CHAPTER 13 DEBTOR S REQUEST TO INCUR DEBT

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CHAPTER 13 DEBTOR S REQUEST TO INCUR DEBT Debtor(s): Debtor(s) Address: Date Submitted: Case Number: Debtor(s) Phone Number: Attorney: Attorney's Phone Number: Reason for Loan: Name of New Lender: Amount of Loan: Interest Rate: Monthly Payment Amount: Number of payments: Amount & Source of Down Payment (if applicable): ** Please provide your attorney with proof of current monthly income and expenses for your household in order to amend your bankruptcy schedules. Contact your attorney regarding any questions. ** Have you made prior requests for loan approval while in Chapter 13? Yes: No: If yes, list the dates, amounts, whether the request(s) were granted or denied and the status of the loan payments (i.e., paid, current, delinquent, etc.) Date: Amount: Granted/Denied: Status: Purchase of New Vehicle Vehicle Purchase Parameters: 1. No auto loan in excess of $22,000.00; 2. No monthly payment in excess of $500.00 per month; 3. Interest not to exceed 21%; 4. No luxury vehicles (even if they are old); 5. No vehicle warranties, or any type of additional insurance (i.e. GAP insurance, disability insurance, etc ). If the vehicle falls within the above parameters, please submit with this request with a copy of the Proposed Sale Order with the following information: A. Year, Make, & Model of New Vehicle; B. Purchase Price; C. Down Payment Amount; D. Finance Amount; E. Loan Term; F. Interest Rate; G. Monthly Payment. *If the vehicle DOES NOT fall within the above parameters, please contact your attorney. A Motion to Incur will need to be filed and heard before the Court. Is this vehicle replacing another vehicle already listed in your Plan or Schedules? Yes If yes, what vehicle is being replaced? (Year/Make/Model) No Is the vehicle being replaced paid direct to the creditor? Yes No If yes, what is the monthly payment amount? $ Purchase/Refinance Home **Please contact your attorney. If you are requesting to purchase or refinance your home, please submit this Loan Request through your attorney along with a copy of the mortgage loan application, sales contract, or refinance application, Current Budget form, and recent paystubs.** Declaration I, (please print), Debtor/Attorney, declare under penalty of perjury that the information provided above and on the attached budget is true and correct to the best of my knowledge, information, and belief. Debtor or Attorney Signature: Date:

Debtor Declaration Regarding Attorney Fees In Connection with the Purchase and Financing of a Vehicle I paid directly to my attorneys, ("Firm"), $200 for preparation of Request to Incur Debt and Amended Schedules directly from my own funds. I did not receive funds from any other party, dealership, or finance company in connection with the financing of the vehicle. I declare under penalty of perjury that my declaration is true and correct. Debtor

B2030 (Form 2030) (12/15) United States Bankruptcy Court District Of In re Case No. Debtor Chapter DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR 1. Pursuant to 11 U S.C. 329(a) and Fed. Bankr. P. 2016(b), I certify that lam the attorney for the above named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services, I have agreed to accept Prior to the filing of this statement I have received. Balance Due 2. The source of the compensation paid to me was: 0 Debtor S. Other (specify) 3. The source of compensation to be paid to me is: E Debtor 0 Other (specify) 4. 0 I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm. I have agreed to share the above-disclosed compensation with a other person or persons who are not members or associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached. 5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including: a. Analysis of the debtor' s financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; b. Preparation and filing of any petition, schedules, statements of affairs and plan which may be required; c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;

82030 (Form 2030) (12/15) d. Representation of the debtor in adversary proceedings and other contested bankruptcy matters; e. [Other provisions as needed] 6. By agreement with the debtor(s), the above-disclosed fee does not include the following services: CERTIFICATION I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in this bankruptcy proceeding. Date Signature of Attorney Name of law firm

OFFICE OF THE STANDING CHAPTER 13 TRUSTEE 105 Decker Ct Suite 1150 11th Floor Irving, TX 75062 (214) 855-9200 Systems@dallasch13.com Joe Public 12365 Rain Dr Irving TX 75062 October 09, 2018 Re: Request to Incur New Debt Chapter 13 Case No. tfff.-.44#ffkit In response to your request for approval to incur additional debt: Your request is to borrow $14,047.86 from Consumer Portfolio Servies. The terms of the loan are 21% interest, with 72 monthly payments at $345.01. The loan is for a 2015 Jeep Patriot. We have reviewed the information you provided and based thereon have determined the loan you are seeking is reasonable and necessary and will not interfere with your ability to meet your obligations under your pending Chapter 13 plan. Therefore, you have the trustee's permission to incur the additional debt described above, if the loan is obtained within 90 days of the date of this letter. All Payments must be "direct" from you to the lender and will not be included in your trustee payment. We suggest you contact your attorney prior to entering into any financial agreement to discuss how this may affect your Chapter 13 plan and payments. If you have any questions, please call Kimberlin Williams at 214-855-9228 or Stacy Lipsey at 214-855-9280 between the hours of 8:30 a.m. and 4:00 p.m. Monday through Friday. Sincerely, Thomas D. Powers State Bar No. 16218700 105 Decker Ct Suite 1150 11th Floor Irving, TX 75062 (214) 855-9200 Fax: (214) 965-0758 cc: Attorney Law Firm

Judge: REVIEW OF REQUEST TO INCUR DEBT (VEHICLES) Case No. Name: 1. Has plan been confirmed? (If not, a motion is required). 2. Date Received Request to Incur Debt: 3. Is the Incur Debt form complete? 4. Debtor and Attomey Declaration Regarding Attorney Fees w/ Request completed and filed? a) Do the fees exceed $200.00? b) Has an Amended Disclosure of Compensation of Attorney filed (Form 2016(b))? 5. Has Amended Schedules I and J been filed with Declaration Form? 6. Previous requests to incur debt while in Chapter 13 (either motion or letter)? 7. Is Debtor current in the plan payments: 8. Any plan delinquency in the last six months? 9. Is Proposed Buyers Contract attached? a) Year, Make, Model of Vehicle listed? b) Does proposed auto loan exceed $22,000? c) Does monthly payment exceed $500? d) Down Payment Amount, if any? e) Amount Financing?: f) Loan Term: g) Does interest rate exceed 21%? h) Are any additional warranties or type of insurance being purchased?: 10. Is this a luxury vehicle? Yes No 11. How many cars in household (per the most recently filed Sched. B): Attorney Use: Request Granted: Request Denied: