OLF (Official Local Form 12) Chapter Debtor/s In re UNITED STATES BANKRUPTCY COURT DISTRICT OF MASSACHUSETTS Case No. MOTION FOR ENTRY OF CHAPTER 13 DISCHARGE The debtor(s), hereby move(s) the Court for entry of discharge. The required affidavit(s) accompany/accompanies this motion. /s/____________________________ Attorney or pro se debtor Printed Name Address BBO# Telephone Email American LegalNet, Inc. www.FormsWorkFlow.com OLF (Official Local Form 12) In re UNITED STATES BANKRUPTCY COURT DISTRICT OF MASSACHUSETTS Case No. Chapter 13 Debtor/s AFFIDAVIT IN SUPPORT OF MOTION FOR ENTRY OF DISCHARGE In support of the Motion for Entry of Discharge, I/We_________________________________ and _______________________, hereby certify as follows: 1. I have paid all domestic support obligations payable under any judicial or administrative order, or required by statute including: a. Child support and spousal maintenance and alimony, that were due on or before the date of the motion, including all payments due under the plan for amounts due before the petition was filed; and b. Any domestic support obligations that arose after the filing of the petition. 2. I have completed a financial management course pursuant to 11 U.S.C. § 1328(g)(1) and filed a certification of completion with the Court. 3. I have: a. Not claimed a homestead exemption in excess of the applicable cap described in 11 U.S.C. § 522(q)(1), or b. Claimed a homestead exemption in excess of such cap but there is no proceeding pending in which the debtor may 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). 4. I hereby declare under the penalty of perjury that the foregoing is true and correct. Dated: Signed: ____________________________ Printed Name: _____________________________ Address: ______________________________________________________________________________ Telephone Number: ____________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com