Bankruptcy Schedule D – Creditors Holding Secured Claims Template - Free Editor
Bankruptcy Schedule D – Creditors Holding Secured Claims Template
United States Bankruptcy Court
District of [District]
In re: [Debtor Name(s)]
Case No.: [if known]
Chapter: [7/11/13]
Schedule D: Creditors Holding Secured Claims
List all secured debts, including mortgages, vehicle loans, liens. Provide collateral description and valuation.
| Creditor Name | Mailing Address | Date Debt Incurred | Nature of Lien | Collateral Description | Amount of Claim | Value of Collateral | Unsecured Portion |
|---|---|---|---|---|---|---|---|
| [Mortgage Lender] | [Address] | [Date] | [Deed of trust/mortgage] | [Property address] | $[Amount] | $[Value] | $[Deficiency] |
| [Auto Lender] | [Security interest] | [Vehicle make/model/year] | $[Amount] | $[Value] | $[Deficiency] | ||
| [Other secured creditor] |
Notes
- Indicate co-debtors, if any.
- Specify if debt is contingent, unliquidated, disputed, or of unknown amount.
- Provide interest rate and maturity (optional).
Declaration
I declare under penalty of perjury that the foregoing is true and correct.
Debtor 1 Signature: ____ Date: __
Debtor 2 Signature (if joint case): ____ Date: __
Follow Official Form 106D instructions. Use additional sheets if necessary.
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