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Albert Russo Chapter 13 Trustee || Application for Vehicle Financing

10/4/10 3:32 PM

PRINT THIS PAGE, COMPLETE IT (PRINT PLEASE) AND FAX IT TO 609-587-9676 ATTENTION: KEISHA

OR MAIL IT TO THE ADDRESS LISTED BELOW WITH THE DOCUMENTS REQUESTED.

OFFICE OF THE STANDING CHAPTER 13 TRUSTEE

ALBERT RUSSO

Standing Chapter 13 Trustee

Howard Schmidt

Mailing Address:

1 AAA Drive • Suite 101

Erik D. Collazo

CN 4853

Robbinsville, New Jersey 08691

Counsel

Trenton, NJ 08650

APPLICATION FOR VEHICLE FINANCING

Payments Only:

PO Box 933

DURING CHAPTER 13 PLAN

Memphis, TN 38101-0933

PLEASE ATTACH A COPY OF THE SALE CONTRACT AND LOAN AGREEMENT ALONG WITH THE NAME,

ADDRESS, TELEPHONE AND FAX NUMBERS OF THE DEALER OR LENDER.

1. Vehicle Type: ____________________ Year _______________ Mileage _______________

2. Warranty:

YES

Type:__________

3. Purchase Price: _________________________________

4. Monthly Payment: ______________________________

5. Terms of Financing: _____________ Months

6. Interest Rate: ______________%

7. Total Amount to be Borrowed? ____________________________________

8. Total Finance Charges? ____________________________

9. Credit, Life or Disability Insurance?

YES NO

Type:______________________

10. Is a vehicle presently being paid OUTSIDE of the Chapter 13 Plan?

YES

Type of Vehicle and Amount: ___________________________________________________

11. Is a vehicle presently being paid THROUGH the Chapter 13 Plan?

YES

Type of Vehicle and Amount: ___________________________________________________

The undersigned hereby applies for permission to obtain consumer credit during the pendency of his/her Chapter 13 Case in order to purchase the

vehicle described above which is necessary for his/her performance under the confirmed plan. I certify that the information provided is true and

accurate. I understand that I am under no obligation to purchase a vehicle on credit; however, I am unable to obtain a vehicle otherwise. Further, I

understand that the approval of this transaction by the Standing Chapter 13 Trustee is neither a recommendation nor an endorsement of the specific

vehicle being purchased and the credit terms presented and I/we assume all risks involved.

I authorize the Standing Chapter 13 Trustee to provide written information in regards to this application and my Chapter 13 Case

to the dealer / lender.

Dated: ___________________

Debtor Signature: _________________________________________________

Case No. _________________

Joint Debtor Signature: _____________________________________________

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Application For Vehicle Financing During Chapter 13 Plan Form - Office Of The Standing Chapter 13 Trustee

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