UNITED STATES BANKRUPTCY COURT Northern District of California In re: Bankruptcy No.: R.S. No.: Hearing Date: Time: Debtor(s) 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. (A) Date Petition Filed: Prior hearings on this obligation: Chapter: 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: $________________ Contract Balance: $________________ Monthly Payment: $________________ Insurance Advance: $________________ Source of value:__________________ Pre-Petition Default: $_______________ No. of months: ___________ 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. $_______________ As of (date): _______________ Mo. payment: $_______________ Notice of Default (date): __________ Notice of Trustee's Sale: __________ Pre-Petition Default: $_______________ No. of months: ____________ Post-Petition Default: $_______________ No. of months: ____________ Advances Senior Liens: $_______________ Specify name and status of other liens and encumbrances, if known (e.g. trust deeds, tax liens, etc.): Position 1st Trust Deed:_____________________ 2nd Trust Deed: ____________________ _________________________________: _________________________________: _________________________________: (Total) (D) Other pertinent information: Amount $_______________ $_______________ Mo. Payment $_______________ $_______________ Defaults $_______________ $_______________ $_______________ $_______________ $_______________ Dated: ______________________________________ Signature ______________________________________ Print or Type Name Attorney for___________________________________ CANB Documents Northern District of California American LegalNet, Inc. www.FormsWorkFlow.com