       |   |                |                   |
| d      |                       |   |                |                   |
| ebtor: |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **1.   |                       |   | Retiree        |                   |
| Basis  |                       |   | benefits as    |                   |
| for    |                       |   | defined in 11  |                   |
| C      |                       |   | U.S.C. §       |                   |
| laim** |                       |   | 1114(a)        |                   |
|        |                       |   |                |                   |
| >      |                       |   | Wages,         |                   |
|  Goods |                       |   | salaries, and  |                   |
| > sold |                       |   | compensation   |                   |
| >      |                       |   | (Fill out      |                   |
| > Se   |                       |   | below)         |                   |
| rvices |                       |   |                |                   |
| > per  |                       |   | > Last four    |                   |
| formed |                       |   | > digits of    |                   |
| >      |                       |   | > your SS#:    |                   |
| >      |                       |   | > \_\_\_       |                   |
|  Money |                       |   | \_\_\_\_\_\_\_ |                   |
| >      |                       |   | >              |                   |
| loaned |                       |   | > Unpaid       |                   |
| >      |                       |   | > compensation |                   |
| > Pe   |                       |   | > for services |                   |
| rsonal |                       |   | > performed    |                   |
| > inj  |                       |   | >              |                   |
| ury/wr |                       |   | > from         |                   |
| ongful |                       |   | > \_           |                   |
| >      |                       |   | \_\_\_\_\_\_\_ |                   |
|  death |                       |   | \_\_\_\_\_\_\_ |                   |
| >      |                       |   | > to           |                   |
| >      |                       |   | > \_\_\_\_     |                   |
|  Taxes |                       |   | \_\_\_\_\_\_\_ |                   |
| >      |                       |   | \_\_\_\_\_\_\_ |                   |
| > Oth  |                       |   |                |                   |
| er\_\_ |                       |   | (date)(date)   |                   |
| \_\_\_ |                       |   |                |                   |
| \_\_\_ |                       |   |                |                   |
| \_\_\_ |                       |   |                |                   |
| \_\_\_ |                       |   |                |                   |
| \_\_\_ |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **2.   |                       |   | **3. If court  |                   |
| Date   |                       |   | judgment, date |                   |
| debt   |                       |   | obtained:**    |                   |
| was    |                       |   |                |                   |
| incur  |                       |   |                |                   |
| red:** |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **4.   |                       |   |                |                   |
| Cl     |                       |   |                |                   |
| assifi |                       |   |                |                   |
| cation |                       |   |                |                   |
| of     |                       |   |                |                   |
| Cl     |                       |   |                |                   |
| aim.** |                       |   |                |                   |
| Check  |                       |   |                |                   |
| the    |                       |   |                |                   |
| appro  |                       |   |                |                   |
| priate |                       |   |                |                   |
| box or |                       |   |                |                   |
| boxes  |                       |   |                |                   |
| that   |                       |   |                |                   |
| best   |                       |   |                |                   |
| de     |                       |   |                |                   |
| scribe |                       |   |                |                   |
| your   |                       |   |                |                   |
| claim  |                       |   |                |                   |
| and    |                       |   |                |                   |
| state  |                       |   |                |                   |
| the    |                       |   |                |                   |
| amount |                       |   |                |                   |
| of the |                       |   |                |                   |
| claim  |                       |   |                |                   |
| at the |                       |   |                |                   |
| time   |                       |   |                |                   |
| case   |                       |   |                |                   |
| filed. |                       |   |                |                   |
| See    |                       |   |                |                   |
| r      |                       |   |                |                   |
| everse |                       |   |                |                   |
| side   |                       |   |                |                   |
| for    |                       |   |                |                   |
| imp    |                       |   |                |                   |
| ortant |                       |   |                |                   |
| e      |                       |   |                |                   |
| xplana |                       |   |                |                   |
| tions. |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **Uns  |                       |   | **Secured      |                   |
| ecured |                       |   | Claim.**       |                   |
| Nonpr  |                       |   |                |                   |
| iority |                       |   | Check this box |                   |
| C      |                       |   | if your claim  |                   |
| laim** |                       |   | is secured by  |                   |
| \$     |                       |   | collateral     |                   |
|        |                       |   | (including a   |                   |
| Check  |                       |   | right of       |                   |
| this   |                       |   | setoff).       |                   |
| box    |                       |   |                |                   |
| if: a) |                       |   | > Brief        |                   |
| there  |                       |   | > Description  |                   |
| is no  |                       |   | > of           |                   |
| coll   |                       |   | > Collateral:  |                   |
| ateral |                       |   | >              |                   |
| or     |                       |   | > Real Estate  |                   |
| lien   |                       |   | > Motor        |                   |
| se     |                       |   | > Vehicle      |                   |
| curing |                       |   | > Other        |                   |
| your   |                       |   | >              |                   |
| claim, |                       |   | > Value of     |                   |
| or b)  |                       |   | > Collateral:  |                   |
| your   |                       |   | > \$           |                   |
| claim  |                       |   | >              |                   |
| e      |                       |   | > Amount of    |                   |
| xceeds |                       |   | > arrearage    |                   |
| the    |                       |   | > and other    |                   |
| value  |                       |   | > charges [at  |                   |
| of the |                       |   | > time case    |                   |
| pr     |                       |   | > file         |                   |
| operty |                       |   | d]{.underline} |                   |
| se     |                       |   | > included     |                   |
| curing |                       |   |                |                   |
| it, or |                       |   | in secured     |                   |
| if c)  |                       |   | claim, if any  |                   |
| none   |                       |   | \$             |                   |
| or     |                       |   |                |                   |
| only   |                       |   |                |                   |
| part   |                       |   |                |                   |
| of     |                       |   |                |                   |
| your   |                       |   |                |                   |
| claim  |                       |   |                |                   |
| is     |                       |   |                |                   |
| en     |                       |   |                |                   |
| titled |                       |   |                |                   |
| to     |                       |   |                |                   |
| pri    |                       |   |                |                   |
| ority. |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **Uns  |                       |   |                |                   |
| ecured |                       |   |                |                   |
| Pr     |                       |   |                |                   |
| iority |                       |   |                |                   |
| Cl     |                       |   |                |                   |
| aim.** |                       |   |                |                   |
|        |                       |   |                |                   |
| Check  |                       |   |                |                   |
| this   |                       |   |                |                   |
| box if |                       |   |                |                   |
| you    |                       |   |                |                   |
| have   |                       |   |                |                   |
| an     |                       |   |                |                   |
| uns    |                       |   |                |                   |
| ecured |                       |   |                |                   |
| pr     |                       |   |                |                   |
| iority |                       |   |                |                   |
| claim, |                       |   |                |                   |
| all or |                       |   |                |                   |
| part   |                       |   |                |                   |
| of     |                       |   |                |                   |
| which  |                       |   |                |                   |
| is     |                       |   |                |                   |
| en     |                       |   |                |                   |
| titled |                       |   |                |                   |
| to     |                       |   |                |                   |
| pri    |                       |   |                |                   |
| ority. |                       |   |                |                   |
|        |                       |   |                |                   |
| >      |                       |   |                |                   |
| Amount |                       |   |                |                   |
| > en   |                       |   |                |                   |
| titled |                       |   |                |                   |
| > to   |                       |   |                |                   |
| > pr   |                       |   |                |                   |
| iority |                       |   |                |                   |
| > \$   |                       |   |                |                   |
|        |                       |   |                |                   |
| S      |                       |   |                |                   |
| pecify |                       |   |                |                   |
| the    |                       |   |                |                   |
| pr     |                       |   |                |                   |
| iority |                       |   |                |                   |
| of the |                       |   |                |                   |
| claim: |                       |   |                |                   |
|        |                       |   |                |                   |
| Do     |                       |   |                |                   |
| mestic |                       |   |                |                   |
| s      |                       |   |                |                   |
| upport |                       |   |                |                   |
| oblig  |                       |   |                |                   |
| ations |                       |   |                |                   |
| under  |                       |   |                |                   |
| 11     |                       |   |                |                   |
| U.S.C. |                       |   |                |                   |
| §      |                       |   |                |                   |
| 507(a) |                       |   |                |                   |
| (1)(A) |                       |   |                |                   |
| or     |                       |   |                |                   |
| (a)(   |                       |   |                |                   |
| 1)(B). |                       |   |                |                   |
|        |                       |   |                |                   |
| Wages, |                       |   |                |                   |
| sal    |                       |   |                |                   |
| aries, |                       |   |                |                   |
| or     |                       |   |                |                   |
| commi  |                       |   |                |                   |
| ssions |                       |   |                |                   |
| (up to |                       |   |                |                   |
| \$10,0 |                       |   |                |                   |
| 00),\* |                       |   |                |                   |
| earned |                       |   |                |                   |
| within |                       |   |                |                   |
| 180    |                       |   |                |                   |
| days   |                       |   |                |                   |
| before |                       |   |                |                   |
| filing |                       |   |                |                   |
| of the |                       |   |                |                   |
| bank   |                       |   |                |                   |
| ruptcy |                       |   |                |                   |
| pe     |                       |   |                |                   |
| tition |                       |   |                |                   |
| or     |                       |   |                |                   |
| ces    |                       |   |                |                   |
| sation |                       |   |                |                   |
| of the |                       |   |                |                   |
| de     |                       |   |                |                   |
| btor's |                       |   |                |                   |
| bus    |                       |   |                |                   |
| iness, |                       |   |                |                   |
| whi    |                       |   |                |                   |
| chever |                       |   |                |                   |
| is     |                       |   |                |                   |
| ear    |                       |   |                |                   |
| lier - |                       |   |                |                   |
| 11     |                       |   |                |                   |
| U.S.C. |                       |   |                |                   |
| §      |                       |   |                |                   |
| 507(   |                       |   |                |                   |
| a)(4). |                       |   |                |                   |
|        |                       |   |                |                   |
| C      |                       |   |                |                   |
| ontrib |                       |   |                |                   |
| utions |                       |   |                |                   |
| to an  |                       |   |                |                   |
| em     |                       |   |                |                   |
| ployee |                       |   |                |                   |
| b      |                       |   |                |                   |
| enefit |                       |   |                |                   |
| plan - |                       |   |                |                   |
| 11     |                       |   |                |                   |
| U.S.C. |                       |   |                |                   |
| §      |                       |   |                |                   |
| 507(   |                       |   |                |                   |
| a)(5). |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
|        |                       |   | Up to          |                   |
|        |                       |   | \$2,225\* of   |                   |
|        |                       |   | deposits       |                   |
|        |                       |   | toward         |                   |
|        |                       |   | purchase,      |                   |
|        |                       |   | lease, or      |                   |
|        |                       |   | rental of      |                   |
|        |                       |   | property or    |                   |
|        |                       |   | services for   |                   |
|        |                       |   | personal,      |                   |
|        |                       |   | family, or     |                   |
|        |                       |   | household      |                   |
|        |                       |   | use - 11       |                   |
|        |                       |   | U.S.C. §       |                   |
|        |                       |   | 507(a)(7).     |                   |
|        |                       |   |                |                   |
|        |                       |   | Taxes or       |                   |
|        |                       |   | penalties owed |                   |
|        |                       |   | to             |                   |
|        |                       |   | governmental   |                   |
|        |                       |   | units - 11     |                   |
|        |                       |   | U.S.C. §       |                   |
|        |                       |   | 507(a)(8).     |                   |
|        |                       |   |                |                   |
|        |                       |   | Other -        |                   |
|        |                       |   | Specify        |                   |
|        |                       |   | applicable     |                   |
|        |                       |   | paragraph of   |                   |
|        |                       |   | 11 U.S.C. §    |                   |
|        |                       |   | 507            |                   |
|        |                       |   | (a)(\_\_\_\_). |                   |
|        |                       |   |                |                   |
|        |                       |   | *\*Amounts are |                   |
|        |                       |   | subject to     |                   |
|        |                       |   | adjustment on  |                   |
|        |                       |   | 4/1/07 and     |                   |
|        |                       |   | every 3 years  |                   |
|        |                       |   | thereafter     |                   |
|        |                       |   | with respect   |                   |
|        |                       |   | to cases       |                   |
|        |                       |   | commenced on   |                   |
|        |                       |   | or after the   |                   |
|        |                       |   | date of        |                   |
|        |                       |   | adjustment.*   |                   |
+--------+-----------------------+---+----------------+-------------------+
| **5.   |                       |   |                |                   |
| Total  |                       |   |                |                   |
| Amount |                       |   |                |                   |
| of     |                       |   |                |                   |
| Claim  |                       |   |                |                   |
| at     |                       |   |                |                   |
| Time   |                       |   |                |                   |
| Case   |                       |   |                |                   |
| Fi     |                       |   |                |                   |
| led:** |                       |   |                |                   |
| \$     |                       |   |                |                   |
|        |                       |   |                |                   |
| (      |                       |   |                |                   |
| unsecu |                       |   |                |                   |
| red)(s |                       |   |                |                   |
| ecured |                       |   |                |                   |
| )(prio |                       |   |                |                   |
| rity)( |                       |   |                |                   |
| Total) |                       |   |                |                   |
|        |                       |   |                |                   |
| 1.     |                       |   |                |                   |
|  Check |                       |   |                |                   |
|        |                       |   |                |                   |
|   this |                       |   |                |                   |
|        |                       |   |                |                   |
|    box |                       |   |                |                   |
|     if |                       |   |                |                   |
|        |                       |   |                |                   |
|  claim |                       |   |                |                   |
|     in |                       |   |                |                   |
| cludes |                       |   |                |                   |
|     in |                       |   |                |                   |
| terest |                       |   |                |                   |
|     or |                       |   |                |                   |
|        |                       |   |                |                   |
|  other |                       |   |                |                   |
|     c  |                       |   |                |                   |
| harges |                       |   |                |                   |
|     in |                       |   |                |                   |
|     ad |                       |   |                |                   |
| dition |                       |   |                |                   |
|     to |                       |   |                |                   |
|        |                       |   |                |                   |
|    the |                       |   |                |                   |
|        |                       |   |                |                   |
|    pri |                       |   |                |                   |
| ncipal |                       |   |                |                   |
|        |                       |   |                |                   |
| amount |                       |   |                |                   |
|     of |                       |   |                |                   |
|        |                       |   |                |                   |
|    the |                       |   |                |                   |
|        |                       |   |                |                   |
| claim. |                       |   |                |                   |
|        |                       |   |                |                   |
| Attach |                       |   |                |                   |
|     it |                       |   |                |                   |
| emized |                       |   |                |                   |
|        |                       |   |                |                   |
|    sta |                       |   |                |                   |
| tement |                       |   |                |                   |
|     of |                       |   |                |                   |
|        |                       |   |                |                   |
|    all |                       |   |                |                   |
|     in |                       |   |                |                   |
| terest |                       |   |                |                   |
|     or |                       |   |                |                   |
|        |                       |   |                |                   |
|   addi |                       |   |                |                   |
| tional |                       |   |                |                   |
|     ch |                       |   |                |                   |
| arges. |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| **6.   |                       |   |                | This Space Is for |
| Cred   |                       |   |                | Court Use Only    |
| its:** |                       |   |                |                   |
| The    |                       |   |                |                   |
| amount |                       |   |                |                   |
| of all |                       |   |                |                   |
| pa     |                       |   |                |                   |
| yments |                       |   |                |                   |
| on     |                       |   |                |                   |
| this   |                       |   |                |                   |
| claim  |                       |   |                |                   |
| has    |                       |   |                |                   |
| been   |                       |   |                |                   |
| cr     |                       |   |                |                   |
| edited |                       |   |                |                   |
| and    |                       |   |                |                   |
| de     |                       |   |                |                   |
| ducted |                       |   |                |                   |
| for    |                       |   |                |                   |
| the    |                       |   |                |                   |
| p      |                       |   |                |                   |
| urpose |                       |   |                |                   |
| of     |                       |   |                |                   |
| making |                       |   |                |                   |
| this   |                       |   |                |                   |
| proof  |                       |   |                |                   |
| of     |                       |   |                |                   |
| claim. |                       |   |                |                   |
|        |                       |   |                |                   |
| **7.   |                       |   |                |                   |
| Supp   |                       |   |                |                   |
| orting |                       |   |                |                   |
| Docume |                       |   |                |                   |
| nts:** |                       |   |                |                   |
| *      |                       |   |                |                   |
| Attach |                       |   |                |                   |
| copies |                       |   |                |                   |
| of     |                       |   |                |                   |
| supp   |                       |   |                |                   |
| orting |                       |   |                |                   |
| docum  |                       |   |                |                   |
| ents*, |                       |   |                |                   |
| such   |                       |   |                |                   |
| as     |                       |   |                |                   |
| prom   |                       |   |                |                   |
| issory |                       |   |                |                   |
| notes, |                       |   |                |                   |
| pu     |                       |   |                |                   |
| rchase |                       |   |                |                   |
| o      |                       |   |                |                   |
| rders, |                       |   |                |                   |
| inv    |                       |   |                |                   |
| oices, |                       |   |                |                   |
| it     |                       |   |                |                   |
| emized |                       |   |                |                   |
| stat   |                       |   |                |                   |
| ements |                       |   |                |                   |
| of     |                       |   |                |                   |
| r      |                       |   |                |                   |
| unning |                       |   |                |                   |
| acc    |                       |   |                |                   |
| ounts, |                       |   |                |                   |
| cont   |                       |   |                |                   |
| racts, |                       |   |                |                   |
| court  |                       |   |                |                   |
| judg   |                       |   |                |                   |
| ments, |                       |   |                |                   |
| mort   |                       |   |                |                   |
| gages, |                       |   |                |                   |
| se     |                       |   |                |                   |
| curity |                       |   |                |                   |
| agree  |                       |   |                |                   |
| ments, |                       |   |                |                   |
| and    |                       |   |                |                   |
| ev     |                       |   |                |                   |
| idence |                       |   |                |                   |
| of     |                       |   |                |                   |
| perf   |                       |   |                |                   |
| ection |                       |   |                |                   |
| of     |                       |   |                |                   |
| lien.  |                       |   |                |                   |
| DO NOT |                       |   |                |                   |
| SEND   |                       |   |                |                   |
| OR     |                       |   |                |                   |
| IGINAL |                       |   |                |                   |
| DOCU   |                       |   |                |                   |
| MENTS. |                       |   |                |                   |
| If the |                       |   |                |                   |
| doc    |                       |   |                |                   |
| uments |                       |   |                |                   |
| are    |                       |   |                |                   |
| not    |                       |   |                |                   |
| avai   |                       |   |                |                   |
| lable, |                       |   |                |                   |
| ex     |                       |   |                |                   |
| plain. |                       |   |                |                   |
| If the |                       |   |                |                   |
| doc    |                       |   |                |                   |
| uments |                       |   |                |                   |
| are    |                       |   |                |                   |
| volum  |                       |   |                |                   |
| inous, |                       |   |                |                   |
| attach |                       |   |                |                   |
| a      |                       |   |                |                   |
| su     |                       |   |                |                   |
| mmary. |                       |   |                |                   |
|        |                       |   |                |                   |
| **8.   |                       |   |                |                   |
| Date-S |                       |   |                |                   |
| tamped |                       |   |                |                   |
| C      |                       |   |                |                   |
| opy:** |                       |   |                |                   |
| To     |                       |   |                |                   |
| r      |                       |   |                |                   |
| eceive |                       |   |                |                   |
| an     |                       |   |                |                   |
| ac     |                       |   |                |                   |
| knowle |                       |   |                |                   |
| dgment |                       |   |                |                   |
| of the |                       |   |                |                   |
| filing |                       |   |                |                   |
| of     |                       |   |                |                   |
| your   |                       |   |                |                   |
| claim, |                       |   |                |                   |
| e      |                       |   |                |                   |
| nclose |                       |   |                |                   |
| a      |                       |   |                |                   |
| st     |                       |   |                |                   |
| amped, |                       |   |                |                   |
| se     |                       |   |                |                   |
| lf-add |                       |   |                |                   |
| ressed |                       |   |                |                   |
| en     |                       |   |                |                   |
| velope |                       |   |                |                   |
| and    |                       |   |                |                   |
| copy   |                       |   |                |                   |
| of     |                       |   |                |                   |
| this   |                       |   |                |                   |
| proof  |                       |   |                |                   |
| of     |                       |   |                |                   |
| claim. |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| Date   | Sign and print the    |   |                |                   |
|        | name and title, if    |   |                |                   |
|        | any, of the creditor  |   |                |                   |
|        | or other person       |   |                |                   |
|        | authorized to file    |   |                |                   |
|        | this claim (attach    |   |                |                   |
|        | copy of power of      |   |                |                   |
|        | attorney, if any):    |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+
| *P     |                       |   |                |                   |
| enalty |                       |   |                |                   |
| for    |                       |   |                |                   |
| pres   |                       |   |                |                   |
| enting |                       |   |                |                   |
| frau   |                       |   |                |                   |
| dulent |                       |   |                |                   |
| c      |                       |   |                |                   |
| laim:* |                       |   |                |                   |
| Fine   |                       |   |                |                   |
| of up  |                       |   |                |                   |
| to     |                       |   |                |                   |
| \$5    |                       |   |                |                   |
| 00,000 |                       |   |                |                   |
| or     |                       |   |                |                   |
| impris |                       |   |                |                   |
| onment |                       |   |                |                   |
| for up |                       |   |                |                   |
| to 5   |                       |   |                |                   |
| years, |                       |   |                |                   |
| or     |                       |   |                |                   |
| both.  |                       |   |                |                   |
| 18     |                       |   |                |                   |
| U.S.C. |                       |   |                |                   |
| §§ 152 |                       |   |                |                   |
| and    |                       |   |                |                   |
| 3571.  |                       |   |                |                   |
+--------+-----------------------+---+----------------+-------------------+

FORM B10 (Official Form 10)(10/05)

+-----------------------+----------+-----------+-----------------------+
| **INSTRUCTIONS FOR    |          |           |                       |
| PROOF OF CLAIM FORM** |          |           |                       |
+-----------------------+----------+-----------+-----------------------+
| *The instructions and |          |           |                       |
| definitions below are |          |           |                       |
| general explanations  |          |           |                       |
| of the law. In        |          |           |                       |
| particular types of   |          |           |                       |
| cases or              |          |           |                       |
| circumstances, such   |          |           |                       |
| as bankruptcy cases*  |          |           |                       |
|                       |          |           |                       |
| *that are not filed   |          |           |                       |
| voluntarily by a      |          |           |                       |
| debtor, there may be  |          |           |                       |
| exceptions to these   |          |           |                       |
| general rules.*       |          |           |                       |
+-----------------------+----------+-----------+-----------------------+
| **\-\-\-\-\--         |          |           |                       |
| DEFINITIONS           |          |           |                       |
| \-\-\-\-\--**         |          |           |                       |
+-----------------------+----------+-----------+-----------------------+
| ***Debtor***          | **       |           | ***Unsecured Claim*** |
|                       | *Secured |           |                       |
| The person,           | Claim*** |           | If a claim is not     |
| corporation, or other |          |           | secured claim it is   |
| entity                | A claim  |           | an                    |
|                       | is a     |           |                       |
| that has filed a      | secured  |           | unsecured claim. A    |
| bankruptcy case is    | claim to |           | claim may be partly   |
|                       | the      |           |                       |
| called the debtor.    |          |           | secured and partly    |
|                       | extent   |           | unsecured if the      |
| ***Creditor***        | that the |           |                       |
|                       | creditor |           | property on which a   |
| A creditor is any     | has a    |           | creditor has a lien   |
| person, corporation,  | lien on  |           |                       |
|                       |          |           | is not worth enough   |
| or other entity to    | property |           | to pay the creditor   |
| whom the debtor       | of the   |           |                       |
|                       | debtor   |           | in full.              |
| owed a debt on the    | (col     |           |                       |
| date that the         | lateral) |           | ***Unsecured Priority |
|                       | that     |           | Claim***              |
| bankruptcy case was   |          |           |                       |
| filed.                | gives    |           | Certain types of      |
|                       | the      |           | unsecured claims are  |
| ***Proof of Claim***  | creditor |           | given                 |
|                       | the      |           |                       |
| A form telling the    | right to |           | priority, so they are |
| bankruptcy court      | be paid  |           | to be paid in         |
|                       |          |           | bankruptcy            |
| how much the debtor   | from     |           |                       |
| owed a creditor       | that     |           | cases before most     |
|                       | property |           | other unsecured       |
| at the time the       | before   |           | claims (if            |
| bankruptcy case was   | c        |           |                       |
|                       | reditors |           | there is sufficient   |
| filed (the amount of  |          |           | money or property     |
| the creditor's        | who do   |           |                       |
|                       | not have |           | available to pay      |
| claim). This form     | liens on |           | these claims). The    |
| must be filed with    | the      |           | most                  |
|                       | p        |           |                       |
| the clerk of the      | roperty. |           | common types of       |
| bankruptcy court      |          |           | priority claims are   |
|                       | Examples |           | listed                |
| where the bankruptcy  | of liens |           |                       |
| case was filed.       | are a    |           | on the proof of claim |
|                       | mortgage |           | form. Unsecured       |
|                       | on       |           |                       |
|                       |          |           | claims that are not   |
|                       | real     |           | specifically given    |
|                       | estate   |           |                       |
|                       | and a    |           | priority status by    |
|                       | security |           | the bankruptcy laws   |
|                       | interest |           | are                   |
|                       | in a     |           |                       |
|                       |          |           | classified as         |
|                       | car,     |           | *Unsecured            |
|                       | truck,   |           | Nonpriority*          |
|                       | boat,    |           |                       |
|                       | te       |           | *Claims.*             |
|                       | levision |           |                       |
|                       | set, or  |           |                       |
|                       | other    |           |                       |
|                       |          |           |                       |
|                       | item of  |           |                       |
|                       | p        |           |                       |
|                       | roperty. |           |                       |
|                       | A lien   |           |                       |
|                       | may have |           |                       |
|                       | been     |           |                       |
|                       |          |           |                       |
|                       | obtained |           |                       |
|                       | through  |           |                       |
|                       | a court  |           |                       |
|                       | pr       |           |                       |
|                       | oceeding |           |                       |
|                       |          |           |                       |
|                       | before   |           |                       |
|                       | the      |           |                       |
|                       | ba       |           |                       |
|                       | nkruptcy |           |                       |
|                       | case     |           |                       |
|                       | began;   |           |                       |
|                       | in       |           |                       |
|                       |          |           |                       |
|                       | some     |           |                       |
|                       | states a |           |                       |
|                       | court    |           |                       |
|                       | judgment |           |                       |
|                       | is a     |           |                       |
|                       | lien.    |           |                       |
|                       |          |           |                       |
|                       | In       |           |                       |
|                       | a        |           |                       |
|                       | ddition, |           |                       |
|                       | to the   |           |                       |
|                       | extent a |           |                       |
|                       | creditor |           |                       |
|                       |          |           |                       |
|                       | also     |           |                       |
|                       | owes     |           |                       |
|                       | money to |           |                       |
|                       | the      |           |                       |
|                       | debtor   |           |                       |
|                       | (has a   |           |                       |
|                       |          |           |                       |
|                       | right of |           |                       |
|                       | setoff), |           |                       |
|                       | the      |           |                       |
|                       | cr       |           |                       |
|                       | editor's |           |                       |
|                       | claim    |           |                       |
|                       |          |           |                       |
|                       | may be a |           |                       |
|                       | secured  |           |                       |
|                       | claim.   |           |                       |
|                       | (See     |           |                       |
|                       | also     |           |                       |
|                       |          |           |                       |
|                       | *U       |           |                       |
|                       | nsecured |           |                       |
|                       | Claim*.) |           |                       |
+-----------------------+----------+-----------+-----------------------+
| **Items to be         |          |           |                       |
| completed in Proof of |          |           |                       |
| Claim form (if not    |          |           |                       |
| already filled in)**  |          |           |                       |
+-----------------------+----------+-----------+-----------------------+
| **Court , Name of     |          | **        |                       |
| Debtor, and Case      |          | Unsecured |                       |
| Number:**             |          | Priority  |                       |
|                       |          | Claim:**  |                       |
| > Fill in the name of |          |           |                       |
| > the federal         |          | > Check   |                       |
| > judicial district   |          | > the     |                       |
| > where the           |          | > ap      |                       |
| > bankruptcy          |          | propriate |                       |
| >                     |          | > place   |                       |
| > case was filed (for |          | > if you  |                       |
| > example, Central    |          | > have an |                       |
| > District of         |          | >         |                       |
| > California), the    |          | unsecured |                       |
| > name                |          | >         |                       |
| >                     |          |  priority |                       |
| > of the debtor in    |          | > claim,  |                       |
| > the bankruptcy      |          | >         |                       |
| > case, and the       |          | > and     |                       |
| > bankruptcy case     |          | > state   |                       |
| > number. If you      |          | > the     |                       |
| > received a notice   |          | > amount  |                       |
| > of the case from    |          | >         |                       |
| > the court, all of   |          |  entitled |                       |
| > this information is |          | > to      |                       |
| > near the top of the |          | >         |                       |
| > notice.             |          | priority. |                       |
|                       |          | > (See    |                       |
| **Information about   |          | > DEF     |                       |
| Creditor:**           |          | INITIONS, |                       |
|                       |          | > above). |                       |
| > Complete the        |          | >         |                       |
| > section giving the  |          | > A claim |                       |
| > name, address, and  |          | > may be  |                       |
| > telephone           |          | > partly  |                       |
| >                     |          | >         |                       |
| > number of the       |          |  priority |                       |
| > creditor to whom    |          | > and     |                       |
| > the debtor owes     |          | > partly  |                       |
| > money or property,  |          | > no      |                       |
| >                     |          | npriority |                       |
| > and the debtor's    |          | > if, for |                       |
| > account number, if  |          | >         |                       |
| > any. If anyone else |          |  example, |                       |
| > has already         |          | >         |                       |
| >                     |          | > the     |                       |
| > filed a proof of    |          | > claim   |                       |
| > claim relating to   |          | > is for  |                       |
| > this debt, if you   |          | > more    |                       |
| > never received      |          | > than    |                       |
| >                     |          | > the     |                       |
| > notices from the    |          | > amount  |                       |
| > bankruptcy court    |          | > given   |                       |
| > about this case, if |          | >         |                       |
| > your address        |          |  priority |                       |
| >                     |          | > by the  |                       |
| > differs from that   |          | > law.    |                       |
| > to which the court  |          | > Check   |                       |
| > sent notice, or if  |          | >         |                       |
| > this proof of       |          | > the     |                       |
| >                     |          | > ap      |                       |
| > claim replaces or   |          | propriate |                       |
| > changes a proof of  |          | > place   |                       |
| > claim that was      |          | > to      |                       |
| > already filed,      |          | > specify |                       |
| >                     |          | > the     |                       |
| > check the           |          | > type of |                       |
| > appropriate box on  |          | >         |                       |
| > the form.           |          |  priority |                       |
|                       |          | > claim.  |                       |
| 1.  **Basis for       |          |           |                       |
|     Claim:**          |          | **        |                       |
|                       |          | Unsecured |                       |
| > Check the type of   |          | No        |                       |
| > debt for which the  |          | npriority |                       |
| > proof of claim is   |          | Claim:**  |                       |
| > being filed. If     |          |           |                       |
| >                     |          | > Check   |                       |
| > the type of debt is |          | > the     |                       |
| > not listed, check   |          | > ap      |                       |
| > "Other" and briefly |          | propriate |                       |
| > describe the        |          | > place   |                       |
| >                     |          | > if you  |                       |
| > type of debt. If    |          | > have an |                       |
| > you were an         |          | >         |                       |
| > employee of the     |          | unsecured |                       |
| > debtor, fill in     |          | > no      |                       |
| > your                |          | npriority |                       |
| >                     |          | > claim,  |                       |
| > social security     |          | >         |                       |
| > number and the      |          | sometimes |                       |
| > dates of work for   |          | >         |                       |
| > which you were not  |          |  referred |                       |
| >                     |          | > to as a |                       |
| > paid.               |          | >         |                       |
|                       |          | \"general |                       |
| 2.  **Date Debt       |          | >         |                       |
|     Incurred**:       |          | unsecured |                       |
|                       |          | >         |                       |
| > Fill in the date    |          |  claim.\" |                       |
| > when the debt first |          | > (See    |                       |
| > was owed by the     |          | > DEF     |                       |
| > debtor.             |          | INITIONS, |                       |
|                       |          | > above). |                       |
| 3.  **Court           |          | > If your |                       |
|     Judgments:**      |          | > claim   |                       |
|                       |          | > is      |                       |
| > If you have a court |          | > partly  |                       |
| > judgment for this   |          | > secured |                       |
| > debt, state the     |          | > and     |                       |
| > date the court      |          | > partly  |                       |
| >                     |          | > u       |                       |
| > entered the         |          | nsecured, |                       |
| > judgment.           |          | > state   |                       |
|                       |          | > here    |                       |
| 4.  **Classification  |          | > the     |                       |
|     of Claim**        |          | > amount  |                       |
|                       |          | > that is |                       |
| > **Secured Claim:**  |          | > u       |                       |
| >                     |          | nsecured. |                       |
| > Check the           |          | > If part |                       |
| > appropriate place   |          | > of your |                       |
| > if the claim is a   |          | > claim   |                       |
| > secured claim. You  |          | > is      |                       |
| > must                |          | >         |                       |
| >                     |          |  entitled |                       |
| > state the type and  |          | > to      |                       |
| > value of property   |          | >         |                       |
| > that is collateral  |          | priority, |                       |
| > for the claim,      |          | > state   |                       |
| > attach copies of    |          | > here    |                       |
| > the documentation   |          | > the     |                       |
| > of your lien, and   |          | > amount  |                       |
| > state the amount    |          | > **not** |                       |
| > past due on the     |          | >         |                       |
| > claim as of the     |          |  entitled |                       |
| > date the bankruptcy |          | > to      |                       |
| > case was filed. A   |          | >         |                       |
| > claim may e partly  |          | priority. |                       |
| > secured and partly  |          |           |                       |
| > unsecured. (See     |          | 5.        |                       |
| > DEFINITIONS,        |          |   **Total |                       |
| > above).             |          |           |                       |
|                       |          |    Amount |                       |
|                       |          |     of    |                       |
|                       |          |     Claim |                       |
|                       |          |     at    |                       |
|                       |          |     Time  |                       |
|                       |          |     Case  |                       |
|                       |          |           |                       |
|                       |          |  Filed:** |                       |
|                       |          |           |                       |
|                       |          | > Fill in |                       |
|                       |          | > the     |                       |
|                       |          | > total   |                       |
|                       |          | > amount  |                       |
|                       |          | > of the  |                       |
|                       |          | > entire  |                       |
|                       |          | > claim.  |                       |
|                       |          | > If      |                       |
|                       |          | >         |                       |
|                       |          |  interest |                       |
|                       |          | > or      |                       |
|                       |          | > other   |                       |
|                       |          | > charges |                       |
|                       |          | >         |                       |
|                       |          | > in      |                       |
|                       |          | >         |                       |
|                       |          |  addition |                       |
|                       |          | > to the  |                       |
|                       |          | >         |                       |
|                       |          | principal |                       |
|                       |          | > amount  |                       |
|                       |          | > of the  |                       |
|                       |          | > claim   |                       |
|                       |          | > are     |                       |
|                       |          | >         |                       |
|                       |          | included, |                       |
|                       |          | > check   |                       |
|                       |          | >         |                       |
|                       |          | > the     |                       |
|                       |          | > ap      |                       |
|                       |          | propriate |                       |
|                       |          | > place   |                       |
|                       |          | > on the  |                       |
|                       |          | > form    |                       |
|                       |          | > and     |                       |
|                       |          | > attach  |                       |
|                       |          | > an      |                       |
|                       |          | > it      |                       |
|                       |          | emization |                       |
|                       |          | > of the  |                       |
|                       |          | >         |                       |
|                       |          | >         |                       |
|                       |          |  interest |                       |
|                       |          | > and     |                       |
|                       |          | >         |                       |
|                       |          |  charges. |                       |
|                       |          |           |                       |
|                       |          | 6.  **C   |                       |
|                       |          | redits:** |                       |
|                       |          |           |                       |
|                       |          | > By      |                       |
|                       |          | > signing |                       |
|                       |          | > this    |                       |
|                       |          | > proof   |                       |
|                       |          | > of      |                       |
|                       |          | > claim,  |                       |
|                       |          | > you are |                       |
|                       |          | > stating |                       |
|                       |          | > under   |                       |
|                       |          | > oath    |                       |
|                       |          | > that in |                       |
|                       |          | >         |                       |
|                       |          | > ca      |                       |
|                       |          | lculating |                       |
|                       |          | > the     |                       |
|                       |          | > amount  |                       |
|                       |          | > of your |                       |
|                       |          | > claim   |                       |
|                       |          | > you     |                       |
|                       |          | > have    |                       |
|                       |          | > given   |                       |
|                       |          | > the     |                       |
|                       |          | > debtor  |                       |
|                       |          | > credit  |                       |
|                       |          | >         |                       |
|                       |          | > for all |                       |
|                       |          | >         |                       |
|                       |          |  payments |                       |
|                       |          | >         |                       |
|                       |          |  received |                       |
|                       |          | > from    |                       |
|                       |          | > the     |                       |
|                       |          | > debtor. |                       |
|                       |          |           |                       |
|                       |          | 7.  **S   |                       |
|                       |          | upporting |                       |
|                       |          |     Doc   |                       |
|                       |          | uments:** |                       |
|                       |          |           |                       |
|                       |          | > You     |                       |
|                       |          | > must    |                       |
|                       |          | > attach  |                       |
|                       |          | > to this |                       |
|                       |          | > proof   |                       |
|                       |          | > of      |                       |
|                       |          | > claim   |                       |
|                       |          | > form    |                       |
|                       |          | > copies  |                       |
|                       |          | > of      |                       |
|                       |          | >         |                       |
|                       |          | documents |                       |
|                       |          | > that    |                       |
|                       |          | >         |                       |
|                       |          | > show    |                       |
|                       |          | > the     |                       |
|                       |          | > debtor  |                       |
|                       |          | > owes    |                       |
|                       |          | > the     |                       |
|                       |          | > debt    |                       |
|                       |          | > claimed |                       |
|                       |          | > or, if  |                       |
|                       |          | > the     |                       |
|                       |          | >         |                       |
|                       |          | documents |                       |
|                       |          | > are too |                       |
|                       |          | >         |                       |
|                       |          | >         |                       |
|                       |          |  lengthy, |                       |
|                       |          | > a       |                       |
|                       |          | > summary |                       |
|                       |          | > of      |                       |
|                       |          | > those   |                       |
|                       |          | > d       |                       |
|                       |          | ocuments. |                       |
|                       |          | > If      |                       |
|                       |          | >         |                       |
|                       |          | documents |                       |
|                       |          | > are not |                       |
|                       |          | > a       |                       |
|                       |          | vailable, |                       |
|                       |          | > you     |                       |
|                       |          | > must    |                       |
|                       |          | > attach  |                       |
|                       |          | > an      |                       |
|                       |          | > ex      |                       |
|                       |          | planation |                       |
|                       |          | > of why  |                       |
|                       |          | > they    |                       |
|                       |          | > are not |                       |
|                       |          | > a       |                       |
|                       |          | vailable. |                       |
+-----------------------+----------+-----------+-----------------------+