Debtor 1
_______________________________________________________
Case number
_____________________________________
(if known)
First Name
Middle Name
Last Name
Part 4:
A Response Is Required By Bankruptcy Rule 3002.1(g)
Under Bankruptcy Rule 3002.1(g), the creditor must file and serve on the debtor(s), their counsel, and the trustee, within 21
days after service of this notice, a statement indicating whether the creditor agrees that the debtor(s) have paid in full the
amount required to cure the default and stating whether the debtor(s) have (i) paid all outstanding postpetition fees, costs,
and escrow amounts due, and (ii) consistent with § 1322(b)(5) of the Bankruptcy Code, are current on all postpetition
payments as of the date of the response. Failure to file and serve the statement may subject the creditor to further action of
the court, including possible sanctions.
To assist in reconciling the claim, a history of payments made by the trustee is attached to copies of this notice sent to the
debtor(s) and the creditor.
__________________________________________________
Date
____/_____/________
Signature
Trustee
_________________________________________________________
First Name
Middle Name
Last Name
Address
_________________________________________________________
Number
Street
___________________________________________________
City
State
ZIP Code
(______) _____– _________
________________________
Contact phone
Email
Form 4100N
Notice of Final Cure Payment
page 2