Form B14 (Official Form 14)
Form 14. BALLOT FOR ACCEPTING OR REJECTING A PLAN
[Caption as in Form 16A]
CLASS [ ] BALLOT FOR ACCEPTING OR REJECTING
PLAN OF REORGANIZATION
[Proponent] filed a plan of reorganization dated [Date] (the “Plan”) for the Debtor in this
case. The Court has [conditionally] approved a disclosure statement with respect to the
Plan (the “Disclosure Statement”). The Disclosure Statement provides information to assist
you in deciding how to vote your ballot. If you do not have a Disclosure Statement, you
may obtain a copy from [name, address, telephone number and telecopy number of
proponent/proponent’s attorney.] Court approval of the disclosure statement does not
indicate approval of the Plan by the Court.
You should review the Disclosure Statement and the Plan before you vote. You may
wish to seek legal advice concerning the Plan and your classification and treatment
under the Plan. Your [claim] [equity interest] has been placed in class [ ] under the
Plan. If you hold claims or equity interests in more than one class, you will receive a
ballot for each class in which you are entitled to vote.
If your ballot is not received by [name and address of proponent’s attorney or other
appropriate address] on or before [date], and such deadline is not extended, your vote
will not count as either an acceptance or rejection of the Plan.
If the Plan is confirmed by the Bankruptcy Court it will be binding on you whether or
not you vote.
ACCEPTANCE OR REJECTION OF THE PLAN
[At this point the ballot should provide for voting by the particular class of creditors or
equity holders receiving the ballot using one of the following alternatives;]
[If the voter is the holder of a secured, priority, or unsecured nonpriority claim:]
The undersigned, the holder of a Class [ ] claim against the Debtor in the unpaid amount of
Dollars ($ )
[or, if the voter is the holder of a bond, debenture, or other debt security:]
The undersigned, the holder of a Class [ ] cla