CANB — Chapter 13 - Authorization to Release Information to the Trustee Regarding Secured Claims Being Paid By the Trustee (NDC 1-4)

Source: https://www.canb.uscourts.gov/sites/default/files/forms/authorization%2011-6-17%20final%20NDC%201-4.pdf

AUTHORIZATION TO RELEASE INFORMATION TO THE TRUSTEE REGARDING SECURED CLAIMS BEING PAID BY THE TRUSTEE

PROVIDE TO TRUSTEE ONLY DO NOT FILE WITH THE COURT

Debtor Name(s): Bk Case #:

The debtor(s) in the above-captioned bankruptcy case hereby authorizes any and all lien

holder(s) on real and personal property of the bankruptcy estate to release information to the

standing Trustee (as indicated below) in this bankruptcy filing.

The information to be released includes but is not limited to the amount of the post-petition

monthly installment, the annual interest rate and its type, the loan balance, impound accounts,

amount of the contractual late charge and the mailing address for payments. This information will

only be used by the Trustee and Trustee’s staff in the administration of the bankruptcy estate and

may be included in motions before the Court.

Date: Debtor’s Signature

Date: Joint Debtor’s Signature

Standing Trustee (check one):

David Burchard Martha Bronitsky Devin Derham-Burk

NDC 1-4 (11-6-17)