UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF LOUISIANA (Local Form 6) IN RE: CASE NO.: DEBTOR DEBTOR’S CERTIFICATION OF COMPLIANCE UNDER §1328(h) AND REQUEST FOR ENTRY OF CHAPTER 13 DISCHARGE Any objection to this verification must be filed within 20 days after service of this verification. If no party files an objection, the court may grant a discharge pursuant to 28 U.S.C. § 1328(a) without further notice or a hearing. The debtor1 moves for entry of a discharge under Bankruptcy Code § 1328(a). 1. The Chapter 13 Trustee has filed a statement that all plan payments have been made. 2. Compliance with 11 U.S.C. § 1328(h): _______ I have not claimed an exemption under 11 U.S.C. § 522(b)(3) in an amount in excess of $125,000.00 in the type of property described in 11 U.S.C. § 522(q)(1). OR _______ 1 I have claimed an exemption under 11 U.S.C. § 522(b)(3) in an amount in excess of $125,000.00 in the type of property described in 11 U.S.C. § 522(q)(1), but there is no pending proceeding against me in which I may be found guilty of a felony of the kind described in 11 U.S.C. § If this is a joint case, both debtors must make certification. American LegalNet, Inc. www.FormsWorkFlow.com 522(q)(1)(A) or owe for a debt of the kind described in 11 U.S.C. § 522(q)(1)(B). I certify under penalty of perjury that the foregoing are true and correct. Signed on ___________________, 200__. ______________________________ Debtor ______________________________ Joint Debtor ______________________________ Attorney for the Debtor CERTIFICATE OF SERVICE The undersigned hereby certifies that on _________________, 200__, a true and correct copy of the Debtor’s Certification of Compliance under § 1328(h) and Request for Entry of Chapter 13 Discharge was served on all creditors and parties in interest listed on the attached mailing list by either first class mail, postage prepaid and properly addressed, or via the CM./ECF system of the United States Bankruptcy Court. _______________________________ American LegalNet, Inc. www.FormsWorkFlow.com