Chapter 11 Individual Debtors Pre-Confirmation Certification {3020-1}

LOCAL BANKRUPTCY FORM 3020-1 IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : : : CHAPTER 11 CASE NO. -bk- Debtor(s) CHAPTER 11 INDIVIDUAL DEBTOR'S PRE-CONFIRMATION CERTIFICATION OF COMPLIANCE WITH POST PETITION DOMESTIC SUPPORT OBLIGATIONS If a joint petition is filed, each spouse must complete and file a separate certification. I, 1. , upon oath or affirmation, hereby certify as follows: That the below information is being supplied for compliance with the confirmation hearing . date on That all post-petition amounts required to be paid under any and all Domestic Support Obligations have been paid as required by 11 U.S.C. § 1129(a)(14). If this Certification is being signed by counsel for Debtor, that the Debtor was duly questioned about the statements in this Certification and supplied answers consistent with this Certification. 2. 3. I hereby certify that the foregoing statements made by me are true. I am aware that if any of the foregoing statements made by me are willfully false, I am subject to punishment for perjury. DATED: BY: Counsel for Debtor DATED: BY: Debtor American LegalNet, Inc. www.FormsWorkFlow.com