COVER SHEET 522(f) Avoidance of Liens (To summarize information set forth in the motion) Return Date of Motion Debtor(s) Debtors Attorney Chapter Date Petition Filed Trustee Case No. 522(f)(1)(A) Avoidance of Judicial Liens which impair the debt ors exemption in real property 522(f)(1)(B) Avoidance of non-possessory, non-purchase money l iens which impairs the debtors exemption in certain personal property. For All Motions 1. (a) General description of property (b)Owned by (names and form of ownership (c) Market value of property $ (d) Amount of claimed exemption(s) $ For 522(f)(1)(A) Motions Only 2. Signed appraisal, letter valuation or market analysis of real property is attached Yes 3. Mortgages: Holder Date Recorded Balance Due (a) (b) 4. Judgment Liens: Holder Date Docketed Amount (a) (b) (c) 5. Other Liens (in- Holder Date Docketed Amount cluding tax liens): (a) (b) 6. No deduction from the appraised value of the property for hypothetic al expenses of sale is to be made in determining the debtors equity. 7. Market value of property $ (-) unavoidable mortgage and federal tax liens $ (=) equity $ (-) exemptions $ (=) balance if any $ . For 522(f)(1)(B) 8. Holder of lien to be avoided (Revised 9/20/00) ( SEE REVERSE) >>>> 2PLEASE NOTE THE FOLLOWING:1. THIS COVER SHEET MUST ACCOMPANY EVERY 522(f) MOTION SERVED ON ALL PARTIES AND FILED WITH THIS COURT FOR THE PURPOSE OF ASSISTING THE COURT IN ITS REVIEW OF YOUR PAPERS. FAILURE TO DO SO WILL RESULT IN YOUR PAPERS BEING RETURNED TO YOU UNPROCESSED.2. A SIGNED APPRAISAL, LETTER VALUATION OR MARKET ANALYSIS OF REAL PROPERTY MUST BE ATTACHED TO EVERY 522(f)(1)(A). FAILURE TO DO SO WILL RESULT IN THE MOTION BEING DENIED.3. COPIES OF SECURITY AGREEMENTS TO SHOW THAT THEY ARE NON-PURCHASE MONEY MUST BE ATTACHED TO EVERY 522(f)(1)(B) MOTION. FAILURE TO DO SO WILL RESULT IN THE MOTION BEING DENIED.4. EVERY MOTION MUST BE ACCOMPANIED BY THE FOLLOWING: A) A PROPOSED ORDER WHICH IS AN EXHIBIT TO THE MOTION TO BE SERVED ON ALL PARTIES; AND, B) AN ORIGINAL ORDER TO BE SUBMITTED TO THE COURT FOR DETERMINATION AND SUBSEQUENT ENTRY.