CSD 1032 [11/15/05] Name, Address, Telephone No. & I.D. No. UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West F Street, San Diego, California 92101-6991 In Re BANKRUPTCY NO. Debtor. APPLICATION FOR RELEASE OF RENT DEPOSIT PURSUANT TO 11 U.S.C. § 362(l) I, [Name of Lessor or Agent for the Lessor] of [Lessor’s Mailing Address] [City, State, ZIP Code] am these lessor of residential property occupied by the above named debtor. I am entitled to the funds in the amount of $ deposited by the debtor with the Clerk of the Bankruptcy Court at the time the petition was filed. [If applicable] The undersigned is the lawful agent of the lessor and authorized to execute this application on behalf of the lessor. WHEREFORE, applicant prays that this Court issue an Order directing the Clerk of Court to take the necessary steps to return the tendered money to the lessor. , the lessor or authorized agent for the lessor named in the foregoing I, application, do hereby certify under penalty of perjury that the foregoing is true and correct. DATED: Applicant APPROVED AS TO FORM: Receipt No. dated Financial Administrator, U.S. Bankruptcy Court ORDER IT IS SO ORDERED. DATED: Judge, United States Bankruptcy Court CSD 1032 American LegalNet, Inc. www.USCourtForms.com