CREDITOR'S name, street address, city, state and ZIP codefield has the following information
Goodold Bank, 54 Happy Street, Anytown, DC 20002.
CREDITOR'S federal identification numberfield shows an identification number of
DEBTOR'S identification numberfield shows an identification number of
DEBTOR'S name, Street address (including apt. no.), and City, state, and ZIP codefields show
Nancy Oak, 360 Degree Circle, Anyplace, DC 20000.
Amount of debt canceledshows
Home mortgage loan.