REPRESENTATIONS REGARDING OTHER LIENS ATTACHING TO THE PROPERTY I, ________________________ (insert name of movant or attorney), do hereby declare: movant’s Names of Senior Lienholder Amount Due Source of Information (e.g., schedules, public records, other) debtor’s $ $ $ lien $ Movant’s Names of Junior Lienholder Amount Due Source of Information (e.g., schedules, public records, other) debtor’s $ $ $ ___________________________________ Signature ___________________________________ Print Name ___________________________________ Title ___________________________________ Movant Address____________________________ ___________________________________
REPRESENTATIONS REGARDING OTHER LIENS ATTACHING TO THE PROPERTY I, ________________________ (insert name of movant or movant’s attorney), do hereby declare: Names of Senior Lienholder Amount Due Source of Information (e.g., debtor’s schedules, public records, other) $ $ $ Movant’s lien $ Names of Junior Lienholder Amount Due Source of Information (e.g., debtor’s schedules, public records, other) $ $ $ ___________________________________ Signature ___________________________________ Print Name ___________________________________ Title ___________________________________ Movant Address____________________________ ___________________________________