(LM:16B Adj. Req. 02/01/2017) United States Bankruptcy Court Northern District of New York (Utica Division) Adjournment Request/Withdrawal/Settlement Notification of Loss Mitigation Status Conferences; Related Motions for Relief from Stay, Confirmation Hearings, and/or Motions to Dismiss ONLY Case Name: Case No.: Adjournment Request: Loss Mitigation Request at Docket No.: Adjournment Request: Related Motion for Relief from Stay at Docket No.: Adjournment Request: Confirmation Hearing at Docket No.: Adjournment Request: Trustee222s Motion to Dismiss at Docket No.: Reason for Adjournment Request: Parties are still exchanging documents and explanatory Status Report has been filed. Creditor has deemed package complete and is reviewing documents. Trial modification offered and waiting for debtor(s) approval. Parties have entered into a trial modification. Parties are finalizing documentation for final modification and order. A motion to approve a loan modification has been filed and is returnable on . Other: (Please Explain) . Date Loss Mitigation Order Filed: Notification of Withdrawal of Loss Mitigation Request at Docket No.: Notification of Settlement or Approval of Loan Modification at Docket No.: , mooting out the need for a status hearing. Current Conference Date: Requested Adjourned Date: REMINDER: Stand Alone Loss Mitigation matters must be adjourned to 11:30 a.m. Loss Mitigation matters that accompany confirmation or motion practice, however, must be adjourned to 10:30 a.m. or the proper motion time. Requesting Attorney222s Name, Office Address, Phone and Email Address: Consent of Loss Mitigation Parties Obtained? Yes No In a Chapter 13 case, Trustee notified of Adjournment Request? Yes No Absent compelling reasons, adjournments will not be granted without the consent of all parties. If your request is denied, you will be notified by Chambers. This Form Must Be E-Filed By 2 p.m. on the Day Prior to the Conference/Hearings and Be Linked to the related Loss Mitigation Request, Motion for Relief from Stay, Confirmation, and/or Motion to Dismiss (if applicable). REMINDER: You Must File a Status Report (7) Seven Days Prior to Your Initial Conference Even if the First Scheduled Conference Was Adjourned. American LegalNet, Inc. www.FormsWorkFlow.com