B 10 (Supplement 2) (12/11) (post publication draft)

Official Form 410S2 Notice of Postpetition Mortgage Fees, Expenses, and Charges page 1

2IILFLDO)RUP 410S2 

Notice of Postpetition Mortgage Fees, Expenses, and Charges 12/15

If the debtor’s plan provides for payment of postpetition contractual installments on your claim secured by a security interest in the 

debtor's principal residence, you must use this form to give notice of any fees, expenses, and charges incurred after the bankruptcy 

filing that you assert are recoverable against the debtor or against the debtor's principal residence. 

File this form as a supplement to your proof of claim. See Bankruptcy Rule 3002.1. 

Name of creditor: _______________________________________ Court claim no. (if known): __________________ 

Last 4 digits of any number you use to 

identify the debtor’s account: ____ ____ ____ ____ 

Does this notice supplement a prior notice of postpetition fees, 

expenses, and charges? 

 No

 Yes. Date of the last notice: _____________

Part 1: Itemize Postpetition Fees, Expenses, and Charges

Itemize the fees, expenses, and charges incurred on the debtor’s mortgage account after the petition was filed. Do not include any

escrow account disbursements or any amounts previously itemized in a notice filed in this case or ruled on by the bankruptcy court.

Description Dates incurred Amount 

1. Late charges _________________________________ (1) $ __________

2. Non-sufficient funds (NSF) fees _________________________________ (2) $ __________

3. Attorney fees _________________________________ (3) $ __________

4. Filing fees and court costs _________________________________ (4) $ __________

5. Bankruptcy/Proof of claim fees _________________________________ (5) $ __________

6. Appraisal/Broker’s price opinion fees _________________________________ (6) $ __________

7. Property inspection fees _________________________________ (7) $ __________

8. Tax advances (non-escrow) _________________________________ (8) $ __________

9. Insurance advances (non-escrow) _________________________________ (9) $ __________

10. Property preservation expenses. Specify:_______________ _________________________________ (10) $ __________

11. Other. Specify:____________________________________ _________________________________ (11) $ __________

12. Other. Specify:____________________________________ _________________________________ (12) $ __________

13. Other. Specify:____________________________________ _________________________________ (13) $ __________

14. Other. Specify:____________________________________ _________________________________ (14) $ __________

The debtor or trustee may challenge whether the fees, expenses, and charges you listed are required to be paid. 

See 11 U.S.C. § 1322(b)(5) and Bankruptcy Rule 3002.1. 

Debtor 1 __________________________________________________________________ 

Debtor 2 ________________________________________________________________ 

(Spouse, if filing)

United States Bankruptcy Court for the: __________ District of __________

Case number ___________________________________________ 

Fill in this information to identify the case: 

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Anthony R Amancio

Maria E Amancio aka Maria E Alegado

Eastern District of Virginia

16-11346-BFK

N/A

9857

✔

$300.00Plan Review 5/11/2016 300.00

$15.00; 04/27/16, 06/02/16, 06/29/16 45.00

Case 16-11346-BFK Doc 16 Filed 07/27/16 Entered 07/27/16 15:05:49 Desc Main

 Document Page 1 of 3
Debtor 1 _______________________________________________________ Case number (if known) _____________________________________ First Name Middle Name Last Name

Official Form 410S2 Notice of Postpetition Mortgage Fees, Expenses, and Charges page 2

Part 2: Sign Here

The person completing this Notice must sign it. Sign and print your name and your title, if any, and state your address and 

telephone number. 

Check the appropriate box. 

 I am the creditor.

 I am the creditor’s authorized agent.

I declare under penalty of perjury that the information provided in this claim is true and correct to the best 

of my knowledge, information, and reasonable belief. 

8__________________________________________________ Date ___________________ 

Signature

Print: _________________________________________________________ Title ___________________________

First Name Middle Name Last Name

Company _________________________________________________________

Address _________________________________________________________

Number Street

___________________________________________________

City State ZIP Code

Contact phone _______________________ Email ________________________ 

Anthony R Amancio 16-11346-BFK

✔

Jason Michael Floyd Attorney for Seterus, Inc.

BWW Law Group, LLC

8100 Three Chopt Road, Suite 240

Richmond VA 23229

(804)282-0463 bankruptcy@bww-law.com

/s/ Jason Michael Floyd 07/27/2016

Case 16-11346-BFK Doc 16 Filed 07/27/16 Entered 07/27/16 15:05:49 Desc Main

 Document Page 2 of 3
CERTIFICATE OF SERVICE

I certify that on this 27th day of July, 2016, the following person(s) were or will be served with 

a copy of the foregoing filed pleading electronically via the CM/ECF system or by first class mail, 

postage prepaid: 

Thomas P Gorman, Trustee 

300 N.Washington St Ste 400 

Alexandria, VA 22314 

Januario G. Azarcon, Esq. 

10605 B-2 Judicial Drive 

Fairfax, VA 22030 

Maria E. Amancio aka Maria E. Amancio 

8851 Flatbush Court 

Manassas, VA 20109 

Anthony R. Amancio 

8851 Flatbush Court 

Manassas, VA 20109 

___________________

Jason Michael Floyd 

/s/ Jason Michael Floyd

Case 16-11346-BFK Doc 16 Filed 07/27/16 Entered 07/27/16 15:05:49 Desc Main

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