Document And Loan History Abstract {27}

LOCAL BANKRUPTCY FORM NO. 27 IN THE UNITED STATES DISTRICT COURT FOR THE UNITED STATES VIRGIN ISLANDS, BANKRUPTCY DIVISION In Re: Debtor(s) Bankruptcy No. Chapter No. Document No. DOCUMENT AND LOAN HISTORY ABSTRACT (COMPLETE A SEPARATE ABSTRACT FOR THE ORIGINAL TRANSACTION AND EACH ASSIGNMENT) TYPE OF INSTRUMENT Mortgage Assignment Lease Other (describe) Retail Installment Contract UCC Financing Statement Promissory Note / Security Agreement PARTIES DATE OF INSTRUMENT ESSENTIAL TERMS Borrower/Lessee Lender/Lessor # OF PAGES Original Principal Balance Term Interest Rate First Payment Due Payment Amount Frequency of Payments (weekly, monthly, yearly, etc.) First Payment Due Date Last Payment Applied to Installment due on Amount in Arrears Total Amount of Claim on Date of Filing of Petition Total Amount of Claim on Date of Filing of Motion SECURED (LEASED) PROPERTY DESCRIPTION Real Property Lien Recording Recorder of Deeds County/Commonwealth/State/Territory Secretary of State/Commonwealth/State/Territory Bureau of Motor Vehicles (Commonwealth/State/Territory/ Other (Describe) Recording Date Book & Page/Instrument Number OTHER ESSENTIAL INFORMATION: Motor Vehicle Other Address/Description ) PROOF OF CLAIM FILED WITH CLERK, U.S. BANKRUPTCY COURT (Yes/No) American LegalNet, Inc. www.FormsWorkflow.com