NM LF 109(h)(4) UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW MEXICO In re: Case No. Debtor(s). MOTION TO WAIVE BUDGET AND CREDIT COUNSELING REQUIREMENTS Pursuant to 11 U.S.C. 247 109(h)(4), debtor, 1 (if this is a joint case, specify which debtor is requesting relief) asks the Court to determine that the budget and credit counseling requirements of 11 U.S.C. 247 109(h)(1) not apply because of the reason checked below: [ ] Incapacity. (Defined in 11 U.S.C. 247 109(h)(4) as impaired by reason of mental illness or mental deficiency so as to be incapable of realizing and making rational decisions with respect to financial responsibilities); [ ] Disability. (Defined in 11 U.S.C. 247 109(h)(4) as physically impaired to the extent of being unable, after reasonable effort, to participate in a credit counseling briefing in person, by telephone, or through the Internet); [ ] Active military duty in a military combat zone. The specifics of my situation are: Date: Signature Name: Address: Telephone: Email: 1 If each debtor in a joint case seeks a waiver of the requirement to complete budget and credit counseling, each debtor must file a separate motion. American LegalNet, Inc. www.FormsWorkFlow.com