Name of Attorney Address Phone Number (Attorney For_____________________) State Bar ID Number ______________

UNITED STATES BANKRUPTCY COURT DISTRICT OF MONTANA In re ) Case No. ___________ ) ) ) ) Debtor(s). ) ---------------------------------------------------------------------------------------------------------------------ATTORNEY'S DECLARATION PURSUANT TO 11 U.S.C. § 524(c)(3)(C) ---------------------------------------------------------------------------------------------------------------------I, ____________________, attorney at law, declare as follows: 1. I represented the Debtor(s) during the course of negotiating the reaffirmation agreement dated ________________, which is filed in this case. 2. I have fully advised the Debtor(s) as to the legal effect and consequences of the reaffirmation agreement, including any default thereunder. To the best of my knowledge, information, and belief, that reaffirmation agreement represents a fully informed and voluntary agreement by the Debtor(s), and does not impose an undue hardship on the Debtor(s) or a dependent of the Debtor(s). DATE: _______________________ ______________________________ Attorney for Debtor(s)