Form 240A - (Part E of Director's Procedural Forms) Reaffirmation Agreement (01/07) Revised to Local Form on 12/20/07 [To be completed and filed only if the debtor is not represented by an attorney during the course of negotiating this 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 under the following provisions (check all applicable boxes): G 11 U.S.C. § 524(c)(6) (debtor is not represented by an attorney during the course of the negotiation of the reaffirmation agreement) G 11 U.S.C. § 524(m) (presumption of undue hardship has arisen because monthly expenses exceed monthly income) Signed: (Debtor) _________________________________ (Joint Debtor, if any) Date: __________________