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610(OOicld Form 10)(11!07).ConL
<br /> INSTRUCTIONS FOR PROOF OF CLAIM FORM
<br /> Tla•awn"lions ruin dvfinilionr below are general eoplmaaiots of rhe law.In ceraurt citrunuratncec,such as lxumknydry cores not filed v11unturily by die debtor,
<br /> there nary be exception'm these general rales.
<br /> Items to be completed in Proof of Claim form
<br /> Court,Naow of Debtor,and Cose,Number. documentation.and state annual interest rale and the amount past due on the
<br /> Fill in the federal judicial district where the bankruptcy case was filed(for chum as of the date of the bankruptcy filing.
<br /> example,Central District of California),the bankruptcy debtor's name,and the
<br /> btakruptcy case number.If the creditor received a notice of the case from the S.Amount of Claim Entitled to Priority Under I I US.C.§507(a)6
<br /> bankruptcy amort,all of this inbxmmion is heated at the top of the notice. If any portion of your chum falls in one or more of the kited categories,check
<br /> the appropriate loxles)and smote the amount entitled to priority. (See
<br /> Creditor's Name and Address: DI1lNITIONS,below.)A claim may be partly priority and partly non-priority.
<br /> Fill in the time of the person or entity asserting a claim and the nacre and lou example,in some of the categories,the law limits the amount emitted to
<br /> address of the person who should receive notices issued during the bankruptcy priority.
<br /> rue A separate space is provided for the payment address if it differs from the
<br /> notice address. Me creditor has a continuing obligation to keep the court 6.('"a:
<br /> informed of its rurent address.See Federal Rule of Bankruptcy Ro vedure An authorized signature on this proof of claim serves as an acknowledgment
<br /> t ERBP)M12(g). that when calculating the amount of the claim,the creditor gave the debtor
<br /> I.Amount of('Irian as of Dale Case Filets credit for any payments received toward the debt.
<br /> State the total amcmit owed to the creditor on the date of the Bankruptcy 7.IMcumeolat
<br /> filing.Billow the instructions concerning whether to complete items 4 and 5. Attach to this pouf of claim form redacted copies documenting the existence
<br /> ('heck the Max if interest or other charges are included in the claim. of the debt and olany lien seeming the debt.Yom may also attach a summary.
<br /> You must also attach copies of documents that evidence perfection of any
<br /> L Plaids for Claim: security interest. You may also attach a summary. FRBP 3001(c)and(d).Do
<br /> State the type of debt or horn it was incurred.Examples include goods sold, not send original documents,m miyeti anis may be destroyed after scanning.
<br /> moray loaned,services performed,personal injury/wrongful death,car loan,
<br /> mortgage note,and credit card Dale nod Signatures
<br /> 'Me ptrscm filing this proof of claim must sign and date it.FRBP9011. If the
<br /> 3.Last Four Digits of Any Number by Which Creditor Identities Debtor: claim is filed electronically,FRBP 5005(a)(2).authorizes courts to establish
<br /> Sate only the last four digits of the debtor's account or other number used by heal rules sp c ifying what constitutes a signature.Hint the name and tide,if
<br /> the creditor to identify the debtor. any,of the creditor or other person authorized to file this claim.Same the filer's
<br /> address and telephone number if it differs from the address given on the rap of
<br /> 3a.Debtor May Haw Scheduled Account As; the hem for purposes of receiving notices.Attach a complete copy of any
<br /> Use this space to report a change in the creditor's name,a transferred claim,or power of attorney. Criminal penalties apply for making a false statement co a
<br /> any other inhumation that clarifies a difference between this pouf of claim pouf of claim.
<br /> and the claim as scheduled by the debtor.
<br /> 4.Secured Claim:
<br /> (heck the appropriate Dux and provide the requested information if the claim
<br /> is fully or partially secured.Skip this section if the claim is entirely unsecured.
<br /> (See DEF'lNIt'IONS.Ihehrw.)Sate the type and the value of property that
<br /> secures the claim,attach copies of hen
<br /> DEFINITIONS1NP'O __—_
<br /> Debtor A lien may be voluntarily granted by a debtor or may Acknowledgment of Filing of Claim
<br /> A debtor is the person,corporation,or other entity ler obtained through a court proceeding.In sone '1'o receive acknowledgment of your filing,you may
<br /> that has filed a bankruptcy case. states,a coup judgment is a lien.A claim also may either cwlh a stamped self-addressed envelope and
<br /> be secured if the creditor owes the debtor money a copy of this proof of chum or you may access the
<br /> Creditor (has a right to setoff). cam's PACER system
<br /> A creditor is the person,corporation,or other entity (www.mcer.msc.uscoum.gov)for a small fee to view
<br /> owed a deb by the debtor on the date of the Clasrcured Claim your filed proof of claim.
<br /> bankruptcy filing. An unsecured claim is one that does not met the
<br /> requirements of a secured claim.A claim may he (Hers to Purchase a Claim
<br /> Claim partly unsecured if the amount of the claim exceeds Certain entities are in the busiaras of purchasing
<br /> A claim is the creditor's right to receive payment on the value of the property on which the creditor has a coins for an amount less than the face value of The
<br /> a debt that was owed by the debtor on one date of the lien. claims.One or more of these entities may contact the
<br /> bankniptcy filing.See I I f I.S.C. §101 (5).A claim creditor and offer to purchase the claim.Some of the
<br /> may he secured or unsecured. Claim Entitled to Priority Under Il U.S.C. written communications from these entities may
<br /> §507(a)Priority claims are certain categories of easily be confused with official awn documentation
<br /> Proofof Claim unsecured claims that are paid from the available or communications from the debtor.]hese entities
<br /> A prof of claim is a form used by the creditor to money or property in a bankruptcy case before other Jo not represent one bankruptcy come or the debtor.
<br /> indicate the amount of the debt owed by the debtor unsecured claims. The creditor has noobligation bligation to sell its claim.
<br /> on the time of the bankruptcy filing. 'like creditor Ilowevef,if the creditor decides to sell its claim,my
<br /> must file the Form with the clerk of the same Redacted truster of such claim is subject to FRBP 3001(e),
<br /> bankruptcy court in which the bankruptcy case was A document has been redacted when the person any applicable provisions of the Bankruptcy Code
<br /> filed ailing it has masked edited out.or otherwise deleted, (I 1 U.S.C.§ 101 ei segJ,and any applicable orders
<br /> ,,rain information. A creditor should redact and use of the bankruptcy coun.
<br /> Secured Claim Under 11 IIS.G 11506(a) only the last four digits of any social-security,
<br /> A seemed claim is one backed by a lien on property individal's dao-idemi fication,or financial-account
<br /> of the debtor. 'Ihe claim is secured so long as the number,all but the initials of a minor's name and
<br /> creditor has the right to be paid from the property only the year of any person's date of birth.
<br /> prior uo other crediars.Ate amount of the secured
<br /> claim canna exceed the value of the property.Any Evidence of Pkrfecthm
<br /> amount owed to the creditor in excess of the value of Evidence of Perfection may include a mortgage,lien,
<br /> the property is an unsecured claim. IiXamnples tit' certificate of title,financing statement,or othci
<br /> liens un profneny include a mortgage on real estate document showing that the Ben has been filed or
<br /> or a security interest in a car. recorded.
<br /> 023605 81303023628022
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