Notice of Disallowance of Claim, Right to Priority or Security or Notice of Valuation of Claim (Subsection 135(3) of the Act) Name of Debtor Disallowed the claim in whole or in part True if the claim, right to a priority, or security on the property has been disallowed in whole. Amount disallowed if not in whole. Reasons for the disallowance Proven claim Revalued Amount of proved claim Signed at location and date Name of Trustee Provide any additional information related to the form.