Notice Of Transfer Of Claim (Other Than For Security)
Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Notice Of Transfer Of Claim (Other Than For Security) Form. This is a Kansas form and can be use in Bankruptcy Court Federal.
Loading PDF...
Tags: Notice Of Transfer Of Claim (Other Than For Security), Kansas Federal, Bankruptcy Court
-EXHIBIT FIN THE UNITED STATES BANKRUPTCY COURT
FOR THE DISTRICT OF KANSAS
IN RE:
John Q. Debtor,
Debtor.
)
)
)
)
)
)
Case No.
Chapter 13
NOTICE OF TRANSFER OF CLAIM (Other than for Security)
A Proof of Claim has been filed in this case. The transferee hereby evidences, by way of
documentation attached hereto, that the referenced claim has been transferred, other than the
security, as is referenced in this Notice. This Notice must be used when any of the original payment
information in a Proof of Claim changes. However, it should not be used for an amendment to the
amount of the claim. For changes in the amount of the claim or the arrears only, an Amended Proof
of Claim must be filed.
Original Claim Information:
Name of Claimant:
Name of Payee [if different from claimant]:
Payment Address:
Last 4 digits of Account #:
Claim # on Court’s Registry:
Amount of Claim:
[Or date of entry of Order allowing claim]
[Total debt]
[Arrears]
Transferee Information:
Name of Claimant:
Name of Payee [if different from claimant]:
Payment Address:
Name/Address for Notices [if different from payment address]:
Phone #:
Last 4 digits of Account #:
I,
, do hereby declare under penalty of perjury that the information provided
in this Notice is true and accurate to the best of my knowledge. I hereby declare that a copy of this
Notice has been mailed to the Transferor and that proof of the transfer is annexed thereto.
By:
Date:
Transferee/Agent of Transferee
102
102
American LegalNet, Inc.
www.FormsWorkFlow.com
CERTIFICATE OF SERVICE
Creditor (Transferee), Universal Servicing Company, certifies that it has served a copy of this
Notice by ordinary U.S. mail or served electronically through the Court’s ECF System on
this
day of
, 2007:
Debtor(s)
John Q. Debtor
1234 Main St.
Anywhere, IN 46601
Debtor’s Attorney
Mary Counselor, Esquire
Jones & Associates
123 Pine St.
Anywhere, IN 46601
Trustee
Jan Hamilton
PO Box 3527
Topeka, KS 66601
Transferor
Many Mortgages Incorporated
123 Walnut
Anytown, PA 65432
U.S. Trustee
Office of the United States Trustee
301 N. Main, Ste 1150
Wichita, KS 67202
103
American LegalNet, Inc.
www.FormsWorkFlow.com