Certification Of Inability To Complete Pre Petition Credit Counseling Page 2

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I request that the Court order that I am exempt from pre-petition credit counseling
pursuant to 11 U.S.C. § 109(h)(4). I understand that a hearing may be necessary on this
Certification for exemption from credit counseling if a party objects or a hearing is scheduled
by the Court and that I must attend any hearing scheduled or my request may be denied.
I SO CERTIFY TO THE TRUTHFULNESS AND ACCURACY OF THE
REPRESENTATIONS MADE HEREIN.
________________________________
(Debtor's Signature)
________________, 200___

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