CANB — Reset Form

Source: https://www.canb.uscourts.gov/sites/default/files/forms/relief_from_stay_coversheet_0-1-1.pdf

Reset Form UNITED STATES BANKRUPTCY COURT Northern District of California

In re: Bankruptcy No.: R.S. No.: Hearing Date: Debtor(s) Time:

Relief From Stay Cover Sheet

Instructions: Complete caption and Section A for all motions. Complete Section B for mobile homes, motor vehicles, and personal property. Complete Section C for real property. Utilize Section C as necessary. If moving party is not a secured creditor, briefly summarize the nature of the motion in Section D.

(A) Date Petition Filed: Chapter: Prior hearings on this obligation: Last Day to File §523/§727 Complaints:

(B) Description of personal property collateral (e.g. 1983 Ford Taurus):

Secured Creditor [ ] or lessor [ ]
Fair market value: $________________ Source of value:__________________
Contract Balance: $________________ Pre-Petition Default: $_______________
Monthly Payment: $________________ No. of months: ___________
Insurance Advance: $________________ Post-Petition Default: $_______________
No. of months: ___________

(C) Description of real property collateral (e.g. Single family residence, Oakland, CA):

Fair market value: $_______________ Source of value:_______________ If appraisal, date:___________

Moving Party's position (first trust deed, second, abstract, etc.):

Approx. Bal. $_______________ Pre-Petition Default: $_______________
As of (date): _______________ No. of months: ____________
Mo. payment: $_______________ Post-Petition Default: $_______________
Notice of Default (date): __________ No. of months: ____________
Notice of Trustee's Sale: __________ Advances Senior Liens: $_______________

Specify name and status of other liens and encumbrances, if known (e.g. trust deeds, tax liens, etc.):

Position Amount Mo. Payment Defaults

1st Trust Deed:_____________________ $_______________ $_______________ $_______________ 2nd Trust Deed: ____________________ $_______________ $_______________ $_______________ _________________________________: _____________________: : (Total) $ $ $

(D) Other pertinent information:

Dated: ______________________________________ Signature ______________________________________ Print or Type Name

Attorney for___________________________________

CANB Documents Northern District of California