Official Form 410 - Proof Of Claim (Page 5 of 5) in pdf

Claim Pursuant to 11 U.S.C. §

503(b)(9): A claim arising

Secured claim under 11 U.S.C. §506(a):

A claim backed by a

from the value of any goods received by the Debtor within

lien on particular property of the debtor. A claim is secured to

20 days before the date of commencement of the above

the extent that a creditor has the right to be paid from the

case, in which the goods have been sold to the Debtor in

property before other creditors are paid. The amount of a

the ordinary course of the Debtor’s business. Attach

secured claim usually cannot be more than the value of the

documentation supporting such claim.

particular property on which the creditor has a lien. Any

amount owed to a creditor that is more than the value of the

property normally may be an unsecured claim. But exceptions

exist; for example, see 11 U.S.C. § 1322(b) and the final

A person, corporation, or other entity to whom a

Creditor:

sentence of 1325(a).

debtor owes a debt that was incurred on or before the date

the debtor filed for bankruptcy. 11 U.S.C. §101 (10).

Examples of liens on property include a mortgage on real estate

a security interest in a car. A lien may be voluntarily granted

by a debtor or may be obtained through a court proceeding. In

A person, corporation, or other entity to who is in

Debtor:

states, a court judgment may be a lien.

bankruptcy. Use the debtor’s name and case number as

shown in the bankruptcy notice you received.

11 U.S.C. §101 (13).

Occurs when a creditor pays itself with money

Setoff:

belonging to the debtor that it is holding, or by canceling a debt

it owes to the debtor.

Evidence of perfection:

Evidence of perfection of a

security interest may include documents showing that a

security interest has been filed or recorded, such as a

An optional 24-character identifier

Uniform claim identifier:

mortgage, lien, certificate of title, or financing statement.

that some creditors use to facilitate electronic payment.

A Proof of Claim

Information that is entitled to privacy:

A claim that does not meet the requirements

Unsecured claim:

form and any attached documents must show only the last

of a secured claim. A claim may be unsecured in part to the

4 digits of any social security number, an individual’s tax

extent that the amount of the claim is more than the value of

identification number, or a financial account number, only

the property on which a creditor has a lien.

the initials of a minor’s name, and only the year of any

person’s date of birth. If a claim is based on delivering

health care goods or services, limit the disclosure of the

Offers to purchase a claim

goods or services to avoid embarrassment or disclosure of

confidential health care information. You may later be

Certain entities purchase claims for an amount that is less than

required to give more information if the trustee or someone

the face value of the claims. These entities may contact

else in interest objects to the claim.

creditors offering to purchase their claims. Some written

communications from these entities may easily be confused

with official court documentation or communications from the

A claim within a category of unsecured

Priority claim:

debtor. These entities do not represent the bankruptcy court, the

claims that is entitled to priority under 11 U.S.C. §507(a).

bankruptcy trustee, or the debtor. A creditor has no obligation

These claims are paid from the available money or

to sell its claim. However, if a creditor decides to sell its claim,

property in a bankruptcy case before other unsecured

any transfer of that claim is subject to Bankruptcy Rule

claims are paid. Common priority unsecured claims

3001(e), any provisions of the Bankruptcy Code (11 U.S.C. §

include alimony, child support, taxes, and certain unpaid

101 et seq.) that apply, and any orders of the bankruptcy court

wages.

that apply.

A form that shows the amount of debt the

Proof of claim:

debtor owed to a creditor on the date of the bankruptcy

filing. The form must be filed in the district where the case

is pending.

Masking, editing out, or

Redaction of information:

deleting certain information to protect privacy. Filers must

redact or leave out information entitled to

privacy

on the

Proof of Claim form and any attached documents.

Do not file these instructions with your form.

Official Form 410 - Proof Of Claim Page 5

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