1 Lien Avoidance Worksheet Information regarding judicial lien or security interest Name of creditor: Description of Collateral: Lien identification Information (e.g., judgment date; date entered in registry; date of lien recording, including entry number, book and/or page number, etc.) [Insert additional claims as needed] Lien Avoidance Calculation a.Amount of lien subject to avoidance$ b.Value of property securing liensubject to avoidance$ c.Amount of liens senior to the liensubject to avoidance (identify each lienand amount)$ d.Value of claimed exemption(s) inproperty$ e.Total of lines c and d$ f.Value of debtor(s)222 equity interest inproperty (subtract line e from line b)$ g.Amount of lien to be avoided(amount of line a that exceeds line f)$ Extent of exemption impairment (Check applicable box): Line f is zero or less:The entire lien is avoided. (Do not complete the next column.)Line f is more than zero:A portion of the lien is avoided. (Complete next column.) Treatment of remaining secured claim Amount of secured claim after avoidance (line f not to exceed line a) $ Interest rate (if applicable) % Monthly payment on secured claim $ Estimated total payments on secured claim $ American LegalNet, Inc. www.FormsWorkFlow.com