Fill in this information to identify the case:

Debtor 1 Rachel F. Welty 

Debtor 2 

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia (Alexandria)

Case number 21-10093-KHK 

Official Form 410S1

Notice of Mortgage Payment Change 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 changes in the installment payment amount. 

File this form as a supplement to your proof of claim at least 21 days before the new payment amount is due. See Bankruptcy 

Rule 3002.1.

Name of creditor: GSF Mortgage Corporation Court claim no. (if known): 3 

Last 4 digits of any number you use to 

identify the debtor’s account:

XXXXXX5018 Date of payment change:

Must be at least 21 days 09/01/2021 

after date of this notice

New total payment: $ 1,587.81 

Principal, interest, and escrow, if any

Part 1: Escrow Account Payment Adjustment

1. Will there be a change in the debtor’s escrow account payment?

 No

 Yes. Attach a copy of the escrow account statement prepared in a form consistent with applicable

nonbankruptcy law. Describe the basis for the change. If a statement is not attached, explain why: 

Current escrow payment: $ 489.08 New escrow payment: $ 501.00

Part 2: Mortgage Payment Adjustment

2. Will the debtor’s principal and interest payment change based on an adjustment to the interest rate

on the debtor's variable-rate account?

 No

 Yes. Attach a copy of the rate change notice prepared in a form consistent with applicable

nonbankruptcy law. If a notice is not attached, explain why: : 

 Current interest rate: ________________ % New interest rate: ________________ %

 Current principal and interest payment: $ ___________ New principal and interest payment: $ ___________

Case 21-10093-KHK Doc Filed 07/21/21 Entered 07/21/21 14:23:49 Desc Main

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Debtor 1 Rachel F. Welty

First Name Middle Name Last Name

Case number (if known) 21-10093-KHK

Part 3: Other Payment Change

3. Will there be a change in the debtor’s mortgage payment for a reason not listed above?

 No

 Yes. Attach a copy of any documents describing the basis for the change, such as a repayment plan or

loan modification agreement.

(Court approval may be required before the payment change can take effect.)

 Reason for change: ________________________________

 Current mortgage payment: $ _______________ New mortgage payment: $ _______________

Part 4: 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.

 Date 

 Signature

Print: Lauren S. Hunt Title Attorney 

First Name Middle Name Last Name

Company BWW Law Group, LLC

Address 8100 Three Chopt Road, Suite 240 

Number Street

Richmond, VA 23229 

City State ZIP Code

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

Official Form 410S1 Notice of Mortgage Payment Change page 2

/s/ Lauren S. Hunt 07/21/2021

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CERTIFICATE OF SERVICE

I certify that on this 21st day of July, 2021, 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

Tommy Andrews, Jr., Esq. 

122 North Alfred St.

Alexandria, VA 22314

Rachel F. Welty 

1911 Winslow Ct

Woodbridge, VA 22191

____________________________

Lauren S. Hunt

Attorney

BWW Law Group, LLC

/s/ Lauren S. Hunt

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