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Order For Ach Payments And Debtor(S)' Certification - In The United States Bankruptcy Court For The Southern District Of Texas Houston Division Form

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE SOUTHERN DISTRICT OF TEXAS

HOUSTON DIVISION

In re:

________________________

CASE NO. ____________________

Debtor

Chapter 13

ORDER FOR ACH PAYMENTS

AND DEBTOR(S)’ CERTIFICATION

On ________________________, 20__, the debtor(s) enrolled in the chapter 13 trustee’s

Automated Debit Payment program that works through the Automated Clearing House network

(the “ACH Program”). The debtor(s) have submitted a certification of eligibility to enroll in the

ACH Program. The debtor(s) understand that chapter 13 plan payments must be made by ACH

to the chapter 13 trustee. The debtor(s) are responsible for assuring that sufficient funds are

available for the trustee to withdraw on the available ACH date or dates chosen by the debtor(s).

It is therefore

ORDERED that the debtor(s) are ordered to pay $______________ each month to the

chapter 13 trustee by ACH. It is further

ORDERED that within 7 days of entry of this Order, the debtor(s) shall submit to the

trustee, an Authorization Agreement for Automatic Debit Origination along with an original

voided check; and it is further

ORDERED that the debtor(s) may not terminate the automatic debit (ACH) except as

further ordered by the Court.

Signed the _________ day of ______________, 20__.

___________________________________

U.S. Bankruptcy Judge

DEBTOR’S CERTIFICATION OF ELIGIBILITY

The debtor(s) certify that the debtor(s) are self employed or do not receive wage or salary

income in an amount equal to or greater than the debtor(s)’ monthly plan payment. To evidence

the debtor(s)’ enrollment, the debtors have sent the chapter 13 trustee an Authorization

Agreement for Automatic Debit Origination form with an original voided check.

Date: __________________

____________________________________

Debtor

____________________________________

Debtor (if joint)

Order For Ach Payments And Debtor(S)' Certification - In The United States Bankruptcy Court For The Southern District Of Texas Houston Division Form