UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA In re: Chapter 13 Case No: DECLARATION OF DEBTOR REGARDING INTENTION TO INCUR POST PETITION DEBT Debtor(s) _________________________________/ The undersigned declares: 1. 2. I am the debtor in the above action. I am requesting that the Trustee provide a letter of non-opposition to the extension of credit for _________________________________________________. 3. 4. The amount of the loan will be __________________________________________. The acquisition of a loan will not impair my ability to perform under the terms of the plan. The acquisition of a loan will not cause me to modify my plan to decrease the dividend to unsecured creditors, nor to decrease my plan payments. I am current in my payments to the Trustee. The plan will be completed within 60 months of the date the first payment was due under the plan. 5. 6. 7. I DECLARE UNDER PENALTY OF PERJURY THAT THE FOREGOING IS TRUE AND CORRECT. Dated: __________________________ Debtor Dated: __________________________ Debtor Rev. 3/27/2012 American LegalNet, Inc. www.FormsWorkFlow.com