Attorney or Party Name, Address, Telephone & FAX Numbers, and California State Bar Number FOR COURT USE ONLY G Attorney for: G Individual debtor appearing without counsel (Pro Se Debtor) UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA CHAPTER: In re: CASE NO.: Debtor(s). DEBTOR’S OBJECTION TO LESSOR’S CERTIFICATION AND NOTICE OF HEARING (11 U.S.C. § 362(m)(2)(A) and (B)) DATE: TIME: CTRM: FLOOR: NOTE: THIS OBJECTION MUST BE FILED WITHIN 15 DAYS OF LESSOR’S CERTIFICATION. 1. In response to “Lessor’s Certification of (1) Prepetition Eviction Action Seeking Possession of Residential Property Based on Debtor’s Prepetition Endangerment of Property or Illegal Use of a Controlled Substance or (2) Endangerment of the Property or Illegal Use of a Controlled Substance within the Last 30 Days” filed herein on__________________ (“Lessor’s Certification”), concerning the residential property commonly known as , the Debtor objects and declares: (Check all that apply) (Complete Address) a. G The Lessor’s Certification is false in the following respects: G continuation page(s) attached. b. G The Lessor’s Certification lacks legal sufficiency in the following respects: G continuation page(s) attached. c. G The conditions described in the Lessor’s Certification have been remedied, as follows: G continuation (s) page attached. 2. Supporting declaration(s) G are G are not attached hereto and incorporated herein. 3. A memorandum of points and authorities supporting this Objection G is G is not attached hereto and incorporated herein. (Continued on next page) This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. December 2009 F 4001-1.5 Debtor’s Objection to Lessor’s Certification & Notice of Hearing - Page 2 of In re (SHORT TITLE) CHAPTER: Debtor(s). 4. F 4001-1.5 CASE NO.: Debtor requests that the truth or falsity of the Lessor’s certification, and/or the sufficiency of the remedial action by Debtor described above within the meaning of 11 U.S.C. § 362 (m)(2)(C), be determined within 10 days of the filing of this Objection, and Debtor has obtained from the Court through the assigned judge’s calendar clerk, or where applicable, the assigned judge’s self-calendering system the date of ____________________ at ___________ (am / pm) which is within that 10 day period. Hearing Location: G G G 255 East Temple Street, Los Angeles 21041 Burbank Boulevard, Woodland Hills G G 411 West Fourth Street, Santa Ana 1415 State Street, Santa Barbara 3420 Twelfth Street, Riverside Declaration of Debtor I, _______________________________, am the debtor in these proceedings. I declare under penalty of perjury that I have read the foregoing, including all continuation pages, and that all statements therein are true and correct. Executed this _________________ day of ____________________, _______________ at _____________________________. (Month) (Year) ________________________________________________________ Signature of Debtor _________________________________________________________ Print Name of Debtor _________________________________________________________ Print the Name of the Law Firm Representing the Debtor (if applicable) _________________________________________________________ Signature of the Attorney Representing the Debtor (if applicable) _________________________________________________________ Print the Name of the Attorney Representing the Debtor (if applicable) This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. December 2009 F 4001-1.5 Debtor’s Objection to Lessor’s Certification & Notice of Hearing - Page 3 of In re (SHORT TITLE) F 4001-1.5 CHAPTER: Debtor(s). CASE NO.: NOTE: When using this form to indicate service of a proposed order, DO NOT list any person or entity in Category I. Proposed orders do not generate an NEF because only orders that have been entered are placed on a CM/ECF docket. PROOF OF SERVICE OF DOCUMENT I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is: A true and correct copy of the foregoing document described as will be served or was served (a) on the judge in chambers in the form and manner required by LBR 5005-2(d), and (b) in the manner indicated below: I. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (“NEF”) - Pursuant to controlling General Order(s) and Local Bankruptcy Rule(s) (“LBR”), the foregoing document will be served by the court via NEF and hyperlink to the document. On ________________________ I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined that the following person(s) are on the Electronic Mail Notice List to receive NEF transmission at the email addressed indicated below: G Service information continued on attached page II. SERVED BY U.S. MAIL OR OVERNIGHT MAIL (indicate method for each person or entity served): On _________________________ I served the following person(s) and/or entity(ies) at the last known address(es) in this bankruptcy case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United States Mail, first class, postage prepaid, and/or with an overnight mail service addressed as follow. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. G Service information continued on attached page III. SERVED BY PERSONAL DELIVERY, FACSIMILE TRANSMISSION OR EMAIL (indicate method for each person or entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on _______________________ I served the following person(s) and/or entity(ies) by personal delivery, or (for those who consented in writing to such service method) by facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. G Service information continued on attached page I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. _________________________________________________________ Date Type Name _____________________________________ Signature This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. December 2009 F 4001-1.5