UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF KENTUCKY IN RE: CASE NO: CHAPTER 12 Debtor(s). CERTIFICATION OF PLAN COMPLETION AND REQUEST FOR DISCHARGE The above-captioned debtor certifies under penalty of perjury that the following are true and correct: 1) 2) All plan payments have been completed and the debtor is entitled to a discharge. Pursuant to 11 U.S.C. § 1228(a), all amounts payable for domestic support obligations due on or before the date set forth below (including any amounts due before the filing of the bankruptcy petition to the extent provided for by the plan) have been paid. The provisions of 11 U.S.C. § 522(q)(1) are not applicable to this case under 11 U.S.C. § 1228(f) and there are no proceedings pending against the debtor of the kind described in 11 U.S.C. § 522(q)(1)(A) or 522(q)(1)(B). 3) The undersigned requests that a discharge be granted in accordance with 11 U.S.C. § 1228. DATE: Debtor(s) Local Form V American LegalNet, Inc. www.FormsWorkFlow.com