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B 6D (Official Form 6D): Scheduled-Creditors Holding Secured Claims

The B 6D form has to be used for providing the basic information of the creditor. The form needs to be completed with all the required information and submitted along with any required filing fees.

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B 6D (Official Form 6D) (12/07) 
  In re ____________________________________,    Case No. __________________________________ 
                                                                 Debtor        (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 wit h 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 secure d 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 the creditor, state the child's initials  and the name and 
address of the child's parent or guardian, such as "A.B., a mi nor child, by John Doe, guardian." Do not disclose the child's na me. See, 11 U.S.C. §112 
and Fed. R. Bankr. P. 1007(m).  If all se cured creditors will not fit on this page, use the continuation sheet provided. 
  If any entity other than a spouse in a join t case may be jointly liable on a claim, place an “X” in the  column labeled “Codebt or,” include the 
entity on the appropriate schedule of creditors, and complete Sche dule H – Codebtors.  If a joint petition is filed, state whether the 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 “H usband, 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 di sputed, place an “X” in the column labeled “Disputed.”  (You may need to place an “X ” in more than one of 
these three columns.) 
  Total the columns labeled “Amount of Clai m Without Deducting Value of Collateral” and “Unsecured Portion, if Any” in the boxes  
labeled “Total(s)” on the last sheet of th e completed schedule.  Report the total from  the column labeled “Amount of Claim Without Deducting Value 
of Collateral” also on the Summary of Schedul es and, if the debtor is an individual with primarily  consumer debts, report the total from the column 
labeled “Unsecured Portion, if Any” on the Statistical Summary of Certain Liabilities and Related Data. 	
 	□	 	Check this box if debtor has no creditors holdi ng secured claims to report on this Schedule D.   
   
CREDITOR’S NAME AND 
MAILING ADDRESS 
INCLUDING ZIP CODE AND 
AN ACCOUNT NUMBER (See Instructions Above. ) 	
CODEBTOR 
HUSBAND, WIFE,  JOINT, OR 
COMMUNITY 	
 
DATE CLAIM WAS 
INCURRED, 
NATURE OF LIEN , 
AND 
DESCRIPTION 
AND VALUE OF 
PROPERTY 
SUBJECT TO LIEN 	
CONTINGENT 
UNLIQUIDATED  DISPUTED 	
 
AMOUNT OF CLAIM 
WITHOUT 
DEDUCTING VALUE 
OF COLLATERAL   
UNSECURED 
PORTION, IF  ANY 	
ACCOUNT NO. 	 
 
 
 
 	
 
 
 
 
    	
VALUE $ 	
      	
ACCOUNT NO. 	 	
 
 
 
 
   	
VALUE $ 	
      	
ACCOUNT NO. 	 	
 
 
 
 
 
  	
VALUE $ 	
      	
____	continuation sheets  
          attached 	  	Subtotal  ► 
(Total of this page) 	 	 	 $    $ 	
   	Total 
► 
(Use only on last page) 	   $  $ 	
   	 	   	(Report also on Summary of 
Schedules.)  (If applicable, report 
also on Statistical 
Summary of Certain 
Liabilities and Related 
Data.)

B 6D (Official Form 6D) (12/07) – Cont.      2
  
In re
 ____________________________________,          Case No. __________________________________ 
                                  Debtor        (if known) 
 	
SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS 	
(Continuation Sheet) 
 
 	
 
CREDITOR’S NAME AND 
MAILING ADDRESS 
INCLUDING ZIP CODE  AND AN ACCOUNT 
NUMBER 
( See Instructions Above. ) 	
CODEBTOR 
HUSBAND, WIFE,  JOINT, OR 
COMMUNITY 	
 
DATE CLAIM WAS 
INCURRED, NATURE  OF LIEN , AND 
DESCRIPTION AND 
VALUE OF PROPERTY  SUBJECT TO LIEN 	
CONTINGENT 
UNLIQUIDATED  DISPUTED 	
 
AMOUNT OF CLAIM 
WITHOUT 
DEDUCTING VALUE  OF COLLATERAL   
UNSECURED 
PORTION, IF  ANY 	
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 (s)
► 
(Total(s) of this page) 	 	 	 $    $ 	
   	Total(s) 
► 
(Use only on last page) 	    $  $ 	
   	 	   	(Report also on 
Summary of Schedules.)  (If applicable, 
report also on 
Statistical Summary 
of Certain 
Liabilities and 
Related Data.)
Next: B6C (Official Form 6C): Schedule C Property Claimed as Exempt Previous: Bill of Costs
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