Application For Certification To Chapter 13 Trustee
Download a blank fillable Application For Certification To Chapter 13 Trustee in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Certification To Chapter 13 Trustee with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2Application for Certification to Chapter 13 Trustee
State of Iowa
)
Reset Form
Print Form
)ss.
County of ______________________ )
I, __________________________________ , _______________ , being duly sworn, depose
(Taxpayer full name)
(SSN)
and state as follows:
1. I filed a Chapter 13 bankruptcy case on __________ and my case number is _____________
2. I authorize the Iowa Department of Revenue to release information concerning whether I have filed
tax returns to the Chapter 13 trustee and to my attorney whose name and address is:
______________________________________________________________________
______________________________________________________________________
3. I am requesting a determination concerning the status of my Iowa tax returns for the tax years that
ended within the four years prior to my bankruptcy petition.
4. I have filed all required returns or am exempt from filing returns for the following reason
(check the appropriate box and indicate the tax years):
I was not an Iowa resident and did not have sufficient Iowa source income to be required to file a return
for the following years: _______________________________________________
I was an Iowa resident but did not have sufficient income to be required to file a return for the
following years: ____________________________________________________
5. I have attached copies of any Iowa income tax returns filed within 6 months prior to this application.
6. I have attached originals of any Iowa income tax returns not previously filed.
__________________________________
(Taxpayer signature)
Subscribed and sworn before me this ______ day of ________________ , 20 ____
__________________________________
Notary Public in and for the State of Iowa
Certificate to Chapter 13 Trustee
The Iowa Department of Revenue hereby certifies that the above-referenced taxpayer has submitted Iowa
income return forms for the following years: ______________________ . (The Department has not reviewed the
taxpayer’s returns to determine whether they are in the proper form and signed in accordance with Iowa law. As a
result, the Department reserves the right to assert that taxes for the above years are non-dischargeable under
§
11 U.S.C. 532(a)(1)(B) because of failure to file a proper return.)
The taxpayer claims that he/she is not required to file Iowa income tax returns for the following tax
years: ____________________________ . At this time, the Department does not challenge the taxpayer’s
assertion.
Dated this ________ day of ________________ , 20 ______
Accts Rec tab/Chapter 13 Trustee Certification
Last updated 02/01/07
96-106
Authorized Representative/Bankruptcy Unit
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Vehicle Financing During Chapter 13 Plan Form - Office Of The Standing Chapter 13 Trustee
Financial
Certificate To Amend Application For Certificate Of Registration For A Foreign Limited Liability Company Form - Department Of Consumer And Regulatory Affairs, District Of Columbia
Legal
Certificate To Amend Application For Certificate Of Registration For A Foreign Limited Liability Company - Government Of The District Of Columbia
Legal
Application For Environmental Permit Chapter 93 "stormwater Management And Erosion And Sediment Control" Form - Town Of Somers, Westchester County, New York
Legal
Related Categories
Parent category: Financial