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1 Any Attorney or Party

Any Street
2 Any Town, CA 55555

3 714-555-5555

4 Any Attorney or Party

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8 UNITED STATES BANKRUPTCY COURT

9 __________ DISTRICT OF ___________

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11 IN RE: ________________, ) Case No.
)
12 Debtors, ) Chapter 7
)
13 Any Plaintiff ) Adv. Proc No.
)
14 Plaintiff, ) COMPLAINT TO DETERMINE NON-
) DISCHARGEABILITY OF DEBT FOR WILLFUL
15 vs. ) AND MALICIOUS INJURY TO ANOTHER UNDER
) SECTION 523(a)(6) OF THE BANKRUPTCY
16 Any Defendant, ) CODE AND FOR DENIAL OF DISCHARGE
) UNDER SECTION 727(a)(4) OF THE
17 Defendant. ) BANKRUPTCY CODE
)
18 )
) (Hearing date to be set by summons)
19 )
)
20 )

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COMPLAINT TO DETERMINE NON-DISCHARGEABILITY OF DEBT
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COMPLAINT TO DETERMINE NON-DISCHARGEABILITY OF DEBT
1 COMES NOW, _____________________(“Plaintiff”), for his complaint against the
2 Defendant, ______________ (“Defendants), and alleges as follows:
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1. This is a core proceeding over which this court has jurisdiction under Title 28
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U.S.C. § 157(b).
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2. Defendant is the debtor in this chapter 7 case which was filed on __________,

7 the Deadline to file a complaint for determination of dischargeability is _________, so this complaint

8 is timely. Plaintiff is a creditor of defendant by virtue of the following facts:
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a. On or about ___________, Plaintiff and Defendant entered into a written lease
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agreement. The terms and conditions of said lease agreement were that Defendant was to lease
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approximately _______ square feet of the real property located at ______________________ for a
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13 term of __ months commencing on _______ for the monthly rental of $________.

14 b. On or about _______, Defendant breached the terms of the said
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written lease agreement by failing to pay the monthly rental in a timely manner.
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c. On or about _____________, Plaintiff caused a 3-Day Notice To Pay Rent
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or Quit to be served on Defendant.
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19 d. On _____________, Plaintiff caused to be served on Defendant an

20 Unlawful Detainer action, in the Superior Court of California, County of __________, Court case No.
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________________, requesting possession of the subject property plus rental damages.
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adversary-complaint-for-willful-and-malicious-injury
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COMPLAINT TO DETERMINE NON-DISCHARGEABILITY OF DEBT