Fillable NORTHERN DISTRICT OF GEORGIA: DEBTOR’S 11 U.S.C. § 1328 CERTIFICATE (US Courts)

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NORTHERN DISTRICT OF GEORGIA: DEBTOR’S 11 U.S.C. § 1328 CERTIFICATE (US Courts)

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IN THE UNITED STATES BANKRUPTCY COURT
FOR THE NORTHERN DISTRICT OF GEORGIA
IN RE ) CASE NO.
)
) CHAPTER 13
)
Debtor.
DEBTOR’S 11 U.S.C. § 1328 CERTIFICATE
This Certificate must be completed and filed with the court in order for each debtor to
receive a discharge. In joint cases, a separate Certificate must be completed and
signed by each debtor. This Certificate should be filed after the debtor has completed
all payments (as required by the Plan or as specified by order of the Court.)
I declare under penalty of perjury that the information provided
in this Certificate is true and correct.
A. Appropriate Box Must Be Checked:
1. During the time this bankruptcy case has been pending, I have not been
required to pay a domestic support obligation (such as child support, maintenance
or alimony) by any order of a court or administrative agency or by any statute.
2. During the time this bankruptcy case has been pending, I have paid all
domestic support obligations (such as child support, maintenance or alimony) as
required under any order of a court or administrative agency or under any statute.
3. During the time this bankruptcy case has been pending, I have not paid all
domestic support obligations, such as child support, maintenance or alimony, as
required by an order of a court or administrative agency or by statute.
If you were obligated to pay a domestic support obligation, please complete the
information below. If not, skip to paragraph B.
The name and address of each holder of a domestic support obligation are:
Name:__________________________ My Current Address:
Address:________________________ ______________________________
_______________________________ ______________________________
_______________________________ ______________________________
_______________________________
ATLANTA DIVISION
My Current Employer is:
Name:________________________________
Address:______________________________
_____________________________________
_____________________________________
B. G 1. I have NOT received a discharge in a Chapter 7, 11 or 12 bankruptcy case
filed within 4-years prior to filing this case.
G 2. I have received a discharge in a Chapter 7, 11 or 12 bankruptcy case filed
within 4-years prior to filing this case.
C. G 1. I have NOT received a discharge in another Chapter 13 bankruptcy case filed
within 2-years prior to filing this case.
G 2. I have received a discharge in another Chapter 13 bankruptcy case filed within
2-years prior to filing this case.
By signing this Certificate, I acknowledge that all of the statements contained herein
are true and accurate and that the Court may rely on the truth of each of these
statements in determining whether to grant me a discharge in this case. The Court
may revoke my discharge if my statements are not accurate.
DATE:__________________ ______________________________
Signature of Debtor
DEBTOR’S 11 U.S.C. § 1328 CERTIFICATE
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NORTHERN DISTRICT OF GEORGIA: DEBTORS 11 U.S.C. 1328 CERTIFICATE (US Courts)

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Completed 15 September 2020

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