Cover Sheet Section 722 Redemption

COVER SHEET 722 Redemption (To summarize information set forth in the motion) Return Date of Motion Debtor Debtors Attorney Chapter Date Petition Filed Trustee Case No. For All Motions 1. (a) General description of tangible personal property to be redeemed (b) Owned by (names and form of ownership) (c) Value of tangible personal property to be redeemed $ (d) Holder(s) of secured claim (1) Amount of secured claim(1) $ (2) (2) $ (3) (3) $ For 722 Motions Only 2. Proof of value - signed appraisal, letter of valuation of personal property is attached Yes 3. Personal property has been claimed as exempt under 522 and no objection to the claimed exemption has been made Yes No 4. Personal property has been abandoned by the Trustee pursuant to 11 U.S.C. 554 Yes No 5. Proof of perfected security interest is attached, if applicable Yes No Rev. 6/15/98