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Certification Re Post-Petition Payment History Form. This is a New Jersey form and can be use in Bankruptcy Court Federal.
Tags: Certification Re Post-Petition Payment History, 16, 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.:
__________________
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.
Recorded in ____________________ County, in Book _______________ at Page _______________
2.
Property Address: ____________________________________________________________________________
3.
Mortgage Holder: ____________________________________________________________________________
4.
Mortgagor(s)/ Debtor(s): ______________________________________________________________________
5.
Date debtor(s) petition was filed: ________________________________________________________________
6.
Post-petition payment address: __________________________________________________________________
AMOUNT OF POST-PETITION DEFAULT
( As of _______________ )
7.
Amount of debtor(s) monthly mortgage payment:
$ _______________
8.
Amount of debtor(s) monthly late charge:
$ _______________
9.
Total monthly payment including late charge:
$ _______________
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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
Date Payment
Was Due
How Payment Was
Applied (Mo./Yr.)
Amount
Received
Date Payment
Received
Check or Money
Order Number
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
TOTAL:
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):
$ _______________
Effective as of _______________, the current monthly payment is comprised of:
Principal ....................
____________________
Interest .......................
____________________
R.E. Taxes .................. ____________________
Insurance ....................
____________________
Late Charge ................. ____________________
Other ........................... ____________________
TOTAL ....................
(Specify) ________________________________________)
____________________
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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
3
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