UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF UTAH
In re: _______________________________, Debtor(s).
Case No. __________________ Chapter _________
PART E: MOTION FOR COURT APPROVAL (To be completed and filed only if the debtor is not represented by an attorney in negotiating the reaffirmation agreement.) MOTION FOR COURT APPROVAL OF REAFFIRMATION AGREEMENT I (we), the debtor(s), affirm the following to be true and correct: I am not represented by an attorney in connection with this reaffirmation agreement. I believe this reaffirmation agreement is in my best interest based on the income and expenses I have disclosed in my Statement in Support of this reaffirmation agreement, and because (provide any additional relevant reasons the Court should consider):
Therefore, I ask the Court for an order approving this reaffirmation agreement. Signed:_____________________________________ (Debtor)
Signed:_____________________________________ (Joint debtor, if any)
Date:______________________
SERVICE LIST I, ______________________________, hereby certify that I served copies of the foregoing MOTION FOR COURT APPROVAL OF REAFFIRMATION AGREEMENT on the parties listed below on the _____ day of _____________, 200__.
_____________________________ (Signature)
____________________________ ____________________________ ____________________________ ____________________________ ____________________________ Creditor ____________________________ ____________________________ ____________________________ ____________________________ ____________________________ Case Trustee
United States Trustee #9 Exchange Place, Suite 100 Salt Lake City, UT 84111-2147
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