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Official Form 410 - Instructions for Proof of Claim <br />United States Bankruptcy Court <br />These instructions and definitions generally explain the law. In certain circumstances, such as bankruptcy cases that debtors do not file <br />voluntarily, exceptions to these general rules may apply. You should consider obtaining the advice of an attorney, especially if you are <br />unfamiliar with the bankruptcy process and privacy regulations. <br />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 <br />How to fill out this form <br />■ Fill in all of the information about the claim as of the date the <br />case was filed. <br />■ Fill in the caption at the top of the form. The full list of debtors <br />is provided under the general information section on the Claims <br />Agent's website: http://dm.epigll.com/rhino. <br />■ If the claim has been acquired from someone else, then state <br />the identity of the last party who owned the claim or was the <br />holder of the claim and who transferred it to you before the <br />initial claim was filed. <br />■ Attach any supporting documents to this form. Attach redacted <br />copies of any documents that show that the debt exists, a lien <br />secures the debt, or both. (See the definition of redaction <br />below.) <br />Also attach redacted copies of any documents that show <br />perfection of any security interest or any assignments or <br />transfers of the debt. In addition to the documents, a summary <br />may be added. Federal Rule of Bankruptcy Procedure (called <br />"Bankruptcy Rule") 3001(c) and (d). <br />■ Do not attach original documents because attachments may be <br />destroyed after scanning. <br />■ If the claim is based on delivering health care goods or services, <br />do not disclose confidential health care information. Leave out <br />or redact confidential information both in the claim and in the <br />attached documents. <br />■ A Proof of Claim form and any attached documents must show <br />only the last 4 digits of any social security number, individual's <br />tax identification number, or financial account number, and <br />only the year of any person's date of birth. See Bankruptcy <br />Rule 9037. <br />■ For a minor child, fill in only the child's initials and the full <br />name and address of the child's parent or guardian. For <br />example, write A.B., a minor child (John Doe, parent 123 Main <br />St City, State). See Bankruptcy Rule 9037. <br />Confirmation that the claim has been filed <br />To receive confirmation that the claim has been filed, either enclose a <br />stamped self-addressed envelope and a copy of this form or you may <br />access the Claims Agent's website (http://dm.epigll.com/rhino) to <br />view your filed form under "Claims." <br />Where to Send Proof of Claim Form <br />First Class Mail: <br />Hopedale Mining LLC Claims Processing Center <br />c/o Epiq Corporate Restructuring, LLC <br />PO Box 4421 <br />Beaverton, OR 97076-4421 <br />Hand Delivery or Overnight Mail: <br />Hopedale Mining LLC Claims Processing Center <br />c/o Epiq Corporate Restructuring, LLC <br />10300 SW Allen Blvd <br />Beaverton, OR 97005 <br />Understand the terms used in this form <br />Administrative expense: Generally, an expense that arises after a bankruptcy case is <br />filed in connection with operating, liquidating, or distributing the bankruptcy estate. 11 <br />U.S.C. § 503. <br />Claim: A creditor's right to receive payment for a debt that the debtor owed on the date <br />the debtor filed for bankruptcy. 11 U.S.C. §101 (5). A claim may be secured or <br />unsecured. <br />Creditor: A person, corporation, or other entity to whom a debtor owes a debt that was <br />incurred on or before the date the debtor filed for bankruptcy. 11 U.S.C. §101 (10). <br />Debtor: A person, corporation, or other entity who is in bankruptcy. Use the debtor's <br />name and case number as shown in the bankruptcy notice you received. 11 U.S.C. § 101 <br />(13). <br />Evidence of perfection: Evidence of perfection of a security interest may include <br />documents showing that a security interest has been filed or recorded, such as a <br />mortgage, lien, certificate of title, or financing statement. <br />Information that is entitled to privacy: A Proof of Claim form and any attached <br />documents must show only the last 4 digits of any social security number, an individual's <br />tax identification number, or a financial account number, only the initials of a minor's <br />name, and only the year of any person's date of birth. If a claim is based on delivering <br />health care goods or services, limit the disclosure of the goods or services to avoid <br />embarrassment or disclosure of confidential health care information. You may later be <br />required to give more information if the trustee or someone else in interest objects to <br />the claim. <br />Priority claim: A claim within a category of unsecured claims that is entitled to priority <br />under 11 U.S.C. §507(a). These claims are paid from the available money or property in a <br />bankruptcy case before other unsecured claims are paid. Common priority unsecured <br />claims include alimony, child support, taxes, and certain unpaid wages. <br />Proof of claim: A form that shows the amount of debt the debtor owed to a creditor on <br />the date ofthe bankruptcy filing. The form must be filed in the district where the case is <br />pending. <br />Redaction of information: Masking, editing out, or deleting certain information to <br />protect privacy. Filers must redact or leave out information entitled to privacy on the <br />Proof of Claim form and any attached documents. <br />Secured claim under 11 U.S.C. §506(a): A claim backed by a lien on particular property of <br />the debtor. A claim is secured to the extent that a creditor has the right to be paid from <br />the property before other creditors are paid. The amount of a secured claim usually <br />cannot be more than the value of the particular property on which the creditor has a <br />lien. Any amount owed to a creditor that is more than the value of the property normally <br />may be an unsecured claim. But exceptions exist; for example, see 11 U.S.C. § 1322(b) <br />and the final sentence of 1325(a). <br />Examples of liens on property include a mortgage on real estate or a security interest in a <br />car. A lien may be voluntarily granted by a debtor or may be obtained through a court <br />proceeding. In some states, a court judgment may be a lien. <br />Setoff: Occurs when a creditor pays itself with money belonging to the debtor that it is <br />holding, or by canceling a debt it owes to the debtor. <br />Uniform claim identifier: An optional 24-character identifier that some creditors use to <br />facilitate electronic payment. <br />Unsecured claim: A claim that does not meet the requirements of a secured claim. A <br />claim maybe unsecured in part to the extent that the amount of the claim is more than <br />the value of the property on which a creditor has a lien. <br />Offers to purchase a claim <br />Certain entities purchase claims for an amount that is less than the face value of the <br />claims. These entities may contact creditors offering to purchase their claims. Some <br />written communications from these entities may easily be confused with official court <br />documentation or communications from the debtor. These entities do not represent the <br />bankruptcy court, the bankruptcy trustee, or the debtor. A creditor has no obligation to <br />sell its claim. However, if a creditor decides to sell its claim, any transfer of that claim is <br />subject to Bankruptcy Rule 3001(e), any provisions of the Bankruptcy Code (11 U.S.C. § <br />101 et seq.) that apply, and any orders of the bankruptcy court that apply. <br />Do not file these instructions with your form. <br />