Form B6d - Schedule D - Creditors Holding Secured Claims
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B6D (Official Form 6D) (12/07)
In re ____________________________________,
Case No. __________________________________
Debtor
(If known)
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by
property of the debtor as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful
to the trustee and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secured interests such as
judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and other security interests.
List creditors in alphabetical order to the extent practicable. If a minor child is the creditor, state the child's initials and the name and
address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112
and Fed. R. Bankr. P. 1007(m). If all secured creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a joint case may be jointly liable on a claim, place an “X” in the column labeled “Codebtor,” include the
entity on the appropriate schedule of creditors, and complete Schedule H – Codebtors. If a joint petition is filed, state whether the husband, wife,
both of them, or the marital community may be liable on each claim by placing an “H,” “W,” “J,” or “C” in the column labeled “Husband, Wife,
Joint, or Community.”
If the claim is contingent, place an “X” in the column labeled “Contingent.” If the claim is unliquidated, place an “X” in the column
labeled “Unliquidated.” If the claim is disputed, place an “X” in the column labeled “Disputed.” (You may need to place an “X” in more than one of
these three columns.)
Total the columns labeled “Amount of Claim Without Deducting Value of Collateral” and “Unsecured Portion, if Any” in the boxes
labeled “Total(s)” on the last sheet of the completed schedule. Report the total from the column labeled “Amount of Claim Without Deducting Value
of Collateral” also on the Summary of Schedules and, if the debtor is an individual with primarily consumer debts, report the total from the column
labeled “Unsecured Portion, if Any” on the Statistical Summary of Certain Liabilities and Related Data.
□
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
CREDITOR’S NAME AND
DATE CLAIM WAS
AMOUNT OF CLAIM
UNSECURED
MAILING ADDRESS
INCURRED,
WITHOUT
PORTION, IF
INCLUDING ZIP CODE AND
NATURE OF LIEN ,
DEDUCTING VALUE
ANY
AN ACCOUNT NUMBER
AND
OF COLLATERAL
(See Instructions Above.)
DESCRIPTION
AND VALUE OF
PROPERTY
SUBJECT TO LIEN
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
____
Subtotal ►
$
$
continuation sheets
(Total of this page)
attached
Total ►
$
$
(Use only on last page)
(Report also on Summary of
(If applicable, report
Schedules.)
also on Statistical
Summary of Certain
Liabilities and Related
Data.)
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