Case No. In Re: _________________ Hearing Date: _________________ Judge: _________________ Chapter: 13 PRE CONFIRMATION CERTIFICATION OF DEFAULT OF STANDING TRUSTEE 1. I am the Standing Trustee for the above-captioned Chapter 13 case. 2. The debtor(s) must provide to the Trustee, at least 7 days before the First Meeting of Creditors, a copy of his/her most recent Federal income tax return. See 11 U.S.C. Section 521(e)(2)(A)(I) and Interim Rule 4002(b)(3). 3. If the debtor(s) fails to provide to the Trustee his/her most recent Federal income tax return within 7 days prior to the First Meeting of Creditors, the case will be dismissed unless the debtor(s) demonstrates that the failure to provide the Trustee with the tax return is due to circumstances beyond the control of the debtor(s). See 11 U.S.C. Section 521(e)(2)(B). 4. The debtor(s) must provide the Trustee at the First Meeting of Creditors with copies of all pay stubs or other evidence of payment received within 60 days before the date of filing of the petition, by the debtor(s) from any employer. See 11 U.S.C. Section 521(a)(1)(B)(iv) and Interim Rule 1007(b)(1)(E) as amended by the General Order dated October 16, 2005. 5. The first date set for the Meeting of Creditors was ___________________. 6. I hereby certify that as of the date first set for the first Meeting of Creditors the debtor(s) has/have not performed in accordance with the above directions in that the debtor(s) has/have failed to provide: ‘ A copy of debtor(s) most recent tax return ‘ Copies of sixty days pre-petition pay stubs ‘ Declaration concerning tax returns ‘ Declaration concerning pay stubs American LegalNet, Inc. www.FormsWorkFlow.com 7. I MAKE THIS CERTIFICATION IN SUPPORT OF THE ENTRY OF AN ORDER DISMISSING THIS CASE. 8. ANY OBJECTION BY THE DEBTOR(S) TO THIS CERTIFICATION MUST BE FILED WITH THE COURT AND SERVED UPON THE STANDING CHAPTER 13 TRUSTEE WITHIN 14 DAYS OF THE FILING OF THE CERTIFICATION OR THE CERTIFICATION WILL BE DEEMED UNCONTESTED AND NO HEARING WILL BE SCHEDULED. 9. I declare under penalty of perjury that the foregoing is true and correct. Dated: _______________________ ______________________________ Chapter 13 Standing Trustee rev. 12/1/09 2 American LegalNet, Inc. www.FormsWorkFlow.com