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Relief From Stay-Adequate Protection 4001-1(a) - Ohio

Relief From Stay-Adequate Protection Form. This is a Ohio form and can be used in USBC Southern Federal .	Fillable pdf Last Modified 4/6/2005
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Form 40011(a) UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF OHIO _____________ DIVISION In re: Case No: Chapter Debtor(s) Judge RELIEF FROM STAY / ADEQUATE PROTECTION EXHIBIT AND WORKSHEET REAL ESTATE (For use as required by LBR 40011(a)(1)) Real property address which is the subject of this motion: DEBT / VALUE REPRESENTATIONS: Total indebtedness of the debtor(s) at the time of filing the motion for relief from stay (not to be relied upon as a payoff quotation) $____________ Movants estimated market value of the real property $____________ Source of the estimated valuation _______________________________________________ STATEMENT OF ARREARAGE: (1) As of petition filing date: $____________ Amounts paid after the date of filing to be applied to the prepetition default: $____________ (2) Postpetition: $____________ (3) Monthly payment amount: $____________ (4) Date of Last Payment: _________________ (5) Amount of Last Payment: $____________ # of payments due postpetition ________ (through payment due mm)/dd/yy # of payments received postpetition ________ # of payments in default postpetition ________ 108 American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2Total amount of postpetition payments currently in default $____________ + Postpetition late charges $____________ + Other postpetition charges (describe) $____________ = Total Postpetition Arrearage $____________ OTHER LOAN INFORMATION: Date of the Loan _______________ Current Interest Rate _______________ Money paid to and held by the mgagee but not applied to the loan _______________; ort if held in the form of checks, balance of such checks $ _______________, and identity of holder of the checks ___________________________. REQUIRED ATTACHMENTS TO MOTION: (a) In a Chapter 13 case, a postpetition payment history. (b) In all cases, copies of documents which indicate movants interest in the subject property. For purposes of example only, a complete and legible copy of the promissory note or other debt instrument together with a complete and legible copy of the real estate mrtgage should be attached. o The mortgage should bear date stamps reflecting the recording date together with recording references reflecting the recordation of the mortgage with the appropriate county official. If the subject property is registered land, movant shall attach a copy of the registered land certificate or other documentation reflecting that the mortgage was memorialized as a lien on the registered land certificate. This Exhibit and Worksheet was prepared by: ___________________________________