Name, Address and Telephone Number of Attorney(s) or Debtor In Pro Per Attorney for Debtor(s) (If applicable) Attorney's Debtor In Pro Per State Bar ID No.: UNITED STATES BANKRUPTCY COURT DISTRICT OF List all names, including trade names, used by Debtor(s) within the last 6 years: Chapter 13 Case No. Social Security No. Social Security No. Debtor(s) EIN No. Debtor Joint Debtor DEBTOR'S APPLICATION FOR VOLUNTARY DISMISSAL OF CHAPTER 13 WITH PROOF OF SERVICE AND ORDER THEREON (No Hearing Required) Debtor requests that the above-entitled Chapter 13 case be dismissed, and, pursuant to 11 U.S.C. § 1307(b), Local Bankruptcy Rule 111(2) and Local General Order No. 1, Paragraph 28, makes the following representations in support thereof: 1. The above-entitled case was commenced by the filing of a voluntary petition under Chapter 13 and has not been converted under 11 U.S.C. §§ 706, 1112, 1208; or The above-entitled case was commenced by the filing of a voluntary petition under Chapter case under Chapter 13 on 2. and was converted to a There is no motion for relief from the automatic stay pending against the debtor and no such motions have been filed in this case; or The following motion for relief from the automatic stay is pending against the debtor or was filed and resolved or dismissed prior hereto; 3. The debtor seeks dismissal of this case for the following reasons: 4. The debtor has made no arrangements or agreements with any creditor or other person in connection with this application to dismiss; or The debtor has made the following arrangements with the named creditor or other person in connection with this application to dismiss: I declare under penalty of perjury that the foregoing is true and correct. Executed this day of , at Presented by: Debtor Attorney for Debtor Joint Debtor Page 1 of 2 BK-006 CASE NO. PROOF OF SERVICE I, the undersigned, hereby certify that I served a copy of the foregoing Application for Voluntary Dismissal of Chapter 13 on the Chapter 13 Trustee and all creditors and other parties in interest at the address indicated on the attached sheet(s). Executed on at , California. ORDER Having read and considered the foregoing application, it is ORDERED that the above-entitled Chapter 13 case is dismissed. Dated: United States Bankruptcy Judge