LBF-4004-2 [1/2013] UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF INDIANA ____________________ DIVISION IN THE MATTER OF: ) ) ) ) ) CASE NO. DEBTOR VERIFIED MOTION FOR ENTRY OF CHAPTER 13 DISCHARGE Comes now the debtor, _________________________, and, pursuant to 11 U.S.C. § 1328(a), moves the court for the entry of a discharge in this Chapter 13 case. In support of this request, I state the following: 1. All of the payments required by the confirmed plan, whether made to the Chapter 13 trustee or made directly to creditors, have been completed. 2. NOTE: Please select one of the following paragraphs and delete the other. [Option 1] I am required to pay a domestic support obligation, as defined by 11 U.S.C. § 101(14A), to: name of entity to whom support is paid mailing address and all such amounts that are due on or before the date of this motion have been paid. The name and address of my employer(s) is/are: employer's name mailing address OR [Option 2] I am not required to pay a domestic support obligation, as defined by 11 U.S.C. § 101(14A). 3. I did not receive a discharge in a case filed under Chapter 7, 11, or 12 of the United States Bankruptcy Code during the four years prior to the date of the order for relief under Chapter 13 in this case. American LegalNet, Inc. www.FormsWorkFlow.com 4. I did not receive a discharge in a case filed under Chapter 13 of the United States Bankruptcy Code during the two years prior to the date of the order for relief under Chapter 13 in this case. 5. NOTE: Please select one of the following paragraphs and delete the other. [Option 1] After filing the petition in this case, I completed a course concerning personal financial management, and a copy of the certificate of completion of that course has been filed with the court. OR [Option 2] The court has exempted me from completing a course concerning personal financial management. 6. There is no proceeding pending in which I might be found guilty of a felony of the kind described in 11 U.S.C. § 522(q)(1)(A), or liable for a debt of the kind described in 11 U.S.C. § 522(q)(1)(B), and there is no reason to believe that 11 U.S.C. § 522(q)(1) might apply to me. 7. [Available for additional explanation or information.] Wherefore, I respectfully request that, following notice and the opportunity for a hearing, the court enter a discharge pursuant to 11 U.S.C. § 1328(a). I certify under the penalty of perjury, that the foregoing statements are true and correct. __________________________________________ Signature of Debtor Date: ______________ Respectfully submitted, __________________________________________ Attorney for Debtor Address: Telephone: Email: American LegalNet, Inc. www.FormsWorkFlow.com