Debtor Education Certificate Filing Worksheet (Form 423 abrogated 12/01/2024)
Worksheet only. Form 423 was abrogated 12/01/2024. File the provider’s Certificate of Debtor Education (or any court-approved replacement) to obtain discharge in Chapters 7 and 13 and most individual Chapter 11/12 cases. Use this to collect data for the certificate filing.
United States Bankruptcy Court
District of [District]
In re: [Debtor Name(s)]
Case No.: [ ]
Chapter: [7/11/12/13]
Check if joint case: [ ]
Course Completion
- I/we completed an approved postpetition personal financial management course.
- Provider name: [ ]
- Provider address/phone/website: [ ]
- Provider approval number (if applicable): [ ]
- Date completed: Debtor 1 [MM/DD/YYYY]; Debtor 2 (if joint) [MM/DD/YYYY]
- Course format: [ ] In-person [ ] Telephone/Teleconference [ ] Internet/On-demand
- Certificate number(s) (if issued): Debtor 1 [ ] Debtor 2 [ ]
Waiver (requires motion and court order)
- If seeking a waiver, file a motion; checking a box alone is insufficient. Basis (if applicable):
- [ ] Incapacity (as defined in instructions)
- [ ] Disability (as defined in instructions)
- [ ] Active military duty in a combat zone
- [ ] Residence — approved course is not reasonably available
- Brief statement of circumstances: [ ]
Signature
I certify under penalty of perjury that the information provided is true and correct.
Debtor 1 Signature: __________________________ Date: __________
Debtor 2 Signature (if joint): __________________________ Date: __________
Attorney (if any)
Name/Bar #: [ ]
Firm/Address: [ ]
Phone/Email: [ ]
Signature: __________________________ Date: __________