UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF CALIFORNIA In re: Chapter Case No. OBJECTION TO CLAIM; NOTICE OF OPPORTUNITY FOR HEARING; CERTIFICATE OF SERVICE CLAIMANT: Debtor(s)/ CLAIM NO: The Debtor(s) [or Trustee] object(s) to the allowance of the claim described as: NAME & ADDRESS OF CLAIMANT (as set forth on Proof of Claim) DOLLAR AMT DATE FILED * * * * The basis for the objection is that the claim: duplicates claim no. filed on by . does not include a copy of the underlying judgment. does not include a copy of the security agreement and evidence of perfection. fails to assert grounds for priority. does not include a copy of the assignment(s) upon which it is based. appears to include interest or charges accrued after the filing of this case on . is not timely filed. . The Objecting Party will ask the Court to enter an Order providing that the claim is: allowed as a secured claim in the amount of: $. allowed as an unsecured claim in the amount of: allowed as a priority claim in the amount of: $. $. disallowed in its entirety . NOTICE IS HEREBY GIVEN, pursuant to of mailing the notice; (2) Any objection or request for a hearing must be accompanied by any declarations or memoranda of law any requesting party wishes to present in support of its position; (3) If there is no timely objection to the requested relief or a request for hearing, the court may enter an order granting the relief by default. (4) In the event of a timely objection or request for hearing, the initiating party will give at least seven days written notice of the hearing to the objecting or requesting party, and to any trustee or committee appointed in the case. Dated: [Attorney for] Objecting Party DEBTOR(S ADDRESS: * * * * * * * Telephone: American LegalNet, Inc. www.FormsWorkFlow.com CERTIFICATE OF SERVICE I am not less than 18 years of age and not a party to the within case. My business address is: . I served this OBJECTION TO CLAIM; NOTICE OF OPPORTUNITY FOR HEARING by first-class United States Mail, postage pre-paid, at , California, on the date noted below and addressed to the Claimant above, and on those listed below. If entitled to notice, the Chapter 13 Trustee will receive such notice upon the electronic filing of this document I declare, under penalty of perjury, that the foregoing is true and correct. Dated: at , California. * * * * * * * * * * * * Rev. /201 American LegalNet, Inc. www.FormsWorkFlow.com