In Re: [Enter the debtor’s name(s)] Case No.: ____________________ [Enter the case number] Chapter: ____________________ [Enter the chapter] Hearing Date: ____________________ [Enter the hearing date] Judge: ____________________ [Enter the judge’s last name] CERTIFICATION OF LANDLORD IN SUPPORT OF MOTION FOR RELIEF FROM THE AUTOMATIC STAY I, [Enter the name of the person that has personal knowledge of the facts set forth below] _____________________________, landlord in the above captioned case, submits this Certification in support of the Motion for Relief from the Automatic Stay filed on [Enter the date the motion was filed] ________________. I am fully familiar with the debtor’s rental payment history because I am the landlord of the property rented by the debtor. The property is located at: [Enter the address of the property] _____________________________ _____________________________________________________________________________. The debtor filed for bankruptcy on [Enter the date the debtor filed their petition] _______________. Pre-petition [check one]: I started an eviction action in the New Jersey state court and a copy of the complaint is attached as Exhibit A, or I did not start an eviction action. Pre-petition [check one]: I obtained a Judgment for Possession and a copy of the Judgment is attached as Exhibit B, or I did not obtain a Judgment for Possession
3. I certify under penalty of perjury that the above documents were sent using the mode of service indicated. Date: _______________________ __________________________________ [Enter the date you signed this document] Signature [Of the person who served the documents] Name and Address of Party Served Relationship of Party to the Case Mode of Service [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) Name and Address of Party Served Relationship of Party to the Case Mode of Service [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered
Regular mail Certified mail/ Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/ Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/ Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/ Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail Certified mail/ Return receipt requested Other _____________________ (As authorized by the court or rule. Cite the rule if applicable.) Name and Address of Party Served Relationship of Party to the Case Mode of Service [Enter the name and address of the party you served] [Enter the party’s relationship to the case] Hand-delivered Regular mail