(Attorney Name) (Firm Name) (Address) (City, State, Zip) Telephone: (Telephone Number) Fax: (Fax Number) Email: (Email Address) Attorney for: (Client Name) UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF ALASKA In re: (Debtor's Name) and (Joint Debtor's Name), Debtor(s). (Creditor Name) (362(a) / 1201 / 1301) 1. AK LBF 1 [11/15] Case No. (Case Number) Chapter (Chapter Number) MOTION FOR RELIEF FROM STAY moves for relief from the automatic stay imposed by 11 USC § and respectfully represents: (Chapter Number) of the The debtor(s) filed a petition in this court under chapter (Date) . Bankruptcy Code on 2. Creditor is the holder of a secured claim against the debtor, and pursuant to Alaska LBR 4001-1, said creditor provides the following information: (a) The present balance owing to creditor, excluding any pre-computed interest or other unearned charges is: $ (Amount) , consisting of: Principal $ (Amount) Interest $ (Amount) Attorney's Fees/Costs $ (Amount) Penalties/Late Charges $ (Amount) Other $ (Amount) . (b) The date upon which the subject debt was incurred was (Date) . (c) Creditor holds a security interest or lien upon the following described property of the debtor(s): (Property Description) . (d) The nature of creditor's security interest or lien, the date upon which the security interest or lien was obtained, and the date upon which the security interest or lien was perfected are as follows: 1 American LegalNet, Inc. www.FormsWorkFlow.com Nature of Lien: Date Obtained: Date Perfected: (Nature) (Date) (Date) . . . Creditor has attached copies of all security agreements, financing statements, titles and other perfection documents necessary to prove the validity of its security interest or lien to its Proof of Claim or, alternatively, to this request. (e) A description of creditor's collateral, including its location, is: . (Description) (Amount) ; as (f) The fair market value of creditor's collateral is: $ determined by the following source or means: (Source) . (g) A description of, and the amounts believed due upon, any other known security interest or lien is as follows: (Description) . (h) If the debtor is in default, the number of defaulted installments and the total sums in default are as follows: (Number and Amount) . (i) This request is made under and pursuant to the following subsection(s) of § 362 of the Bankruptcy Code and the following additional authority, if any: (Description) . (j) Other facts that are relevant in determining whether relief from stay should be granted are as follows: (Description) . Dated: (Date) (Firm Name) Attorney for (Client Name) By: _________________________________ (Attorney Name) 2 American LegalNet, Inc. www.FormsWorkFlow.com