In Re:________________________________________________________________________ Case No.______________________________________________________________________ I/We filed Chapter 13 for one or more of the following reasons: Lost Employment Hours or pay reduced Matrimonial Garnishments Medical Problems To receive a Chapter 13 discharge Filed a previous bankruptcy proceeding within eight (8) years Owe priority (example: tax) claims Reconstruct credit rating To pay back creditors as much as possible To stop creditor harassment To stop foreclosure or other legal proceedings To cram down secured liens To avoid contracts Overextension of credit Decline in income from business, commissions or business failure Overspending Student loans Children’s college expenses Avoid Chapter 7 abuse charge Protect debtor’s property Other: American LegalNet, Inc. www.USCourtForms.com