Schedule d creditors holding secured claims superseded form
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B6D (Official Form 6D) (12/07) In re ____________________________________, Case No. __________________________________
De btor (If kn ow n)
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS
State the name, mailing addr ess, including zip code, and last four digits of any account number of all entities holding claims secured by
property of the debtor as of the date of filing of the petition. The complete account number of any account the debtor has wit h the creditor is useful
to the trustee and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secure d interests such as
judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and other security interests.
List creditors in alphabetical order to the extent practicable. If a minor child is the creditor, state the child's initials and the name and
address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). If all secured creditors will not fit on this page, use the continuation sheet provided.
If any entity other than a spouse in a join t case may be jointly liable on a claim, place an “X” in the column labeled “Codebtor,” include the
enti ty on the ap propria te sc hedu le of cre ditors, a n d co mple te Sc hedule H – Code btors. If a joi nt petition is file d, s ta te wh ether the husband, wi fe ,
both of them, or the marital community may be liable on each claim by placing an “H,” “W,” “J,” or “C” in the column labeled “ Husband, Wife,
Joint, or Community.”
If the claim is contingent, place an “X” in the column labeled “Contingent.” If the claim is unliquidated, place an “X” in the column
labeled “Unliquidated.” If the claim is di sputed, place an “X” in the column labeled “Disputed.” (You may need to place an “X” in more than one of
these three columns.)
Total the columns labeled “Amount of Clai m Without Deducting Value of Collateral” and “Unsecured Portion, if Any” in the boxes
labeled “Total(s)” on the last sheet of th e completed schedule. Report the total from the column labeled “Amount of Claim Without Deducting Value
of Collateral” also on the Summary of Schedul es and, if the debtor is an individual with primarily consumer debts, report the total from the column
labeled “Unsecured Portion, if Any” on the Statistical Summary of Certain Liabilities and Related Data.
□ Check this box if debtor has no creditors holdi ng secured claims to report on this Schedule D.
CREDITOR’S NAME AND
MAILING ADDRESS
INCLUDING ZIP CODE AND
AN ACCOUNT NUMBER (See Instructions Above. )
CODEBTOR
HUSBAND, WIFE, JOINT, OR
COMMUNITY
DATE CLAIM WAS
INCURRED,
NATURE OF LIEN ,
AND
DESCRIPTION
AND VALUE OF
PROPERTY
SUBJECT TO LIEN
CONTINGENT
UNLIQUIDATED DISPUTED
AMOUNT OF CLAIM
WITHOUT
DEDUCTING VALUE
OF COLLATERAL
UNSECURED
PORTION, IF ANY
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
____
continuation sheets
attached
Subtotal
►
(Total of this page)
$
$
Total
►
(Use only on last page) $ $
(Report also on Summary of
Schedules.) (If applicable, report also on Statistical
Summary of Certain
Liabilities and Related Data.)
B6D (Official Form 6D) (12/07) – Cont. 2
In re _ _ __ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ __, Case N o. __ ___ __ ___ ___ ___ ___ ___ ___ ___ ___ ___
Deb tor (if kn ow n)
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS (Continuation Sheet)
CREDITOR’S NAME AND MAILING ADDRESS
INCLUDING ZIP CODE
AND AN ACCOUNT NUMBER
( See Instructions Above. )
CODEBTOR
HUSBAND, WIFE, JOINT, OR
COMMUNITY
DATE CLAIM WAS
INCURRED, NATURE OF LIEN , AND
DESCRIPTION AND
VALUE OF PROPERTY SUBJECT TO LIEN
CONTINGENT
UNLIQUIDATED DISPUTED
AMOUNT OF CLAIM WITHOUT
DEDUCTING VALUE
OF COLLATERAL
UNSECURED
PORTION, IF ANY
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
ACCOUNT NO.
VALUE $
Sheet no.___of___continuation
sheets attached to Schedule of Creditors Holding Secured
Claims
Subtotal (s)
►
(Total(s) of this page)
$
$
Total(s)
►
(Use only on last page) $ $
(Report also on
Summary of Schedules.) (If applicable,
report also on
Statistical Summary
of Certain Liabilities and
Related Data.)
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