Fill and Sign the Reaffirmation Agreement Montana Form

Name of Attorney       Address       Phone Number       (Attorney for Debtor) State Bar I.D. Number       UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF MONTANA In re: ) Case No.       )       ) )       ) Debtor(s). ) ---------------------------------------------------------------- REAFFIRMATION AGREEMENT ---------------------------------------------------------------- Creditor’s Name and Address:                   Summary of Terms of the New Agreement: (a) Principal Amount $       Interest Rate (APR)       Monthly Payments $       Date Payments to Commence       (b) Description of Security       Present Market Value $       The parties understand that this agreement is entirely voluntary, and such agreement is not required under the Bankruptcy Code, state law, or under any agreement between the parties. The Debtors understand if they reaffirm this obligation, their liability on such obligation will be fully restored and fully enforceable under state law in accordance with its terms. THE PARTIES FURTHER UNDERSTAND THAT THIS AGREEMENT MAY BE RESCINDED BY THE DEBTORS AT ANY TIME PRIOR TO DISCHARGE OR WITHIN SIXTY DAYS AFTER THE AGREEMENT IS FILED WITH THE COURT, WHICHEVER OCCURS LATER, BY GIVING NOTICE OF RESCISSION TO THE CREDITOR. The Debtors affirm the following to be true and correct: 1) I am am not represented by an attorney in connection with this bankruptcy case. 2) My current monthly net income is $       . 3) My current monthly expenses total $       , including any payment due under this agreement. 4) I believe this agreement is in my best interests because                         Therefore, I/we ask the Court for an Order approving this Reaffirmation Agreement. ____________________________ ____________________________ Date Signature of Debtor ____________________________ _____________________________ Signature of Creditor Signature of Joint Debtor