UNITED STATES BANKRUPTCY COURT

DISTRICT OF NEW MEXICO

In re

Debtor.	No.

MOTION BY INDIVIDUAL DEBTOR

FOR DETERMINATION THAT DEBTOR IS UNABLE

TO COMPLETE REQUIREMENTS FOR BUDGET AND CREDIT COUNSELING

Pursuant to 11 U.S.C. § 109(h)(4), debtor, (state name of debtor if a joint case)1 asks the Court to determine that the budget and credit counseling requirements of 11 U.S.C. § 109(h)(1) not apply to debtor because of incapacity, disability, or active military duty in a military combat zone.

The specifics of the debtor's situation are as follows:

[describe specifics here]

s/submitted electronically

Typed name of attorney for debtor

Attorney address and telephone number

Notes:

Request for this determination authorized by 11 U.S.C. § 109(h)(4) and NM IBR 1007(b)(3). Filing of request (motion) required by NM IBR 1007(b)(3)(D). Request is required to be filed with petition in accordance with NM IBR 1007(c).

USE OF THIS FORM IS REQUIRED BY OCTOBER 14, 2005, COURT ORDER