Fill in this information to identify the case: B 10 (Supplement 2) (12/11) Debtor 1 Debtor 2 (Spouse, if filing) (post publication draft) __________________________________________________________________ ________________________________________________________________ United States Bankruptcy Court for the: ______________________ District of __________ (State) Case number ___________________________________________ Form 4100N Notice of Final Cure Payment File a separate notice for each creditor. 10/15 According to Bankruptcy Rule 3002.1(f), the trustee gives notice that the amount required to cure the prepetition default in the claim below has been paid in full and the debtor(s) have completed all payments under the plan. Part 1: Mortgage Information Name of creditor: ______________________________________ ____ ____ ____ ____ Court claim no. (if known): ______________ Last 4 digits of any number you use to identify the debtor's account: Property address: ________________________________________________ Number Street ________________________________________________ ________________________________________________ City State ZIP Code Part 2: Cure Amount Amount (a) (b) (c) (d) (e) Total cure disbursements made by the trustee: a. Allowed prepetition arrearage: b. Prepetition arrearage paid by the trustee: c. Amount of postpetition fees, expenses, and charges recoverable under Bankruptcy Rule 3002.1(c): d. Amount of postpetition fees, expenses, and charges recoverable under Bankruptcy Rule 3002.1(c) and $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ $ __________ paid by the trustee: e. Allowed postpetition arrearage: f. Postpetition arrearage paid by the trustee: + (f) (g) g. Total. Add lines b, d, and f. Part 3: Postpetition Mortgage Payment Check one: Mortgage is paid through the trustee. Current monthly mortgage payment: The next postpetition payment is due on: ____/_____/______ MM / DD / YYYY $ __________ Mortgage is paid directly by the debtor(s). Notice of Final Cure Payment page 1 American LegalNet, Inc. www.FormsWorkFlow.com Form 4100N Debtor 1 _______________________________________________________ First Name Middle Name Last Name Case number (if known) _____________________________________ Part 4: A Response Is Required By Bankruptcy Rule 3002.1(g) Under Bankruptcy Rule 3002.1(g), the creditor must file and serve on the debtor(s), their counsel, and the trustee, within 21 days after service of this notice, a statement indicating whether the creditor agrees that the debtor(s) have paid in full the amount required to cure the default and stating whether the debtor(s) have (i) paid all outstanding postpetition fees, costs, and escrow amounts due, and (ii) consistent with § 1322(b)(5) of the Bankruptcy Code, are current on all postpetition payments as of the date of the response. Failure to file and serve the statement may subject the creditor to further action of the court, including possible sanctions. To assist in reconciling the claim, a history of payments made by the trustee is attached to copies of this notice sent to the debtor(s) and the creditor. __________________________________________________ Signature Date ____/_____/________ Trustee _________________________________________________________ First Name Middle Name Last Name Address _________________________________________________________ Number Street ___________________________________________________ City State ZIP Code Contact phone (______) _____­ _________ Email ________________________ Form 4100N Notice of Final Cure Payment page 2 American LegalNet, Inc. www.FormsWorkFlow.com