UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF SOUTH CAROLINA
IN RE:
C/A No. __________________
________________________________,
Chapter __
Debtor(s).
CERTIFICATION OF NONCOMPLIANCE WITH 11 U.S.C. § 109(h)(1) AND
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REQUEST FOR EXEMPTION
Under penalty of perjury, I/we certify and attest to the following:
I/we (each referred to as the “Undersigned”) am the/a debtor in the above styled
bankruptcy action filed on _______________ (“Petition Date”). Within the one-hundred
eighty (180) days prior to the Petition Date, Undersigned did not receive the credit
counseling required by 11 U.S.C. § 109(h)(1).
Undersigned certifies that exigent circumstances exist to waive the pre-petition credit
counseling requirement. These exigent circumstances are described in detail as follows:
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_________________________________________________________________________.
Undersigned also certifies that, prior to the Petition Date, Undersigned requested
credit counseling services from an approved nonprofit budget and credit counseling agency,
known as __________________________________________________________________
______________________________________________________________________(list
the name, address, phone number, and, if applicable, the website of the credit counseling
agency).
Undersigned made a request for credit counseling services from this credit
counseling agency on the following date ___________________, but was unable to obtain
the credit counseling services offered by this credit counseling agency within the five day
period beginning on that date for the following reasons: _____________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
_________________________________________________________________________.
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All sections of this Certification must be completed in order for the request for an exemption to be considered
by the Court.