Dear Client, MANTY & ASSOCIATES, P.A. MANTY & ASSOCIATES, P.A. Attorneys at Law

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1 & MANTY & ASSOCIATES, P.A. Attorneys at Law Andrea Cobery, Attorney (612) Lauren Paulbick, Paralegal (612) Dear Client, Thank you for the opportunity to meet with you during this difficult financial time. We look forward to partnering with you to provide relief from your debt and a fresh financial future. In order to properly prepare your bankruptcy petition, you will need to provide us with the documentation requested in this packet. In preparation for filing bankruptcy, it is very important that you do not sell or transfer any property, that you do not take your name off any titles or other accounts, that you do not pay friends or relatives, that you do not use credit cards or take cash advances, and that you do not gamble without first speaking to your attorney. Also, please be aware that filing bankruptcy can affect mortgage modifications, so make sure to inform your attorney if you are attempting to modify your mortgage. Please be aware that you are also required to complete a credit counseling class before filing and a debtor education class after filing. Both classes typically take approximately one hour and can be taken over the telephone or online. Finally, please note that Manty & Associates, P.A. will not be able to file your case until we receive all the information and documentation requested in this packet. While the legal requirements may seem overwhelming, we have organized this packet for your ease of use and are happy to assist with any questions or concerns. We look forward to working with you. Thank you for choosing Manty & Associates. MANTY & ASSOCIATES, P.A. Phone: Fax: First Avenue North, Suite 305, Minneapolis, MN 55403

2 I. Required Fees! Court Filing Fee is $335 for a Chapter 7 case and $275 for a Chapter 13 case. The filing fee is determined by the court and is separate from the attorney fees.! Attorney Fee of $ is due before the case can be filed. 1. Three methods of payment: a) Cashier s Check or Money Order Payable to Manty & Associates b) Cash payment c) Personal Checks Payable to Manty & Associates. (1) Personal checks may take 15 days to clear. II. Required Documents! Credit Counseling Certificate (http://www.justice.gov/ust/eo/bapcpa/ccde/cc_approved.htm) 1. This course can be completed over the telephone or internet. 2. You cannot be filed without this certificate, which is valid for 180 days.! Complete copies of your federal, state, and property tax returns for: 1. Business and Personal Tax Return 2. This includes all schedules, petitions, W2s and 1099s. 3. You must include returns for you and your spouse even if only one of you is filing.! Verification of Income from ALL sources for the past 7 months NO EXCEPTIONS:! Pay stubs (or a payroll history from your employer) received from all former and current employers within the past 7 months. You will need to provide pay stubs through the filing date.! Social Security (SSI or SSDI), Veterans Disability, Workers Compensation or other Disability Income received within the past 7 months. Provide the benefit statement or a bank statement showing the direct deposit! Unemployment income received weekly within the past 7 months.! Retirement or Pension income received within the past 7 months.! Child Support, Alimony or Maintenance received in the past 7 months! Rental or Roommate income or Regular Contributions within the past 7 months.! Any other income received in the past 7 months (Please specify source):

3 ! Vehicles, Motorcycles, Boats, Campers, Trailers, ATVs, Jet Skis, Snowmobiles and any Recreational Vehicles:! Copies of titles or registration cards for all motorized vehicles, boats, and recreational vehicles. This includes any for which you are only a co-signor or that you own jointly with another person.! Copies of your most recent loan or lease statements, showing the balance and the monthly payment! Copy of your installment or sales or lease agreement from the purchase of the motorized vehicle showing the payment terms and the payoff date. You must provide titles, registration cards and loan statements for both you and your spouse even if your spouse is not filing with you.! Real Property for any interest in any real property, including any homes, investment properties, timeshares, vacant lots, vacation properties, cabins, life estates or remainder interests in real property.! Copies of your mortgage and home equity loan statements, showing the balance owed and the monthly payment.! Copy of your most recent property tax statement.! Home Appraisal or Comparative Market Analysis from a realtor. - For timeshare values, you may need to contact the timeshare company for current sale prices or look online for sales of similar timeshares.! Copy of your legal description which is found on your Warranty Deed. - The County Recorder s Office can provide a copy of your Warranty Deed. - If you own more than one property, write the address above the legal description.! Copy of your mobile home title.! Copy of your association or timeshare dues.! Copy of any sheriff sale notice within the past year.! Reinstatement figure for all mortgages through : $ a) This is the amount that you would have to pay to get current on each mortgage. b) The mortgage company or its attorney can provide this to you.

4 ! Copy of all lawsuit paperwork that you have received within the past 12 months. 1. Includes Summons & Complaints, Garnishment or Bank Levy Notices, and Sheriff Sale Notices.! Copy of your life insurance statements, showing the owner of the policy, the type of policy, the policy premium, and the cash value (if any)! Copy of all retirement account statements, investment account statements, and stock ownership showing the type of account and the current cash value of each account (# )! Copy of all withdraws and loans from retirement accounts, investment accounts, stocks, and life insurance within the past 2 years (# )! Copy of any Educational IRAs, showing the total value of the account AND all contributions within the past 365 days.! Self-Employed Worksheet for businesses, independent contractors or 1099 income (Attached)! Monthly Budget Sheet on the following page.! Non-filing spouse or significant other s debt or expenses. 1. Provide statements showing the name on the account and the minimal monthly payment.! Payment history from your medical insurance, dental insurance and pharmacies.! Other: 1. Do NOT submit receipts. Your providers can print a statement showing your payments.

5 III. Required Forms:! Payments to Creditors: If you have paid any creditors a total of $ or more within the past 90 days, please list the name of the creditor, the amount paid and the date of each payment made. 1. If you have made multiple payments to one creditor within the past 90 days, please list out each payment made to the creditor separately. 2. Please also include rent payments and secured debt payments such as mortgage payments, vehicle loan payments, etc. Name of Creditor Amount Paid Date Paid! Payments to Friends or Relatives: List any payment or money that you have given to a friend or relative within the past 12 months. Explain the details of the payment. Attach a list if necessary. 1. Do NOT repay any friends or relatives 2. If you are paying friends or relatives, STOP making payments. Name and Address of Friend/Relative Reason for Payment Amount Paid Amount Owed Date(s) Paid

6 ! Creditor Listing Sheet Complete the Creditor Listing Sheet on the next page. 1. Federal Law requires that you list all debts, including debts that are not dischargeable such as child support, alimony and student loans, tax debt, and debts to friends and relatives. 2. Use the Correspondence or Written Inquires address whenever possible. 3. You can obtain a FREE credit report once a year at https://www.annualcreditreport.com. 4. It is important to list all your debts to the best of your ability. If you think you owe a debt or if you are disputing a debt, be sure to list the debt. Failure to list a debt may result in the debt not being discharged in your bankruptcy case. 5. The most important aspect of this form is to list all your creditors with the complete addresses. You can estimate balances if necessary and include as much of the account number as possible. 6. Feel free to type this list on your own or to write the information on your own sheet of paper. Attach any additional sheets.

7 Original Creditor s Name and Address (Try to use the correspondence or written inquiry address if known) Collection Agencies or Attorneys Name and Address Account Number(s) Year you incurred the debt (best estimate) Balance owed (best estimate) If this is a secured loan, list the asset. (i.e. Car loan, boat loan or home mortgage) Person or business responsible for the debt (i.e. wife, husband, joint, business)

8 Original Creditor s Name and Address (Try to use the correspondence or written inquiry address if known) Collection Agencies or Attorneys Name and Address Account Number(s) Year you incurred the debt (best estimate) Balance owed (best estimate) If this is a secured loan, list the asset. (i.e. Car loan, boat loan or home mortgage) Person or business responsible for the debt (i.e. wife, husband, joint, business)

9 Original Creditor s Name and Address (Try to use the correspondence or written inquiry address if known) Collection Agencies or Attorneys Name and Address Account Number(s) Year you incurred the debt (best estimate) Balance owed (best estimate) If this is a secured loan, list the asset. (i.e. Car loan, boat loan or home mortgage) Person or business responsible for the debt (i.e. wife, husband, joint, business)

10 Original Creditor s Name and Address (Try to use the correspondence or written inquiry address if known) Collection Agencies or Attorneys Name and Address Account Number(s) Year you incurred the debt (best estimate) Balance owed (best estimate) If this is a secured loan, list the asset. (i.e. Car loan, boat loan or home mortgage) Person or business responsible for the debt (i.e. wife, husband, joint, business)

11 ! Asset List: 1. For each type of property listed below please fill in the remaining information. 2. Replacement value is what the item might sell for at a garage sale or what a merchant would be willing to pay you for it as is. Do your best to estimate. 3. For items such as jewelry, collectibles, or guns, please provide the appraisal or the purchase price you paid for the item. Asset Quantity Value Asset Quantity Value Living Room Furniture (sofa, coffee table, end tables, lamps, etc.) Wedding Ring (Debtor/describe) - Include Carat Dining Room Furniture Wedding Ring (Spouse/describe) - Include Carat Bedroom Furniture Engagement Ring (describe) - Include Carat Television (list value of each) Other Jewelry (Debtor/provide list) Computer (list value of each) Other Jewelry (Spouse/provide list) Movies, CDs, Video Games Watch (Debtor) (Specify) Gaming System (Specify) Watch (Spouse) Stereo/DVD Player/Blue Ray/VCR Books Clothing, jacket, shoes, etc. Sporting Equipment Furs (Debtor) Furs (Spouse) Works of Art, Collectibles (provide list) Firearms (provide list) Lawn Mower Snow Blower Rugs, silverware, cookware, towels, sheets, other household goods Office Frniture Refrigerator/Microwave/Dish washer/stove Photographs, knick knacks AUTOMOBILES/MORTORCYCLE BOATS/ATV/TRAILER/OTHER RECREATIONAL Year, Make, Model Mileage Value Year, Make, Model Value FINANCIALS Retirement Accounts (Debtor) Name of Plan Value Retirement Accounts (Debtor Spouse) Name of Plan Value

12 Stock, Bonds, Certificate of Deposit (Debtor) Type Value Stock, Bonds, Certificate of Deposit (Spouse) Type Value Life Insurance (Debtor/ Specify term or whole) Company Value Life Insurance (Spouse/ Specify term or whole) Company Value Other Financials (college savings, etc (Debtor) Name of Plan Value Other Financials (college savings, etc (Spouse) Name of Plan Value Are you a party to a trust? YES NO Are you a party to a YES NO (Debtor) trust? (Spouse) Are you owed money by YES NO Are you owed money by YES NO anyone? If yes, who owes you and how much are you owed (Debtor) anyone? If yes, who owes you and how much are you owed (Spouse) Security Deposit $ Security Deposit $ BANK ACCOUNTS Includes account with children & relatives. Includes accounts you no longer use. Name of Bank Type (checking/savings) Average Balance Names on Account Are you on a bank account that belongs to another person? YES or NO Name of Bank and Type of Account Average Balance Name of Owner of Funds on Deposit and Relationship OTHER ASSETS (Please Describe) Asset Value Asset Value

13 IV. Additional Information:! Have you created a trust in the past 10 years or are you the beneficiary of a trust: Yes or No. 1. If yes, provide a complete copy of the trust, including any amendments to the trust.! List all addresses at which you have resided in the past three years (Attach a list if necessary): 1. Address: Dates: 2. Address: Dates: 3. Address: Dates: 4. Address: Dates:! Have your wages been garnished or bank accounts levied within the past 90 days: Yes or No. 1. Garnishing Creditor: 2. Attorney for the Creditor: 3. Date and amount of any bank levy or garnishment 4. Payroll contact information: Debtor: Payroll Contact Name: Phone Number: Fax Number: Co-Debtor: Payroll Contact Name: Phone Number: Fax Number:! Open a new bank account: 1. Bank Name: 2. Type of Account: 3. Name/s on the Account:! Do you have possession of any property or are you using any property which belongs to someone else? Yes or No. If yes, please provide the following: 1. Owner s Name and Address: 2. The property and its value:! Have you modified or refinanced a mortgage within the past 12 months? Yes or No. If yes, please provide a copy of the recorded mortgage or completed modification agreement.! Have you been divorced within the past 6 years: Yes or No. If yes, provide a copy of the divorce decree and any amendments to the decree.! Do you owe Child Support, Alimony or Maintenance Payments: Yes or No. If yes, complete the form on the next page.

14

15 Domestic Support Obligation Claim Holder* Section One: write your name, address, and employment information Debtor(s) Name: Case Number: My current address: My employer s name and address: Section Two: write the name and address of the person to whom you owe child support. If you owe more than one individual, place the name and address of the second individual next to the name and address of the first individual. Note: This section must be completed and cannot be left blank. If the person to whom you owe child support has a restraining order against you, and you are not allowed to know the individual s address, then you may list the government agency to which you submit your child support payment in the section labeled OTHER. ** Also, you must write in this section that there is a restraining order against you. ** I owe Child Support or a Domestic Support Obligation to: Name of child s parent(s): Address of child s parent(s): Street Address/Unit #: City / State / Zip: Phone Number: MINNESOTA 1 Office of Child Support Enforcement Department of Human Services 444 Lafayette Road, 4 th Floor St. Paul, MN Office: Fax: OTHER Name: Street / PO Box: City / State/ Zip: Phone Number: Date: Debtor(s) Initials indicating accuracy of information: * Child support creditor includes both creditor to whom the debtor has a primary obligation to pay child support as well as any entity to whom such support has been assigned, if pursuant to Section 402(a)(26) of the Social Security Act or if such debt has been assigned to the Federal Government or to any State or political subdivision of a State.

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