UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) Case No._______________ REPORT OF ADMINISTRATIVE EXPENSES
Debtor(s) The undersigned certifies that:
1. The total court costs due to the CLERK'S office are $____________________, and will be paid within 10 days of the confirmation order's filing date. 2. The total costs due to the U.S. TRUSTEE'S office are $____________________, and will be paid within 10 days of the confirmation order's filing date. 3. Description of professional fees and costs which were previously allowed but are unpaid, or which need to be determined: Estimate of Amt. Claimed Additional Describe Amt. Allowed & Not Yet Amounts which Any Pymt. Claimant but Unpaid Allowed will be Claimed Agreement
4. The total estimated amount of debt incurred in the ordinary course of business and currently unpaid, to be paid on normal business terms prior to the plan's effective date, is $____________________. 5. Description of unpaid administrative claims not included in pt. 3 or pt. 4: Estimated Amount Claimed Describe Any Pymt. Agreement
Claimant
6. The undersigned certifies that on __________ a copy of this report was served on the debtor, trustee, their respective attorneys, if any, and the U.S. Trustee. DATED: __________ _________________________________________ SIGNATURE (OSB# if attorney) _________________________________________ TYPE OR PRINT SIGNER'S NAME 1182 (12/18/06) _________________________________________ SIGNER'S RELATIONSHIP TO CASE