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Supplemental Proof of Claim for CARES Forbearance Claim

This is a Director's Bankruptcy Form. Director’s Bankruptcy Forms are issued under Bankruptcy Rule 9009 by the Director of the Administrative Office of the U.S. Courts. The use of Director’s Forms may be required by local court rules or general orders, but otherwise exist for the convenience of the parties.

Director’s Form 4100S is designed to address temporary amendments to sections 501, 502, and 1329 of the Bankruptcy Code made by the Consolidated Appropriations Act of 2021 (the CAA), which became law on Dec. 27, 2020. Although the CAA amendments elapsed one year after enactment, Form 4100S remains available to the extent that a court determines it is applicable after sunset of the amendments.