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

Fill in this information to identify the case: 

Debtor 1 Tatyana Pauline Arboleda 

 

Debtor 2 

(Spouse, if filing) 

United States Bankruptcy Court for the: Southern District of FL 

 (State) 

Case number 21-10636-LMI 

 

Official Form 410S2 

Notice of Postpetition Mortgage Fees, Expenses, and Charges 12/16 

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: 

U.S. BANK TRUST NATIONAL 

ASSOCIATION, AS TRUSTEE OF THE TIKI 

SERIES III TRUST Court claim no. (if known): 7-1 

Last 4 digits of any number you use to 

identify the debtor's account: XXXXXX4610 

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. If the court has previously approved an 

amount, indicate that approval in parentheses after the date the amount was incurred. 

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 7/21/21 (5) $ 825.00 

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: Bankruptcy Plan Review 7/9/21 (11) $ 375.00 

Case 21-10636-LMI Doc 113 Filed 11/29/21 Page 1 of 4
Official Form 410S2 Notice of Postpetition Mortgage Fees, Expenses, and Charges page 2

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. 

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. 

X /s/ Matthew Klein Date 11/29/2021 

Signature 

Print: Matthew Klein Title Attorney for Secured Creditor 

First Name Middle Name Last Name 

Company Howard Law Group 

 

Address 4755 Technology Way, Suite 104 

Number Street 

Boca Raton FL 33431 

City State ZIP Code 

 

Contact phone 954-893-7874 Email matthew@HowardLaw.com 

 

I HEREBY CERTIFY that on November 29, 2021 I electronically filed the foregoing with the Clerk of Court 

by using the CM/ECF System, which will send a notice of electronic filing to all CM/ECF participants: 

Marilyn L Maloy, Esq., 540 NW 165 Street Road, Suite, 210, Miami, FL 33169 

Nancy K. Neidich, POB 279806, Miramar, FL 33027 

Office of the US Trustee, 51 S.W. 1st Ave., Suite 1204, Miami, FL 33130 

And a true and correct copy was mailed via US Mail First Class to: 

Tatyana Pauline Arboleda, 15067 SW 103 Terrace Apt 14112, Miami, FL 33196 

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