Ch 12 Certification of Debtor Information Regarding Request for Hardship Discharge {4004-4d}

Local Form 4004-4(d) - CERTIFICATION OF DEBTOR(S) INFORMATIONREGARDING REQUEST FOR HARDSHIP DISCHARGE (CHAPTER 12). This Eastern District of Kentucky form is used when a debtor in Chapter 12 bankruptcy seeks a hardship discharge under 11 U.S.C. § 1228(b). This certification affirms that all statutory requirements have been met, including payment of all domestic support obligations due prior to the certification date and confirmation that the provisions of 11 U.S.C. § 522(q)(1) do not apply. The debtor must declare that no disqualifying proceedings are pending and formally request entry of a hardship discharge. This form is signed under penalty of perjury by the debtor, and by the joint debtor if applicable. www.FormsWorkflow.com