United States Bankruptcy Court
Western District of Michigan
One Division Ave., N. Room 200 Grand Rapids, MI 49503 IN RE: Debtor(s) (name(s) used by the debtor(s) in the last 8 years, including married, maiden, trade, and address):
Case Number Chapter Honorable
Debtor(s)
DEBTOR'S CERTIFICATION REGARDING DOMESTIC SUPPORT OBLIGATION PURSUANT TO 11 U.S.C. § 1328(a) The debtor(s) in the above-referenced matter certify as follows:
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The debtor has not been required by a judicial or administrative order, or by statue to pay any domestic support obligation as defined in 11 U.S.C. § 101(14A) either before this proceeding was filed or at any time after the date of filing. -OR-
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The debtor has paid all amounts due under any and all domestic support obligations as defined in 11 U.S.C. § 101(14A), required by a judicial or administrative order or by statue, including amounts due before, during and after this proceeding was filed.
I declare under penalty of perjury that the information provided in the Certificate is true and correct.
Date: ______________________
___________________________ Debtor
Date: ______________________
___________________________ Joint Debtor(if applicable)