UNITED STATES BANKRUPTCY COURT



UNITED STATES BANKRUPTCY COURT

SOUTHERN DISTRICT OF NEW YORK

___________________________________x

:

: Case No. _______________

:

: Chapter 11

:

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CLOSING REPORT IN CHAPTER 11 CASE

To the best of my knowledge and belief, the following is a breakdown in this case:

FEES AND EXPENSES (from case inception):

__________ FEE for ATTORNEY for DEBTOR

__________ OTHER PROFESSIONAL FEES and ALL EXPENSES

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__________ TRUSTEE FEE (if applicable)

__________ FEE for ATTORNEY for TRUSTEE (if applicable)

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__________ % DIVIDEND PAID/TO BE PAID

__________ FUTURE DIVIDENDS (check if % of future dividend under plan not yet

able to be determined)

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__________ INITIAL DISTRIBUTION UNDER THE PLAN COMPLETED

__________ OTHER: (explain)

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DATE: APPLICANT

BY __________________________

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