APPENDIX TO MOTION FOR RELIEF FROM STAY - CHAPTER 13 REAL PROPERTY
DEBTOR:_____________________________________________________________________
CASE NO.:____________________________________________________________________
DATE PETITION WAS FILED:___________________________________________________
MONTH/YEAR PAYMENT DUE 1. 2. 3. 4. 5. 6. 7. 8. 9.
DATE SENT/ RECEIVED
PAYMENT AMOUNT
CHECK/MO #
MONTH/YEAR PAYMENT DUE 10. 11. 12.
DATE SENT/ RECEIVED
PAYMENT AMOUNT
CHECK/MO #
() ()
DEBTOR HAS ALL CHECKS/EXHIBITS WHICH ARE ATTACHED HERETO. DEBTOR IS GETTING CHECKS/EXHIBITS FROM:____________________________
______________________________________________________________________________
()
CHECKS/EXHIBITS UNAVAILABLE BECAUSE:______________________________
______________________________________________________________________________ ______________________________________________________________________________
Local Form A
-2-