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UNITED STATES BANKRUPTCY COURT
Northern District of California
In re:
Bankruptcy No.:
R.S. No.:
Hearing Date:
Debtor(s)
Time:
Relief From Stay Cover Sheet
Instructions: Complete caption and Section A for all motions. Complete Section B for mobile homes, motor vehicles, and personal property.
Complete Section C for real property. Utilize Section C as necessary. If moving party is not a secured creditor, briefly summarize the nature
of the motion in Section D.
Date Petition Filed:
Chapter:
(A)
Prior hearings on this obligation:
Last Day to File §523/§727 Complaints:
(B)
Description of personal property collateral (e.g. 1983 Ford Taurus):
Secured Creditor [ ] or lessor [ ]
Fair market value:
$________________
Source of value:__________________
Contract Balance:
$________________
Pre-Petition Default:
$_______________
Monthly Payment:
$________________
No. of months: ___________
Insurance Advance:
$________________
Post-Petition Default:
$_______________
No. of months: ___________
(C)
Description of real property collateral (e.g. Single family residence, Oakland, CA):
Fair market value: $_______________
Source of value:_______________
If appraisal, date:___________
Moving Party's position (first trust deed, second, abstract, etc.):
Approx. Bal.
$_______________
Pre-Petition Default:
$_______________
As of (date): _______________
No. of months: ____________
Mo. payment:
$_______________
Post-Petition Default:
$_______________
Notice of Default (date): __________
No. of months: ____________
Notice of Trustee's Sale: __________
Advances Senior Liens:
$_______________
Specify name and status of other liens and encumbrances, if known (e.g. trust deeds, tax liens, etc.):
Position
Amount
Mo. Payment
Defaults
st
1
Trust Deed:_____________________
$_______________
$_______________
$_______________
nd
2
Trust Deed: ____________________
$_______________
$_______________
$_______________
_________________________________:
_________________________________:
_________________________________:
(Total)
$_______________
$_______________
$_______________
(D)
Other pertinent information:
Dated:
______________________________________
Signature
______________________________________
Print or Type Name
Attorney for___________________________________
CANB Documents Northern District of California