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Secured Claim Worksheet - Georgia
| Secured Claim Worksheet Form. This is a Georgia form and can be used in General Northern District Bankruptcy Court Federal . |
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Secured Claim Worksheet Case Number: _____________________ Instructions: 1. 2. 3. Attach this Worksheet to the proof of claim, which should conform to Official Form 10. Compute the claim as of the date on which the Debtor filed the petition initiating the case. Do NOT include interest or charges that accrue after the Petition Date (the date on which the petition initiating the case was filed) in the computation of the debt due on the Petition Date. A claim that accrues interest after the Petition Date for payments on secured debt not made when due after the petition date should be presented in a separate proof of claim dealing only with post-petition claims. Provide information on computation of claim as of Petition Date in the blanks below. Principal Balance and Accrued Interest MUST NOT include unearned interest. The completion and filing of this form does not prejudice a creditor's right to contest whether the creditor's interest in property of the estate is adequately protected by payments made postpetition. Principal Balance Accrued Earned Interest As of Date of Filing Petition Late Charges Forced Placed Insurance Other Charges (itemize) $ $ $ $ $ $ $ $ $ $ Case Name: ______________________________ 4. A B C D E F G H I J K Total Claim as of Petition Date (Sum of A-E) - Copy to Block 4 on Official Form 10 Amount of arrearage and other charges at time case is filed, if any, included in amount on Line 4 Monthly Payment No. of Installments Past Due on Petition Date Contractual Annual Interest Rate (APR) Value of Collateral-Copy to Block 5 on Official Form 10 _______% $ American LegalNet, Inc. www.USCourtForms.com
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