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MOW 4001-1.1 (5/07)

POST-PETITION PAYMENT HISTORY Post-Petition Due Date Date Payment Received Amount Due Amount Received Late Charges Notes

Instructions: File as part of a motion or as an attachment to the motion for every Motion for Relief from Stay in a Chapter 13 case where movant seeks relief from the stay for failure to make post-petition payments on a claim secured by real property that is the Debtor's principal residence or is treated by the Plan pursuant to § 1322(b)(5).