Fill and Sign the Louisiana Notice Form 497309238

LOCAL RULES FORM #12-C UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF LOUISIANA IN RE       CASE NO.       DEBTOR(S) MOTION FOR AND NOTICE OF HEARING ON DISCHARGE AND REAFFIRMATION (Reaffirmation With Affidavit of Counsel; Hearing Optional) The debtor(s) represent(s) to the Court that he/she/they has/have executed the attached reaffirmation agreement(s) with the assistance of counsel, who has complied with 11 U.S.C. § 524(c)(3). Further, notwithstanding that appearance at a hearing is not required under this Court's Local Rules, the debtor(s) hereby request(s) that a Hearing on Discharge and Reaffirmation be held on the       day of       , 20       , at 1:00 p.m. NOTICE OF HEARING AND CERTIFICATE OF SERVICE All creditors who are parties to reaffirmation agreements are hereby notified that a Hearing on Discharge and Reaffirmation will be held on the date indicated above. I/we hereby certify that I/we have served a copy of this motion and notice (including any attachments) upon the following creditors on the       day of       , 20       . Creditor(s ): Name:             Address:       City, State, Zip:             Date Executed:             Date Filed:             Submitted by:       OR Submitted by:       Name of Debtor(s) Name of Attorney for Debtor(s)             Address       Address       Telephone Number       Telephone Number       By:       By:       By: