Certification Of Secured Creditor Regarding Post-Petition Payment History On Vehicle Loan Lease
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Certification Of Secured Creditor Regarding Post-Petition Payment History On Vehicle Loan Lease Form. This is a New Jersey form and can be use in Bankruptcy Court Federal.
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Tags: Certification Of Secured Creditor Regarding Post-Petition Payment History On Vehicle Loan Lease, 16A, New Jersey Federal, Bankruptcy Court
UNITED STATES BANKRUPTCY COURT
DISTRICT OF NEW JERSEY
Caption in Compliance with D.N.J. LBR 9004-2(c)
In Re:
Case No.:
__________________
Hearing Date:
__________________
Chapter:
__________________
Judge:
__________________
CERTIFICATION OF SECURED CREDITOR REGARDING POST-PETITION
PAYMENT HISTORY ON VEHICLE LOAN/LEASE
__________________________________ of full age, employed as _________________________________________ by
_________________________________________, hereby certifies the following information:
Vehicle lender/lessor: ________________________________________
Vehicle description: _________________________________________
POST-PETITION PAYMENTS RECEIVED (Petition filed on __________________)
Amount due
Date Payment
due
Date payment
received
Amount
received
How payment
applied
(mo./yr)
Type of payment (See
Legend below)
1.
2.
3.
4.
5.
6.
7.
8.
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Amount due
Date Payment
due
Date Payment
received
Amount
Received
How Payment
applied
(mo./yr)
Type of Payment (See
Legend below)
9.
10.
11.
12.
Total
(Continue on attached sheets if necessary)
Monthly payments past due @ $________________ per month from ______________ to ______________ :
$_____________
Plus miscellaneous amounts due:
Late Charges:
$_____________
Repossession fees:
$_____________
Extension fees:
$_____________
Other :
$_____________
TOTAL POST-PETITION PAST DUE…………………………………. $ _______________
Pre-petition arrears: _______________ to _________________
(______months x $_____________per month = $____________)
Legend: MP = monthly payment; EXF = Extension fee; LC = Late Charge O = Other*specify other payments received
I certify under penalty of perjury that the foregoing is true and correct.
________________________________
Date of signature
________________________________
Signature
Local Form 16A. rev.8/1/06.jml
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