UNITED STATES BANKRUPTCY COURT

WESTERN DISTRICT OF MISSOURI

IN RE: Enter debtor(s) name	)

)

)

Debtor(s)	)	Case No. Enter Case No.

DEBTOR[S’] VERIFIED MOTION TO EXTEND [OR IMPOSE] AUTOMATIC STAY

Debtor(s) move(s) the Court for an order extending [or imposing] the automatic stay, pursuant to 11 U.S.C. § 362(c)(3) [or (4)], and state and allege:

Debtor(s) filed this bankruptcy case on Enter filing date.

Most recently filed prior case: The Debtor(s) previously filed a Chapter Select chapter bankruptcy, Case No. Enter Case No., on Enter filing date [if not filed in the W.D. of MO, add: in	District].

The most recently filed prior case was dismissed on Enter dismissal date for (check all that apply):

☐ failure to commence making plan payments.

☐ failure to make plan payments.

☐ failure to file a plan.

☐ failure to confirm a plan.

☐ failure to file other required documents (list): List documents

☐ Other (explain): Provide explanation

History of other filed bankruptcy cases:

☐ Besides the most recently filed prior case, the Debtor(s) had no other pending bankruptcy cases in the preceding one-year period; or

☐ The Debtor(s) had prior cases pending within the preceding one-year period and that were dismissed as follows: [add case number, district, date filed, and why the case was dismissed]:

Provide explanation; and/or

☐ Other relevant history of prior cases filed by the Debtor(s) before the preceding one-year period: Provide explanation

Comparison of financial information in this case vs. the mostly recently filed previous case [use the most recent amended Schedules I/J from the prior case]:

Financial Information	Current Case	Prior Case No. Enter Case No.	Prior Case No. Enter Case No.
Schedule I Net income (line 12)
Schedule J Monthly Expenses (line 22c)
Monthly Net Income (line 23c)
Plan Payment
Wage Order (yes or no)	Yes or No	Yes or No	Yes or No

Debtor(s) did or did not have any prior case(s) dismissed in the past year for any of the following reasons:

☐	Failure to file or amend other required documents without substantial excuse.

☐	Failure to provide adequate protection as ordered by the Court.

☐	Failure to perform the terms of a plan confirmed by the Court.

[If yes, explain: Provide explanation]

Debtor(s) did or did not have any motions for relief filed by creditor(s) that were pending or had been resolved by terminating, conditioning, or limiting the stay as to actions by such creditor(s).

[If so, list creditor(s), the status of any motions for relief, and any explanation here: Provide explanation

[If seeking to extend the stay]: The automatic stay will terminate on [insert date]	without further order of the Court.

Explanation of how the Debtor(s)’ circumstances have substantially changed so that the reason for dismissal in the most recent prior case is not likely to recur (provide details): Provide explanation

Based on the foregoing, the Debtor(s) did or did not demonstrated by clear and convincing evidence that the current case is filed in good faith. The Debtor[s’] circumstances have substantially changed so that the reason for dismissal in the prior case is not likely to recur and this case can be completed.

I/We, Enter declarant(s) name hereby declare that I/We am/are familiar with the Debtor[s’] case, including the reasons for dismissal in the prior case. I/We rebut any presumption under § 362(c)(3)(C) [or § 362(c)(4)(D)]. I/We declare under penalty of perjury that the foregoing is true and correct.

Signature of Debtor	Dated	Signature of Joint Debtor	Dated

Wherefore, Debtor(s) request[s] the Court to enter an order extending [or imposing] the automatic stay as to all creditors until it would terminate under 11 U.S.C. §§ 362(c)(1) or (c)(2), or until further order of the Court, and for such further relief as the Court deems just and appropriate.

Date: Enter date	Attorney signature block