PART A	SAMPLE FORM 4	Version 3, Effective for Cases Filed After 10/17/05

Distribution Report for Closed Asset Cases

Case No.	3990165432	Trustee Name:	Jenny Ward

Case Name:	John L. & Sally B. Doe	Date Submitted:	12/31/06

Date Filed/Converted to Ch. 7: 11/01/05

$ AMOUNT

RECEIVED	% OF

RECEIPTS
GROSS RECEIPTS	$1,000,000.00	100.00%
Less:
Funds Paid to Debtor
Exemptions	3,400.00	0.34%
Excess Funds	0.00	0.00%
Funds Paid to 3rd Parties	0.00	0.00%
NET RECEIPTS	$996,600.00	99.66%

$ CLAIMS

$ AMOUNT

PAID	% OF

RECEIPTS
SECURED CLAIMS:
Real Estate

$400,000.00	$400,000.00	40.00%
Personal Property & Intangibles	33,000.00	33,000.00	3.30%
Internal Revenue Service Tax Liens	0.00	0.00	0.00%
Other Governmental Tax Liens	3,000.00	3,000.00	0.30%
TOTAL SECURED CLAIMS	$436,000.00	$436,000.00	43.60%
PRIORITY CLAIMS:
CHAPTER 7 ADMINISTRATIVE FEES §§ 507(a)(1)(C) and (2), and
CHARGES under Title 28, Chapter 123:
Trustee Fees	47,330.00	47,330.00	4.73%
Trustee Expenses

2,000.00	2,000.00	0.20%
Legal Fees & Expenses:
Trustee's Firm Legal Fees	0.00	0.00	0.00%
Trustee's Firm Legal Expenses	0.00	0.00	0.00%
Other Firm's Legal Fees	25,000.00	25,000.00	2.50%
Other Firm's Legal Expenses	1,500.00	1,500.00	0.15%
Accounting Fees and Expenses
Trustee's Firm Accounting Fees	0.00	0.00	0.00%
Trustee's Firm Accounting Expenses	0.00	0.00	0.00%
Other Firm's Accounting Fees	4,000.00	4,000.00	0.40%
Other Firm's Accounting Expenses	0.00	0.00	0.00%
Real Estate Commissions	25,000.00	25,000.00	2.50%
Auctioneer/Liquidator Fees	20,000.00	20,000.00	2.00%
Auctioneer/Liquidator Expenses	10,000.00	10,000.00	1.00%
Other Professional Fees/Expenses	1,000.00	1,000.00	0.10%
Expenses of Operating Business in Chapter 7	0.00	0.00	0.00%
Other Expenses	5,700.00	5,700.00	0.57%
Income Taxes - Internal Revenue Service	5,000.00	5,000.00	0.50%
Other State or Local Taxes	0.00	0.00	0.00%
U.S. Trustee Fees	0.00	0.00	0.00%
Court Costs	800.00	800.00	0.08%
TOTAL CHAPTER 7 ADMINISTRATIVE FEES & EXPENSES	$147,330.00	$147,330.00	14.73%
TOTAL PRIOR CHAPTER ADMINISTRATIVE FEES §§ 507(a)(1)(C) and (2)
(From attached Part B)	0.00	0.00	0.00%
DOMESTIC SUPPORT OBLIGATIONS § 507(a)(1)(A) & (B)	4,600.00	4,600.00	0.46%
WAGES § 507(a)(4)	9,200.00	9,200.00	0.92%
CONTRIBUTIONS: EMPLOYEE BENEFIT PLANS § 507(a)(5)

900.00	1,900.00	0.09%
CLAIMS OF GOVERNMENTAL UNITS § 507(a)(8)	25,000.00	25,000.00	2.50%
OTHER § 507 (a)(3), (6), (7), (9) & (10)	0.00	0.00	0.00%
§ 507(a)(1)(A) & (B), TO § 507(a)(3), to § 507 (a)(10)	$39,700.00	$39,700.00	3.97%
GENERAL UNSECURED CLAIMS	$1,200,000.00	$373,570.00	37.36%
TOTAL DISBURSEMENTS	$1,823,030.00	$996,600.00	99.66%

PART B	SAMPLE FORM 4	Draft Version 3, 10/17/05

Distribution Report for Closed Asset Cases

Case No.	3990165432	Trustee Name:	Jenny Ward

Case Name:	John L. & Sally B. Doe	Date Submitted:	12/31/06

Date Filed/Converted to Ch. 7: 11/01/05

$ CLAIMS	$ AMOUNT

PAID	% OF

RECEIPTS
PRIOR CHAPTER ADMINISTRATIVE FEES §§ 507(a)(1)(C) and (2)
Trustee Fees	$0.00	$0.00	0.00%
Trustee Expenses

0.00	0.00	0.00%
Legal Fees & Expenses:
Trustee's Firm Legal Fees	0.00	0.00	0.00%
Trustee's Firm Legal Expenses	0.00	0.00	0.00%
Other Firm's Legal Fees	0.00	0.00	0.00%
Other Firm's Legal Expenses	0.00	0.00	0.00%
Accounting Fees and Expenses
Trustee's Firm Accounting Fees	0.00	0.00	0.00%
Trustee's Firm Accounting Expenses	0.00	0.00	0.00%
Other Firm's Accounting Fees	0.00	0.00	0.00%
Other Firm's Accounting Expenses	0.00	0.00	0.00%
Real Estate Commissions	0.00	0.00	0.00%
Auctioneer/Liquidator Fees	0.00	0.00	0.00%
Auctioneer/Liquidator Expenses	0.00	0.00	0.00%
Other Professional Fees/Expenses	0.00	0.00	0.00%
Income Taxes - Internal Revenue Service	0.00	0.00	0.00%
Other State or Local Taxes	0.00	0.00	0.00%
Operating Expenses	0.00	0.00	0.00%
Other Expenses	0.00	0.00	0.00%
TOTAL PRIOR CHAPTER ADMINISTRATIVE FEES	$0.00	$0.00	0.00%