VTB Form I-1 03/2008
United States Bankruptcy Court District of Vermont
Case No.: Chapter: Debtor(s)
Certification of Prior Judgment of Eviction and Right to Cure Under § 362(l)(5)(B)
a/k/a "Certification #1 re: Right to Cure" (to be filed with the petition*)
[Note: Refer to Vt. LBR 4001-2]
, the above named debtor(s) hereby certify:
1. The lessor/landlord of the residential rental housing in which I /we reside obtained a Judgment of Eviction against my/our residence prior to the date I/we filed this bankruptcy case. 2. Under non-bankruptcy law applicable in Vermont and given the specific circumstances of our situation, I/we am/are entitled to cure the entire monetary default that gave rise to lessor/landlord's Judgment of Eviction. 3. The amount of rent that will become due to the lessor/landlord for the residential housing in which I/we reside (the property that is subject to the Judgment of Eviction referred to in paragraph 1 above) in the 30-day period after the filing of this bankruptcy petition is $ . 4. I/we (choose one) have deposited with have mailed today to will hand-deliver within three (3) days of filing my/our bankruptcy petition to the Clerk of the Bankruptcy Court a certified check, attorney trust account check, or money order in the amount that will become due for rent during the 30-day period after the filing of this bankruptcy case. 5. I/we have filed a copy of the Judgment of Eviction with the Bankruptcy Court, with the petition. I/we attest under penalty of perjury that the foregoing is true to the best of my/our knowledge. If this is a joint bankruptcy case, we both so attest and both sign below.
Joint Debtor Date:
Use this form only if completing the "Statement by a Debtor Who Resides as a Tenant of Residential Property" on page 2 of the Voluntary Petition (Official Form 1).