VTB Form K 03/2008
United States Bankruptcy Court District of Vermont
Case No.: Chapter: Debtor(s)
In re:
Certification Requesting Waiver of 11 U.S.C. § 109(h)(1)
[Note: Refer to Vt. LBR 4002-1(a)]
NOW COMES the above-named Debtor and states:
Choose the item that applies; one item MUST be chosen.
Pursuant to 11 U.S.C. § 109(h)(3), I am seeking a temporary waiver of complying with § 109(h)(1) of the Bankruptcy Code. I attest the following exigent circumstance(s) exists warranting the temporary waiver of my complying with § 109(h)(1):
Further, I requested credit counseling services from an approved nonprofit budget and credit counseling agency, but was unable to obtain the services referred to in § 109(h)(1) during the 5day period beginning on the date on which I made that request. Pursuant to 11 U.S.C. § 109(h)(4), I am seeking a permanent waiver of complying with § 109(h)(1) of the Bankruptcy Code. I attest this permanent waiver is based on my being:
Choose the item that applies; one item MUST be chosen.
incapacitated as that term is defined in § 109(h)(4) of the Bankruptcy Code; disabled as that term is defined in § 109(h)(4) of the Bankruptcy Code; or in active military duty in a military combat zone. I will be filing a motion requesting the Court enter an order granting such permanent waiver. I certify under penalty of perjury that the foregoing is true and correct. Debtor Date
Type or Print Debtor Name and Address