Official Form 410s2 - Notice Of Postpetition Mortgage Fees Expenses And Charges
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1
2Fill in this information to identify the case:
B 10 (Supplement 2) (12/11)
(post publication draft)
Debtor 1
__________________________________________________________________
Debtor 2
________________________________________________________________
(Spouse, if filing)
__________
__________ District of __________
__________
United States Bankruptcy Court for the:
District of
Case number
___________________________________________
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
12/15
If the debtor’s plan provides for payment of postpetition contractual installments on your claim secured by a security interest in the
debtor's principal residence, you must use this form to give notice of any fees, expenses, and charges incurred after the bankruptcy
filing that you assert are recoverable against the debtor or against the debtor's principal residence.
File this form as a supplement to your proof of claim. See Bankruptcy Rule 3002.1.
Name of creditor: _______________________________________
Court claim no. (if known): __________________
Last 4 digits of any number you use to
____ ____ ____ ____
identify the debtor’s account:
Does this notice supplement a prior notice of postpetition fees,
expenses, and charges?
No
_____________
Yes. Date of the last notice:
Part 1:
Itemize Postpetition Fees, Expenses, and Charges
Itemize the fees, expenses, and charges incurred on the debtor’s mortgage account after the petition was filed. Do not include any
escrow account disbursements or any amounts previously itemized in a notice filed in this case or ruled on by the bankruptcy court.
Description
Dates incurred
Amount
_________________________________
$ __________
1. Late charges
(1)
_________________________________
$ __________
2. Non-sufficient funds (NSF) fees
(2)
_________________________________
$ __________
3. Attorney fees
(3)
_________________________________
$ __________
4. Filing fees and court costs
(4)
_________________________________
$ __________
5. Bankruptcy/Proof of claim fees
(5)
_________________________________
$ __________
6. Appraisal/Broker’s price opinion fees
(6)
_________________________________
$ __________
7. Property inspection fees
(7)
_________________________________
$ __________
8. Tax advances (non-escrow)
(8)
_________________________________
$ __________
9. Insurance advances (non-escrow)
(9)
_________________________________
$ __________
10. Property preservation expenses. Specify:_______________
(10)
_________________________________
$ __________
11. Other. Specify:____________________________________
(11)
_________________________________
$ __________
12. Other. Specify:____________________________________
(12)
_________________________________
$ __________
13. Other. Specify:____________________________________
(13)
_________________________________
$ __________
14. Other. Specify:____________________________________
(14)
The debtor or trustee may challenge whether the fees, expenses, and charges you listed are required to be paid.
See 11 U.S.C. § 1322(b)(5) and Bankruptcy Rule 3002.1.
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
page 1
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