Cover Sheet For Motion For Relief From Stay {hib 4001-1cs}

Filer's Name, Address, Phone, Fax, Email: UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII 1132 Bishop Street, Suite 250 Honolulu, Hawaii 96813 hib_4001-1cs (12/09) Debtor: Joint Debtor: (if any) Case No.: Chapter: COVER SHEET - MOTION FOR RELIEF FROM STAY Instructions: Complete A. for all motions. Complete B. if seeking to enforce security interest. Complete C. if motion concerns a lease. Complete D. for other types of relief. Complete E. if seeking extraordinary relief. Hearing Date: Time: A. Relief sought under Movant: 11 U.S.C. § 62(d) ­ Automatic Stay 11 U.S.C. § 1301(c) ­ Chapter 13 Codebtor Stay Role (mortgagee, lessor, agent, plaintiff, etc.): Subject Matter (real/personal property, litigation, etc.): (use address/TMK/vehicle ID, etc.) If pending litigation, last major prepetition event: (decree of foreclosure, writ of possession, etc.) B. Security Interest (mortgage, lien, etc.) Date of loan: Original amt: $ Monthly pmt: $ Debtor's valuation in schedules: $ Sr. lien: 2 lien: List all encumbrances: Total other liens: nd Debtor's principal residence Movant's lien position (1 , 2 , etc.): Maturity date: Principal bal: $ Prepetition arrears: $ Interest, late fees, etc.: $ Postpetition arrears: $ Movant's valuation (if different): $ $ $ $ $ per st nd Add all liens ................................................................................................................. C. Lease Date of lease: Payment: $ Postpetition arrears: $ Prepetition arrears: $ D. Other Describe relief sought, title of action and court of any litigation, and any applicable insurance: E. Extraordinary relief requested: Retroactive relief "in rem" relief No stay of order The above information summarizes allegations in attached motion. /s/ ________________________________ American LegalNet, Inc. www.FormsWorkFlow.com