Section 1126 Ballot Report Form {3018-1}

Clear Save As... LOCAL BANKRUPTCY FORM 3018-1 IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : : CHAPTER ____ CASE NO. __-___ -bk-_________ Debtor(s) SECTION 1126 BALLOT REPORT FORM # BALLOTS CAST CLASS I # ACCEPTING # REJECTING $ ACCEPTING $ REJECTING CLASS ACCEPTING CLASS REJECTING CLASS II CLASS III CLASS IV The following classes are impaired: . Copies of all ballots not accepted are attached. An explanation of why the ballots were rejected, if applicable, is attached. PLAN ACCEPTED YES NO The foregoing Report is accurate and complete. Dated: Counsel for Plan Proponent American LegalNet, Inc. www.FormsWorkFlow.com