Attorney or Party Name, Address, Telephone & FAX Numbers, and California State Bar Number FOR COURT USE ONLY G Attorney for: G Individual lessor appearing without counsel (Pro Se Lessor) UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA CHAPTER: In re: CASE NO.: Debtor(s). LESSOR’S OBJECTION TO DEBTOR’S CERTIFICATION AND/OR DEBTOR’S FURTHER CERTIFICATION CONCERNING RESIDENTIAL PROPERTY AND NOTICE OF HEARING (11 U.S.C. § 362 (l)(3)(A)) DATE: TIME: CTRM: FLOOR: ______________________________,(“Lessor”) is the lessor of the residential property commonly known as (“Property”). (Give Full Address of Subject Property) 1. Lessor objects to the following: (Check all that apply) a. “Debtor’s Certification That Circumstances Exist Which Would Allow Cure of Monetary Default Underlying Judgment For Possession of Residential Property and Proof of Deposit” (“Certification”) filed with the petition; 11 U.S.C. § 362 (l)(1)(A)&(B) b. 2. G G “Further Certification of Cure of Monetary Default Underlying Judgment For Possession of Residential Property And Proof of Deposit” (“Further Certification”) filed herein on__________________; 11 U.S.C. § 362 (l)(2) Lessor alleges that the G Certification G Further Certification is incorrect, improper, or ineffective for the following reasons: G continuation page attached. 3. Lessor G has Certification. 4. Lessor G has not filed and served herewith a declaration(s) contesting the facts asserted in the Certification or the Further G has G has not filed and served herewith a memorandum of points and authorities supporting this Objection. (Continued on next page) This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. January 2009 F 4001-1.3 Lessor’s Objection to Debtor’s Certification - Page 2 of In re (SHORT TITLE) CHAPTER: Debtor(s). 5. F 4001-1.3 CASE NO.: Lessor further notifies Debtor and parties in interest that the Lessor has scheduled through the assigned judge’s calendar clerk or, where applicable, the assigned judge’s self-calendaring system, a hearing (within 10 days of the filing and service of this Objection) on Lessor’s objection and the truth of Debtor’s Certification and/or Further Certification, which hearing will be held on _______________________ at _______(am / pm) in courtroom _______ at: 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 Lessor I, _______________________________, am the G lessor, or G an officer, partner, or authorized agent of the lessor. 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 the Lessor or Agent of the Lessor Print Name of the Lessor or Agent of the Lessor Print the Name of the Law Firm Representing the Lessor (if applicable) Signature of the Attorney Representing the Lessor (if applicable) Print the Name of the Attorney Representing the Lessor (if applicable) This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. January 2009 F 4001-1.3 Lessor’s Objection to Debtor’s Certification - Page 3 of In re (SHORT TITLE) F 4001-1.3 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. January 2009 F 4001-1.3 Lessor’s Objection to Debtor’s Certification - Page 4 of In re (SHORT TITLE) F 4001-1.3 CHAPTER: Debtor(s). CASE NO.: ADDITIONAL SERVICE INFORMATION (if needed): This form is optional. It has been approved by the United States Bankruptcy Court for the Central District of California. January 2009 F 4001-1.3