Name: _________________________________ 
Address:  _______________________________
_______________________________________ 
_______________________________________ 
Phone number: __________________________ 
Self-Represented

United States Bankruptcy Court
Eastern District of California

In re: _________________________________,
Debtor(s)  
Address:  ___________________________ 
___________________________________ 
___________________________________ 
____________________________________
Last four digits of Social Security or Taxpayer Identification (TIN) No(s). ______________
Employer’s Tax Identification (EIN) 
No(s). (if any): ________________________	)
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Ex-Parte Application for the Court to Enter an Order of Discharge Under 11 U.S.C. § 727	

To the Honorable _______________________________________:
Debtor/Applicant _______________________________________ hereby applies to have an Order of Discharge entered in this case. In support of this application the Debtor affirms:
1.	On (date) ______________, Applicant filed a Petition for Relief under Chapter 7 of Title 11 of the United States Code, and on (date) ______________, said case was closed without an Order of Discharge under 11 U.S.C. § 727.
2.	The reason given for the Court’s denial of discharge was that the Court failed to timely receive Official Form 23, proof that personal financial management counseling under 11 U.S.C. § 111 was received.
3.	Applicant sought and obtained an Order to Reopen this case in order to refile Official Form 23 and move the Court to enter a discharge under 11 U.S.C. § 727.
4.	On (date) ______________, Applicant filed Official Form 23 with the court clerk.
5.	Wherefore, Applicant prays that the Honorable Court enter an Order of Discharge in this case under 11 U.S.C. § 727. 
Dated: ______________,

____________________________________
Signature 

_____________________________________ 
Printed name

Name: _________________________________ 
Address:  _______________________________
_______________________________________ 
_______________________________________ 
Phone number: __________________________ 
Self-Represented

United States Bankruptcy Court
Eastern District of California

In re: _________________________________,
Debtor(s)  
Address:  ___________________________ 
___________________________________ 
___________________________________ 
____________________________________
Last four digits of Social Security or Taxpayer Identification (TIN) No(s). ______________
Employer’s Tax Identification (EIN) 
No(s). (if any): ________________________	)
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Proof of Service by Mail	

To I,  _______________________________________ , declare that I am a resident of or employed in the County of  _______________________________________ , in the State of California. My residence/business address is  ________________________________________________________. On (date) ______________,  I served the Ex-Parte Application for the Court to Enter an Order of Discharge under 11 U.S.C. § 727, on the following parties by placing true and correct copies thereof in a sealed envelope with postage thereon fully prepaid in the United States Mail at (city and state): ________________________________________________________ addressed as follows:
_______________________________________, Chapter 7 Trustee
_______________________________________ 
 _______________________________________
Office of the US Trustee 
501 I Street, Suite 7-500 
Sacramento CA 95814 

I declare under penalty of perjury that the foregoing is true and correct, and that this declaration was executed on
Date: ______________ , at (location) _______________________________________.

 ____________________________________
Signature 

_____________________________________ 
Printed name

Name:  _________________________________ 
Address:  _______________________________
_______________________________________ 
_______________________________________ 
Phone number:  __________________________ 
Self-Represented

United States Bankruptcy Court
Eastern District of California

In re: _________________________________,
Debtor(s)  
Address:  ___________________________ 
___________________________________ 
___________________________________ 
____________________________________
Last four digits of Social Security or Taxpayer Identification (TIN) No(s). ______________
Employer’s Tax Identification (EIN) 
No(s). (if any): ________________________	)
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Order  to Grant Request for Discharge Under 11 U.S.C. § 727	

Based on Debtor/Applicant’s Ex-Parte Application for the Court to Enter an Order of Discharge, it is hereby ordered that a discharge be entered under 11 U.S.C. § 727 in Case No.: ___________________________. 
Dated: _________________

____________________________________
U.S. Bankruptcy Judge