Home
Forms Library
Official Form 410 Proof of Claim - kccllc

Official Form 410 Proof of Claim - kccllc 2026

Official Form 410 Proof of Claim - kccllc Preview on Page 1

See details

4.2 out of 5

34 votes

The document is a Proof of Claim filed in the bankruptcy case of Peabody Trout Creek Reservoir LLC (Case No. 16-42622) in the Eastern District of Missouri. It details a claim by American InfoSource LP, acting as an agent for T-Mobile USA Inc, for a total amount of $138.91 related to goods sold and services rendered. The claim is unsecured and does not include any interest or additional charges. The document includes instructions for filing claims, requirements for supporting documentation, and legal warnings regarding fraudulent claims.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Official Form 410 Proof of Claim - kccllc with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Official Form 410 in the editor.
Begin by filling in the case information at the top, including the debtor's name and case number. Ensure accuracy as this identifies your claim.
In Part 1, identify the current creditor. Enter their name and any other names they may have used with the debtor. If applicable, indicate if this claim has been acquired from someone else.
Provide contact details for notices and payments, ensuring you include a valid address and phone number for efficient communication.
In Part 2, specify the amount of your claim and its basis. Attach any necessary supporting documents that validate your claim.
Complete Part 3 by signing and dating the form. Make sure to check the appropriate box regarding your relationship to the creditor.

Start using our platform today to easily fill out and submit your Official Form 410 Proof of Claim for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What happens if you dont file a proof of claim?

However, each of your creditors must file a proof of claim (described below) within a certain time to prove how much you owe. If a creditor fails to do so, then the bankruptcy trustee will not make any payments to that creditor.

What is an official form 410 proof of claim?

A Proof of Claim is a written statement and any supporting documentation which describes the reason the debtor owes the creditor money. The claim must be filed using Official Form 410.

What is an example of proof of claim?

Attach redacted copies of any documents that support the claim, such as promissory notes, purchase orders, invoices, itemized statements of running accounts, contracts, judgments, mortgages, and security agreements.

Do I need a lawyer to file a proof of claim?

As long as the Bankruptcy Court receives the proof of claim and the case number is located on the form, the form will be filed in the appropriate bankruptcy case. You can and should include any documentation you have to support your claim against the debtor.

How to complete a proof of claim?

A complete address must be provided including the postal code where all notices and correspondence are to be forwarded. The amount on the statement of account must agree with the amount claimed on the proof of claim. The creditor must state the full and complete legal name of the Company or the claimant.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Related forms

be ready to get more