MOW 4004-5.2 (8/08) UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF MISSOURI In Re: Debtor(s) ) ) ) Case No. INDIVIDUAL DEBTOR’S MOTION FOR ENTRY OF CHAPTER 11 DISCHARGE DUE TO HARDSHIP AND NOTICE OF DEADLINE AND OPPORTUNITY TO OBJECT Comes now the debtor and moves for entry of an Order of Discharge for which the debtor is eligible under all applicable Bankruptcy laws and rules. The debtor’s Chapter 11 plan was confirmed on_______ . Payments under the confirmed plan meet the requirements under 11 U.S.C. § 1141 (d)(5)(B). If the debtor has claimed a homestead exemption in excess of $125,000, there is no proceeding pending in which the debtor may be found guilty of a felony as described in 11 U.S.C. § 522(q)(1)(A) and the debtor is not liable for a debt for the kind described in 11 U.S.C. § 522(q)(1)(B). If the debtor has a Domestic Support Obligation, the name and address of each holder of a Domestic Support Obligation is as follows: Name ___________________________ Address ________________________________________ __________________________ ________________________________________ The debtor’s most recent/current address is: ______________________________________________________________________ The name and address of debtor’s most recent/current employer/income source is: _______________________________________________________________________ The name of each creditor that holds a claim that is not discharged under paragraph (2), (4), or (14A )of 11 U.S.C. § 523(a), or that was reaffirmed by the debtor under 11 U.S.C. § 524 (c): Name ___________________________ Address ________________________________________ __________________________ ________________________________________ American LegalNet, Inc. www.FormsWorkflow.com WHEREFORE, the debtor respectfully, moves this Court to enter a Chapter 11 Discharge. Date: _______________ _________________________________________ Debtor/Debtor’s Attorney NOTICE OF OPPORTUNITY AND DEADLINE TO OBJECT TO MOTION FOR ENTRY OF CHAPTER 11 DISCHARGE DUE TO PLAN COMPLETION PLEASE TAKE NOTICE THAT WITHIN TWENTY (20) DAYS AFTER THE DATE OF THIS NOTICE you must file and serve a written objection to the motion. The objection must be filed electronically with the Bankruptcy Court at www.ecf.mowb.uscourts.gov. If you are a pro se creditor, you may file a written objection with the Clerk, United States Bankruptcy Court, Western District of Missouri, 400 E. 9th Street, Room 1510, Kansas City, MO 64106. Debtor’s attorney and trustee will receive electronic notice when the objection is filed. If the debtor is pro se, you must serve your objection on the debtor. IF YOU FAIL TO FILE A TIMELY OBJECTION, THE MOTION MAY BE GRANTED BY THE COURT WITHOUT A HEARING. The court may grant the motion without a hearing if the objection filed states inadequate grounds for denial. Date: _________________________________________ Debtor/Debtor’s Attorney CERTIFICATE OF SERVICE I hereby certify that a copy of the foregoing Motion and Notice has been served by first class mail on all creditors and parties requesting notice. Date: ____________ _________________________________________ Debtor/Debtor’s Attorney Instructions: Fill in all required information and serve on all creditors. ECF Event: Bankruptcy>Motions/Applications/Requests>Chapter 11 Discharge-Hardship American LegalNet, Inc. www.FormsWorkflow.com