Free Form CC-E (09/08) Certification of Exigent Circumstances - Mississippi

Form CC-E (03/08)

United States Bankruptcy Court Southern District of Mississippi

In re

Case No. _______________

CERTIFICATION OF EXIGENT CIRCUMSTANCES Pursuant to 11 U.S. C.§109(h)(3)(A), the above referenced debtor requests a 30-day exemption from the requirement that credit counseling be obtained during the 180-day period preceding the date of filing of the petition. In support of this request, the debtor certifies as follows: 1. A description of the exigent circumstances that merit a waiver of the requirement that credit counseling be obtained prior to the date of the filing of the petition is as follows:

2. Prior to the filing of the petition in this case, the debtor requested credit counseling services from an approved nonprofit budget and credit counseling agency, but was unable to obtain the requested credit counseling services during the 5-day period beginning on the date on which the services were requested. 3. Debtor understands that if the Court finds the Certification of Exigent Circumstances to be satisfactory, a 30-day waiver is allowed under §109(h)(3)(A). The debtor must still obtain credit counseling from an approved agency within 30-days from the date on which the bankruptcy case was filed. Upon receipt of the certificate issued by the credit counseling agency, the debtor must file said certificate with this Court. 4. Debtor understands that failure to obtain credit counseling within 30-days from the date the bankruptcy case was filed may result in dismissal of the above bankruptcy case. I declare under penalty of perjury that the foregoing is true and correct.

Date: Signature of Debtor