Creditors Holding Secured Claims[1]

Form B6D (10/05) In re ____________________________________, Debtor Case No. __________________________________ (If known) SCHEDULE D – CREDITORS HOLDING SECURED CLAIMS State the name, mailing address, 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 with 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 secured 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 a creditor, indicate that by stating “a minor child” and do not disclose the child’s name. See 11 U.S.C. § 112; 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 joint case may be jointly liable on a claim, place an “X” in the column labeled “Codebtor,” include the entity on the appropriate schedule of creditors, and complete Schedule H – Codebtors. If a joint petition is filed, state whether husband, wife, 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 disputed, place an “X” in the column labeled “Disputed.” (You may need to place an “X” in more than one of these three columns.) Report the total of all claims listed on this schedule in the box labeled “Total” on the last sheet of the completed schedule. Report this total also on the Summary of Schedules. □ Check this box if debtor has no creditors holding secured claims to report on this Schedule D. HUSBAND, WIFE, JOINT, OR COMMUNITY CONTINGENT ACCOUNT NO. CODEBTOR VALUE $ ACCOUNT NO. VALUE $ ACCOUNT NO. VALUE $ ACCOUNT NO. VALUE $ ____continuation sheets attached Subtotal ► (Total of this page) Total ► (Use only on last page) DISPUTED CREDITOR’S NAME AND MAILING ADDRESS INCLUDING ZIP CODE AND A ACCOUNT NUMBER (See Instructions Above) DATE CLAIM WAS INCURRED, NATURE OF LIEN , AND DESCRIPTION AND VALUE OF PROPERTY SUBJECT TO LIEN UNLIQUIDATED AMOUNT OF CLAIM WITHOUT DEDUCTING VALUE OF COLLATERAL UNSECURED PORTION, IF ANY $ $ (Report total also on Summary of Schedules) Form B6D – Cont. (10/05) In re ____________________________________, Debtor Case No. __________________________________ (If known) SCHEDULE D – CREDITORS HOLDING SECURED CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT, OR COMMUNITY CONTINGENT CODEBTOR CREDITOR’S NAME AND MAILING ADDRESS INCLUDING ZIP CODE AND A ACCOUNT NUMBER (See Instructions Above) DATE CLAIM WAS INCURRED, NATURE OF LIEN , AND DESCRIPTION AND VALUE OF PROPERTY SUBJECT TO LIEN UNLIQUIDATED 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 ► (Total of this page) Total ► (Use only on last page) DISPUTED AMOUNT OF CLAIM WITHOUT DEDUCTING VALUE OF COLLATERAL UNSECURED PORTION, IF ANY $ $