Ch. 7/13 Motion For Relief From Debtor / Chapter 13 Codedebtor Stay Form
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4UNITED STATES BANKRUPTCY COURT
DISTRICT OF OREGON
In re
) Case No.__________________
)
) (CHECK ALL APPLICABLE BOXES)
)
Ch. 7/13 Motion for Relief from
)
DEBTOR
Chapter 13 CODEBTOR Stay
)
Filed by Creditor:
)
_____________________________________
)
Response to Stay Motion filed by Respondent:
Debtor(s)
)
_____________________________________
1. Debt, Default, Other Encumbrances, Description and Value of Collateral (To be completed by creditor)
a. Description of collateral (car model, year, VIN, property address):
b. Amount of debt: $______________ consisting of principal: $______________; interest: $______________; other:
c. Description, amount and priority of other encumbrances on collateral. If not known, include applicable information from
debtor’s schedules if available on PACER:
Total debt secured by collateral (total 1.b. + 1.c.): $______________.
d. Value of collateral: $______________.
Equity in collateral: $______________, after deducting $______________ liquidation costs.
e. Current monthly payment: $______________.
f. If Chapter 13:
(1) $______________ postpetition default consisting of (e.g., $____ payments, $____ late charges, $____ fees):
(2) $______________ prepetition default consisting of
amounts specified in proof of claim, or,
consisting of:
g. If Chapter 7, total amount of default $______________.
RESPONSE (Identify specific items disputed and specify what you contend are the pertinent facts including why there is a
postpetition default, if applicable) (to be completed by respondent):
720.80 (12/1/14)
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