TurboLaw Bankruptcy Document List

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1 District of Massachusetts - Application to Pay Filing Fee in Installments - Local Form 1 - Matrix List of Creditors - Local Form 10 - Motion Brought under 11 U.S.C. s.521(f) - Local Form 11 - Motion Brought under 11 U.S.C. s.521(g) Motion by Party in Interest for Access to Debtor's Federal Tax Information - Local Form 12 - Motion for Entry of Discharge - Local Form 13 - Motion for Relief from Stay - Real Estate Worksheet - Local Form 14 - Debtor(s)' Schedule of Disputed Payments in Oppostion to Motion for Relief from Stay - Postpetition Transaction History - Local Form 15 - Combined Plan of Reorganization and Disclosure Statement for Small Business Debtor - Local Form 2A - Notice of Intended Private Sale of Property, Solicitiation of Counteroffers, Deadline for Submitting Objections, and Higher Offers and Hearing Date - Local Form 2B - Notice of Intended Public Sale of Estate Property - Local Form 3 - Chapter 13 Plan and Cover Sheet - Local Form 3A - Post Confirmation Amended Chapter 13 Plan - Local Form 4 - Order Confirming Chapter 13 Plan - Local Form 5 - Order and Notice Fixing Deadline for Filing Proofs of Claim in Chapter 11 Cases - Local Form 6 - Reaffirmation Agreement Cover Sheet, Reaffirmation Agreement, and Proposed Order - Local Form 7 - Declaration of Electronic Filing - Local Form 8 - Chapter 13 Agreement Between Debtor and Counsel Rights and Responsibilities of Chapter 13 Debtors and Their Attorneys - Local Form 9 - Motion Pursuant to 11 U.S.C. s.109(h)(3) for Extension of Time to File Credit Counseling Certificate - Order Approving Payment of Filing Fee in Installments District of New Hampshire - Appearance - LBF Verification of Creditor Matrix - LBF1009-1A - Amendment Cover Sheet - LBF1009-1B - Notice to Additional Creditors - LBF Chapter 13 Monthly Operating Report - LBF Order Granting Motion to Determine Secured Status and Void Wholly Unsecured Lien - LBF3015-1A - Chapter 13 Plan - LBF3015-1B - Notice of Confirmation Hearing - LBF3015-1C - Notice of Contingent Hearing - LBF Notice of Hearing on Adequacy of Disclosure - LBF Certificate of Vote - LBF Order Confirming Plan of Reorganization - LBF Closing Report for Confirmed Chapter 11 Cases - LBF4001-1A - Worksheet Completed by Mortgagee-Servicer in Support of Motion for Relief from Stay Involving Residential Real Property - LBF4001-1B - Statement ~ Motion for Relief Worksheet is NOT Required

2 District of New Hampshire - LBF4003-2A - Motion to Avoid Lien - LBF4003-2B - Contingent Hearing on Motion to Avoid Lien - LBF5005-4A - Filing for Petitions, Schedules, and Amendments - LBF5005-4B - Filing for Documents Other Than Petitions - LBF Default Judgment - LBF9021-1A - Final Judgment - General - LBF9021-1B - Final Judgment - Stipulation-Settlement - LBF9021-1C - Final Judgment - Sum Certain - LBF Proposed Order - Register of Mailing Addresses - Rule LBF Notice of Contingent Hearing on Application(s) for Compensation - LBF3012-1B - Notice of Contingent Hearing on Motion to Determine Secured Status and Void Wholly Unsecured Loans - LBF Notice of Contingent Hearing on Motion for Continued Use of Cash Collateral - NH Creditor Matrix Rules District of Rhode Island - LBR Form A - Format for Preparing Creditor Matrix - LBR Form B - Notice to Creditors in Chapter 11 Case Scheduled as Disputed, Contingent, or Unliquidated - LBR Form C.1 - Certification by Pro Se Debtor - LBR Form C.2 - Fee Application Summary Sheet - LBR Form C.3 - Interim Fee Allowance Summary - LBR Form C.4 - Final Fee Allowance Summary - LBR Form D - Expense Information for Fee Waiver Application - LBR Form E - Petition for Payment of Unclaimed Funds - LBR Form F.1 - Identification Form fror Unclaimed Dividends, Individual - LBR Form F.2 - Identification Form for Unclaimed Dividends, Business - LBR Form G - Request for Debtor to File Post Petition Tax Information During Pendency of Case - LBR Form H - Motion by Party in Interest for Access to Tax Returns - LBR Form I - Report on Ballots - LBR Form J - Ballot for Accepting or Rejecting Plan of Reorganization - LBR Form K.1 - Proposed Order of Distribution - LBR Form K.2 - Ntc of Filing or Proposed Order of Distribution - LBR Form L - Chapter 11 Confirmation Worksheet & Certification - LBR Form M - Proposed Order Confirming Chapter 11 Plan - LBR Form N - Propsed Application for Final Decree - LBR Form N.1 - Individual Debtor(s) Motion for Entry of Discharge and Certificate of Plan Confirmation - LBR Form O - Requirements for Joint Pretrial Order - Continuation Sheet - LBR Form O - Requirements for Joint Pretrial Order

3 District of Rhode Island - LBR Form O.2 - Discovery Plan - LBR Form P - Notice of Substitute Counsel - LBR Form Q - Proposed Notice of Intended Public Sale - LBR Form R - Relief from Stay Worksheet - Real Estate - LBR Form S - Election to Proceed to District Court - LBR Form T - Proposed Motion for Entry of Appearance Pro Hac Vice, with Attorney Certification - LBR Form T.1 - Attorney Certification in Support of Motion for Admission Pro Hac Vice - LBR Form T.2 - Certificate Regarding Admission of Law Student Pursuant to Local Bankruptcy Rule LBR Form V - Chapter 13 Agreement Between Debtor and Counsel - LBR Form W.1 - Chapter 13 Plan and Applicable Motions - LBR Form W.2 - Amended Ch. 13 Plan & Applicable Motions - LBR Form X - Order Confirming Chapter 13 Plan - LBR Form Y - Motion to be Excused from Court Federal Forms - Form B Adversary Proceeding Cover Sheet - Form B Exemplification Certificate - Form B Application for Search of Bankruptcy Records - Form B Claims Register - Form B 13S - Order Conditionally Approving Disclosure Statement - Form B 15S - Order Finally Approving Disclosure Statement and Confirming Plan - Form B 18F - Order Discharging Debtor After Completion of Chapter 12 Plan - Form B 18FH - Discharge of Debtor Before Completion of Chapter 12 Plan - Form B 18J - Discharge of Joint Debtors (Chapter 7) - Form B 18JO - Discharge of One Joint Debtor (Chapter 7) - Form B 18RI - Discharge of Individual Debtor in a Chapter 11 Case - Form B 18W - Discharge of Debtor After Completion of Chapter 13 Plan - Form B 18WH - Order Discharging Debtor Before Completion of Chapter 13 Plan - Form B Required Lists, Schedules, Statements and Fees - Form B 201A - Notice to Individual Consumer Debtor - Form B 201B - Certification of Notice to Individual Consumer Debtor(s) - Form B Statement of Military Service - Form B Disclosure of Compensation of Attorney for Debtor - Form B Notice of Need to File Proof of Claim Due to Recovery of Assets - Form B Notice to Creditors and Other Parties in Interest - Form B Certificate of Commencement of Case - Form B Certificate of Retention of Debtor In Possession - Form B 210A - Transfer of Claim Other Than for Security - Form B 210B - Notice of Transfer of Claim Other Than for Security

4 Federal Forms - Form B 230A - Order Confirming Chapter 12 Plan - Form B 230B - Order Confirming Chapter 13 Plan - Form B 231A - Order Fixing Time to Object to Proposed Modification of Confirmed Chapter 12 Plan - Form B 231B - Order Fixing Time to Object to Proposed Modification of Confirmed Chapter 13 Plan - Form B 240A - Reaffirmation Documents - Form B 240A-B ALT - Reaffirmation Agreement - Form B 240B - Motion for Approval of Reaffirmation Agreement (12-09) - Form B 240C - Order on Reaffirmation Agreement (12-09) - Form B 240C ALT - Order on Reaffirmation Agreement - Form B 250A - Summons in an Adversary Proceeding - Form B 250B - Summons and Notice of Pretrial Conference in an Adversary Proceeding - Form B 250C - Summons and Notice of Trial in an Adversary Proceeding - Form B 250D - Third-Party Summons - Form B 250E - Summons to Debtor in Involuntary Case - Form B 250F - Summons in a Chapter 15 Case Seeking Recognition of a Foreign Nonmain Proceeding - Form B Order for Relief in an Involuntary Case - Form B Subpoena for Rule 2004 Examination - Form B Subpoena in an Adversary Proceeding - Form B Subpoena in a Case Under the Bankruptcy Code - Form B Entry of Default - Form B 261A - Judgment by Default - Form B 261B - Judgment by Default - Form B 261C - Judgement in an Adversary Proceeding - Form B Notice of Entry of Judgment - Form B Bill of Costs - Form B Writ of Execution to the United States Marshal - Form B Certification of Judgment for Registration in Another District - Form B Notice of Filing of Final Report of Trustee, of Hearing on Applications for Compensation - Form B Final Decree - Form B Disclosure of Compensation of Bankruptcy Petition Preparer - Form B Appearance of Child Support Creditor or Representative - Form B Chapter 13 Debtor's Certifications Regarding Domestic Support Obligations and Section 522(q) - Form B 1 - Voluntary Petition - Form B 10 - Proof of Claim - Form B 11A - General Power of Attorney - Form B 11B - Special Power of Attorney - Form B 12 - Order and Notice for Hearing on Disclosure Statement - Form B 13 - Order Approving Disclosure Statement and Fixing Time for Filing Acceptances or Rejections of Plan

5 Federal Forms - Form B 14 - Ballot for Accepting or Rejecting Plan - Form B 15 - Order Confirming Plan - Form B 16A - Caption - Form B 16B - Caption (Short Title) - Form B 16C - [Abrogated] - Form B 16D - Caption for Use in Adversary Proceeding other than for a Complaint Filed by a Debtor - Form B 17 - Notice of Appeal under 28 U.S.C. Sec. 158(a) or (b) from a Judgment, Order or Decree - Form B 18 - Discharge of Debtor - Form B 19 - Declaration and Signature of Non-Attorney Bankruptcy Petition Preparer - Form B 1A - Voluntary Petition - Exhibit A - Form B 1C - Voluntary Petition - Exhibit C - Form B 1D - Voluntary Petition - Exhibit D - Form B 2 - Declaration under Penalty of Perjury on Behalf of a Corporation or Partnership - Form B 20A - Notice of Motion or Objection - Form B 20B - Notice of Objection to Claim - Form B 21 - Statement of Social Security Number - Form B 22A - Statement of Current Monthly Income and Means Test Calculation (Chapter 7) - Form B 22B - Statement of Current Monthly Income (Chapter 11) - Form B 22C - Statement of Current Monthly Income and Calculation of Commitment Period and Disposable Income (Chapter 13) - Form B 23 - Debtor's Certification of Completion of Instructional Course Concerning Financial Management - Form B 24 - Certification to Court of Appeals - Form B 25A - Plan of Reorganization in Small Business Case under Chapter 11 - Form B 25B - Disclosure Statement in Small Business Case under Chapter 11 - Form B 25C - Small Business Monthly Operating Report - Form B 26 - Periodic Report Regarding Value, Operations, and Profitability of Entities - Form B 27 - Reaffirmation Agreement Cover Sheet - Form B 3A - Application and Order to Pay Filing Fee in Installments - Form B 3B - Application for Waiver of Chapter 7 Filing Fee - Form B 4 - List of Creditors Holding 20 Largest Unsecured Claims - Form B 5 - Involuntary Petition - Continuation Sheet - Form B 5 - Involuntary Petition - Form B 6 - Cover Sheet for Schedules - Form B 6 - Declaration Concerning Debtor's Schedules - Form B 6 - Summary of Schedules (Includes Statistical Summary of Certain Liabilities) - Form B 6A - Schedule A - Real Property - Form B 6B - Schedule B - Personal Property - Form B 6C - Schedule C - Property Claimed as Exempt - Form B 6D - Schedule D - Creditors Holding Secured Claims - Continuation Sheet

6 Federal Forms - Form B 6D - Schedule D - Creditors Holding Secured Claims - Form B 6E - Schedule E - Creditors Holding Unsecured Priority Claims - Continuation Sheet - Form B 6E - Schedule E - Creditors Holding Unsecured Priority Claims - Form B 6F - Schedule F - Creditors Holding Unsecured Nonpriority Claims - Continuation Sheet - Form B 6F - Schedule F - Creditors Holding Unsecured Nonpriority Claims - Form B 6G - Schedule G - Executory Contracts and Unexpired Leases - Form B 6H - Schedule H - Codebtors - Form B 6I - Schedule I - Current Income of Individual Debtor(s) - Form B 6J - Schedule J - Current Expenditures of Individual Debtor(s) - Form B 7 - Statement of Financial Affairs - Form B 8 - Chapter 7 Individual Debtor's Statement of Intention - Continuation Sheet - Form B 8 - Chapter 7 Individual Debtor's Statement of Intention - Form B 9 - Notice of Commencement of Case under the Bankruptcy Code, Meeting of Creditors, and Deadlines - Form B 9A - Chapter 7 Individual or Joint Debtor No Asset Case - Form B 9B - Chapter 7 Corporation-Partnership No Asset Case - Form B 9C - Chapter 7 Individual or Joint Debtor Asset Case - Form B 9D - Chapter 7 Corporation-Partnership Asset Case - Form B 9E - Chapter 11 Individual or Joint Debtor Case - Form B 9E ALT - Chapter 11 Individual or Joint Debtor Case - Form B 9F - Chapter 11 Corporation-Partnership Case - Form B 9F ALT - Chapter 11 Corporation-Partnership Case - Form B 9G - Chapter 12 Individual or Joint Debtor Family Farmer - Form B 9H - Chapter 12 Corporation-Partnership Family Farmer - Form B 9I - Chapter 13 Case Middle District of Florida - Appeal Cover Sheet - Certification of Necessity of Request for Emergency Hearing - Chapter 13 Adequate Protection Order - Declaration for Electronic Filing - Jacksonville Division Exhibit List - Jacksonville Division Exhibit Tag - Matrix Filing Instructions - Order Allowing Administrative Expenses - Orlando Division Exhibit List - Orlando Division Exhibit Tag - Orlando Division Mediation Form - Procedural Form B201 with Court information (to meet s.342(b) requirement)

7 Middle District of Florida - Purchase Order for Transcript - Statement of Social Security Number(s) Northern District of Florida - B100BX - Supplemental Closing Reoprt (re Chapter 11's) - Chapter 13 Form Plan - Optional Provisions - Corporate Ownership Statement - Local Form 1 - Debtor(s) Statement of Assistance - Local Form 11 - Order of Deposit and Investment - Local Form 12 - Preferred Address Request for a Case under 342(e) - Local Form 13 - Certification Regarding Domestic Support Obligation - Local Form 14 - Certification Regarding Filing Tax Returns - Chapter 13 (Local Rule ) - Local Form 15 - Certificate-Affidavit for Adding Creditors to Schedules in a Closed Case - Local Form 16 - Statement of No Employer Income - Local Form 17 - Notice of Change of Address of Debtor - Local Form 18 - Motion for Waiver if Requirement to Comply with Credit Counseling Requirement - Local Form 19 - Request for Notices by Creditor (not represented by attorney) - Local Form 20 - Notice of Appearance and Request for Notices (by attorney) - Local Form 21 - Chapter 13 Form Plan - Local Form 22 - Annual Statement - Local Form 22a - Annual Statement Worksheet - Local Form 23 - Motion to Modify Plan Re - Annual Statement - Local Form 26 - Individual Debtor(s) Mothin for Entry of Discharge (Chapter 11) - Local Form 27 - Chapter 13 Supplement to Schedules I and J - Local Form 28 - Agreed Motion to Abate - Local Form 29 - Debtor's Election to Abate - Local Form 2b - Chapter 11 Monthly Financial Reports (Business) - Local Form 2c - Chapter 11 Monthly Finacial Reports (Individual) - Local Form 30 - Debtor's Election to Use a Portion of Tax Refund - Local Form 31 - Debtor's Notice of Plan Payment Change Pursuant to Creditor's Notice of Payment Change on Principal Mortgage - Local Form 32 - Motion for Protective Order to Restrict Access & Allow for Redaction of Information - Local Form 33 - Motion to Deem Mortgage Current - Local Form 34 - Creditor's Notice of Payment Change - Local Form 5 - Chapter 11 - Vote on Plan - Local Form 6 - Exhibit and Witness List - Continuation Sheet - Local Form 6 - Exhibit and Witness List - Local Form 7 - Report & Notice of Trustee's Intention to Abandon Property of Estate - Local Form 8 - Report & Notice of Intention to Sell Property of the Estate

8 Northern District of Florida - Matrix Mailing Instructions as is noted in LR Local Form 5 - Chapter 11 - Vote on Plan - Summary Southern District of Florida - LF-01 - Notice of Deadline to Object to Debtor's Statement Re 11 U S C Section 522(q)(1) Applicability Payment of Domestic Support Obligations etc - LF-02 - Declaration of Divisional Venue Pursuant to Local Rule (A)(4) - LF-03 - Application by Individual Debtor to Pay Filing Fee in Installments - LF-04 - Debtors Notice of Compliance with Requirements for Amending Creditor Information - LF-05 - Appeal Information Sheet - LF-06 - Order Converting Case Under Chapter 7 to Case Under Chapter 11 - LF-07 - Order Converting Case Under Chapter 7 to Case Under Chapter 12 - LF-08 - Order Converting Case Under Chapter 7 to Case Under Chapter 13 - LF-09 - Order Converting Case Under Chapter 11 to Case Under Chapter 7 - LF-10 - Declaration Regarding Payment Advices - LF Trustee's Summary of Requested Fees and Expenses - LF Notice Regarding Opposing Motions for Summary Judgment - LF Motion to Value and Determine Secured Status of Lien on Personal Property - LF Order Granting Motion to Value and Determine Secured Status of Lien on Personal Property Held By - LF-11 - Declaration Under Penalty of Perjury to Accompany Petitions Schedules and Statements Filed Electronically - LF-12 - Order Converting Case Under Chapter 13 to Case Under Chapter 7 - LF-14 - Notice of Rule 2004 Examination - LF-15 - Debtor in Possessions Application for Employment of Attorney - LF-16 - Trustees Application for Employment of Attorney - LF-17 - Affidavit of Proposed Attorney for Debtor in Possession - LF-18 - Affidavit of Proposed Attorney for Trustee - LF-19 - Order Approving Employment of Debtor in Possessions Attorney - LF-20 - Order Approving Employment of Trustees Attorney - LF-21 - Application for Approval of Employment of Auctioneer - LF-22 - Affidavit of Auctioneer - LF-23 - Order Approving Employment of Auctioneer - LF-24 - Objection to Claim - LF-25 - Order Sustaining Objection to Claim - LF-26 - Notice of Deposit of Funds with the US Bankruptcy Court Clerk - LF-27 - Application to Withdraw Unclaimed Funds - LF-28 - Affidavit of Claimant - LF-29 - Order for Payment of Unclaimed Funds - LF-30 - Order Setting Hearing on Confirmation of Plan and Other Deadlines

9 Southern District of Florida - LF-31 - Chapter 13 Plan - LF-32A - Order Setting Hearing on Disclosure Statement and Other Deadlines - LF-32B - Order Approving Disclosure Statement - LF-33 - Ballot and Deadline for Filing Ballot Accepting or Rejecting Plan - LF-34 - Certificate of Proponent of Plan on Acceptance of Plan Report on Amount to be Deposited, Certificate of Amount Deposited, and Payment of Fees - LF-35 - Final Report and Motion for Entry of Final Decree (Chapter 11 Cases) - LF-36 - Notice of Late Filing of Paper Pursuant to Local Rule (F)(2) - LF-37 - Order Reopening Case to Add Omitted Creditor(s) - LF-38 - Order Reopening Case to Administer Additional Assets - LF-41 - Bill of Costs - LF-42 - Notice of Payment Change - LF-43 - Debtor's Response to Notice of Payment Change - LF-44 - Motion to Appear Pro Hac Vice - LF-45 - Order Admitting Attorney Pro Hac Vice - LF-46 - Certificate of Service and Certificate of Compliance with Local Rule (D) - LF-47 - Certificate of Contested Matter - LF-48 - Certificate of No Response or Settlement and Request for Entry of Order - LF-49 - Exhibit Register - Continuation Sheet - LF-49 - Exhibit Register - LF-50 - Verification of Qualification to Act as Mediator - LF-51 - Order of Referral to Mediation - LF-52 - Notice of Selection of Mediator - LF-53 - Notice of Clerks Designation of Mediator - LF-54 - Report of Mediator - LF-55 - Summons to Debtor in Involuntary Case - LF-56 - Summons in Foreign Nonmain Proceeding Under Chapter 15 - LF-57 - Writ of Execution to the United States Marshall - LF-58A - Order Jointly Administering Chapter 7 Cases - LF-58B - Order Jointly Administering Chapter_11 Cases - LF-59 - Request for Copies of Archived Case Files from US Bankruptcy Court Southern District of Florida - LF-60 - Request to Expedite Appeal - LF-61 - Notice of Intent to Request Redaction of Transcript - LF-62 - Confirmation Affidavit - LF-63A - Pretrial Order (sample) in an Adversary Proceeding - LF-63B - Sworn Declaration of Fact in an Adversary Proceeding - LF-64A - Order Conditionally Approving Disclosure Statement - LF-64B - Order Setting Disclosure Statement Hearing in Chapter 11 Small Business Cases - LF-65 - Chapter 7 Trustees Motion to Dismiss Case for Failure by Debtor to Appear at the 341 Meeting of Creditors

10 Southern District of Florida - LF-66 - Order Vacating Dismissal and Reinstating Chapter 13 Case - LF-67 - Debtor Certificate of Compliance and Request for Confirmation of Chapter 13 Plan - LF-68A - Order Confirming Uncontested Chapter 13 Plan - LF-68B - Order Confirming Uncontested Amended Chapter 13 Plan and Notice of Opportunity to Object to Amended Plan - LF-69 - Application for Compensation for Professional Services or Reimbursement of Expenses by Attorney for Chapter 13 Debtor - LF-70 - Objection to Claim on Shortened Notice - LF-71 - Ind Debtor Certificate for Confirmation Regarding Payment of DSO and Filing of Required Tax Returns - LF-72 - Cover Sheet to Accompany Items Submitted for Sealing or in Camera Review - LF-73 - Notice Pursuant to Florida Statute to Defendant of Right Against Garnishment of Wages Money and Other Property - LF-74 - Third-Party Summons and Notice of Pretrial-Trial in an Adversary Proceeding - LF-75 - Agreed Order to Employer to Deduct and Remit and for Related Matters - LF-76 - Notice of Compliance by Attorney for Debtor with Local Rule (B) Claims Review Requirement - LF-77 - Motion to Value and Determine Secured Status of Lien on Real Property - LF-78 - Debtors Notice of Filing Payroll and Sales Tax Reports - LF-79 - Motion to Deem Mortgage is Current - LF-80 - Trustee's Notice Regarding Mortgage Status - LF-81 - Order Confirming Mortgage is Current - LF-82 - Subpoena in Adversary Proceeding - LF-83 - Subpoena in Bankruptcy Proceeding - LF-84 - Subpoena for Rule 2004 Examination - LF-85 - Application for Search of Bankruptcy Records - LF-86 - Notice of Fees and Costs Incurred - LF-87 - Debtor's Response to (Name of Secured Creditor) Notice of Fees and Costs Incurred - LF-88 - Archives Request Form - LF-89 - Summary of Professional Fee Application - LF-90 - Rights and Responsibilities Agreement Between Ch 13 Debtor and Ch 13 Debtor Attorney for Cases Filed in the United States Bankruptcy Court SDFL - LF-91 - Order Establishing Procedures to Permit Monthly Payment of Interim Fee Applications of Chapter 11 Professionals - LF-92 - Order Granting Motion to Value and Determining Secured Status of Lien on Real Property - LF-93 - Chapter 11 Case Management Summary - LF-94 - Acknowledgment of Responsibility and Registration Form Trustee - LF-95 - Acknowledgment of Responsibility and Registration Form Fill Attorney Privileges - LF-96 - Acknowledgment of Responsibility and Registration Form Limited Filer - LF-97 - Debtors Certificate of Compliance Motion for Issuance of Discharge and Notice of Deadline to Object (Chapter 13 Cases) - LF-98 - Ex Parte Motion to Excuse Compliance Under Local Rule (B) - LF-99 - Order Granting Ex Parte Motion to Excuse Compliance with Local Rule

11 Southern District of Florida - LF-34 - Certificate of Proponent of Plan on Acceptance of Plan Report on Amount to be Deposited, Certificate of Amount Deposited, and Payment of Fees - Continuation Sheet - LF-34 - Exhibit D Only

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