Free Local Form 16 - Certification Re Post - Petition Payment History (Note and Mortgage) - New Jersey


File Size: 59.1 kB
Pages: 3
Date: June 18, 2009
File Format: PDF
State: New Jersey
Category: Bankruptcy
Author: Administrator
Word Count: 285 Words, 3,314 Characters
Page Size: Letter (8 1/2" x 11")
URL

http://www.njb.uscourts.gov/forms2/data/localf16.pdf

Download Local Form 16 - Certification Re Post - Petition Payment History (Note and Mortgage) ( 59.1 kB)


Preview Local Form 16 - Certification Re Post - Petition Payment History (Note and Mortgage)
UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY
Caption in Compliance with D.N.J. LBR 9004-2(c)

In Re:

Case No.: Chapter: Hearing Date: Judge:

__________________ __________________ __________________ __________________

CERTIFICATION RE POST-PETITION PAYMENT HISTORY ON THE NOTE AND MORTGAGE DATED ______________________
__________________________________ of full age, employed as _________________________________________ by _________________________________________, hereby certifies the following information:

BACKGROUND INFORMATION
1. 2. 3. 4. 5. 6. Recorded in ____________________ County, in Book _______________ at Page _______________ Property Address: ____________________________________________________________________________ Mortgage Holder: ____________________________________________________________________________ Mortgagor(s)/ Debtor(s): ______________________________________________________________________ Date debtor(s) petition was filed: ________________________________________________________________ Post-petition payment address: __________________________________________________________________ AMOUNT OF POST-PETITION DEFAULT ( As of _______________ ) 7. 8. 9. Amount of debtor(s) monthly mortgage payment: Amount of debtor(s) monthly late charge: Total monthly payment including late charge: $ _______________ $ _______________ $ _______________

10.

Since the petition date, payments should have been made to the mortgagee. Since the petition date only __________ payment(s) have been made, leaving __________ payment(s) in arrears through the payment due _________________________ . The total amount of post-petition payment default (monthly payments + late charge) is $ __________________ .

Amount Due 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.
TOTAL: $0.00

Date Payment Was Due

How Payment Was Applied (Mo./Yr.)

Amount Received

Date Payment Received

Check or Money Order Number

$0.00

If the monthly payment has changed during the pendency of the case, please explain (attach separate sheet(s) if necessary):

AMOUNT HELD IN SUSPENSE (if any): Principal .................... Interest ....................... Insurance ....................

$ _______________

Effective as of _______________, the current monthly payment is comprised of: ____________________ ____________________ ____________________ (Specify) ________________________________________)

R.E. Taxes .................. ____________________ Late Charge ................. ____________________ Other ........................... ____________________ TOTAL ....................

$0.00 ____________________

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11.

Additional charges and/or advances made post-petition: a) Post-petition bankruptcy fees/costs for within motion: $ _______________ b) Post-petition advances made for taxes: c) Post-petition advances made for insurance: d) Other fees $ _______________ $ _______________ $ _______________

(please specify):______________________________________________________________________________

PRE-PETITION ARREARS:

___________________ to ___________________ ( __________ mos. x $ _______________ /mo. = $ _______________ )

I certify under penalty of perjury that the foregoing is true and correct. ________________________________ Date ________________________________ Signature
rev

rev.6/5/09.jml

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