Skip to main content.

Local Bankruptcy Rules Supplement: Appendices & Forms 2012

    APPENDICES
    Appendix I - Sample Notice of Electronic Filing (NEF)
    Appendix II - Synopsis of Conversions/Dismissals
    Appendix III - Reaffirmation Agreement Flow Chart
    Appendix IV - Reaffirmation Agreement Checklist
    Appendix V - Hemple Decision
    Appendix VI - Format for Pre-Trial Statement
    Appendix VII - Trustee's Loan Approval Request Form (Chapter 13)
    Appendix VIII - Reference Guide for Noticing
    LOCAL FORMS
    Form B - Payment Advices Cover Sheet
    Official Bankruptcy Form B 27 - Reaffirmation Agreement Cover Sheet
    Form C - Notice of Amendment Cover Sheet
    Form D-1 Model Motion for Valuation
    Form D-2 Model Order Re: Motion for Valuation
    Form E - Model Chapter 13 Plan (updated 11/01/2012)
    Form F - Model Order re: Motion to Modify Plan
    Form G - Summary Ballot Report and Certification
    Form H - Model Order re: Confirmation of Chapter 11 Plan
    Form I-1 - Certification #1 re: Right to Cure
    Form I-2 - Certification #2 re: Cure of Default
    Form I-3 - Clerk's Notification Under § 362(b)(22)
    Form J-1 - Model Motion to Sell Pursuant to 11 U.S.C. § 363(b)
    Form J-2 - Model Order Approving Sale Pursuant to 11 U.S.C. § 363(b)
    Form J-3 - Model Motion to Sell Pursuant to 11 U.S.C. § 363(f)
    Form J-4 - Model Order Approving Sale Pursuant to 11 U.S.C. § 363(f)
    Form K - Certification Requesting Waiver of § 109(h)(1)
    Form L-1 - § 521(e)(2) Request for Debtor's Tax Returns
    Form L-2 - § 521(e)(2) Debtor's Compliance Form
    Form M - Debtor's Change of Address/Phone Number
    Mortgage Mediation Program Forms - A list of mediators is available from the Clerk's Office upon request
    Form N-1 - Model Motion to Avoid Lien
    Form N-2 - Model Order to Avoid Lien
    Form N-3 - Model Motion to Strip Lien
    Form N-4 - Model Order to Strip Lien
    Form O-1 - Model Chapter 12 Certification/Motion for Discharge
    Form O-2 - Model Chapter 13 Certification/Motion for Discharge
    Form P - Model Order Approving Disclosure Statement
    Form Q - Model Order To Compel Trustee to Abandon Property
    Form R - Request for Redaction
    Form T - Notice to Pro Se Litigant to Be Served With Motion For Summary Judgment
    Form U-1 - Model Notice of Motion Under Conventional Procedure
    Form U-1-11 - Model Notice of Motion Under Conventional Procedure for use in Chapter 11 cases
    Form U-2 - Model Notice of Motion Under Default Procedure
    Form U-2-11 - Model Notice of Motion Under Default Procedure for use in Chapter 11 cases
    Form V - Rule 9014(e) Notice of Evidentiary Hearing
    Form W-1 Request for Trustee Approval of Mortgage Modification
    Form W-2 Trustee's Certificate of Approval of Mortgage Modification
    Form W-3 Motion for Approval of Mortgage Modification
    Form W-4 Order Granting Motion to Approve Mortgage Modification
    Form X - Adversary Proceeding Scheduling Order under Vt. LBR 7026(f)
    Form Y-1 Mortgage Creditor Checklist
    Form Y-2 Notice of Conduit Mortgage Payment and Authorization to Release Information to the Trustee
    Form Y-3 Mortgage Proof of Claim Attachment
    Form Y-4 Notice of Mortgage Payment Change
    Form Y-5 Model Mortgage Payment History
    Form Y-6 Notice of Transfer of Claim (Other than for Security)
    Form Y-7 Notice of Post-Petition Mortgage Fees, Expenses and Charges
    Form Y-8 Wage Withholding Authorization/Consent to Automatic Debits from Bank Account
    Form Z Supplement to Chapter 7 Trustee's Final Applications for Compensation