Form 240a Sample - Reaffirmation Agreement Page 10

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If the debt is on real estate, this Motion is not required. Otherwise:
ALL pro se cases MUST have this Motion for Court Approval for the Reaffirmation Agreement to be legally enforceable unless the debt
is on real estate. It's also required if the debtor's attorney has not signed the Declaration in part C, or if Part C has not been filed at all.
Form 240A - Reaffirmation Agreement (Cont.)
9
PART E: MOTION FOR COURT APPROVAL
[To be completed and filed only if the debtor is not represented by an attorney during the
course of negotiating this agreement.]
MOTION FOR COURT APPROVAL OF REAFFIRMATION AGREEMENT
I (we), the debtor(s), affirm the following to be true and correct:
I am not represented by an attorney in connection with this reaffirmation agreement.
I believe this reaffirmation agreement is in my best interest based on the income and
expenses I have disclosed in my Statement in Support of this reaffirmation agreement, and
because (provide any additional relevant reasons the court should consider):
Therefore, I ask the court for an order approving this reaffirmation agreement under
the following provisions (check all applicable boxes):
G 11 U.S.C. § 524(c)(6) (debtor is not represented by an attorney during the
One or both of these
boxes should be
course of the negotiation of the reaffirmation agreement)
checked (if the Motion
is needed - see above)
G 11 U.S.C. § 524(m) (presumption of undue hardship has arisen because
monthly expenses exceed monthly income)
Debtor(s) must sign here (if the Motion is
Signed:_______________________________
needed - see above)
(Debtor)
_______________________________
(Joint Debtor, if any)
Date: __________________
DO NOT include a Proposed Order as part of the Reaffirmation Agreement - the Court
will prepare one if required.

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