UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) ) ) Case No.________________ DEBTOR'S MOTION FOR EITHER: (1) EXTENSION OF TIME TO FILE A CERTIFICATE RE RECEIPT OF A CREDIT COUNSELING BRIEFING; OR (2) EXEMPTION FROM CREDIT COUNSELING BRIEFING AND/OR FINANCIAL MANAGEMENT COURSE Debtor(s) I/We, the debtor(s) in this case, certify under penalty of perjury that either [Check and complete the ONE that applies]: I/We move for a temporary extension of time to file a certificate of receipt of credit counseling briefing services from an approved nonprofit budget and credit counseling agency because: (1) On _________ I/We requested the briefing services referred to in 11 USC §109(h)(1), but could not obtain them during the 7-day period beginning on the date upon which I/we made that request, (2) I/We have a pending appointment to obtain those briefing services scheduled on _________, AND (3) I/We believe the following exigent circumstances merit a 30 day waiver of this requirement (describe fully): I/We move for an exemption from the requirements to receive a credit counseling briefing and complete a personal financial management course because either [Check and complete the ONE that applies]: I am/We are incapacitated or disabled, as defined in 11 USC §109(h), as follows (describe fully): I am/We are on active military duty in a military combat zone. _________ Date ____________________________ Signature of Debtor _________ Date ____________________________ Signature of Joint Debtor 100.3 (8/11/14) American LegalNet, Inc. www.FormsWorkFlow.com