UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-2(c) In Re: Case No.: ______________________ Chapter: 13 Hearing Date: ______________________ Judge: ______________________ DEBTOR’S CERTIFICATION IN SUPPORT OF MOTION FOR POST-PETITION FINANCING I, ____________________________________________, hereby certify as follows: 1. I am the debtor in this chapter 13 bankruptcy case, and I am fully familiar with the facts and circumstances of this matter. 2. I filed my chapter 13 petition for relief on ____________________. The plan was confirmed on ____________________. I have pre-qualified for a refinance of the property located at ______________________________________________________________. The terms of the proposed refinance are as follows: 3. The proposed lender is ________________________________________________. 4. The amount of the loan is ____________________, which is to be amortized over _______ years. 5. The monthly payment is _______________. American LegalNet, Inc. www.FormsWorkflow.com 6. Real estate taxes (if not included in monthly payment) are _______________. 7. The interest rate is _______________, and is (choose one): _____ fixed 8. _____ adjustable The present monthly mortgage or rental payment on the subject property is __________________. 9. The total number of mortgages on the subject property and amounts of each are (attach an addendum if necessary): ______________________________ Mortgagee ______________________________ Mortgagee 10. ____________________ Amount ____________________ Amount If the refinancing is approved, the debtor intends to (choose one): _____ Satisfy all Plan obligations from financing proceeds _____ Continue to make payments under the Plan as proposed or confirmed _____ Modify the Plan as follows: 11. The reason why this refinance should be approved, i.e., benefit to the debtor and estate is: 12. Other important information: 2 American LegalNet, Inc. www.FormsWorkflow.com 13. I also seek approval of my attorney’s fees in connection with this motion in the amount of $ _______________ to be paid (choose one): _____ at closing _____ through the plan _____ outside the plan I hereby certify that the above information is true and correct to the best of my knowledge, information and belief. If it is not, I am subject to punishment. Date: ____________________ ________________________________ Debtor’s Signature Date: ____________________ ________________________________ Debtor’s Signature new 8/1/07 3 American LegalNet, Inc. www.FormsWorkflow.com