Notice Of Motion And Motion To Avoid Lien Under 11 U.s.c. 522(F) (Personal Property) Form - United States Bankruptcy Court Page 2

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4. Procedural Status:
a.
Name of trustee appointed (if any): _________________________________
b.
Name of attorney of record for trustee (if any): ______________________________
5. Debtor claims an exemption in the subject real property under:
a.
California Code of Civil Procedure §
(homestead) exemption amount claimed on schedules:
$ ______________
b.
California Code of Civil Procedure §
exemption amount claimed on schedules:
c. $ ________________
d.
Other statute (specify): ___________________
e.
Other statute (specify): ___________________
6. Debtor's entitlement to an exemption is impaired by a nonjudicial lien, the details of which are as follows:
a. On (specify date): __________ Debtor obtained a consumer loan from respondent in the principal amount of
(specify amount): $ _____________
b. As security for said loan, Debtor(s) gave respondent a security interest in the Personal Property in Debtor's
possession.
c. The loan was neither obtained nor used for the purpose of buying the Personal Property.
d. The current balance due on the loan is (specify amount): $ _________________
7. On Schedule C, Debtor claimed an exemption in said personal property.
8. Debtor alleges that the fair market value of each individual item of the Personal Property claimed exempt is set forth in
a declaration attached hereto. (Attach Debtor's declaration to this motion)
9. Debtor attaches the following documents in support of the motion (as appropriate): _________________________
a.
Schedule C listing all exemptions claimed by Debtor
b.
Loan agreement
c.
Security agreement
d.
Declaration of fair market value
e.
Other (specify): __________________
f.
Other (specify): _________________
g.
Other (specify): _________________
Total number of attached pages of supporting documentation: ____
10. Debtor declares under penalty of perjury under the laws of the United States that the foregoing is true and correct.
This form is optional. It has been approved for use in the United States Bankruptcy Court for the Central District of California.
F 4003-2.2.AVOID.LIEN.PP.MOTION
December 2012
Page 2

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