date] at [O.R. Book xxx, Page xxx or Document No. xx], of the [Public Records of [County,
State] or the Florida Department of State Judgment Lien Registry].
3.
The Lien impairs the following property, which is otherwise exempt under 11
U.S.C. § 522(f):
[Describe property, including legal description and street address of real
property and VIN number of vehicle]
WHEREFORE, the Debtor respectfully requests that the Court enter an order avoiding
the Lien and for such other and further relief as the Court deems appropriate.