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BANKRUPTCY ASSIGNMENT FORM FOR FANNIE MAE LOANS
(COMPLETE ONE FORM FOR EACH LOAN)
TO:
JAMES E. SORENSON/D. TYLER VAN LEUVEN
FROM: _______________________________________________________________
DATE: __________________
DATE BANKRUPTCY FILED: ______________
BANKRUPTCY CASE NUMBER:
____________________
NAME(S): ____________________________________________________________________
SHARE HOLD SAVINGS $_____________
CHECKING $_______________
NUMBER OF LOANS WITH UNPAID BALANCES: _______________________
FANNIE MAE IDENTIFICATION # FOR SERVICER: _______________________
SERVICER LOAN #: __________________
FANNIE MAE LOAN #: _____________________
DATE DEBT OCCURRED: _________________
NET BALANCE DUE AS OF DATE OF PETITION: $________________________
AMOUNT PAST DUE: $_________________
DUE DATE: _________________
AMOUNT OF LOAN PAYMENT: $________________ INTEREST RATE: ____________
FREQUENCY OF LOAN PAYMENT (Monthly, Bi-weekly, etc.): ______________
COLLATERAL: ________________________________________________________________
COMMENTS: __________________________________________________________________
_______________________________________________________________________________
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INFORMATION NEEDED:
1) The date of account holder’s last transaction: ____________________________
2) The date of the last payment on the account: _____________________________
3) The date on which the account was charged to profit and loss: ___________________
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DOCUMENTS REQUIRED (if applicable):
BANKRUPTCY NOTICE
OPEN-END DISBURSEMENT RECEIPT
REAL ESTATE MORTGAGE
CURRENT CREDIT BUREAU
NOTE
ACCOUNT BALANCE PRINTOUT
SECURITY AGREEMENT
NADA INFORMATION
LOAN AGREEMENT OR CREDIT CARD APPLICATION
CERTIFICATE OF TITLE FOR COLLATERAL
Revised 7/13