OFFICE OF THE STANDING CHAPTER 13 TRUSTEE

OFFICE OF THE STANDING CHAPTER 13 TRUSTEE

Erik D. Collazo, Esq.

David A. Martin, Esq. Counsel

ALBERT RUSSO

STANDING CHAPTER 13 TRUSTEE 1 AAA Drive ? Suite 101

Robbinsville, NJ 08691-1803 Voice 609-587-6888 Fax 609-587-9676

Mailing Address: CN 4853

Trenton, NJ 08650

APPLICATION FOR VEHICLE FINANCING DURING CHAPTER 13 PLAN

1. Print & complete OR complete this form in your browser, the click the button to print it 2. BOTH DEBTORS in a joint case must sign, even if only one is financing 3. PROVIDE A COPY OF THE FINANCE AGREEMENT 4. Fax completed, signed form and finance agreement to: 609-587-9676

5. The Trustee's letter will be mailed to the debtor and counsel. If you request a copy by fax,

please provide the fax number here: _____________________________________________

Chapter 13 Case Number: _________________

Debtor Name: _______________________________ Co-Debtor Name:_____________________________ 1. Vehicle Type (make and model) ______________________ Year (4 digits) ________ Mileage ___________

2. Warranty? NO

Type of Warranty: ________________________________________

3. Purchase Price: _______________

4. Monthly Payment: _______________

5. Terms of Financing: __________ Months

6. Interest Rate: __________

7. Total Amount to be borrowed: _______________

8. Total Finance Charges: _______________

9. Credit, Life or Disability Insurance? NO

Type of Insurance: ________________________

10. Is a vehicle presently being paid OUTSIDE of the Chapter 13 Plan? NO

Type of Vehicle and Amount? ________________________________________

11. Is a vehicle presently being paid THROUGH the Chapter 13 Plan? NO Type of Vehicle and Amount? ________________________________________

The undersigned hereby applies for permission to obtain consumer credit during the pendency of his/her Chapter 13 Case in order to purchase the vehicle described above which is necessary for his/her performance under the confirmed plan. I certify that the information provided is true and accurate. I understand that I am under no obligation to purchase a vehicle on credit; however, I am unable to obtain a vehicle otherwise. Further, I understand that the approval of this transaction by the Standing Chapter 13 Trustee is neither a recommendation nor an endorsement of the specific vehicle being purchased and the credit terms presented and I/we assume all risks involved.

I authorize the Standing Chapter 13 Trustee to provide written information in regards to this application and my Chapter 13 Case to the dealer/lender.

DATED: _______________

DEBTOR SIGNATURE: _____________________________

CO-DEBTOR SIGNATURE: __________________________

The application will be reviewed and either an approval letter or a denial letter will be issued in approximately five (5) business days.

After completing the form, click here to print.

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