IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS DIVISION In re: 247 247 CASE NO. Debtor(s) 247 Chapter 13 ORDER FOR ACH PAYMENTS AND DEBTOR(S)222 CERTIFICATION The Debtor(s) have enrolled in the Chapter 13 Trustee222s program that works through the Automated Clearing House network (the 223ACH Program224). The Debtor(s) have submitted a certification of eligibility to enroll in the ACH Program. The Debtor(s) understand that chapter 13 plan payments must be made by ACH to the Chapter 13 Trustee. The Debtor(s) are responsible for assuring that sufficient funds are available for the Chapter 13 Trustee to withdraw on the available ACH date or dates chosen by the Debtor(s). The Debtor(s) are ordered to pay $ each month to the Chapter 13 Trustee by ACH. This amount will be increased or decreased by the Debtor(s) without further order to reflect the amounts due under any (i) amended proposed plan; (ii) proposed modification of a plan; or (iii) Notice of Plan Payment Adjustment, except to the extent stayed by Court order. Within 7 days of entry of this Order, the Debtor(s) are ordered to submit to the Chapter 13 Trustee (i) an Authorization Agreement for Automatic Debit Origination; and (ii) an original voided check. The Debtor(s) may not terminate the automatic debit (ACH) except as further ordered by the Court. Signed the day of , 20. U.S. Bankruptcy Judge DEBTOR222S CERTIFICATION OF ELIGIBILITY The Debtor(s) certify that the Debtor(s) are self-employed or do not receive wage or salary income in an amount equal to or greater than the Debtor(s)222 monthly plan payment. To evidence the Debtor(s)222 enrollment, the debtors have sent the Chapter 13 Trustee an Authorization Agreement for Automatic Debit Origination form with an original voided check. Date: Debtor Debtor (if joint) American LegalNet, Inc. www.FormsWorkFlow.com