Chapter 13 Bankruptcy Update Form

CHAPTER 13 BANKRUPTCY UPDATE FORM

This Chapter 13 Bankruptcy Update Form is submitted by Debtor Name: and Joint Debtor Name: and is provided to Chapter 13 Trustee: .

Case Number: Court District: Plan Confirmation Date:

RECITALS

WHEREAS, Debtor(s) are currently operating under the Chapter 13 plan confirmed by the Court; and

WHEREAS, bankruptcy law and the confirmed plan require the Debtor(s) to report material changes in income, employment, residence, assets, insurance, or dependents and to provide updated documentation to the Trustee; and

WHEREAS, Debtor(s) submit this form to update the record, preserve plan integrity, and enable the Trustee to evaluate plan feasibility and distributions to creditors.

NOW THEREFORE

Debtor(s) hereby provide the following updates and certify under penalty of perjury that the information provided is true, complete, and current to the best of their knowledge.

1. CONTACT AND RESIDENCE

2. EMPLOYMENT AND INCOME

Current Employer: Employer Address:

Has gross monthly income changed since the last filing? Yes No

3. ASSETS, PROPERTY, AND INSURANCE

Have there been changes to assets or property (purchase, sale, transfer, refinance)? Yes No

4. EXPENSES AND DEPENDENTS

Have household expenses or number of dependents changed? Yes No

5. CREDITORS AND CLAIMS

Attachments included with this update (check all that apply):

Paystubs (most recent) Tax Returns Bank Statements Purchase/Sale Documentation

6. NOTICES

All notices and correspondence regarding this update shall be sent to the addresses below. Debtor(s) understand that failure to maintain current contact information may result in adverse actions by the Trustee or the Court.

7. CERTIFICATION

By signing below, Debtor(s) certify under penalty of perjury that the information contained in this Chapter 13 Bankruptcy Update Form and any attached documentation is true and correct. Debtor(s) further acknowledge that knowingly submitting false information may constitute contempt of court and/or fraud and may subject Debtor(s) to sanctions, dismissal, or other remedies permitted by the Bankruptcy Code and the Court.

Debtor(s) agree to provide additional documentation upon request by the Trustee or the Court and to cooperate in any review necessary to determine the impact of these updates on plan feasibility and payments to creditors.

8. GOVERNING LAW; MISCELLANEOUS

Governing Law: This Update Form shall be governed by and construed in accordance with the Bankruptcy Code, the Federal Rules of Bankruptcy Procedure, applicable local rules, and the laws of the state in which the Chapter 13 case is pending as applicable to matters of procedure and administration.

Entire Agreement: This Form, together with attachments submitted contemporaneously, constitutes the entire written update submitted by Debtor(s) regarding the matters described herein and supersedes any prior informal notifications relating to the same subject matter.

Severability: If any provision of this Form is held to be invalid or unenforceable, such invalidity or unenforceability will not affect the remaining provisions, which shall remain in full force and effect.

Amendments and Waivers: Any amendment to or waiver of the provisions of this Form must be in writing and signed by the party to be charged. No course of conduct or failure to enforce any provision shall constitute a waiver of that provision.

9. AUTHORIZATION FOR RELEASE OF INFORMATION

Debtor(s) authorize employers, financial institutions, and other third parties to release information reasonably requested by the Trustee in connection with the review of this update. This authorization is limited to information relevant to plan administration and does not waive any applicable privileges except as permitted by law.

10. DECLARATION OF TRUTH

I declare under penalty of perjury that the foregoing is true and correct.

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