CASB — Judgment by Default Disallowing Claim of Exemptions

CASB — CSD1141.pdf¶

CSD 1141 [12/01/15] Name, Address, Telephone No. & I.D. No.

UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West F Street, San Diego, California 92101-6991

In Re

BANKRUPTCY NO.

Debtor.

JUDGMENT BY DEFAULT DISALLOWING CLAIM OF EXEMPTIONS

After notice and hearing held on to consider and act upon the Debtor's Claim of

Exemptions and Objections thereto filed by , the Objecting Party having appeared by

and the debtor having failed to appear, the Court having considered the

evidence presented, the papers and documents on file herein in support of the objections to claim of exemptions, and good

cause appearing therefor,

It is adjudged that the claim of exemption by this debtor of property of the estate is disallowed as to the following

property, namely [description should be the same as contained on Schedule 104 (Individual Debtors)/204 (Non-Individual

Debtors or Schedule 106C (Individual Debtors)]:

DATED:

Judge, United States Bankruptcy Court

CSD 1141