Fill and Sign the 13 Plan Fillable Form

UNITED STATES BANRUPTCY COURT EASTERN DISTRICT OF WASHINGTON In Re:       Case No:       Debtor(s):       DEBTOR’S PLAN PAYMENT DECLARATION 1. Plan payments shall be made: Weekly Bi-weekly Semi-monthly Monthly       Other payments DATE SOURCE AMOUNT                                     2. The first plan payment will be made on or before       , 20       . (The date specified must be within 30 days after the date the plan is filed.) 3. All subsequent play payments will be made on or before the       day of each subsequent month. (The day specified will be the day when the plan payment is due each month for the remaining term of the plan.) 4. The debtor’s employer/income source is as follows: a. Debtor No. 1 Debtor No. 2 Employee I.D. or S.S.N Employee I.D. or S.S.N Employer/ Income Source Employer/ Income Source Address Address Phone No. Phone No. b. Debtor No. 1 is paid: Debtor No. 2 is paid: Weekly Weekly Bi-weekly Bi-weekly Semi-monthly Semi-monthly Monthly Monthly Other       Other       c. Deduct payments from wages or income source of: Debtor No. 1       each month Evenly from each check All from one check. If so, pay period from which to deduct is       . Other       . Debtor No. 2       each month Evenly from each check All from one check. If so, pay period from which to deduct is       . Other       . 5. Debtor acknowledges: a. Immediately after filing, the trustee is authorized to present to the court an order, without notice, directing any entity from each whom the debtor receives money, such as employers and governmental agencies, to pay all or part of such income to the Chapter 13 Trustee, except to the extent otherwise subject by law to setoff, recoupment or alternative disposition. b. Payments made by the debtor directly to the trustee will only be permitted when specifically authorized by an order of the court pursuant to LBR 2083-1 (b). If direct payments are authorized by the court, such payment will be made: 1. In the form of a cashier’s check or money order only; (No personal checks or cash will be accepted.) 2. Payable to Daniel H. Brunner, Trustee, and sent to P.O. BOX 1003, Memphis, Tennessee, 38101-1003; and 3. With the debtor’s first and last name and bankruptcy case number, exactly as they appear on the bankruptcy petition, clearly printed on the check. Dated: ______________________________ Attorney for Debtor Debtor