IN THE UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF MARYLAND
at ____________________
IN RE:
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Case No. _________
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Chapter 13
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Debtor
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DEBTOR’S AFFIDAVIT REQUESTING DISCHARGE
***IN JOINT FILINGS, A SEPARATE AFFIDAVIT MUST BE COMPLETED BY
EACH DEBTOR IN ORDER TO BE ELIGIBLE FOR A DISCHARGE***
The Chapter 13 Trustee has filed a notice of completion in my case and I am hereby requesting
that the Court issue a discharge. I testify under penalty of perjury to the following: (Complete all
sections and provide all required information.)
1. The following creditors hold a claim that is not discharged under 11 U.S.C. § 523 (a)(2) or
(a)(4) or a claim that was reaffirmed under 11 U.S.C. § 524(c): (provide name, address, and
telephone number of each such creditor)
_______________________________
_______________________________
2. ______ I have not received a discharge in a Chapter 7, 11 or 12 bankruptcy case that was
filed within 4 years prior to the filing of this Chapter 13 Bankruptcy.
3. ______ I have not received a discharge in another Chapter 13 bankruptcy case that was filed
within 2 years prior to the filing of this Chapter 13 bankruptcy.
4. A. ______ I did not have, either at the time of filing this bankruptcy or at the present time,
equity in excess of $125,000 if the case was filed before April 1, 2007, or $136,875 if the
case was filed on or after April 1, 2007 and before April 1, 2010, or $146,450 for a case filed
on or after April 1, 2010 and before April 1, 2013, or $155,675 if the case was filed on or
after April 1, 2013 in the type of property described in 11 U.S.C. §522(p)(1) [generally the
debtor's homestead].
Local Bankruptcy Form P