UNITED STATES BANKRUPTCY COURT

THE SOUTHERN DISTRICT OF ALABAMA

IN RE:

CASE NO.

Debtor(s)

DEBTOR'S REPORT PURSUANT TO RULE 1019(6)

Comes now the Debtor, by and through counsel, and files this report pursuant to Bankruptcy Rule of Procedure 1019(6), as directed by the Court.

(1)	Itemizing the post-petition, pre-conversion debts incurred by the Debtor during the pendency of this proceeding:

Creditor & Address	Date & Consideration	Amount

Total Rule 1019(6) Claims	$

(2)	The following personal property was acquired by the Debtor post petition with approval of Bankruptcy Court, as listed below:

(3)	The amount in the Debtor-in-Possession checking account as of date of conversion order,___/___/____ is $ __________ .

I, __________ declare under penalty of perjury that I have furnished the information contained in and have read the foregoing Report of 1019 unpaid debts and that it is true and correct to the best of my information and belief.

Dated:	/s/

Debtor

CERTIFICATE OF SERVICE

I, the undersigned authority, hereby certify that I have on this _____ day of _________, 200___, served a copy of the foregoing pleading by depositing same in the United States mail, properly addressed and postage prepaid and/or electronically to:

Mark S. Zimlich

United States Bankruptcy Administrator

113 St. Joseph Street

Box 16

Mobile, Alabama 36602

______________

Chapter 7 Trustee

/s/

Attorney for Debtor