UNITED STATES BANKRUPTCY COURT __________ District of __________ In re ____________________________,
Case No.__________________
Debtor Chapter________________
MOTION FOR APPROVAL OF REAFFIRMATION AGREEMENT
I (we), the debtor(s), affirm the following to be true and correct:
I am not represented by an attorney in connection with this reaffirmation agreement.
I believe this reaffirmation agreement is in my best interest based on the income and expenses I have disclosed in my Statement in Support of Reaffirmation Agreement, and because (provide any additional relevant reasons the court should consider):
Therefore, I ask the court for an order approving this reaffirmation agreement under the following provisions (check all applicable boxes):
11 U.S.C. § 524(c)(6) (debtor is not represented by an attorney during the course of the negotiation of the reaffirmation agreement)
11 U.S.C. § 524(m) (presumption of undue hardship has arisen because monthly expenses exceed monthly income, as explained in Part II of Form 2400A, Reaffirmation Documents)
Signed:_______________________________ (Debtor) _______________________________ (Joint Debtor, if any)
Date: __________________