FORM 24.

Proof of Claim for Wages, Salary, or Commission

UNITED STATES BANKRUPTCY COURT

FOR THE CENTRAL DISTRICT OF CALIFORNIA

In re
DEBTOR INC.
Bankruptcy 98-1111
Debtor
(include here all names used by bankrupt/debtor within last 6 years)

PROOF OF CLAIM FOR WAGES, SALARY, OR COMMISSION

1. The debtor owes the claimant $5,000.00 computed as follows:
(a) wages, salary, or commission for services performed on April 1,
1998 to June 30,
1998, at the following rate or rates of compensation (if
appropriate):

$5,000.00
(b) allowances and benefits, such as vacation and severance pay
(specify)

_________

Total amount claimed

$5,000.00

2. The claimant demands priority to the extent permitted by Section 507

(a) 5)
of the Bankruptcy Code. $4,000.00

3. The claimant has received no payment, no security, and no check or

other evidence of
the debt, except as follows:
(state whether you were paid any money on this obligation, whether
you retained any
company property, such as a computer to offset the debt, etc.)

Dated:

Signed: JOHN DOE

Claimant
Social Security Number:

Address:

--Author's Note: The penalty for presenting fraudulent claims can be a fine of up
to $5,000 or imprisonment for not more than five years or both.