IANB1328 Revised 04/2016 UNITED STATES BANKRUPTCY COURT FOR THE NORTHERN DISTRICT OF IOWA IN RE: Chapter 13 Bankruptcy No. Debtor. DEBTOR'S CERTIFIED MOTION FOR ENTRY OF DSCHARGE ORDER AND NOTICE OF DEADLINE TO OBJECT The undersigned debtor moves for entry of discharge, and in support of debtor's motion certifies, under penalty of perjury, the following (a statement is checked only if it is true and accurate): 1. Plan Payments 11 U.S.C. � 1328 (a) (This statement must be checked or the motion will be denied without hearing.) ____ Debtor has completed all payments under the confirmed chapter 13 plan. 2. Domestic Support Obligations 11 U.S.C. � 1328 (a) (Check (a), (b), or (c)): (a) ____ Debtor has not been required by a judicial or administrative order or by statute to pay a domestic support obligation, as defined in 11 U.S.C. � 101(14A). OR (b) ____ Debtor is required by a judicial or administrative order or by statute to pay a domestic support obligation as defined in 11 U.S.C. � 101(14A). All amounts payable under such order or statute which were due on or before the date of this certification (including amounts due before the bankruptcy petition was filed, but only to the extent provided for by the confirmed plan) have been paid. The name and address of each person to whom I owe a domestic support obligation is as follows: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com  (c) OR ____ Debtor is required by a judicial or administrative order or by statute to pay a domestic support obligation as defined by 11 U.S.C. � 101(14A). Debtor has NOT made all payments which became due prior to the date of this certification. The name and address of each person to whom I owe a domestic support obligation is as follows: _________________________________________________________________ _________________________________________________________________ _________________________________________________________________ 3. ____ After filing the bankruptcy petition, Debtor completed an instructional course concerning personal financial management as described in 11 U.S.C. � 111. A copy of the certificate of completion has been separately filed with the court. 4. ____ Debtor HAS NOT RECEIVED a discharge in a case filed under chapter 7, 11, or 12 of the Bankruptcy Code during the 4year period preceding the date of the order for relief in this case (normally the date of the filing of the bankruptcy petition), and Debtor HAS NOT RECEIVED a discharge in a case filed under chapter 13 of the Bankruptcy Code during the 2year period preceding the date of the order for relief. OR ____ Debtor HAS RECEIVED a discharge in a case filed under chapter 7, 11, or 12 of the Bankruptcy Code during the 4year period preceding the date of the order for relief in this case (normally the date of the filing of the bankruptcy petition), OR ____ Debtor HAS RECEIVED a discharge in a case filed under chapter 13 of the Bankruptcy Code during the 2year period preceding the date of the American LegalNet, Inc. www.FormsWorkFlow.com Financial Management Course 11 U.S.C. � 1328 (g) (If this statement is not checked, the motion will be denied without notice or hearing.) Prior Discharges 11 U.S.C. � 1328 (f) (One of these alternatives must be selected.) order for relief in this case. 5. ____ Debtor has not claimed, under state law, exemption of an interest in the following kinds of property having an aggregate value in excess of $160,375 (prior to April 1st, 2016, $155,675) and (prior to April 1st, 2013, $146,450) *:1 D. real or personal property that the Debtor or a dependent of the Debtor claims as a homestead. OR ____ Debtor has claimed, under state law, exemption of Debtor=s interest in the following kinds of property having an aggregate value in excess of $160,375 (prior to April 1st, 2016, $155,675) and (prior to April 1st, 2013, $146,450) *: A. real or personal property that Debtor or a dependent of the Debtor uses as a residence; D. 6. ____ There IS currently pending a proceeding in which the Debtor may be * Amounts are subject to adjustment on 04/01/2019 and every 3 years thereafter with respect to cases commenced on or after the date of adjustment. American LegalNet, Inc. www.FormsWorkFlow.com Homestead Exemptions 11 U.S.C. �1328 (h) and 11 U.S.C. � 522(q) (One of these two alternatives must be selected.) A. real or personal property that Debtor or a dependent of the Debtor uses as a residence; a cooperative that owns property that the Debtor or a dependent of the Debtor uses as a residence; a burial plot for the Debtor or a dependent of the Debtor; OR, B. C. B. a cooperative that owns property that the Debtor or a dependent of the Debtor uses as a residence; a burial plot for the Debtor or a dependent of the Debtor; OR, real or personal property that the Debtor or a dependent of the Debtor claims as a homestead. C. Proceedings Relating to Delay in the Entry of Discharge 11 U.S.C. � 1328 (h) and 11 U.S.C. � 522(q) (One of these two alternatives must be selected): convicted of a felony (defined in 18 U.S.C. � 3156(a)(3) as an offense punishable by a maximum term of imprisonment of more than one year) OR a proceeding in which Debtor may be found liable for a debt: (1) arising from any violation of federal securities laws, any state securities laws, or any regulations or orders issued under federal or state securities laws; arising from fraud, deceit, or manipulation in a fiduciary capacity or in connection with the purchase or sale of any security registered under � 12 or 15(d) of the Securities Exchange Act of 1934 or under � 6 of the Securities Act of 1933; arising from any civil remedy under � 1964 of Title 18 of the United States Code (Racketeer Influenced and Corrupt Organizations Act (RICO)); or arising from any criminal act, intentional tort, or willful or reckless misconduct that caused serious physical injury or death to another individual in the preceding five (5) years. OR ____ There IS NOT currently pending a proceeding in which the Debtor may be convicted of a felony (defined in 18 U.S.C. � 3156(a)(3) as an offense punishable by a maximum term of imprisonment of more than one year) OR a proceeding in which Debtor may be found liable for a debt: (1) arising from any violation of federal securities laws, any state secu