> **United States Bankruptcy Court**

**Northern District of Florida**

**In re
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Case No. \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_** **Debtor(s)
Chapter** 13

**[CHAPTER 13 PLAN]{.underline}**

1.  **Payments to the Trustee:** The future earnings or other future
    income of the Debtor is submitted to the supervision and control of
    the trustee. The Debtor (or the Debtor\'s employer) shall pay to the
    trustee the sum of \$\_\_\_\_\_ per month for \_\_\_ months, then
    \$\_\_\_\_\_\_ per month for \_\_\_ months. The Debtor shall pay to
    the Trustee the tax refunds for \_\_\_\_\_\_\_\_ years.

Total of base plan payments: \$\_\_\_\_\_\_\_\_\_\_\_\_\_

2\. **Plan Length:** The term of the plan is for \_\_\_\_ months.

3\. Allowed claims against the Debtor shall be paid in accordance with
the provisions of the Bankruptcy Code and this Plan.

> a\. Secured creditors shall retain their mortgage, lien or security
> interest in collateral until the earlier of (a) the payment of the
> underlying debt determined under nonbankruptcy law, or (b) discharge
> under 11 U.S.C. § 1328.
>
> b\. Creditors who have co-signers, co-makers, or guarantors
> (\"Co-Obligors\") from whom they are enjoined from collection under 11
> U.S.C. §1301, and which are separately classified and shall file their
> claims, including all of the contractual interest which is due or will
> become due during the consummation of the Plan, and payment of the
> amount specified in the proof of claim to the creditor shall
> constitute full payment of the debt as to the Debtor.

c\. All priority creditors under 11 U.S.C. § 507 shall be paid in full
in deferred cash payments.

4\. From the payments received under the plan, the trustee shall make
disbursements as follows:

**[a. Administrative Expenses/ Priority Claims]{.underline}**

\(1\) Trustee\'s Fee: As determined by the Attorney General of the
United States.

\(2\) Filing Fee (unpaid portion):

\(3\) Priority Claims under 11 U.S.C. §507 -- Domestic Support
Obligations

> \(a\) Debtor is required to pay all post-petition domestic support
> obligations directly to the holder of the claim.
>
> \(b\) The name(s) of the holder of any domestic support obligation are
> as follows (11 U.S.C. §§ 101(14A) and 1302(b)(6)):

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

> \(c\) Anticipated Domestic Support Obligation Arrearage Claims. Unless
> otherwise specified in this Plan, priority claims under 11 U.S.C. §
> 507(a)(1) will be paid in full pursuant to 11 U.S.C. § 1322(a)(2).
>
> **Creditor (Name) Estimated arrearage claim**
>
> \(d\) Pursuant to 11 U.S.C. §§ 507(a)(1)(B) and 1322(a)(4), the
> following domestic support obligation claims are assigned to, owed to,
> or recoverable by a governmental unit.
>
> **Claimant and proposed treatment:**
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> \(4\) Attorney\'s Fee (unpaid portion):
>
> Pursuant to Standing Order of this Court, the Debtor's attorney may
> seek additional fees of \$75.00 upon the filing of the required annual
> statement each year. If the Plan is modified due to an increase in
> income shown on the annual statement, the Debtor's attorney may seek
> additional fees of \$200.00. In either of these events, no further
> notice will be given to creditors.

\(5\) Other Priority Claims.

> **Name Amount of Claim Interest Rate (If specified)**

**[b. Secured Claims]{.underline}**

\(1\) Secured Debts Which Will Not Extend Beyond the Length of the Plan

> \(a\) Secured Claims Subject to Valuation Under 11 U.S.C. §506. Each
> of the following secured claims shall be paid through the plan as set
> forth below, until the secured value or the amount of the claim,
> whichever is less, has been paid in full. Any remaining portion of the
> allowed claim shall be treated as a general unsecured claim.
>
> **Proposed Total Amount**
>
> **Name of Allowed Secured Claim Interest Rate (If specified)**
>
> \(b\) Secured Claims Not Subject to Valuation Under 11 U.S.C. §506.
> Each of the following claims shall be paid through the plan as set
> forth below until the amount of the claim as set forth below has been
> paid in full.
>
> **Name Amount of Secured Claim Interest Rate (If specified)**

\(2\) Secured Debts Which Will Extend Beyond the Length of the Plan

> **Name Amount of Claim Monthly Payment Interest Rate (If specified)**

**[c. Unsecured Claims]{.underline}**

> General Nonpriority Unsecured: Unsecured debts shall be paid
> approximately \_\_\_\_ cents on the dollar and paid pro rata.

5\. The Debtor proposes to cure defaults to the following creditors by
means of monthly payments by the trustee:

> **Creditor Amount of Default to be Cured Interest Rate (If
> specified)**

6\. The Debtor shall make regular payments directly to the following
creditors:

> **Name Amount of Claim Monthly Payment Interest Rate (If specified)**

7\. The following executory contracts of the debtor are rejected:

> **Other Party Description of Contract or Lease**

8\. Property to Be Surrendered to Secured Creditor for which the
creditor shall be entitled to file a deficiency claim:

> **Name Amount of Claim Description of Property**

9\. Title to the Debtor's property shall revest in Debtor on
confirmation of a plan unless otherwise provided in paragraph 11.

10\. As used herein, the term \"Debtor\" shall include both debtors in a
joint case.

11\. Non-Standard Provisions (all non-standard provisions must be
inserted in this paragraph).

12\. Other Provisions:

Unsecured claims shall be paid interest to the extent available, if any,
not to exceed 6%.

> The provisions of paragraph 3 are not intended to modify the rights of
> the holders of any mortgages on any real property owned by Debtor. The
> terms of all notes and mortgages on Debtor\'s real property shall
> remain in full force and effect.
>
> **[PAYMENT OF THE FOREGOING ARREARAGES UNDER THIS PLAN SHALL
> CONCLUSIVELY CONSTITUTE PAYMENT OF ALL PRE-PETITION
> ARREARAGES.]{.underline}**
>
> Pursuant to 11 U.S.C. §521(f)(4)(B) and Standing Order of this Court,
> the required annual statement as described shall be filed.

Date
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Signature
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> Debtor(s)