Form 240a Sample - Reaffirmation Agreement Page 8
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10Part C is optional. However, if it is not filed OR the attorney's signature is not present (even if a box has been checked),
a Motion for Court Approval needs to be filed (Part E) in order for the Reaffirmation Agreement to be enforceable by law.
THIS DOES NOT APPLY IF THE DEBT IS ON REAL ESTATE.
Form 240A - Reaffirmation Agreement (Cont.)
7
PART C: CERTIFICATION BY DEBTOR’S ATTORNEY (IF ANY).
[To be filed only if the attorney represented the debtor during the course of negotiating
this agreement.]
By signing
below, the
attorney
I hereby certify that (1) this agreement represents a fully informed and voluntary
attests to this
agreement by the debtor; (2) this agreement does not impose an undue hardship on the debtor or
paragraph,
any dependent of the debtor; and (3) I have fully advised the debtor of the legal effect and
UNLESS......
consequences of this agreement and any default under this agreement.
....this check
box is
G [Check box, if applicable and the creditor is not a Credit Union.] A presumption of
checked.
undue hardship has been established with respect to this agreement. In my opinion, however, the
debtor is able to make the required payment.
Printed Name of Debtor’s Attorney: _______________________________
Signature of Debtor’s Attorney: ___________________________________
Date: ______________
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