Voluntary Dismissal Authorization

You are completing this form to confirm your decision to proceed with a voluntary dismissal of your bankruptcy case after speaking with our office.

Submitting this form does not immediately dismiss your case. Our office must still prepare and file the appropriate motion, and the court must approve the dismissal if required.

Important Legal Consequences

If your bankruptcy case is dismissed:

•The automatic stay may terminate and no longer protect you
•Creditors may resume collection activity
•Foreclosure, repossession, garnishment, and lawsuits may proceed
•You may still owe your debts
•You may lose protections provided by your bankruptcy case
•Future bankruptcy filings may be affected

You should only complete this form if you fully understand these consequences.

Your Information

Reason for Dismissal *

Best Phone Number *

Best Email Address *

Additional Comments (Optional)

Required Acknowledgments *

You must confirm all of the following:

I confirm that I have already spoken with my attorney or the law firm about dismissing my case.

I understand that my bankruptcy protections may end if my case is dismissed.

I understand that creditors may resume collection activity.

I understand that I may still owe my debts after dismissal.

I understand that submitting this form does not automatically dismiss my case.

I authorize my law firm to proceed with preparing and filing a motion to dismiss my case, if appropriate.

Electronic Signature *

Sign with your finger below

I confirm this is my electronic signature

Certification *

I declare that the information I provided is true and correct to the best of my knowledge. I am voluntarily confirming my decision to proceed with dismissal of my bankruptcy case.

I acknowledge and agree to the certification above

Full Name (Typed) *

Date *

Complete all required fields, acknowledgments, signature, and certification to submit.