Debtors Request For Determination Under Section 109(h)(4) Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Debtors Request For Determination Under Section 109(h)(4) Form. This is a North Carolina form and can be use in USBC Middle Federal.
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Tags: Debtors Request For Determination Under Section 109(h)(4), North Carolina Federal, USBC Middle
UNITED STATES BANKRUPTCY COURT
MIDDLE DISTRICT OF NORTH CAROLINA
______________________ DIVISION
In re ______________________________
Debtor
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Case No. _________________
DEBTOR’S REQUEST FOR DETERMINATION UNDER § 109(h)(4)
The debtor named above hereby certifies that the debtor is unable to obtain budget and
credit counseling because of :
G incapacity or disability as defined in 11 U.S.C. § 109(h)(4); or
G active military duty in a military combat zone.
Therefore, the debtor requests that the court make a determination that no budget and
credit counseling is required pursuant to 11 U.S.C. § 109(h)(4).
Signature of Debtor:_________________________________
Date: ________________
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