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OR MAIL IT TO THE ADDRESS LISTED BELOW WITH THE DOCUMENTS REQUESTED.
OFFICE OF THE STANDING CHAPTER 13 TRUSTEE


Howard Schmidt
Erik D. Collazo
Counsel

 ALBERT RUSSO
Standing Chapter 13 Trustee
1 AAA Drive • Suite 101
Robbinsville, New Jersey 08691


Mailing Address:
CN 4853
Trenton, NJ 08650

Payments Only:
PO Box 933
Memphis, TN 38101-0933
APPLICATION FOR VEHICLE FINANCING
DURING CHAPTER 13 PLAN
     
PLEASE ATTACH A COPY OF THE SALE CONTRACT AND LOAN AGREEMENT ALONG WITH THE NAME, ADDRESS, TELEPHONE AND FAX NUMBERS OF THE DEALER OR LENDER.
1. Vehicle Type: ____________________ Year _______________ Mileage _______________
2. Warranty:      YES       NO    Type:__________
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?     YES   NO     Type:______________________
10. Is a vehicle presently being paid OUTSIDE of the Chapter 13 Plan?      YES    NO
Type of Vehicle and Amount: ___________________________________________________
11. Is a vehicle presently being paid THROUGH the Chapter 13 Plan?     YES      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: _________________________________________________
Case No. _________________ Joint Debtor Signature: _____________________________________________