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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) Case No.________________ INDIVIDUAL DEBTOR'S MOTION FOR ENTRY OF DISCHARGE; AND STATEMENT RE 11 USC §522(q)(1) APPLICABILITY, AND NOTICE OF RELATED DEADLINES

Debtor(s)

I/We the undersigned debtor(s) move the court for entry of a discharge in this case pursuant to 11 USC §1141(d)(5) by certifying under penalty of perjury that: 1. All plan payments have been completed. ATTACHED is the Final Account (Local Form #1195). 2. ATTACHED is the debtor's certification of completion of instructional course concerning personal financial management (Official Form #B23) as required by Fed. Bankr. Rule 1007(b). 3. There (Check ONE): (a) IS or (b) IS NOT a pending proceeding in which a/the debtor(s) may be found guilty of a felony or liable for a debt of a kind described in 11 USC §522(q)(1). 4. Debtor's address & Taxpayer ID#(s) (last 4 digits) are: __________________________________________ _____________________________________________________________________________________. 5. On ________ I served copies of this Motion on the U.S. Trustee, any trustee, all creditors and their respective attorneys. ________ Date _____________________________ Signature of Debtor ________ Date _____________________________ Signature of Joint Debtor

NOTICE NOTICE IS GIVEN THAT if an interested party wishes to file a motion for the court to not enter a discharge because the debtor(s) indicated in pt. 2(b) above that there is a pending proceeding for which the debtor(s) may be found guilty of a felony or liable for a debt of a kind described in 11 USC §522(q)(1) or the creditor contends that the pt. 2(a) certification is not accurate, the interested party SHALL, WITHIN 30 days OF THE SERVICE DATE SHOWN IN PT. 3 ABOVE, FILE a written motion with the Clerk of Court (i.e., if the 5-digit portion of the Case No. Begins with "3" OR "4", MAIL TO 1001 SW 5TH Ave. #700, Portland OR 97204; OR if it begins with "6" OR "7", mail to 405 E 8th Ave #2600, Eugene OR 97401) INCLUDING a completed Certificate of Service on the debtor(s), trustee and their respective attorneys. CLERK, U.S. BANKRUPTCY COURT 1191.3 (3/1/09)