Testing of Model Bankruptcy Periodic Forms for Mortgage Servicing

Springside Mortgage

Customer Service: 1-800-555-1234

www.springsidemortgage.com

Mortgage Statement

Statement Date: 3/20/2015

$351,569.29

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