Chapter 13 Debtor(s) Affidavit Demonstrating Entitlement To Discharge
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Chapter 13 Debtor(s) Affidavit Demonstrating Entitlement To Discharge Form. This is a New York form and can be use in Bankruptcy Court Federal.
Loading PDF...
Tags: Chapter 13 Debtor(s) Affidavit Demonstrating Entitlement To Discharge, New York Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF NEW YORK
In re
,
[Set forth here all names including married, maiden, and trade
names used by debtor within last 8 years.]
Debtor
Employer’s Tax Identification No(s). [if any]
Last four digits of Social Security No(s):
)
)
)
)
)
)
)
)
)
)
Case No.
Chapter 13
Chapter 13 Debtor(s) Affidavit Demonstrating Entitlement to Discharge
Debtor(s) certifies that the following statements are true and correct:
1.
Pursuant to 11 USC § 1328(f) the undersigned have not received a discharge in a
prior Chapter 7, 11 or 12 case within four (4) years of the filing of this petition and
have not received a discharge in a prior Chapter 13 case within two (2) years of
the filing of this petition.
2.
All domestic support obligations, if any, due and owing from the undersigned, on or
before this date, have been paid in full. Names and addresses of all individuals, if
any, to whom the undersigned owe any such ongoing obligations:
3.
The provisions of 11 USC § 522(q)(1) are not applicable to this case pursuant to
11 USC § 1328(h).
4.
There are no proceedings pending against the undersigned of the kind described
in 11 USC §§ 522(q)(1)(A) or 522(q)(1)(B) pursuant to 11 USC § 1328(h).
5.
The undersigned have completed a Debtor Education Program certified by the
United States Trustee and have filed form B-23, Debtor’s Certification of
Completion of Instructional Course Concerning Personal Financial Management,
with the Bankruptcy Court Clerk’s Office.
Dated:
Debtor
Debtor
O:§1328C(10/31/2007)
American LegalNet, Inc.
www.FormsWorkflow.com
