Form 410S2 Worksheet - Notice of Postpetition Mortgage Fees, Expenses, and Charges
Worksheet only. Not the official form. Transfer to Official Form 410S2. Use to itemize postpetition mortgage fees/expenses within 180 days after incurrence.
United States Bankruptcy Court
District of [District]
Debtor(s): [ ]
Case No.: [ ]
Creditor/Mortgagee: [ ]
Servicer (if different): [ ]
Court claim number (if known): [ ]
Loan number (last 4): [ ]
Property address: [ ]
Itemized Postpetition Fees/Expenses (11 U.S.C. ยงยง 524(i), 1322(b)(5); Rule 3002.1)
| Description | Incurred date | Amount | Approved by court order? (Y/N) |
|---|---|---|---|
| [ ] | [ ] | $[ ] | [ ] |
- Total fees/expenses claimed: $[ ]
Signature
I declare under penalty of perjury that the information provided in this notice is true and correct to the best of my knowledge, information, and reasonable belief.
Name: [ ]
Title/Relationship to creditor/servicer: [ ]
Address/Phone/Email: [ ]
Signature: __________________________ Date: __________