UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re: ) ) ) ) ) ) ) )
Case No. _______________ CERTIFICATE REGARDING CIRCULATION OF DISCLOSURE STATEMENT AND PLAN OF REORGANIZATION
Debtor(s)
1. I hereby certify that the proposed disclosure statement and plan of reorganization submitted for filing herewith were circulated to the following (list parties in interest who were served with the disclosure statement and plan):
2. [Check appropriate box] There are no unresolved concerns about the disclosure statement and plan after circulation of these documents as specified by court order. In the event that there were objections or comments, revised documents were circulated and approved prior to a representation to the court that there are no unresolved concerns. Concerns expressed by the parties cannot be resolved by agreement. An explanation of the unresolved concerns is attached hereto.
__________ Date
_________________________________________ Signature of Debtor's Attorney OSB #
On __________ copies of this certificate were served on the parties identified in paragraph 1 above.
_________________________________________ Signature of Debtor's Attorney OSB # 1165.5 (3/17/95)