Local Bankruptcy Form 202.3 Movant's Non-Contested Certificate [Caption as in Bankruptcy Official Form No. 16B] Certificate of Non-Contested Matter and Request for Entry of Order On , Bankruptcy Rule 202 or 401 entitled the Court: , Movant, filed a motion or application pursuant to Local . Movant hereby represents and shows 1. Service of the motion/application was timely made on all interested parties pursuant to L.B.R. 913 as is shown on the affidavit of service previously filed with the motion/application, a copy of which is attached herewith. 2. Service of the notice was timely made on all creditors pursuant to L.B.R. 202(b) or 401(a)(3), whichever applies, (or in the manner permitted by an order of the Court, a copy of which is attached) as is shown on the certificate of service previously filed with the notice, a copy of which is attached herewith. 3. (If this motion/application has been filed pursuant to L.B.R. 401) A hearing on said motion/application was scheduled for . 4. (If this motion/application has been filed pursuant to L.B.R. 401 in a Chapter 13 case) No order confirming the debtor's Chapter 13 plan has been entered. 5. No objections to or requests for hearing on the motion/application were received by the undersigned. WHEREFORE, Movant prays that the Court forthwith enter an order, a form of which is submitted herewith, granting the requested relief. Dated: Signature of Attorney for Movant Court Use Only: The undersigned deputy clerk certifies that on the date inscribed below, a check of the electronic entries on record in this matter confirms that no objections to or requests for hearing on this motion have been entered. Dated: Signature of Deputy Clerk American LegalNet, Inc. www.USCourtForms.com