Official Form 410S2 "Notice of Postpetition Mortgage Fees, Expenses, and Charges"

What Is Official Form 410S2?

This is a legal form that was released by the United States Bankruptcy Court on December 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on December 1, 2016;
  • The latest available edition released by the United States Bankruptcy Court;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Official Form 410S2 by clicking the link below or browse more documents and templates provided by the United States Bankruptcy Court.

ADVERTISEMENT
ADVERTISEMENT

Download Official Form 410S2 "Notice of Postpetition Mortgage Fees, Expenses, and Charges"

432 times
Rate (4.6 / 5) 26 votes
Fill in this information to identify the case:
B 10 (Supplement 2) (12/11)
(post publication draft)
Debtor 1
__________________________________________________________________
Debtor 2
________________________________________________________________
(Spouse, if filing)
______________________
__________
United States Bankruptcy Court for the:
District of
(State)
Case number
___________________________________________
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
12/16
If the debtor’s plan provides for payment of postpetition contractual installments on your claim secured by a security interest in the
debtor's principal residence, you must use this form to give notice of any fees, expenses, and charges incurred after the bankruptcy
filing that you assert are recoverable against the debtor or against the debtor's principal residence.
File this form as a supplement to your proof of claim. See Bankruptcy Rule 3002.1.
Name of creditor: _______________________________________
Court claim no. (if known): __________________
Last 4 digits of any number you use to
____ ____ ____ ____
identify the debtor’s account:
Does this notice supplement a prior notice of postpetition fees,
expenses, and charges?
No
____/____/_____
Yes. Date of the last notice:
Part 1:
Itemize Postpetition Fees, Expenses, and Charges
Itemize the fees, expenses, and charges incurred on the debtor’s mortgage account after the petition was filed. Do not include any
escrow account disbursements or any amounts previously itemized in a notice filed in this case. If the court has previously
approved an amount, indicate that approval in parentheses after the date the amount was incurred.
Description
Dates incurred
Amount
_________________________________
$ __________
1. Late charges
(1)
_________________________________
$ __________
2. Non-sufficient funds (NSF) fees
(2)
_________________________________
$ __________
3. Attorney fees
(3)
_________________________________
$ __________
4. Filing fees and court costs
(4)
_________________________________
$ __________
5. Bankruptcy/Proof of claim fees
(5)
6. Appraisal/Broker’s price opinion fees
_________________________________
$ __________
(6)
_________________________________
$ __________
7. Property inspection fees
(7)
_________________________________
$ __________
8. Tax advances (non-escrow)
(8)
_________________________________
$ __________
9. Insurance advances (non-escrow)
(9)
_________________________________
$ __________
10. Property preservation expenses. Specify:_______________
(10)
_________________________________
$ __________
11. Other. Specify:____________________________________
(11)
_________________________________
$ __________
12. Other. Specify:____________________________________
(12)
_________________________________
$ __________
13. Other. Specify:____________________________________
(13)
_________________________________
$ __________
14. Other. Specify:____________________________________
(14)
The debtor or trustee may challenge whether the fees, expenses, and charges you listed are required to be paid.
See 11 U.S.C. § 1322(b)(5) and Bankruptcy Rule 3002.1.
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
page 1
Fill in this information to identify the case:
B 10 (Supplement 2) (12/11)
(post publication draft)
Debtor 1
__________________________________________________________________
Debtor 2
________________________________________________________________
(Spouse, if filing)
______________________
__________
United States Bankruptcy Court for the:
District of
(State)
Case number
___________________________________________
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
12/16
If the debtor’s plan provides for payment of postpetition contractual installments on your claim secured by a security interest in the
debtor's principal residence, you must use this form to give notice of any fees, expenses, and charges incurred after the bankruptcy
filing that you assert are recoverable against the debtor or against the debtor's principal residence.
File this form as a supplement to your proof of claim. See Bankruptcy Rule 3002.1.
Name of creditor: _______________________________________
Court claim no. (if known): __________________
Last 4 digits of any number you use to
____ ____ ____ ____
identify the debtor’s account:
Does this notice supplement a prior notice of postpetition fees,
expenses, and charges?
No
____/____/_____
Yes. Date of the last notice:
Part 1:
Itemize Postpetition Fees, Expenses, and Charges
Itemize the fees, expenses, and charges incurred on the debtor’s mortgage account after the petition was filed. Do not include any
escrow account disbursements or any amounts previously itemized in a notice filed in this case. If the court has previously
approved an amount, indicate that approval in parentheses after the date the amount was incurred.
Description
Dates incurred
Amount
_________________________________
$ __________
1. Late charges
(1)
_________________________________
$ __________
2. Non-sufficient funds (NSF) fees
(2)
_________________________________
$ __________
3. Attorney fees
(3)
_________________________________
$ __________
4. Filing fees and court costs
(4)
_________________________________
$ __________
5. Bankruptcy/Proof of claim fees
(5)
6. Appraisal/Broker’s price opinion fees
_________________________________
$ __________
(6)
_________________________________
$ __________
7. Property inspection fees
(7)
_________________________________
$ __________
8. Tax advances (non-escrow)
(8)
_________________________________
$ __________
9. Insurance advances (non-escrow)
(9)
_________________________________
$ __________
10. Property preservation expenses. Specify:_______________
(10)
_________________________________
$ __________
11. Other. Specify:____________________________________
(11)
_________________________________
$ __________
12. Other. Specify:____________________________________
(12)
_________________________________
$ __________
13. Other. Specify:____________________________________
(13)
_________________________________
$ __________
14. Other. Specify:____________________________________
(14)
The debtor or trustee may challenge whether the fees, expenses, and charges you listed are required to be paid.
See 11 U.S.C. § 1322(b)(5) and Bankruptcy Rule 3002.1.
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
page 1
Debtor 1
_______________________________________________________
Case number
_____________________________________
(if known)
First Name
Middle Name
Last Name
Part 2:
Sign Here
The person completing this Notice must sign it. Sign and print your name and your title, if any, and state your address and
telephone number.
Check the appropriate box.
I am the creditor.
I am the creditor’s authorized agent.
I declare under penalty of perjury that the information provided in this claim is true and correct to the best
of my knowledge, information, and reasonable belief.
__________________________________________________
Date
____/_____/________
Signature
Print:
_________________________________________________________
Title
___________________________
First Name
Middle Name
Last Name
Company
_________________________________________________________
Address
_________________________________________________________
Number
Street
___________________________________________________
City
State
ZIP Code
(______) _____– _________
________________________
Contact phone
Email
Official Form 410S2
Notice of Postpetition Mortgage Fees, Expenses, and Charges
page 2
Page of 2