UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1(b) In Re: Case No: Chapter: Hearing Date: Judge: ________________ 13 ________________ ________________ CHAPTER 13 ORDER AUTHORIZING CANCELLATION, VOIDING AND/OR DISCHARGE OF RECORD OF: MORTGAGE LIEN OTHER (specify) ______________________ Recommended Local Form: Followed Modified The relief set forth on the following page is hereby ORDERED. NOTE TO RECORDING OFFICER: THIS ORDER MUST BE CERTIFIED BY THE BANKRUPTCY COURT WITH THE APPROPRIATE SEAL BEFORE IT MAY BE RECORDED. American LegalNet, Inc. www.FormsWorkFlow.com The following matters are determined and hereby ORDERED: 1. The debtor(s) has successfully completed a Chapter 13 Plan, which provides for the discharge and cancellation of record of the Mortgage/Lien referenced below. 2. The debtor(s) is entitled to have the Mortgage/Lien referenced below discharged and cancelled of record. 3. Description of Real Property: Location (Street Address) __________________________________________________ __________________________________________________ 4. Description of Mortgage/Judgment Lien: a. Original Mortgagee/Lienholder: _______________________________________ b. Current Assignee: ___________________________________________________ c. Current Servicer: ___________________________________________________ d. Date of Mortgage/Lien: ______________________________________________ e. Date of Recordation: ________________________________________________ f. Place of Recordation: ________________________________________________ i. Mortgage Book: ________________________________ ii. Page: _________________________________________ g. Original Principal Balance of Mortgage/Lien: $ ___________________________ 5. The Mortgage/Lien referenced in this Order is hereby cancelled, voided, and/or discharged of record. 6. A certified or exemplified copy of this Order shall be recorded by the Clerk or Register of Deeds with whom the original mortgage or lien was recorded. Rev.8/1/15 2 American LegalNet, Inc. www.FormsWorkFlow.com