Official Form 420A (Notice of Motion or Objection) (12/16) United States Bankruptcy Court _______________ District of _______________ In re [Set forth here all names including married, maiden, and trade names used by debtor within last 8 years.] Debtor Address ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Case No. ________________ Last four digits of Social Security or Individual Tax-payer Identification (ITIN) No(s).,(if any): _______________________________________ Employer's Tax Identification (EIN) No(s).(if any): ________________ __________________________________________________________ Chapter _________________ NOTICE OF [MOTION TO ] [OBJECTION TO ] _________________has filed papers with the court to [relief sought in motion or objection]. Your rights may be affected. You should read these papers carefully and discuss them with your attorney, if you have one in this bankruptcy case. (If you do not have an attorney, you may wish to consult one.) If you do not want the court to [relief sought in motion or objection], or if you want the court to consider your views on the [motion] [objection], then on or before (date), you or your attorney must: [File with the court a written request for a hearing {or, if the court requires a written response, an answer, explaining your position} at: {address of the bankruptcy clerk's office} If you mail your {request}{response} to the court for filing, you must mail it early enough so the court will receive it on or before the date stated above. You must also send a copy to: {movant's attorney's name and address} {names and addresses of others to be served}] [Attend the hearing scheduled to be held on (date), (year) , at ____ a.m./p.m. in Courtroom____, United States Bankruptcy Court, {address}.] [Other steps required to oppose a motion or objection under local rule or court order.] If you or your attorney do not take these steps, the court may decide that you do not oppose the relief sought in the motion or objection and may enter an order granting that relief. Date: _____________________ Signature: _____________________ Name: ________________________ Address: ______________________ American LegalNet, Inc. www.FormsWorkFlow.com