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FORM 3015-3 (10/07) (Chapter 13) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF OKLAHOMA IN RE: ____________________________, Debtor(s). PRE-CONFIRMATION CERTIFICATION Debtor(s) hereby certify under penalty of perjury that the following statements are true and correct: 1. The following information is provided in connection with the confirmation hearing set on ______________, 20___. Debtor(s) paid all fees, charges, and amounts required under 28 U.S.C. § 1930. Debtor(s) are current with all post-petition obligations, including, but not limited to, payments proposed by the plan to the trustee and payments to lessors of personal property as required by 11 U.S.C. § 1326(a)(1)(B) and (C). Debtor(s) filed all applicable federal, state, and local tax returns with the appropriate taxing authorities for all taxable periods ending during the 4-year period ending on the date of the filing of the petition in accordance with 11 U.S.C. §§ 1308 and 1325(a)(9). (Select one) G Debtor(s) have not been required by a judicial or administrative order, or by statute, to pay any domestic support obligation, as defined in 11 U.S.C. § 101(14A), either prior to the date the petition was filed or any time after the petition date. Debtor(s) paid all amounts due under a domestic support obligation, as defined in 11 U.S.C. § 101(14A), required by a judicial or administrative order, or by statute, that first became payable after the date the petition was filed. Case No. ___________ Chapter 13 2. 3. 4. 5. G 6. If the confirmation hearing date set forth in Paragraph 1 is adjourned for any reason, Debtor(s) will file an updated Certification prior to any subsequent confirmation hearing date, in the event any of the information contained in this Certification changes. Debtor(s) affirm that the plan is proposed in accordance with 11 U.S.C. § 1325 and request that the plan be confirmed. Dated: ____________________________ s/ Debtor s/ Joint Debtor American LegalNet, Inc. www.FormsWorkFlow.com