Statement In Response To Notice Of Final Cure Payment Form Page 2
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2Part 3:
Sign Here
The person completing this Statement must sign it. Print your name and other identifying information.
Check the appropriate box.
“
“
I am the creditor.
I am the creditor’s authorized agent.
(Attach a copy of power of attorney, if any.)
I certify under penalty of perjury that the foregoing is true and correct.
___________________________________
________________________
Date:
Signature
Print:
____________________________
____________________________
Name
Title
____________________________
Company
____________________________
Address
____________________________
____________________________
____________________________
Phone
Email
Part 4:
Service
Notice Mailed to:
Debtor(s) (address):_________________________________________________________________
Debtor(s)’ Counsel:
“
Via CM/ECF
“
Via email (email address): ___________________________________________________
“
Via US Mail (address):
___________________________________________________
Trustee:
“
Via CM/ECF
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