2016-04-22_GENERAL DOCUMENTS - C1994082

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Official Form 410 Instructions for Proof of Claim United States Bankruptcy Court 12/15 These instructions and definitions generally explain the law. In certain circumstances, such as bankruptcycases that debtors do not file voluntarily, exceptions to these general rules may apply. You should consider obtaining the advice of an attorney, especially if you are unfamiliar with the bankruptcy process and privacy regulations. A person who files a fraudulent claim could be fined up to $500,000, imprisoned for up to 5 years, or both. 18 U S.C. §§ 152, 157 and 3571. How to fill out this form ■ Fill in all of the information about the claim as of the date the case was filed. ■ Fill in the caption at the top of the form. ■ If the claim has been acquired from someone else, then state the identity of the last party who owned the claim or was the holder of the claim and who transferred it to you before the initial claim was filed. ■ Attach any supporting documents to this form. Attach redacted copies of any documents that show thatthe debt exists, a lien secures the debt, or both. (See the definition of redaction on the next page.) Also attach redacted copies of any documents that show perfection of any security interest or any assignments or transfers of the debt. In addition to the documents, a summary may be added. Federal Rule of Bankruptcy Procedure (called "Bankruptcy Rule") 3001(c) and (d). ■ Do not attach original documents because attachments may be destroyed after scanning. ■ If the claim is based on delivering health care goods or services, do not disclose confidential health care information. Leave out or redact confidential information both in the claim and in the attached documents. ■ A Proof of Claim form and any attached documents must show only the last 4 digits of any social security number, individual's tax identification number, or financial account number, and only the year of any person's date of birth. See Bankruptcy Rule 9037. ■ For a minor child, fill in only the child's initials and the full name and address of the child's parent or guardian. For example, write A.B., a minor child (John Doe, parent, 123 Main St., City, State). See Bankruptcy Rule 9037. Confirmation that the claim has been filed To receive confirmation that the claim has been filed, enclose a stamped self-addressed envelope and a copy of this form. You may view a list of filed claims in this case by visiting the Claims and Noticing Agent's website at https://cuses.12rimecterk.com/archcoals Understand the terms used in this form Administrative expense: Generally, an expense that arises after a bankruptcy case is filed in connection with operating, liquidating, or distributing the bankruptcy estate. 11 U.S.C. § 503. Claim: A creditor's right to receive payment for a debt that the debtor owed on the date the debtor filed for bankruptcy. 11 U.S.C. § 101 (5). A claim may be secured or unsecured.