Free Verification and Request for Discharge (Ch 13 case) - Utah

UNITED STATES BANKRUPTCY COURT DISTRICT OF UTAH ______________________________________________________________________________ In re: ___________________________ ___________________________ Case No. _____________ Chapter 13

Debtor(s). ______________________________________________________________________________

VERIFICATION AND REQUEST FOR DISCHARGE

The Debtor(s) in the above-captioned case, being duly sworn, state as follows: 1. The Chapter 13 Trustee has issued a Notice of Completion of Plan Payments and the Debtor(s) hereby request the Court to enter a discharge in this case. 2. The Debtor(s) has/have filed Official Form 23.

3. A. 9 I/We have not been required by a judicial or administrative order, or by statute to pay any domestic support obligation as defined in 11 U.S.C. § 101(14A) either before this bankruptcy was filed or at any time after the filing of this bankruptcy. OR B. G (See B.1-B.4 below) [NOTE: If "B" is applicable, all information required in questions B.1 through 4 must be provided.] B. 1. I/we certify that prior to the date of this verification and request I/we have paid all amounts due under any domestic support obligation [as defined in 11 U.S.C. § 101(14A)] required by a judicial or administrative order, or by statute including amounts due

before this

bankruptcy was filed, to the extend provided for by the plan. The name and address of each holder of a domestic support obligation are as follows: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ B. 2. My/Our most recent address is as follows: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________ B. 3. The name and address of my/our most recent employer(s) is as follows: _________________________________________________ _________________________________________________ _________________________________________________ _________________________________________________

B. 4. The following creditors hold a claim that is not discharged under 11 U.S.C. § 523(a)(2) or (a)(4) or a claim that was reaffirmed under 11 U.S.C. § 524(c): _________________________________________________ _________________________________________________ 4. I/We have not received a discharge in a Chapter 7, 11 or 12 bankruptcy case filed within 4 years prior to filing this Chapter 13 bankruptcy. 5. I/We have not received a discharge in another Chapter 13 bankruptcy case filed within 2 years prior to filing this Chapter 13 bankruptcy. 6. A. G I/We did not have either at the time of filing this bankruptcy or at the

present time, equity in excess of $125,000.00 in the type of property described in 11 U.S.C. § 522(p)(1) [generally the debtor's homestead]; OR

-2B. G There is not currently pending any proceeding in which I [in an individual case] or either of us [in a joint case] may be found guilty of a felony of the kind described in 11 U.S.C. § 522(q)(1)(A) or liable for a debt of the kind described in 11 U.S.C. § 522(q)(1)(B).

________________________________ Debtor ________________________________ Date ________________________________ Debtor ________________________________ Date

NOTICE Any objection to this verification must be filed within 20 days after service of this verification. If no objection is filed, the Court may enter a discharge pursuant to 11 U.S.C. § 1328(a) without further notice or hearing.

CERTIFICATE OF SERVICE The undersigned hereby certifies that on _____________, 200__, a true and correct copy of the Verification and Request for Discharge was served on all creditors and parties in interest listed on the attached matrix by either first-class, U.S. mail or via the CM/ECF system of the United States Bankruptcy Court.

_________________________________ Signature of person completing service ________________________________ Date

-302.2007