9. By signatures below, Petitioners certify, subject to penalties for perjury, they
(a) are owners-occupants of the property described in paragraph 1 above and
seek to convert a non-judicial foreclosure to a judicial foreclosure; and
(b) served a copy of this conversion petition upon
[Names of attorney identified in the foreclosure notice]
[Means and Place of Service]
Wherefore, Petitioners pray for judgment requiring Respondent
[Name of Foreclosing Party]
file a foreclosure action in the [check one]: ____ Circuit Court of the ____________ Circuit
____ Land Court of the State of Hawai'i,
no later than 30 days after entry of the judgment in this conversion action.
Dated: _________________________, Hawai'i, _______________________________.
[Signature of Filing Party]
[Typed Name of Filing Party]
In accordance with the Americans with Disability Act, and other applicable State and Federal laws, if you require an accommodation
for a disability when working with a court program, service or activity, please contact the Circuit Court Administration Office on
AHU: Phone No.539-4400, Fax 539-4402 , or TTY 539-4853; MAUI : Phone No. 244-2969, Fax 244-2932, or TTY 244-2865;
HAWAII: Phone No. 961-7424, Fax 961-7411, or TTY 961-7422; KAUAI: Phone No. 482-2365. Fax 482-2509, or TTY 482-2533,
at least 10 working days before your proceeding, hearing or appointment date.
Form A - Conversion Petition (05/11)
- 3 -