UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: CASE NO. Debtor(s) _______________________________________ MOTION TO AVOID LIEN Debtor, by counsel, hereby moves the Court pursuant to Section 522(f) of the Bankruptcy Code to avoid the lien on the following described property: In support of said Motion, Debtor states: 1. , a creditor, filed a lien in the Office of the Clerk of , Book , Page A copy of the lien is attached. The amount of the claim which the lien secures is $ The above mentioned lien is a lien. . 2. 3. 4. Debtor submits the following information on the value of the property: A). B). C). Fair Market Value: $ Value listed in Schedules: $ Value according to records of County Property Valuation Administration: $ Local Form I American LegalNet, Inc. www.FormsWorkFlow.com D). E). F). G). 5. 6. 7. Purchase Price: $ Date of Purchase: Appraised Value (if recently appraised): $ Senior mortgages or liens on the property: The trustee has/has not abandoned the property. The debtor does/does not claim an exemption of $ in said property. The lien held by the creditor impairs the exemption of the debtor in the property described in the motion. WHEREFORE, the debtor moves the Court to order the lien void and for such other relief as may be entitled. *Any objections to this Motion must be filed within 14 days of the Certificate of Service date below. Should no objection be received, an Order approving this Motion to Avoid Lien may be entered. Attorney for Debtor(s) Address Phone Number CERTIFICATE OF SERVICE I certify that a copy of this Motion was served by first class mail upon, this day of , 20 . Attorney for Debtor(s) Local Form I American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF KENTUCKY IN RE: ) ) ) ) Debtor(s) ) _____________________________________________ ) CASE NO. ORDER Notice having been given and no objections having been filed to the Motion to Avoid Lien; IT IS HEREBY ORDERED that the lien of in the following described property is AVOIDED. The County Court Clerk shall make a notation indicating that the lien in Lien/Encumbrance Book , Page , has been released by this Court Order of the United States Bankruptcy Court for the Western District of Kentucky. Tendered by: Local Form I American LegalNet, Inc. www.FormsWorkFlow.com