Bankruptcy Proof Of Claim Information Form - The Allen Firm printable pdf download

Bankruptcy Proof Of Claim Information Form - The Allen Firm

BANKRUPTCY – P roof o f C laim

INFORMATION F ORM

Loan #/Account Number ____________________:

1) The total payoff, including all costs, on _____________, 20_______ (date of bankruptcy filing)

for this loan is $__________________________.

a) The above number includes $________________ interest.

(as of Bankruptcy Filing Date)

b) The above number includes $________________ late charges.

(as of Bankruptcy Filing Date)

c) The above number includes $____________________ in other charges.

(as of Bankruptcy Filing Date)

d) As of Bankruptcy Filing Date, the loan was ____________ days past due.

2) The past due arrearage amount as of Bankruptcy Filing Date was $________________.

3) Value of Collateral as of Bankruptcy Filing Date is $________________ according to

________________________ (source).

4) If you have not already provided them to our office, please attach copies of all notes, security

agreements, deeds, deeds of trust, certificates of title, UCC financing statements, or other

documents which evidence the debt and/or collateral securing the debt.

________________________________________

CLIENT

Date: __________________________________

PAGE 1 OF 1

BANKRUPTCY (PROOF OF CLAIM)

Bankruptcy Proof Of Claim Information Form - The Allen Firm