2020-10-15_GENERAL DOCUMENTS - C1980004 (8)

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9. Is all or part of the claim secured? ❑ No ❑ Yes. The claim is secured by a lien on property. Nature of property: ❑ Real estate. Ifthe claim is secured by the debtor's principal residence, file a Mortgage Proof of Claim Attachment (official Form 410-A) with this Proof of Claim. ❑ Motor vehicle ❑ Other. Describe: Basis for perfection: Attach redacted copies of documents, if any, that show evidence of perfection of security interest (for example, a mortgage, lien, certificate oftitle, financing statement, or other document that shows the lien has been filed or recorded.) Value of property: $ Amount of the claim that is secured: $ Amount of the claim that is unsecured: $ (The sum of the secured and unsecured amounts should match the amount in line 7.) Amount necessary to cure any default as of the date of the petition: $ 10. Is this claim based on a lease? ❑ No ❑ Yes. Amount necessary to cure any default as of the date of petition. 11. Is this claim subject to a right of setoff? ❑ No ❑ Yes. Identify the property: 12. Is all or part of the claim entitled to priority under 11 U.S.C. § 507(a)? ❑ No ❑ Yes. Check one: ❑ Domestic support obligations (including alimony and child support) under 11 U.S.C. § 507(a)(1)(A) or (a)(1)(B). ❑ Up to $3,025* of deposits toward purchase, lease, or rental of property or services for personal, family, or household use. 11 U.S.C. § 507(a)(7). ❑ Wages, salaries, or commissions (up to $13,650*) earned within 180 days before the bankruptcy petition is filed or the debtor's business ends, whichever is earlier. 11 U.S.C. § 507(a)(4). ❑ Taxes or penalties owed to governmental units. 11 U.S.C. § 507(a)(8). ❑ Contributions to an employee benefit plan. 11 U.S.C. § 507(a)(5). ❑ Other. Specify subsection of 11 U.S.C. § 507 (a)(_) that applies. A claim may be partly priority and partly nonpriority. For example, in some categories, the law limits the amount entitled to priority. Amount entitled to priority P P Annual Interest Rate (when case was filed) % * Amounts are subject to adjustment on 4/01/22 and every 3 years after that for cases begun on or El Fixed El Variable after the date of adjustment. 13. Does this claim qualify as an Administrative Expense under 11 U.S.C. § 503(b)(9)? ❑ No ❑ Yes. Amount that qualifies as an Administrative Expense under 11 U.S.C. § 503(b)(9): $ Sign Below The person completing Check the appropriate box: this proof of claim must ❑ I am the creditor. sign and date it. FRBP 9011(b). ❑ I am the creditor's attorney or authorized agent. ❑ I am the trustee, or the debtor, or their authorized agent. Bankruptcy Rule 3004. If you file this claim ElI am a guarantor, surety, endorser, or other co -debtor. Bankruptcy Rule 3005. electronically, FRBP 5005(a)(2) authorizes I understand that an authorized signature on this Proof cf Claim serves as an acknowledgment that when calculating the amount of the claim, courts to establish local the creditor gave the debtor credit for any payments received toward the debt. rules specifying what a signature is. I have examined the information in this Proof cf Claim and have a reasonable belief that the information is true and correct. I declare under penalty of perjury that the foregoing is true and correct. A person who files a fraudulent claim could be fined up to $500,000, Executed on date imprisoned for up to 5 MM / DD / YYYY Signature years, or both. 18 U.S.C. §§ 152, 157, and 3571. Print the name of the person who is completing and signing this claim: Name First name Middle name Last name Title Company Identify the corporate servicer as the company if the authorized agent is a servicer. Address Number Street City State ZIP Code Contact Phone Email