UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF WEST VIRGINIA In re Case No. , Chapter 13 , Debtor(s). CERTIFICATION BY DEBTOR(S) OF COMPLIANCE WITH REQUIREMENTS FOR CONFIRMATION OF CHAPTER 13 PLAN, PURSUANT TO 11 U.S.C. SECTION 1325 The Undersigned Hereby Declares Under Penalty Of Perjury That The Information Provided In This Certification Is True And Correct As Of The Date Hereof And Certifies That I/We Believe Such Representations Will Continue To Be True As Of The Date Of Confirmation Of My/Our Chapter 13 Plan And May Be Relied Upon By The Court And The Trustee Unless Notice In Writing To The Contrary Is Given To The Trustee And The Court At Or Prior To Such Time. 1. I/We have made all payments to secured creditors, personal property lessors and taxing authorities which have come due since the date on which this case was filed and which are provided by the Chapter 13 plan to be paid directly to such creditor, lessor or taxing authority. I/we understand that such payments include all mortgage payments, car payments or other secured debts being paid directly, personal property leases, real estate taxes, personal property taxes, federal income taxes, and state income taxes which have come due since this case was filed. 2. Select either A. or B.: A. Since the filing of this bankruptcy case, I/we have not been required by a judicial or administrative order, or by statute, to pay any domestic support obligation [as that term is defined in 11 U.S.C. Section 101(14A)]. OR B. I/We have paid all amounts that first became due and payable after the filing of this bankruptcy case which I/we were required to pay under a domestic support obligation [as that term is defined in 11 U.S.C. Section 101(14A)] required by a judicial or administrative order or by statute. American LegalNet, Inc. www.FormsWorkFlow.com 3. I/we have filed all Federal, State, and local tax returns required by law to be filed for all taxable periods ending during the four year period ending on the date of the filing of this bankruptcy case. If an extension is pending, please explain . By signing this certification and requesting confirmation of the Chapter 13 plan, I/we acknowledge that all of the above statements are true and accurate and that the Court may rely upon the truth of each of these statements in determining whether to confirm my/our Chapter 13 Plan. I/We understand that the Court may revoke confirmation of the Chapter 13 Plan if the statements relied upon are not accurate. Dated: Signed: Debtor Signed: Dated: Debtor BY COUNSEL Name of Counsel for Debtor(s) Address Bar ID# Telephone# American LegalNet, Inc. www.FormsWorkFlow.com