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Proof Of Claim Mortgage Arrearage Breakdown Attachment 3001-1 - Ohio
| Proof Of Claim Mortgage Arrearage Breakdown Attachment Form. This is a Ohio form and can be used in USBC Southern Federal . |
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LBR Form 3001-1 If the mortgage is to be paid inside the plan, attach this form to the mortgage proof of claim. UNITED STATES BANKRUPTCY COURT FOR THE SOUTHERN DISTRICT OF OHIO WESTERN/EASTERN DIVISION Case No: Chapter 13 Debtor(s) Judge In re: PROOF OF CLAIM MORTGAGE ARREARAGE BREAKDOWN ATTACHMENT Current monthly payment amount is: Effective ___________ (date) the new monthly payment is: $_____________ $_____________ This mortgage IS/IS NOT subject to impound/escrow i.e., taxes and insurance. Address of property: __________________________________________________________________________ Principal balance as of the petition filing date: Monthly payment: Principal and interest Taxes Insurance PMI Detail of arrearage: ___ (# of payments) from _____ (date) to _____ (date) @ $_____________ = $______________ ___ (# of late charges) from ______ (date) to _____ (date) @ $____________ = $____________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ American LegalNet, Inc. www.FormsWorkFlow.com Costs and out-of-pocket expenses: Foreclosure title work Filing fee Skip trace Document acquisition costs Service process server Other (specify): ________________________________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ Other charges: Escrow shortage Hazard insurance ________________ (dates) Taxes ________________ (dates) Appraisal BPO charges Property inspection Other (specify): ________________________________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ $_____________ TOTAL ARREARAGE: $_____________ American LegalNet, Inc. www.FormsWorkFlow.com
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