R.I. Local Form 1007-1.3 UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF RHODE ISLAND - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -* In re: : : Debtor(s) : - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -* STATEMENT OF EXIGENT CIRCUMSTANCES Pursuant to 11 U.S.C. § 109(h)(3)(A), debtor 1 __________________________, asks the Court to determine that debtor's certification herein is satisfactory and warrants a temporary waiver of the credit counseling requirements of 11 U.S.C. § 109(h)(1) and that debtor be given 30 days from the date of filing of the petition to complete budget and credit counseling and file a certificate of completion with the court. Debtor's certification: I certify that I requested credit counseling services from an approved agency but was unable to obtain the services during the seven days from the time I made my request, and the following exigent circumstances merit a temporary waiver of the credit counseling requirement so I can file my bankruptcy case now: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ I certify under penalty of perjury that the information provided above is true and correct. Debtor's Signature: ___________________________________________________________ Name of Debtor: Debtor's address: ___________________________________________________________ ___________________________________________________________ BK No. Chapter Debtor's telephone: ___________________________________________________________ DATED: ___________________________ ______________________________ Attorney for the Debtor 1 If the circumstances apply to each debtor in a joint case, submit a separate statement for each debtor. American LegalNet, Inc. www.FormsWorkFlow.com