Templates Universal Worksheet for Official Form 425C - Plan Summary for Small Business Under Chapter 11
Worksheet for Official Form 425C - Plan Summary for Small Business Under Chapter 11
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Form 425C Worksheet - Plan Summary for Small Business Under Chapter 11

Worksheet only. Not the official form. Transfer to Official Form 425C. Provides a concise summary of the 425A plan for distribution with ballots/notice.

United States Bankruptcy Court
District of [District]

In re: [Debtor Name]
Case No.: [ ]
Chapter 11 (Small Business Debtor)

Plan Proponent and Contacts

  • Plan proponent name: [ ]
  • Contact for more information: [ ]
  • Attorney (if any): [ ]

Summary by Class

For each class: state whether impaired, whether entitled to vote, and treatment.

Class Description Impaired? (Y/N) Voting? (Y/N) Treatment (payment terms/cure/interest) Est. recovery %
[ ] [ ] [ ] [ ] [ ] [ ]

Key Dates

  • Confirmation hearing date/time/location: [ ]
  • Voting deadline (ballot due): [ ]
  • Objection deadline: [ ]

Means of Execution

  • Funding sources (cash, new value, sale, refinance, operations): [ ]
  • Management/ownership after confirmation: [ ]
  • Treatment of executory contracts/leases (assume/reject list): [ ]

Administrative and Priority Claims (not classified)

  • Describe payments in full on effective date or as otherwise provided: [ ]

Other Material Terms

  • Discharge/injunction summary: [ ]
  • Releases/exculpation (if any and permitted): [ ]
  • Conditions precedent to effectiveness: [ ]

Signature

Plan Proponent: [ ]
Signature: __________________________ Date: __________
Printed Name/Title: [ ]

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