Ch. 7/13 Motion For Relief From Debtor / Chapter 13 Codedebtor Stay Form Page 4
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47. Documents:
If creditor claims to be secured in ¶3.b. above creditor has attached to and filed with this motion a copy of the
documents creating and perfecting the security interest, if not previously attached to a proof of claim.
If this case is a Chapter 13 case and the collateral as to which creditor seeks stay relief is real property, creditor
has attached to and filed with this motion a postpetition payment history current to a date not more than 30 days before
this motion is filed, showing for each payment the amount due, the date the payment was received, the amount of the
payment, and how creditor applied the payment.
RESPONDENT requests creditor provide Respondent with the following document(s), if any marked, which are pertinent
to this response:
Postpetition payment history if not required above.
Documents establishing that creditor owns the debt described in ¶1 or is otherwise a proper party to bring this motion.
Other document(s) (specific description):
CREDITOR/ATTORNEY
RESPONDENT DEBTOR/ATTORNEY (by signing, the
respondent also certifies that [s]he has not altered the
information completed by creditor)
Signature:__________________________________
Signature:__________________________________
Name:________________________________________
Name:________________________________________
Address:________________________________________
Address:________________________________________
_______________________________________________
_______________________________________________
Email Address:__________________________________
Email Address:__________________________________
Phone No:______________________________________
Phone No:______________________________________
OSB#:_________________________________________
OSB#:_________________________________________
RESPONDENT CODEBTOR/ATTORNEY (by signing,
the respondent also certifies that [s]he has not altered
the information completed by creditor)
Signature:__________________________________
Name:________________________________________
Address:________________________________________
_______________________________________________
Email Address:__________________________________
Phone No:______________________________________
OSB#:_________________________________________
YOU ARE HEREBY NOTIFIED THAT THE CREDITOR IS ATTEMPTING TO COLLECT A DEBT AND ANY INFORMATION
OBTAINED WILL BE USED FOR THAT PURPOSE.
720.80 (12/1/14)
Page 4 of 4
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