Required Statement To Accompany All Motions For Relief From Stay

REQUIRED STATEMENT TO ACCOMPANY ALL MOTIONS FOR RELIEF FROM STAYALL MOTIONS TO MODIFY STAY All Cases: Debtor(s) __________________________________Case No. _____________ Chapter ____ All Cases: Moving Creditor ____________________________________ Date Case Filed __________ Chapter 13: Date of Confirmation Hearing ______________ or Date Plan Confirmed _______________ Chapter 7: _____ No-Asset Report Filed on _____________________ _____ No-Asset Report not Filed, Date of Creditors Meeting _________________________ 1. Collateral a. Home _____ b. Car _____ Year, Make and Model ________________________________ c. Other _______________________________ 2. Balance Owed as of Petition Date $ __________________ 3. Estimated Value of Collateral (must be supplied if motion alleges no equity) $ ______________ 4. Default a. Pre-Petition Default Number of months _____ Amount $ _________________ b. Post-Petition Default i. On direct payments to the moving creditor Number of months _____ Amount $ _________________ ii. On payments to the Standing Chapter 13 Trustee Number of months _____ Amount $ _________________ 5. Other Allegations a. Lack of Adequate Protection 362(d)(1) i. No insurance _____ ii. Taxes unpaid _____ Amount $ _________________ iii. Rapidly depreciating asset _____ iv. Other _______________________ b. No Equity and not Necessary for an Effective Reorganization 362(d)(2) _____ c. Other Cause 362(d)(1) ____________________________________________ i. Bad Faith ______________ ii. Multiple filings __________ Date: _________________________ _____________________________________ Counsel for Movant Revised 7/29/04 American LegalNet, Inc. www.USCourtForms.com