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Reaffirmation Agreement Coversheet For Debtors With No Attorney 718 - Oregon
| Reaffirmation Agreement Coversheet For Debtors With No Attorney Form. This is a Oregon form and can be used in Bankruptcy Court Federal . |
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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) Case No. ) ) REAFFIRMATION AGREEMENT ) COVERSHEET FOR DEBTOR(S) ) WITH NO ATTORNEY ) ) [NOTE : YOU MUST FULLY COMP LETE ALL BLANKS ) ON THIS FORM AND ATTACH COPIES ) OF ALL DOCUMENTS REQUIRED BELOW. ) ) IF DOCUMENTS ARE DEF ICIENT IN ANY ) WAY, THEY WILL BE RETURNED AND WILL Debtor(s) ) NOT BE CONSIDERED BY THE COURT!] CREDITOR NAME: CREDITOR ADDRESS: PROPOSED: PRINCIPAL: $ INTERES T RATE: % per annum PAYMENT: $ monthlySUMM ARY OF TERM S OF NEW AGREEMEN T: ORIGINAL DEFAULT PROVISIONS ARE ON PAGE(S) OF THE ATTACHED ORIGINAL AGREEMENT. DESCRIPTION OF SECURITY: (If none, so indicate) PRESENT MARKET VALUE OF SECURITY: $ TOTAL MONTHLY INCOME LISTED ON SCHEDULE I: $ TOTAL MONTHLY EXPENSES LISTED ON SCHEDULE J: $ I, THE UNDERSIGNED, CERT IFY EACH OF THE FOL LO WING UNDER PENALT Y OF PERJ URY THA T: (1) BOTH the original reaffirmation agreement AND a copy of the original written agreement between the debtor and creditor which created the debt and any security interest, and any documents incorporated by reference therein, ARE ATTA CHED to this LBF #718; (2) the reaffirmation agreement controls if there are any discrepancies between it and this LBF #718; AND (3) all of the aboveinformation is true and correct. N Signature Print/Type Name & Signers Relation to Case OSB# (if atty.) TO BE COMPLETED BY CREDI TOR : The original agreement WAS WAS NOT in default as of the date of the new agreement; and the new agreement DOES DOES NOT waive the default. N Date: Creditor Title: <<<<<<<<<********>>>>>>>>>>>>> 2718 (10/1/01)
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