Pawb Local Form 40 - Certification Of Lmp Eligibility And Readiness

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IN THE UNITED STATES BANKRUPTCY COURT
FOR THE WESTERN DISTRICT OF PENNSYLVANIA
In Re:
:
Bankruptcy No.
:
Chapter
Debtor
:
:
:
Movant
:
:
v.
:
:
:
Respondent (if none, then “No Respondent”) :
CERTIFICATION OF LMP ELIGIBILITY AND READINESS
I.
CERTIFICATION OF THE DEBTOR(S)
[I _________ am / We __________ and _________ are] the [debtor / debtors] in this case and hereby certify
that:
1.
[I / We] will participate in the Court’s Loss Mitigation Program (LMP) as set forth in W.PA.LBR
9020-1 through 9020-7 [in full cooperation with my / our undersigned counsel (if represented by an
attorney)] in good faith.
2.
[I / We] understand and agree to the ongoing obligation to promptly provide information and
documentation that may be reasonably requested by the Creditor during the LMP process.
3.
[I / We] will make (or cause to be made) adequate protection payments to [FULL NAME OF
CREDITOR] in the amount of $ ________ each month during the LMP period, pursuant to W.PA.LBR 9020-
3(f), unless and until otherwise ordered by the Court.
4.
[I / We] understand that commencing the LMP is voluntary, and that [I am / we are] not required
to enter into any agreement or settlement with any other party, and no other party is required to enter into
any agreement or settlement with [me / us] as part of the LMP.
5.
[I / We] understand that [I am / we are] not required to request dismissal of this case as part of
any resolution or settlement that is offered or agreed to during the LMP.
6.
[I / We] understand that if [I / we] do not fully comply with the requirements of the LMP, our
participation in the LMP may be terminated.
Date: ______________________
___________________________________
Debtor
Date: ______________________
_____________________________________
Joint Debtor (if any)
PAWB Local Form 40 (04/14)
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