Document And Loan History Abstract {28}

IN THE UNITED STATES BANKRUPTCY COURT FOR THE WESTERN DISTRICT OF PENNSYLVANIA In Re: Debtor Movant v. Respondent(s) : : : : : : : : : Bankruptcy No. Chapter Document No. Hearing Date & Time: DOCUMENT AND LOAN HISTORY ABSTRACT (COMPLETE A SEPARATE ABSTRACT FOR THE ORIGINAL TRANSACTION AND EACH ASSIGNMENT) TYPE OF INSTRUMENT Mortgage Retail Installment Contract Assignment UCC Financing Statement Lease Promissory Note / Security Agreement Other (describe) _____________________________________________________. Borrower/Lessee Lender/Lessor # OF PAGES _____________. PARTIES DATE OF INSTRUMENT ESSENTIAL TERMS 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 Motor Vehicle Other ____________________________________________________________________ Address/Description Lien Recording Recorder of Deeds County/Commonwealth/State Secretary of State/Commonwealth/State Bureau of Motor Vehicles (Commonwealth/State ) Other (Describe) ________________________________________________________. Recording Date Book & Page/Instrument Number OTHER ESSENTIAL INFORMATION: PROOF OF CLAIM FILED WITH CLERK, U.S. BANKRUPTCY COURT PAWB Local Form 28 (07/13) (Yes/No) American LegalNet, Inc. www.FormsWorkFlow.com