COURT COUNTY .OF. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... .. : : Plaintiff(s) : Index No. Calendar No. JUDICIAL SUBPOENA UNITED STATES BANKRUPTCY COURT -against: NORTHERN DISTRICT OF CALIFORNIA In re: Chapter 13 : Case No. : R.S. No. DEBTOR(S)' REQUEST FOR HEARING RE MOTION FOR Defendant(s) FROM STAY WITH CERTIFICATE OF NOTIFICATION RELIEF : Vehicle Description: Secured Creditor/Lessor: ...................................................... Debtor(s) ___________________________________________/ The Debtor(s) requests a hearing regarding the creditor's Motion for Relief from Stay, for the following reasons: ____ TO creditor's secured interest is adequately protected because insurance for collision and comprehensive The damage covers the vehicle. A copy of the insurance binder, if available, is attached. Insurance Company: Name & Telephone Number of Insurance Agent: GREETINGS: Insurance Policy No.: ____ The creditor's interest is not at risk because: THE PEOPLE OF THE STATE OF NEW YORK WE COMMAND YOU, that all business and excuses being laid aside, you and each of you attend before , the Honorable at the Court located at County of in room , on the day of , 20 , at o'clock in the noon, and at any recessed or adjourned date, to testify and give evidence as a witness in this action on the part of the Other justification for hearing: ____ Your failure to comply with this subpoena is punishable as a contempt of court and will make you liable to the party on whose behalf this subpoena was issued for a maximum penalty of $50 and all damages sustained as a Dated:______________________ ___________________________________________________ result of your failure to comply. Debtor(s) or Attorney for Debtor(s) CERTIFICATE OF NOTIFICATION BY TELEPHONE OR FACSIMILE Witness, Honorable , one of the Justices of the I am not less than 18 years of age and not a party to the within case. My business address is: Court in County, day of , 20 ______________________________________________________________________________________. I informed the creditor's attorney or a staff member of the DEBTOR(S)' REQUEST FOR HEARING by ____ telephone on _______________________ at ______ .m. to telephone no. (_______)______________________ ____ facsimile on _______________________ at ______.m. to facsimile no. (_______)______________________ (Attorney must sign above and type name below) I declare under penalty of perjury that the foregoing is true and correct. Dated:_____________________ ____________________________________________________ CERTIFICATE OF SERVICE BY MAIL for Attorney(s) I am not less than 18 years of age and not a party to the within case. My business address is _________________________________________________. I served this DEBTOR(S)' REQUEST FOR HEARING by first-class United States mail, postage pre-paid, at ________________________________ on the date noted below and addressed to the creditor's attorney and the Chapter 13 trustee as listed below. I declare under penalty of perjury that the Office and P.O. Address foregoing is true and correct. Dated:_____________________ * * * * rev.6/04 * * * * ___________________________________________________ Telephone No.: Facsimile No.: E-Mail Address: Mobile Tel. No.: American LegalNet, Inc. www.USCourtForms.com