Free IN THE UNITED STATES BANKRUPTCY COURT - Texas

IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS _____________ DIVISION In re: _________________ § § Case # ____________ Chapter 13

ELECTRONIC FUNDS TRANSFER CERTIFICATION On _____________, 2008, the debtor enrolled in the chapter 13 trustee's electronic funds transfer program. The debtor understands that chapter 13 trustee plan payments must be made by electronic funds transfer to the chapter 13 trustee. The debtor is responsible for initiating the payment each month. If the chapter 13 trustee or a party in interest files a motion to dismiss the debtor's case for non-payment, the debtor must provide documents from the debtor's bank that demonstrate that any disputed payment was sent by the debtor by electronic funs transfer. The debtor certifies that the debtor is self employed. The debtor does not receive social security, wage or salary income in an amount equal to or greater than the debtor's monthly plan payment. To evidence the debtor's enrollment, the debtor has sent the chapter 13 trustee an Electronic Funds Transfer Data Form. Signed: __________________ Date ________________________________________ Debtor

IN THE UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF TEXAS _____________ DIVISION In re: _________________ § § Case # ____________ Chapter 13

ELECTRONIC FUNDS TRANSFER DATA FORM The undersigned debtor enrolls in the United States Bankruptcy Court's electronic funds transfer program. Name of Debtor's Bank: _______________________________ Bank Routing Number: _______________________________ Account #: _______________________________ Name on Account: _______________________________ In lieu of completing the foregoing information, you may attach a voided check. Monthly payments to the trustee should be sent to your trustee as shown on the attached schedule.

BY SIGNING BELOW, DEBTOR ACKNOWLEDGES THAT THE DEBTOR'S CURRENT BANKRUPTCY CASE NUMBER MUST BE INCLUDED WITH EVERY PAYMENT.
THIS FORM SHOULD NOT BE FILED WITH THE COURT. Send this form by United States Mail to your trustee at the address shown on the attached schedule. Signed: __________________ Date ________________________________________ Debtor

SCHEDULE OF CHAPTER 13 TRUSTEE ADDRESSES AND BANK ACCOUNTS FOR ELECTRONIC FUNDS TRANSFERS
IF YOUR TRUSTEE IS DAVID PEAKE: The bank account to which your electronic transfer should be sent is: Routing number: Account number: Bank name: Physical address: 061000104 2923340 SunTrust Bank, P.O. Box 2158 Memphis, Tennessee 38101-2158

The Electronic Funds Transfer Data Form should be returned to: David Peake Chapter 13 Trustee 9660 Hillcroft, Suite 430 Houston, Texas 77096 IF YOUR TRUSTEE IS WILLIAM HEITKAMP: The bank account to which your electronic transfer should be sent is: Routing number: Account number: Bank name: Physical address: 061000104 1000082946210 SunTrust Bank P.O. Box 740 Memphis, Tennessee 38101-0740

The Electronic Funds Transfer Data Form should be returned to: William Heitkamp Chapter 13 Trustee 9821 Katy Freeway, Suite 590 Houston, Texas 77024 IF YOUR TRUSTEE IS CINDY BOUDLOCHE: The bank account to which your electronic transfer should be sent is: Routing number: Account number: Bank name: Physical address: 114903284 210054301 210053658 American Bank PO Box 6885 Corpus Christi, Texas 78466-6885

The Electronic Funds Transfer Data Form should be returned to: Cindy Boudloche Chapter 13 Trustee 555 N. Carancahua, Suite 600 Corpus Christi, Texas 78478

YOUR BANKRUPTCY CASE NUMBER MUST BE INCLUDED WITH EVERY PAYMENT