UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF ILLINOIS

EASTERN DIVISION

In re: 

JACQUELINE BRACKETT

Debtor(s)

Case No. 16-27790

CHAPTER 13 STANDING TRUSTEE’S FINAL REPORT AND ACCOUNT

Tom Vaughn, chapter 13 trustee, submits the following Final Report and Account of the 

administration of the estate pursuant to 11 U.S.C. § 1302(b)(1). The trustee declares as follows:

1) The case was filed on 08/30/2016.

2) The plan was confirmed on 10/26/2016.

3) The plan was modified by order after confirmation pursuant to 11 U.S.C. § 1329 on

NA .

4) The trustee filed action to remedy default by the debtor in performance under the plan 

on NA .

5) The case was dismissed on 01/18/2017.

6) Number of months from filing to last payment: 3.

7) Number of months case was pending: 6.

8) Total value of assets abandoned by court order: NA .

9) Total value of assets exempted: NA .

10) Amount of unsecured claims discharged without payment: $0.00.

11) All checks distributed by the trustee relating to this case have cleared the bank.

UST Form 101-13-FR-S (09/01/2009)

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Receipts:

Total paid by or on behalf of the debtor $150.00

Less amount refunded to debtor $0.00

NET RECEIPTS: $150.00

Expenses of Administration:

Attorney’s Fees Paid Through the Plan $71.34

Court Costs $0.00

Trustee Expenses & Compensation $6.90

Other $71.76

TOTAL EXPENSES OF ADMINISTRATION: $150.00

Attorney fees paid and disclosed by debtor: $0.00

Scheduled Creditors:

Creditor

Name Class

Claim

Scheduled

Claim

Asserted

Claim

Allowed

Int.

Paid

Principal

Paid

AMITA HEALTH ADVENTIST MEDICA Unsecured NA 2,700.00 2,700.00 0.00 0.00

AT T MOBILITY Unsecured 526.00 NA NA 0.00 0.00

CITY OF CHICAGO DEPT OF REVENU Unsecured 4,179.00 4,244.60 4,244.60 0.00 0.00

COMCAST Unsecured 100.00 NA NA 0.00 0.00

COMMONWEALTH EDISON Unsecured NA 203.34 203.34 0.00 0.00

FINGERHUT CORP Unsecured 300.00 NA NA 0.00 0.00

ILLINOIS TITLE LOAN Unsecured 1,000.00 NA NA 0.00 0.00

MEDICAL PAYMENT DATA Unsecured 900.00 NA NA 0.00 0.00

MONTGOMERY WARD Unsecured 261.00 261.45 261.45 0.00 0.00

PEOPLES GAS LIGHT & COKE CO Unsecured 3,000.00 2,571.80 2,571.80 0.00 0.00

PREMIER BANK CARD Unsecured 445.00 NA NA 0.00 0.00

UST Form 101-13-FR-S (09/01/2009)

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Summary of Disbursements to Creditors:

Secured Payments:

Mortgage Ongoing

Mortgage Arrearage

Debt Secured by Vehicle

All Other Secured

TOTAL SECURED:

Priority Unsecured Payments:

Domestic Support Arrearage

Domestic Support Ongoing

All Other Priority

TOTAL PRIORITY:

GENERAL UNSECURED PAYMENTS:

Claim

Allowed

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$9,981.19

Principal

Paid

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Interest

Paid

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

$0.00

Disbursements:

Expenses of Administration $150.00

Disbursements to Creditors $0.00

TOTAL DISBURSEMENTS : $150.00

12) The trustee certifies that, pursuant to Federal Rule of Bankruptcy Procedure 5009, 

the estate has been fully administered, the foregoing summary is true and complete, and all 

administrative matters for which the trustee is responsible have been completed. The trustee 

requests a final decree be entered that discharges the trustee and grants such other relief as may 

be just and proper.

Dated: 02/21/2017

STATEMENT: This Unified Form is associated with an open bankruptcy case, therefore, Paperwork Reduction 

Act exemption 5 C.F.R. § 1320.4(a)(2) applies.

By:/s/ Tom Vaughn

Trustee

UST Form 101-13-FR-S (09/01/2009)

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