Name, Address and Telephone Number of Attorney(s) or Debtor In Pro Per Attorney for Debtor(s) Debtor In Pro Per (If applicable) Attorney's State Bar I.D. No. UNITED STATES BANKRUPTCY COURT DISTRICT OF Chapter 13 Case No. List all names including trade names, used by Debtor(s) within last 6 years: Debtor Joint Debtor Social Security No. Social Security No. Debtor(s) EIN No. DEBTOR'S CONVERSION OF CHAPTER 13 CASE TO CHAPTER 7, AND PROOF OF SERVICE Debtor hereby converts the above-entitled Chapter 13 case to a case under Chapter 7 of Title 11 of the United States Code, and pursuant to 11 U.S.C. § 1307(a) and Local General Order No. 1, Paragraph 28(B), makes the following representations: The above-entitled case was commenced by the filing of a voluntary petition under Chapter 13 and has not been converted under 11 U.S.C. § 706, 1112, or 1208. The above-entitled case was commenced by the filing of a petition under Chapter under Chapter 13 on . (date) and was converted to a case There is no motion for relief from the automatic stay pending against the debtor and no such motions have been filed in this case; or The following motion for relief from the automatic stay is pending against the debtor or was filed and resolved or dismissed prior hereto: I declare under penalty of perjury that the foregoing is true and correct. Executed this , day of at , (City) Presented by: (State) Debtor Joint Debtor Attorney for Debtor PROOF OF SERVICE I, the undersigned, hereby certify that I served a copy of the foregoing Conversion to Chapter 7 on the Chapter 13 Trustee, all creditors and other parties in interest at the addresses indicated on the attached sheet(s). Executed on at , California. BK-009 2002 © American LegalNet, Inc.