Chapter 12 Debtors Certifications Regarding Domestic Support Obligations {3015-6}

Clear Save As... LOCAL BANKRUPTCY FORM 3015-6 IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : : CHAPTER 12 CASE NO. -bk- Debtor(s) CHAPTER 12 INDIVIDUAL DEBTOR'S CERTIFICATIONS REGARDING DOMESTIC SUPPORT OBLIGATIONS AND 11 U.S.C. § 522(q) If a joint petition is filed, each spouse must complete and file a separate certification. Part I. Certification Regarding Domestic Support Obligations (check no more than one) Pursuant to 11 U.S.C. § 1228, I certify that: I owed no domestic support obligation when I filed my bankruptcy petition, and I have not been required to pay any such obligation since then. I am or have been required to pay a domestic support obligation. I have paid all such amounts that my chapter 12 plan required me to pay. I have also paid all such amounts that became due between the filing of my bankruptcy petition and today. Part II. If you checked the second box, you must provide the information below. My current address is: My current employer and my employer's address: Part III. Certification Regarding 11 U.S.C. § 522(q) (check no more than one) Pursuant to 11 U.S.C. § 1228(f), I certify that: I have not claimed an exemption pursuant to 11 U.S.C. § 522(b)(3) and state or local law (1) in property that I or a dependent of mine uses as a residence, claims as a homestead, or acquired as a burial plot, as specified in 11 U.S.C. § 522(p)(1), and (2) that exceeds the aggregate value allowed in 11 U.S.C. § 522(q)(1), as amended. I have claimed an exemption in property pursuant to 11 U.S.C. § 522(b)(3) and state or local law (1) that I or a dependent of mine uses as a residence, claims as a homestead, or acquired as a burial plot, as specified in 11 U.S.C. § 522(p)(1), and (2) that exceeds the aggregate value allowed in 11 U.S.C. § 522(q)(1), as amended. Part IV. Debtor's Signature I certify under penalty of perjury that the information provided in these certifications is true and correct to the best of my knowledge and belief. DATED: BY: Debtor American LegalNet, Inc. www.FormsWorkFlow.com