UNITED STATES BANKRUPTCY COURT



UNITED STATES BANKRUPTCY COURT

DISTRICT OF VERMONT

In re:

Debtor(s)

Debtor’s Response to Tax Return Initial Request Pursuant to 11. U.S.C. § 521(e)(2)

[Note: Refer to Vt. LBR 4002-2.]

Check One Option That Applies.

[ ] I, _________________________, hereby certify under penalty of perjury that on ____________ (enter date), I complied with the request of _________________________ (name of requesting creditor) by providing a true and correct copy of my most recent federal income tax return to the requesting creditor, or the requesting creditor’s attorney of record, by having the tax return served via _____________________________ (describe method of service (e.g., “by first-class mail, postage prepaid)) to the following address:

|Name: | |

|Mailing Address: | |

|City: | |State: | |ZIP Code: | |

OR

[ ] I, ____________________________, have not complied with the Request of _________________________ (name of requesting creditor), dated ____________ (enter date), for a copy of my most recent federal income tax return because (check all boxes that apply):

[ ] I dispute the requesting creditor’s status as a creditor in my case.

[ ] My failure to provide a copy is due to circumstances beyond my control. (Provide detailed explanation.)

[ ] Other. (Provide detailed explanation.)

I, _____________________________, hereby certify under penalty of perjury that on this date I provided copies of this Response, by _____________________________ (describe method of service (e.g., “ first-class mail, postage prepaid)), to the parties or attorneys of record, as listed below:

[List names and addresses (and/or e-mail addresses, fax numbers) of those served, together with method of service. This Response must also be filed with the Court.]

Dated : _____________________ By: __________________________________

Signature [or /s/ + typed name]

Printed Name

Address, E-Mail Address, Phone Number, Fax Number

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Case No. xx-xxxxx

Chapter xx

VTB Form L-2

03/2008

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