Testing of Model Bankruptcy Periodic Forms for Mortgage Servicing

Generic Clearance for Development and/or Testing of Model Forms, Disclosures, Tools, and Other Similar Related Materials

Appendix H-30(F) (alternative)

Testing of Model Bankruptcy Periodic Forms for Mortgage Servicing

OMB: 3170-0022

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Springside Mortgage

Customer Service: 1-800-555-1234

www.springsidemortgage.com

Mortgage Statement

Statement Date: 3/20/2015

$351,569.29



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Our records reflect that you are presently a debtor in an active bankruptcy case or you previously received a discharge in bankruptcy. This statement is being sent to you for informational and compliance purposes only. It should not be construed as an attempt to collect a debt against you personally.


The information disclosed on the periodic statement may not reflect payments you have made to the Trustee and may not be consistent with the Trustee’s records. Please contact the Trustee or your attorney if you have any questions regarding this matter.


Explanation of Payment Amount

Principal and Interest

$1,564.94

Escrow (Taxes and Insurance)

$375.00

Regular Monthly Payment

$1,939.94

Total Fees and Charges

$0.00

Unpaid payments (does not include pre-bankruptcy arrearage)

$0.00

Total Post-Petition Payment Amount

$1,939.94



If your bankruptcy plan requires you to make your ongoing mortgage payments directly to a bankruptcy Trustee, then do not send your payment to us. Rather, send your payment to the Trustee as directed in your bankruptcy plan.

Account Information

Outstanding Principal

$271,043.06

Interest Rate (Until October 2015)

4.75%

Prepayment Penalty

Yes


Payment Amount

Payment Date:

Payment Amount:

4/1/2015

$1,939.94

Additional Principal

$ .

Additional Escrow

$ .

Total Amount Enclosed

$ .


Pre-Bankruptcy Debt (Arrearage) Payments

Paid Last Month

Paid Year to Date

Current Balance of

Pre-Bankruptcy Arrearage


$336.43

$1,009.29

$10,093.00




Transaction Activity (2/20 to 3/19)

Date

Description

Charges

Payments

3/4/15

Payment Received


$1,939.94

3/17/15

Payment Received


$336.43


Account Number

1234567

Payment Date

4/1/2015

Payment Amount

$1,939.94

Under your bankruptcy plan, the Trustee may be making payments on your mortgage and other debts. You should contact the Trustee or your attorney if you have any questions about who is responsible for your mortgage payments.



Bankruptcy Notice

Current Payments Breakdown


Paid Last Month

Paid Year to Date

Principal and Interest

$1,565.94

$4,696.82

Escrow (Taxes and Insurance)

$375.00

$1,125.00

Fees

$0.00

$0.00

Partial Payment (Unapplied)

$0.00

$0.00

Total

$1,939.94

$5,819.82





Jordan and Dana Smith

4700 Jones Drive

Memphis, TN 38109



1234567 34571892 342359127 DN

Springside Mortgage

P.O. Box 11111

Los Angeles, CA 90010


Springside Mortgage


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