Free Ch. 13 - Debtor's Disclosure Re. Domestic Support Obligations - North Carolina

Local Form 9 UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF NORTH CAROLINA IN RE: ) ) ) ) ) ) )

November 2006

Chapter Case No.

13

Debtor(s)

DEBTOR'S DISCLOSURE OF INFORMATION REGARDING DOMESTIC SUPPORT OBLIGATIONS Pursuant to 11 U.S.C. §1302(d), the Chapter 13 debtor provides the following information to the Chapter 13 Trustee: Debtor's Current Address: Debtor's Current Employer: Debtor's Current Employer's Address:

List of debts not discharged under Paragraph 2 or 4 of 11 U.S.C. §523(a): List of debts reaffirmed under 11 U.S.C. §524(c):

I disclose under the penalties of perjury that the information provided in this disclosure is true and accurate. Dated: Debtor