Health Care Business Single Asset Real Estate as defined

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Health Care Business Single Asset Real Estate as defined"

Transcription

1 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ame of ebtor (if individual enter Last First Middle): Americas Powersport Auction LL nited States Bankruptcy ourt Middle istrict of ennessee ame of Joint ebtor (Spouse) (Last First Middle): Voluntary Petition All ther ames used by the ebtor in the last 8 years (include married maiden and trade names): All ther ames used by the Joint ebtor in the last 8 years (include married maiden and trade names): Last four digits of Soc. Sec. or ndividualaxpayer.. () o./omplete (if more than one state all) Street Address of ebtor (o. and Street ity and State): 7995 astgate Blvd Mount Juliet ZP ode ounty of Residence or of the Principal Place of Business: Wilson Mailing Address of ebtor (if different from street address): Last four digits of Soc. Sec. or ndividualaxpayer.. () o./omplete (if more than one state all) Street Address of Joint ebtor (o. and Street ity and State): ounty of Residence or of the Principal Place of Business: Mailing Address of Joint ebtor (if different from street address): ZP ode ZP ode ZP ode Location of Principal Assets of Business ebtor (if different from street address above): ype of ebtor (Form of rganization) (heck one box) ndividual (includes Joint ebtors) See xhibit on page 2 of this form. orporation (includes LL and LLP) Partnership ther (f debtor is not one of the above entities check this box and state type of entity below.) Full Filing Fee attached Filing Fee (heck one box) ature of Business (heck one box) Health are Business Single Asset Real state as defined in 11.S (51B) Railroad Stockbroker ommodity Broker learing Bank ther axxempt ntity (heck box if applicable) ebtor is a taxexempt organization under itle 26 of the nited States ode (the nternal Revenue ode). Filing Fee to be paid in installments (applicable to individuals only). Must attach signed application for the court's consideration certifying that the debtor is unable to pay fee except in installments. Rule 1006(b). See fficial Form 3A. Filing Fee waiver requested (applicable to chapter 7 individuals only). Must attach signed application for the court's consideration. See fficial Form 3B. Statistical/Administrative nformation ebtor estimates that funds will be available for distribution to unsecured creditors. ebtor estimates that after any exempt property is excluded and administrative expenses paid there will be no funds available for distribution to unsecured creditors. stimated umber of reditors hapter 7 hapter 9 hapter 11 hapter 12 hapter VR stimated Assets $0 to $50001 to $ to $ $ $ $ $ $ More than $50000 $ $ to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion million million million million million stimated Liabilities $0 to $50001 to $ to $ $ $ $ $ $ More than $50000 $ $ to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion million million million million million hapter of Bankruptcy ode nder Which the Petition is Filed (heck one box) hapter 15 Petition for Recognition of a Foreign Main Proceeding hapter 15 Petition for Recognition of a Foreign onmain Proceeding ature of ebts (heck one box) ebts are primarily consumer debts defined in 11.S.. 101(8) as "incurred by an individual primarily for a personal family or household purpose." ebts are primarily business debts. heck one box: hapter 11 ebtors ebtor is a small business debtor as defined in 11.S.. 101(51). ebtor is not a small business debtor as defined in 11.S.. 101(51). heck if: ebtor s aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates) are less than $ (amount subject to adjustment on 4/01/13 and every three years thereafter). heck all applicable boxes: A plan is being filed with this petition. Acceptances of the plan were solicited prepetition from one or more classes of creditors in accordance with 11.S (b). HS SPA S FR R S LY

2 B1 (fficial Form 1)(4/10) Page 2 ame of ebtor(s): Voluntary Petition Americas Powersport Auction LL (his page must be completed and filed in every case) All Prior Bankruptcy ases Filed Within Last 8 Years (f more than two attach additional sheet) Location ase umber: ate Filed: Where Filed: one Location ase umber: ate Filed: Where Filed: Pending Bankruptcy ase Filed by any Spouse Partner or Affiliate of this ebtor (f more than one attach additional sheet) ame of ebtor: ase umber: ate Filed: one istrict: Relationship: Judge: xhibit A (o be completed if debtor is required to file periodic reports (e.g. forms 10K and 10Q) with the Securities and xchange ommission pursuant to Section 13 or 15(d) of the Securities xchange Act of 1934 and is requesting relief under chapter 11.) xhibit A is attached and made a part of this petition. xhibit B (o be completed if debtor is an individual whose debts are primarily consumer debts.) the attorney for the petitioner named in the foregoing petition declare that have informed the petitioner that [he or she] may proceed under chapter or 13 of title 11 nited States ode and have explained the relief available under each such chapter. further certify that delivered to the debtor the notice required by 11.S.. 342(b). Signature of Attorney for ebtor(s) (ate) xhibit oes the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety? Yes and xhibit is attached and made a part of this petition. o. xhibit (o be completed by every individual debtor. f a joint petition is filed each spouse must complete and attach a separate xhibit.) xhibit completed and signed by the debtor is attached and made a part of this petition. f this is a joint petition: xhibit also completed and signed by the joint debtor is attached and made a part of this petition. nformation Regarding the ebtor Venue (heck any applicable box) ebtor has been domiciled or has had a residence principal place of business or principal assets in this istrict for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other istrict. here is a bankruptcy case concerning debtor's affiliate general partner or partnership pending in this istrict. ebtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the nited States in this istrict or has no principal place of business or assets in the nited States but is a defendant in an action or proceeding [in a federal or state court] in this istrict or the interests of the parties will be served in regard to the relief sought in this istrict. ertification by a ebtor Who Resides as a enant of Residential Property (heck all applicable boxes) Landlord has a judgment against the debtor for possession of debtor's residence. (f box checked complete the following.) (ame of landlord that obtained judgment) (Address of landlord) ebtor claims that under applicable nonbankruptcy law there are circumstances under which the debtor would be permitted to cure the entire monetary default that gave rise to the judgment for possession after the judgment for possession was entered and ebtor has included in this petition the deposit with the court of any rent that would become due during the 30day period after the filing of the petition. ebtor certifies that he/she has served the Landlord with this certification. (11.S.. 362(l)).

3 B1 (fficial Form 1)(4/10) Page 3 ame of ebtor(s): Voluntary Petition Americas Powersport Auction LL (his page must be completed and filed in every case) Signatures Signature(s) of ebtor(s) (ndividual/joint) Signature of a Foreign Representative declare under penalty of perjury that the information provided in this petition is true and correct. [f petitioner is an individual whose debts are primarily consumer debts and has chosen to file under chapter 7] am aware that may proceed under chapter or 13 of title 11 nited States ode understand the relief available under each such chapter and choose to proceed under chapter 7. [f no attorney represents me and no bankruptcy petition preparer signs the petition] have obtained and read the notice required by 11.S.. 342(b). request relief in accordance with the chapter of title 11 nited States ode specified in this petition. Signature of ebtor Signature of Joint ebtor elephone umber (f not represented by attorney) declare under penalty of perjury that the information provided in this petition is true and correct that am the foreign representative of a debtor in a foreign proceeding and that am authorized to file this petition. (heck only one box.) request relief in accordance with chapter 15 of title 11. nited States ode. ertified copies of the documents required by 11.S are attached. Pursuant to 11.S request relief in accordance with the chapter of title 11 specified in this petition. A certified copy of the order granting recognition of the foreign main proceeding is attached. Signature of Foreign Representative Printed ame of Foreign Representative ate Signature of onattorney Bankruptcy Petition Preparer ate Signature of Attorney* /s/ Steven L. Lefkovitz Signature of Attorney for ebtor(s) Steven L. Lefkovitz 5953 Printed ame of Attorney for ebtor(s) LFKVZ & LFKVZ Firm ame 618 HRH S. #410 ASHVLL Address mail: Fax: elephone umber June ate *n a case in which 707(b)(4)() applies this signature also constitutes a certification that the attorney has no knowledge after an inquiry that the information in the schedules is incorrect. Signature of ebtor (orporation/partnership) declare under penalty of perjury that the information provided in this petition is true and correct and that have been authorized to file this petition on behalf of the debtor. he debtor requests relief in accordance with the chapter of title 11 nited States ode specified in this petition. /s/ Mark Vastola Signature of Authorized ndividual Mark Vastola Printed ame of Authorized ndividual Member itle of Authorized ndividual June ate declare under penalty of perjury that: (1) am a bankruptcy petition preparer as defined in 11.S.. 110; (2) prepared this document for compensation and have provided the debtor with a copy of this document and the notices and information required under 11.S.. 110(b) 110(h) and 342(b); and (3) if rules or guidelines have been promulgated pursuant to 11.S.. 110(h) setting a maximum fee for services chargeable by bankruptcy petition preparers have given the debtor notice of the maximum amount before preparing any document for filing for a debtor or accepting any fee from the debtor as required in that section. fficial Form 19 is attached. Printed ame and title if any of Bankruptcy Petition Preparer SocialSecurity number (f the bankrutpcy petition preparer is not an individual state the Social Security number of the officer principal responsible person or partner of the bankruptcy petition preparer.)(required by 11.S ) Address ate Signature of Bankruptcy Petition Preparer or officer principal responsible personor partner whose Social Security number is provided above. ames and SocialSecurity numbers of all other individuals who prepared or assisted in preparing this document unless the bankruptcy petition preparer is not an individual: f more than one person prepared this document attach additional sheets conforming to the appropriate official form for each person. A bankruptcy petition preparer s failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both 11.S.. 110; 18.S

4 nited States Bankruptcy ourt Middle istrict of ennessee n re Americas Powersport Auction LL ase o. ebtor(s) hapter 7 SLSR F MPSA F ARY FR BR(S) 1. Pursuant to 11.S.. 329(a) and Bankruptcy Rule 2016(b) certify that am the attorney for the abovenamed debtor and that compensation paid to me within one year before the filing of the petition in bankruptcy or agreed to be paid to me for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services have agreed to accept $ Prior to the filing of this statement have received $ Balance ue $ he source of the compensation paid to me was: ebtor ther (specify): 3. he source of compensation to be paid to me is: ebtor ther (specify): 4. have not agreed to share the abovedisclosed compensation with any other person unless they are members and associates of my law firm. have agreed to share the abovedisclosed compensation with a person or persons who are not members or associates of my law firm. A copy of the agreement together with a list of the names of the people sharing in the compensation is attached. 5. n return for the abovedisclosed fee have agreed to render legal service for all aspects of the bankruptcy case including: a. Analysis of the debtor's financial situation and rendering advice to the debtor in determining whether to file a petition in bankruptcy; b. Preparation and filing of any petition schedules statement of affairs and plan which may be required; c. Representation of the debtor at the meeting of creditors and confirmation hearing and any adjourned hearings thereof; d. [ther provisions as needed] egotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 S 522(f)(2)(A) for avoidance of liens on household goods. 6. By agreement with the debtor(s) the abovedisclosed fee does not include the following service: Representation of the debtors in any dischargeability actions judicial lien avoidances relief from stay actions or any other adversary proceeding. RFA certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in this bankruptcy proceeding. ated: June /s/ Steven L. Lefkovitz Steven L. Lefkovitz 5953 LFKVZ & LFKVZ 618 HRH S. #410 ASHVLL Fax: Software opyright (c) Best ase Solutions vanston L bestcase.com

5 }bk1{form 6. Sumary of Schedules}bk{ B6 Summary (fficial Form 6 Summary) (12/07) n re Americas Powersport Auction LL nited States Bankruptcy ourt Middle istrict of ennessee ebtor ase o. hapter 7 SMMARY F SHLS ndicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A B F and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor s assets. Add the amounts of all claims from Schedules and F to determine the total amount of the debtor s liabilities. ndividual debtors must also complete the "Statistical Summary of ertain Liabilities and Related ata" if they file a case under chapter 7 11 or 13. AM F SHL AAH. F ASSS LABLS HR (YS/) SHS A Real Property Yes B Personal Property Yes Property laimed as xempt o 0 reditors Holding Secured laims Yes reditors Holding nsecured Priority laims (otal of laims on Schedule ) Yes F reditors Holding nsecured onpriority laims Yes G xecutory ontracts and nexpired Leases Yes 1 H odebtors Yes 1 urrent ncome of ndividual ebtor(s) J urrent xpenditures of ndividual ebtor(s) otal umber of Sheets of ALL Schedules o o 0 /A 0 /A 18 otal Assets 0.00 otal Liabilities Software opyright (c) Best ase Solutions vanston L

6 }bk1{form 6. Statistical Sumary of ertain Liabilities and Related ata}bk{ Form 6 Statistical Summary (12/07) nited States Bankruptcy ourt Middle istrict of ennessee n re Americas Powersport Auction LL ebtor ase o. hapter 7 SASAL SMMARY F RA LABLS A RLA AA (28.S.. 159) f you are an individual debtor whose debts are primarily consumer debts as defined in 101(8) of the Bankruptcy ode (11.S.. 101(8)) filing a case under chapter 7 11 or 13 you must report all information requested below. heck this box if you are an individual debtor whose debts are primarily consumer debts. You are not required to report any information here. his information is for statistical purposes only under 28.S Summarize the following types of liabilities as reported in the Schedules and total them. ype of Liability Amount omestic Support bligations (from Schedule ) axes and ertain ther ebts wed to Governmental nits (from Schedule ) laims for eath or Personal njury While ebtor Was ntoxicated (from Schedule ) (whether disputed or undisputed) Student Loan bligations (from Schedule F) omestic Support Separation Agreement and ivorce ecree bligations ot Reported on Schedule bligations to Pension or ProfitSharing and ther Similar bligations (from Schedule F) AL State the following: Average ncome (from Schedule Line 16) Average xpenses (from Schedule J Line 18) urrent Monthly ncome (from Form 22A Line 12; R Form 22B Line 11; R Form 22 Line 20 ) State the following: 1. otal from Schedule "SR PR F AY" column 2. otal from Schedule "AM L PRRY" column 3. otal from Schedule "AM L PRRY F AY" column 4. otal from Schedule F 5. otal of nonpriority unsecured debt (sum of 1 3 and 4) Software opyright (c) Best ase Solutions vanston L

7 }bk1{schedule A Real Property}bk{ B6A (fficial Form 6A) (12/07) n re Americas Powersport Auction LL ebtor ase o. SHL A RAL PRPRY xcept as directed below list all real property in which the debtor has any legal equitable or future interest including all property owned as a cotenant community property or in which the debtor has a life estate. nclude any property in which the debtor holds rights and powers exercisable for the debtor's own benefit. f the debtor is married state whether husband wife both or the marital community own the property by placing an "H" "W" "J" or "" in the column labeled "Husband Wife Joint or ommunity." f the debtor holds no interest in real property write "one" under "escription and Location of Property." o not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G xecutory ontracts and nexpired Leases. f an entity claims to have a lien or hold a secured interest in any property state the amount of the secured claim. See Schedule. f no entity claims to hold a secured interest in the property write "one" in the column labeled "Amount of Secured laim." f the debtor is an individual or if a joint petition is filed state the amount of any exemption claimed in the property only in Schedule Property laimed as xempt. escription and Location of Property ature of ebtor's nterest in Property Husband Wife Joint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption Amount of Secured laim one Subotal > 0.00 (otal of this page) 0 continuation sheets attached to the Schedule of Real Property otal > 0.00 (Report also on Summary of Schedules) Software opyright (c) Best ase Solutions vanston L

8 }bk1{schedule B Personal Property}bk{ B6B (fficial Form 6B) (12/07) n re Americas Powersport Auction LL ebtor ase o. xcept as directed below list all personal property of the debtor of whatever kind. f the debtor has no property in one or more of the categories place an "x" in the appropriate position in the column labeled "one." f additional space is needed in any category attach a separate sheet properly identified with the case name case number and the number of the category. f the debtor is married state whether husband wife both or the marital community own the property by placing an "H" "W" "J" or "" in the column labeled "Husband Wife Joint or ommunity." f the debtor is an individual or a joint petition is filed state the amount of any exemptions claimed only in Schedule Property laimed as xempt. o not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G xecutory ontracts and nexpired Leases. f the property is being held for the debtor by someone else state that person's name and address under "escription and Location of Property." f the property is being held for a minor child simply state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). ype of Property 1. ash on hand SHL B PRSAL PRPRY escription and Location of Property Husband Wife Joint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption 2. hecking savings or other financial accounts certificates of deposit or shares in banks savings and loan thrift building and loan and homestead associations or credit unions brokerage houses or cooperatives. 3. Security deposits with public utilities telephone companies landlords and others. 4. Household goods and furnishings including audio video and computer equipment. 5. Books pictures and other art objects antiques stamp coin record tape compact disc and other collections or collectibles. 6. Wearing apparel. 7. Furs and jewelry. 8. Firearms and sports photographic and other hobby equipment. 9. nterests in insurance policies. ame insurance company of each policy and itemize surrender or refund value of each. 10. Annuities. temize and name each issuer. Subotal > (otal of this page) continuation sheets attached to the Schedule of Personal Property Software opyright (c) Best ase Solutions vanston L

9 B6B (fficial Form 6B) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL B PRSAL PRPRY (ontinuation Sheet) ype of Property escription and Location of Property Husband Wife Joint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption 11. nterests in an education RA as defined in 26.S.. 530(b)(1) or under a qualified State tuition plan as defined in 26.S.. 529(b)(1). Give particulars. (File separately the record(s) of any such interest(s). 11.S.. 521(c).) 12. nterests in RA RSA Keogh or other pension or profit sharing plans. Give particulars. 13. Stock and interests in incorporated and unincorporated businesses. temize. 14. nterests in partnerships or joint ventures. temize. 15. Government and corporate bonds and other negotiable and nonnegotiable instruments. 16. Accounts receivable. 17. Alimony maintenance support and property settlements to which the debtor is or may be entitled. Give particulars. 18. ther liquidated debts owed to debtor including tax refunds. Give particulars. 19. quitable or future interests life estates and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule A Real Property. 20. ontingent and noncontingent interests in estate of a decedent death benefit plan life insurance policy or trust. 21. ther contingent and unliquidated claims of every nature including tax refunds counterclaims of the debtor and rights to setoff claims. Give estimated value of each. Subotal > (otal of this page) 0.00 Sheet 1 of 2 continuation sheets attached to the Schedule of Personal Property Software opyright (c) Best ase Solutions vanston L

10 B6B (fficial Form 6B) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL B PRSAL PRPRY (ontinuation Sheet) ype of Property escription and Location of Property Husband Wife Joint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption 22. Patents copyrights and other intellectual property. Give particulars. 23. Licenses franchises and other general intangibles. Give particulars. 24. ustomer lists or other compilations containing personally identifiable information (as defined in 11.S.. 101(41A)) provided to the debtor by individuals in connection with obtaining a product or service from the debtor primarily for personal family or household purposes. 25. Automobiles trucks trailers and other vehicles and accessories. 26. Boats motors and accessories. 27. Aircraft and accessories. 28. ffice equipment furnishings and supplies. 29. Machinery fixtures equipment and supplies used in business. 30. nventory. 31. Animals. 32. rops growing or harvested. Give particulars. 33. Farming equipment and implements. 34. Farm supplies chemicals and feed. 35. ther personal property of any kind not already listed. temize. Sheet 2 of 2 continuation sheets attached to the Schedule of Personal Property Software opyright (c) Best ase Solutions vanston L Subotal > 0.00 (otal of this page) otal > 0.00 (Report also on Summary of Schedules)

11 }bk1{schedule reditors Holding Secured laims}bk{ B6 (fficial Form 6) (12/07) n re Americas Powersport Auction LL ebtor ase o. SHL RRS HLG SR LAMS State the name mailing address including zip code and last four digits of any account number of all entities holding claims secured by property of the debtor as of the date of filing of the petition. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens garnishments statutory liens mortgages deeds of trust and other security interests. List creditors in alphabetical order to the extent practicable. f a minor child is a creditor the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). f all secured creditors will not fit on this page use the continuation sheet provided. f any entity other than a spouse in a joint case may be jointly liable on a claim place an "" in the column labeled "odebtor" include the entity on the appropriate schedule of creditors and complete Schedule H odebtors. f a joint petition is filed state whether the husband wife both of them or the marital community may be liable on each claim by placing an "H" "W" "J" or "" in the column labeled "Husband Wife Joint or ommunity". f the claim is contingent place an "" in the column labeled "ontingent". f the claim is unliquidated place an "" in the column labeled "nliquidated". f the claim is disputed place an "" in the column labeled "isputed". (You may need to place an "" in more than one of these three columns.) otal the columns labeled "Amount of laim Without educting Value of ollateral" and "nsecured Portion if Any" in the boxes labeled "otal(s)" on the last sheet of the completed schedule. Report the total from the column labeled "Amount of laim" also on the Summary of Schedules and if the debtor is an individual with primarily consumer debts report the total from the column labeled "nsecured Portion" on the Statistical Summary of ertain Liabilities and Related ata. heck this box if debtor has no creditors holding secured claims to report on this Schedule. Account o. RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR AR F L A SRP A VAL F PRPRY SBJ L G L Q A S P AM F LAM WH G VAL F LLARAL SR PR F AY Value $ Account o. Value $ Account o. Value $ Account o. 0 continuation sheets attached Value $ Subtotal (otal of this page) otal (Report on Summary of Schedules) Software opyright (c) Best ase Solutions vanston L

12 }bk1{schedule reditors Holding nsecured Priority laims}bk{ B6 (fficial Form 6) (4/10) n re Americas Powersport Auction LL ebtor ase o. SHL RRS HLG SR PRRY LAMS A complete list of claims entitled to priority listed separately by type of priority is to be set forth on the sheets provided. nly holders of unsecured claims entitled to priority should be listed in this schedule. n the boxes provided on the attached sheets state the name mailing address including zip code and last four digits of the account number if any of all entities holding priority claims against the debtor or the property of the debtor as of the date of the filing of the petition. se a separate continuation sheet for each type of priority and label each with the type of priority. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. f a minor child is a creditor state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). f any entity other than a spouse in a joint case may be jointly liable on a claim place an "" in the column labeled "odebtor" include the entity on the appropriate schedule of creditors and complete Schedule Hodebtors. f a joint petition is filed state whether the husband wife both of them or the marital community may be liable on each claim by placing an "H" "W" "J" or "" in the column labeled "Husband Wife Joint or ommunity." f the claim is contingent place an "" in the column labeled "ontingent." f the claim is unliquidated place an "" in the column labeled "nliquidated." f the claim is disputed place an "" in the column labeled "isputed." (You may need to place an "" in more than one of these three columns.) Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule in the box labeled "otal" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules. Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to priority listed on this Schedule in the box labeled "otals" on the last sheet of the completed schedule. ndividual debtors with primarily consumer debts report this total also on the Statistical Summary of ertain Liabilities and Related ata. Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled to priority listed on this Schedule in the box labeled "otals" on the last sheet of the completed schedule. ndividual debtors with primarily consumer debts report this total also on the Statistical Summary of ertain Liabilities and Related ata. heck this box if debtor has no creditors holding unsecured priority claims to report on this Schedule. YPS F PRRY LAMS (heck the appropriate box(es) below if claims in that category are listed on the attached sheets) omestic support obligations laims for domestic support that are owed to or recoverable by a spouse former spouse or child of the debtor or the parent legal guardian or responsible relative of such a child or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11.S.. 507(a)(1). xtensions of credit in an involuntary case laims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11.S.. 507(a)(3). Wages salaries and commissions Wages salaries and commissions including vacation severance and sick leave pay owing to employees and commissions owing to qualifying independent sales representatives up to $11725* per person earned within 180 days immediately preceding the filing of the original petition or the cessation of business whichever occurred first to the extent provided in 11.S.. 507(a)(4). ontributions to employee benefit plans Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition or the cessation of business whichever occurred first to the extent provided in 11.S.. 507(a)(5). ertain farmers and fishermen laims of certain farmers and fishermen up to $5775* per farmer or fisherman against the debtor as provided in 11.S.. 507(a)(6). eposits by individuals laims of individuals up to $2600* for deposits for the purchase lease or rental of property or services for personal family or household use that were not delivered or provided. 11.S.. 507(a)(7). axes and certain other debts owed to governmental units axes customs duties and penalties owing to federal state and local governmental units as set forth in 11.S.. 507(a)(8). ommitments to maintain the capital of an insured depository institution laims based on commitments to the F R irector of the ffice of hrift Supervision omptroller of the urrency or Board of Governors of the Federal Reserve System or their predecessors or successors to maintain the capital of an insured depository institution. 11.S (a)(9). laims for death or personal injury while debtor was intoxicated laims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol a drug or another substance. 11.S.. 507(a)(10). * Amount subject to adjustment on 4/01/13 and every three years thereafter with respect to cases commenced on or after the date of adjustment. 1 continuation sheets attached Software opyright (c) Best ase Solutions vanston L

13 B6 (fficial Form 6) (4/10) ont. n re Americas Powersport Auction LL ebtor ase o. SHL RRS HLG SR PRRY LAMS (ontinuation Sheet) axes and ertain ther ebts wed to Governmental nits YP F PRRY Account o. RR'S AM A MALG ARSS LG ZP A A MBR (See instructions.) RS P B Philadelphia PA B R Husband Wife Joint or ommunity H W J 2010 A LAM WAS RR A SRA FR LAM 941 taxes G L Q A S P AM F LAM AM L PRRY F AY 0.00 AM L PRRY Account o RS P B Philadelphia PA Federal nemployment axes Account o P LBR WRK FR V / AY G BK P B ASHVLL nemployment axes Account o. xxxxx6702 Sales & se ax Liability P RV / AY G BK P B ASHVLL Account o Wilson ounty rustee P Box 865 Lebanon Sheet 1 of 1 continuation sheets attached to Schedule of reditors Holding nsecured Priority laims Subtotal (otal of this page) otal (Report on Summary of Schedules) Software opyright (c) Best ase Solutions vanston L

14 }bk1{schedule F reditors Holding nsecured onpriority laims}bk{ B6F (fficial Form 6F) (12/07) n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS State the name mailing address including zip code and last four digits of any account number of all entities holding unsecured claims without priority against the debtor or the property of the debtor as of the date of filing of the petition. he complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. f a minor child is a creditor state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). o not include claims listed in Schedules and. f all creditors will not fit on this page use the continuation sheet provided. f any entity other than a spouse in a joint case may be jointly liable on a claim place an "" in the column labeled "odebtor" include the entity on the appropriate schedule of creditors and complete Schedule H odebtors. f a joint petition is filed state whether the husband wife both of them or the marital community may be liable on each claim by placing an "H" "W" "J" or "" in the column labeled "Husband Wife Joint or ommunity." f the claim is contingent place an "" in the column labeled "ontingent." f the claim is unliquidated place an "" in the column labeled "nliquidated." f the claim is disputed place an "" in the column labeled "isputed." (You may need to place an "" in more than one of these three columns.) Report the total of all claims listed on this schedule in the box labeled "otal" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules and if the debtor is an individual with primarily consumer debts report this total also on the Statistical Summary of ertain Liabilities and Related ata. heck this box if debtor has no creditors holding unsecured claims to report on this Schedule F. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) Account o. xxxx xxxxx7995 B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Access ontrol Systems LL 2617 Grissom r ashville Account o. Accumage LL 2807 Biloxi Ave ashville Account o. xxxxxxxx0881 Allied Waste 850. Jefferson Pike Murfreesboro Account o. xxx4152 BlinkerLite P Box ashville continuation sheets attached Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L S/:

15 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. x7707 RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Burchett Ford 1673 W Main St Lebanon Account o. xx0107 arfax ollection enter r hicago L Account o. had Johnson 912 ld Rome Pike Lebanon Account o. had Raymon 4351 ato Rd ashville Account o. harlotte Auto Sales 3716 harlotte Ave ashville Sheet no. 1 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

16 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM ost ontainment Solutions 2308 onna Hill Rd ashville Account o. avid Heckler 1639 Murfreesboro Rd Lebanon Account o. avid Russell 1309 Road 41 upelo MS Account o. Frank Marco P Box 2226 Lebanon Account o. Gary lark 331 June r Lebanon Sheet no. 2 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

17 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Harris Golf arts 549 Heartland r Ste A Sugar Grove L Account o. x3058 Hispanic Marketing Group 420 Summit aks r ashville Account o. W ransportation LL P Box 28 Farmington M Account o. James racy Stiles 4621 Morgan Rd Rockvale Account o Kiefer ompanies P Box 745 Fergus Falls M Sheet no. 3 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

18 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Lake Havasu Suzuki 2770 Sweetwater Ave Lake Havasu ity AZ Account o. xxx1951 Landstar Rangers nc. P Box Philadelphia PA Account o. Marine Sales P Box 115 Lebanon Account o. Mark Barnes 324 ady Road Shelbyville Account o. Mark Vastola 106 Jarod Way Lebanon Sheet no. 4 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

19 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Mountain Valley Motorsports 422 W. Yellowstone Ave ody WY Account o. P&P Golf arts 9788 Mann Rd Mooresville Account o. deficiency on real property Pinnacle Bank 114 W ollege St Murfreesboro Account o. xxxxxxx2860 Pitney Bowes nc. P Box Louisville KY Account o. Precision Locksmith Services nc. 307 Fescue r Mount Juliet Sheet no. 5 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

20 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. xxxx0833 RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM Quill P Box Philadelphia PA Account o. Ricky Hendrick Performance 502 Polk St Pineville Account o. xxr692 RJ Young P Box ashville Account o. Robert ueker 69 ueker r arbondale L Account o. Signs ow 1031A W Main St Lebanon Sheet no. 6 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

21 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM eam Strauss Motorsports 593 hristopher Ave Brooklyn Y Account o. ed Blinks 109 Sandy Lane nionville Account o. emporary Alternatives 1100 Kermit r Ste 105 ashville Account o. xx5184 ennessee Steel Haulers nc. P Box ashville Account o. xxx0685 he Lebanon emocrat P Box 430 Lebanon Sheet no. 7 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) Best ase Solutions vanston L

22 B6F (fficial Form 6F) (12/07) ont. n re Americas Powersport Auction LL ebtor ase o. SHL F RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband Wife Joint or ommunity H W J A LAM WAS RR A SRA FR LAM. F LAM S SBJ SFF S SA. G L Q A S P AM F LAM he gan Group 112 Mid own tr Ste 306 Hendersonville Account o. x8128 he pper umberland Shopper 2685 Lake Valley r ookeville Account o Want FM 98.9 P Box 399 Lebanon Account o. White House Auto Sales Rt 2 Box 835 Shinnston WV Account o. xx5587 Windstream 2 Main St Greenville S Sheet no. 8 of 8 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) otal (Report on Summary of Schedules) Software opyright (c) Best ase Solutions vanston L

23 }bk1{schedule G xecutory ontracts and nexpired Leases}bk{ B6G (fficial Form 6G) (12/07) n re Americas Powersport Auction LL ebtor ase o. SHL G RY RAS A PR LASS escribe all executory contracts of any nature and all unexpired leases of real or personal property. nclude any timeshare interests. State nature of debtor's interest in contract i.e. "Purchaser" "Agent" etc. State whether debtor is the lessor or lessee of a lease. Provide the names and complete mailing addresses of all other parties to each lease or contract described. f a minor child is a party to one of the leases or contracts state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). heck this box if debtor has no executory contracts or unexpired leases. ame and Mailing Address ncluding Zip ode of ther Parties to Lease or ontract escription of ontract or Lease and ature of ebtor's nterest. State whether lease is for nonresidential real property. State contract number of any government contract. astgate Properties 8037 astgate Blvd Mount Juliet First ata Lease 265 Broad Hollow Rd Melville Y reject commercial building lease reject lease on credit card machine 0 continuation sheets attached to Schedule of xecutory ontracts and nexpired Leases Software opyright (c) Best ase Solutions vanston L

24 }bk1{schedule H odebtors}bk{ B6H (fficial Form 6H) (12/07) n re Americas Powersport Auction LL ebtor ase o. Provide the information requested concerning any person or entity other than a spouse in a joint case that is also liable on any debts listed by debtor in the schedules of creditors. nclude all guarantors and cosigners. f the debtor resides or resided in a community property state commonwealth or territory (including Alaska Arizona alifornia daho Louisiana evada ew Mexico Puerto Rico exas Washington or Wisconsin) within the eight year period immediately preceding the commencement of the case identify the name of the debtor's spouse and of any former spouse who resides or resided with the debtor in the community property state commonwealth or territory. nclude all names used by the nondebtor spouse during the eight years immediately preceding the commencement of this case. f a minor child is a codebtor or a creditor state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S and Fed. R. Bankr. P. 1007(m). heck this box if debtor has no codebtors. AM A ARSS F BR SHL H BRS AM A ARSS F RR 0 continuation sheets attached to Schedule of odebtors Software opyright (c) Best ase Solutions vanston L

25 nited States Bankruptcy ourt Middle istrict of ennessee n re Americas Powersport Auction LL ase o. ebtor(s) hapter 7 BSSS M A PSS FAAL RVW F H BR'S BSSS (: LY L information directly related to the business operation.) PAR A GRSS BSSS M FR PRVS 12 MHS: 1. Gross ncome For 12 Months Prior to Filing: $ 0.00 PAR B SMA AVRAG FR GRSS MHLY M: 2. Gross Monthly ncome $ 0.00 PAR SMA FR MHLY PSS: 3. et mployee Payroll (ther han ebtor) $ Payroll axes nemployment axes Worker's ompensation ther axes nventory Purchases (ncluding raw materials) Purchase of Feed/Fertilizer/Seed/Spray Rent (ther than debtor's principal residence) tilities ffice xpenses and Supplies Repairs and Maintenance Vehicle xpenses ravel and ntertainment quipment Rental and Leases Legal/Accounting/ther Professional Fees nsurance mployee Benefits (e.g. pension medical etc.) Payments to Be Made irectly By ebtor to Secured reditors For PrePetition Business ebts (Specify): SRP AL 21. ther (Specify): SRP AL 22. otal Monthly xpenses (Add items 321) $ 0.00 PAR SMA AVRAG MHLY M: 23. AVRAG MHLY M (Subtract item 22 from item 2) $ 0.00 Software opyright (c) Best ase Solutions vanston L

26 B6 eclaration (fficial Form 6 eclaration). (12/07) nited States Bankruptcy ourt Middle istrict of ennessee n re Americas Powersport Auction LL ase o. ebtor(s) hapter 7 LARA RG BR'S SHLS LARA R PALY F PRJRY BHALF F RPRA R PARRSHP the Member of the corporation named as debtor in this case declare under penalty of perjury that have read the foregoing summary and schedules consisting of 20 sheets and that they are true and correct to the best of my knowledge information and belief. ate June Signature /s/ Mark Vastola Mark Vastola Member Penalty for making a false statement or concealing property: Fine of up to $ or imprisonment for up to 5 years or both. 18.S and Software opyright (c) Best ase Solutions vanston L bestcase.com

27 B7 (fficial Form 7) (04/10) nited States Bankruptcy ourt Middle istrict of ennessee n re Americas Powersport Auction LL ase o. ebtor(s) hapter 7 SAM F FAAL AFFARS his statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for both spouses is combined. f the case is filed under chapter 12 or chapter 13 a married debtor must furnish information for both spouses whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole proprietor partner family farmer or selfemployed professional should provide the information requested on this statement concerning all such activities as well as the individual's personal affairs. o indicate payments transfers and the like to minor children state the child's initials and the name and address of the child's parent or guardian such as "A.B. a minor child by John oe guardian." o not disclose the child's name. See 11.S.. 112; Fed. R. Bankr. P. 1007(m). Questions 1 18 are to be completed by all debtors. ebtors that are or have been in business as defined below also must complete Questions f the answer to an applicable question is "one" mark the box labeled "one." f additional space is needed for the answer to any question use and attach a separate sheet properly identified with the case name case number (if known) and the number of the question. FS "n business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in business" for the purpose of this form if the debtor is or has been within six years immediately preceding the filing of this bankruptcy case any of the following: an officer director managing executive or owner of 5 percent or more of the voting or equity securities of a corporation; a partner other than a limited partner of a partnership; a sole proprietor or selfemployed fulltime or parttime. An individual debtor also may be "in business" for the purpose of this form if the debtor engages in a trade business or other activity other than as an employee to supplement income from the debtor's primary employment. "nsider." he term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives; corporations of which the debtor is an officer director or person in control; officers directors and any owner of 5 percent or more of the voting or equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11.S ncome from employment or operation of business one State the gross amount of income the debtor has received from employment trade or profession or from operation of the debtor's business including parttime activities either as an employee or in independent trade or business from the beginning of this calendar year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this calendar year. (A debtor that maintains or has maintained financial records on the basis of a fiscal rather than a calendar year may report fiscal year income. dentify the beginning and ending dates of the debtor's fiscal year.) f a joint petition is filed state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed.) AM SR $ Y: ebtor Business ncome $ : ebtor Business ncome 2. ncome other than from employment or operation of business one State the amount of income received by the debtor other than from employment trade profession or operation of the debtor's business during the two years immediately preceding the commencement of this case. Give particulars. f a joint petition is filed state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed.) AM SR Software opyright (c) Best ase Solutions vanston L

SCHEDULE B - PERSONAL PROPERTY

SCHEDULE B - PERSONAL PROPERTY }bk1{schedule B - Personal Property}bk{ B6B (fficial Form 6B) (12/07) Case o. xcept as directed below list all personal property of the debtor of whatever kind. If the debtor has no property in one or

More information

Case 12-24664 Doc 1 Filed 05/04/12 Entered 05/04/12 10:08:54 Desc Main Document Page 1 of 10

Case 12-24664 Doc 1 Filed 05/04/12 Entered 05/04/12 10:08:54 Desc Main Document Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 1224664 oc 1 Filed 05/04/12 ntered 05/04/12 10:08:54 esc Main ocument Page 1 of 10 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 12-12803-JKC-11 Doc 1 Filed 10/30/12 EOD 10/30/12 08:36:49 Pg 1 of 12

Case 12-12803-JKC-11 Doc 1 Filed 10/30/12 EOD 10/30/12 08:36:49 Pg 1 of 12 }bk1{form 1. Voluntary Petition}bk{ ase 1212803JK11 oc 1 Filed 10/30/12 10/30/12 08:36:49 Pg 1 of 12 B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Bolt A Blok, nc.

More information

Case 12-18916-lbr Doc 1 Entered 07/31/12 12:40:21 Page 1 of 43

Case 12-18916-lbr Doc 1 Entered 07/31/12 12:40:21 Page 1 of 43 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 1218916lbr oc 1 ntered 07/31/12 12:40:21 Page 1 of 43 ame of ebtor (if individual, enter Last, First, Middle): anseco, Jose Jr. nited

More information

Debtors SCHEDULE A. REAL PROPERTY

Debtors SCHEDULE A. REAL PROPERTY }bk1{schedulea.realproperty}bk{ n re ebtors SHL A. RAL PRPRY ase o. xcept as directed below list all real property in which the debtor has any legal equitable or future interest including all property

More information

United States Bankruptcy Court District of Arizona. Voluntary Petition

United States Bankruptcy Court District of Arizona. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court District of Arizona Name of Joint Debtor (Spouse)

More information

Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10. 700-702 Beville Road Daytona Beach, FL 32114

Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10. 700-702 Beville Road Daytona Beach, FL 32114 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Auspicious, Inc. Case 3:13-bk-02630-JAF Doc 1 Filed 04/29/13 Page 1 of 10 Name

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Name of Debtor (if individual, enter Last, First, Middle): 2358-2372 South Yakima Avenue LLC United States Bankruptcy Court Western District

More information

Case 10-24178 Doc 1 Filed 04/16/10 Entered 04/16/10 10:11:28 Desc Main Document Page 1 of 31. 3450 Fescue Lane Memphis, TN 38115-4184

Case 10-24178 Doc 1 Filed 04/16/10 Entered 04/16/10 10:11:28 Desc Main Document Page 1 of 31. 3450 Fescue Lane Memphis, TN 38115-4184 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ase 1024178 oc 1 Filed 04/16/10 ntered 04/16/10 10:11:28 esc Main ocument Page 1 of 31 nited States Bankruptcy ourt Western istrict of ennessee

More information

UNITED STATES BANKRUPTCY COURT

UNITED STATES BANKRUPTCY COURT B 201 (12/08) UNITED STATES BANKRUPTCY COURT NOTICE TO CONSUMER DEBTOR(S) UNDER 342(b) OF THE BANKRUPTCY CODE In accordance with 342(b) of the Bankruptcy Code, this notice to individuals with primarily

More information

Case 8:12-bk-05664-KRM Doc 1 Filed 04/14/12 Page 2 of 53. B1 (Official Form 1)(12/11) Page 2 Name of Debtor(s):

Case 8:12-bk-05664-KRM Doc 1 Filed 04/14/12 Page 2 of 53. B1 (Official Form 1)(12/11) Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Khawam, atalie ase 8:12bk05664KRM oc 1 Filed 04/14/12 Page 1 of 53 nited States Bankruptcy

More information

Case 15-01043-MM7 Filed 02/23/15 Entered 02/23/15 16:50:46 Doc 1 Pg. 1 of 63

Case 15-01043-MM7 Filed 02/23/15 Entered 02/23/15 16:50:46 Doc 1 Pg. 1 of 63 }bk1{form 1. Voluntary Petition}bk{ ase 15-01043-MM7 Filed 02/23/15 ntered 02/23/15 16:50:46 oc 1 Pg. 1 of 63 B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Sharma,

More information

Case 10-25033 Doc 1 Filed 05/07/10 Entered 05/07/10 16:36:09 Desc Main Document Page 1 of 57. Health Care Business Single Asset Real Estate as defined

Case 10-25033 Doc 1 Filed 05/07/10 Entered 05/07/10 16:36:09 Desc Main Document Page 1 of 57. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ase 10-25033 oc 1 Filed 05/07/10 ntered 05/07/10 16:36:09 esc Main ocument Page 1 of 57 ame of ebtor (if individual, enter Last, First, Middle):

More information

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES

11-15059-mg Doc 729 Filed 06/15/12 Entered 06/15/12 19:40:05 Main Document Pg 1 of 7 AMENDED SUMMARY OF SCHEDULES Pg 1 of 7 B6 Summary (Form 6 - Summary) (12/07) United States Bankruptcy Court Southern District of ew York Case o. (s) Chapter 11 AMDD SUMMARY F SCHDULS Indicate as to each schedule whether that schedule

More information

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS }bk1{chedule - reditors olding ecured laims}bk{ 6 (fficial Form 6) (12/07) n re outhern oad uilders of olk ounty nc. ebtor ase o. - M tate the name mailing address including zip code and last four digits

More information

FIRST TN BANK PO BOX 1545 MEMPHIS TN 38101 FIRST TN BANK C/O JOHN H. ROWLAND 211 COMMERCE ST, STE 1000 NASHVILLE TN 37201

FIRST TN BANK PO BOX 1545 MEMPHIS TN 38101 FIRST TN BANK C/O JOHN H. ROWLAND 211 COMMERCE ST, STE 1000 NASHVILLE TN 37201 }bk1{reditor Adres Matrix}bk{ R LS SVS 951 GA AK RV ASHVLL 37217 FRS BAK P B 1545 MMPHS 38101 Stevens, rene - GL SAR SR 2572 MRFRSBR RA ASHVLL 37217 SV L. LFKVZ LFKVZ & LFKVZ 618 HRH S., #410 ASHVLL, 37219-2321

More information

Case 6:10-bk-38390-SC Doc 13 Filed 08/24/10 Entered 08/24/10 16:27:19 Desc Main Document Page 1 of 234

Case 6:10-bk-38390-SC Doc 13 Filed 08/24/10 Entered 08/24/10 16:27:19 Desc Main Document Page 1 of 234 ase 6:10-bk-38390-S oc 13 Filed 08/24/10 ntered 08/24/10 16:27:19 esc Main ocument Page 1 of 234 SAM F RLA ASS FRMA RQR BY LAL BAKRPY RL 1015-2 SAS BAKRPY R RAL SR F ALFRA 1. A petition under the Bankruptcy

More information

Case 11-61215 Doc 1 Filed 12/13/11 Entered 12/13/11 16:51:04 Desc Main Document Page 1 of 64

Case 11-61215 Doc 1 Filed 12/13/11 Entered 12/13/11 16:51:04 Desc Main Document Page 1 of 64 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 11-61215 oc 1 Filed 12/13/11 ntered 12/13/11 16:51:04 esc Main ocument Page 1 of 64 ame of ebtor (if individual, enter Last, First, Middle):

More information

United States Bankruptcy Court Northern District of Texas Dallas Division SUMMARY OF SCHEDULES - AMENDED & RESTATED

United States Bankruptcy Court Northern District of Texas Dallas Division SUMMARY OF SCHEDULES - AMENDED & RESTATED }bk1{form6.sumaryofschedules}bk{ Form 6-Summary (10/06) United States Bankruptcy Court orthern istrict of exas allas ivision Senior Management Services of America orth exas nc. Case o. Chapter 07-30264-hdh-11

More information

Case 1:12-bk-12694-VK Doc 1 Filed 03/21/12 Entered 03/21/12 15:47:22 Desc Main Document Page 1 of 51

Case 1:12-bk-12694-VK Doc 1 Filed 03/21/12 Entered 03/21/12 15:47:22 Desc Main Document Page 1 of 51 }bk1{form 1. Voluntary Petition ( Local Version)}bk{ B1 (fficial Form 1)(12/11) ase 1:12bk12694VK oc 1 Filed 03/21/12 ntered 03/21/12 15:47:22 esc Main ocument Page 1 of 51 ame of ebtor (if individual,

More information

Case 2:10-bk-36936-ER Doc 11 Filed 07/14/10 Entered 07/14/10 21:09:13 Desc Main Document Page 1 of 50

Case 2:10-bk-36936-ER Doc 11 Filed 07/14/10 Entered 07/14/10 21:09:13 Desc Main Document Page 1 of 50 ase 2:10bk36936R oc 11 Filed 07/14/10 ntered 07/14/10 21:09:13 esc Main ocument Page 1 of 50 SAM F RLA ASS FRMA RQR BY LAL BAKRPY RL 10152 SAS BAKRPY R, RAL SR F ALFRA 1. A petition under the Bankruptcy

More information

than one, state all): Nature of Business (Check one box.) Health Care Business

than one, state all): Nature of Business (Check one box.) Health Care Business B1 (Official Form 1) (12/11) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court WESTERN DISTRICT OF TEAS SAN ANTONIO DIVISION Name of Joint Debtor (Spouse) (Last,

More information

Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8

Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-30778 Doc 1 Filed 04/23/14 Entered 04/23/14 15:34:02 Desc Main Document Page 1 of 8 Name of Debtor (if individual, enter Last, First,

More information

SCHEDULE A - REAL PROPERTY

SCHEDULE A - REAL PROPERTY }bk1{schedulea-realproperty}bk{ B6A (fficial Form 6A) (12/07) n re Joseph. Rowand ebtor ase o. 10-80830 SHL A - RAL PRPRY xcept as directed below list all real property in which the debtor has any legal

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): DESERT BEST ENTERPRISES, LLC United States Bankruptcy Court District of Arizona

More information

SCHEDULE A - REAL PROPERTY

SCHEDULE A - REAL PROPERTY }bk1{schedule A - Real Property}bk{ B6A (fficial Form 6A) (12/07) Case o. 08-10928 SCHUL A - RAL PRPRY xcept as directed below list all real property in which the debtor has any legal equitable or future

More information

Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5

Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5 }bk1{form 1. }bk{ B1 (Official Form 1)(04/13) Case 15-21233 Doc 1 Filed 07/13/15 Entered 07/13/15 09:39:38 Desc Main Document Page 1 of 5 Name of Debtor (if individual, enter Last, First, Middle): United

More information

Case 10-57048 Doc 1 Filed 12/28/10 Entered 12/28/10 16:56:01 Desc Main Document Page 1 of 40. Health Care Business Single Asset Real Estate as defined

Case 10-57048 Doc 1 Filed 12/28/10 Entered 12/28/10 16:56:01 Desc Main Document Page 1 of 40. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ase 10-57048 oc 1 Filed 12/28/10 ntered 12/28/10 16:56:01 esc Main ocument Page 1 of 40 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7

Case 13-30891-hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 Case -hdh11 Doc 179 Filed 11/04/13 Entered 11/04/13 15:44:41 Page 1 of 7 B6B (Official Form 6B) (12/07) Case. ne 1. Cash on hand. X 2. Checking, savings or other finan- JP Morgan Chase, N.A. $0.00 cial

More information

Case 14-36770-rld11 Doc 1 Filed 12/11/14. 500 NE Captain Michael Smith Way

Case 14-36770-rld11 Doc 1 Filed 12/11/14. 500 NE Captain Michael Smith Way }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Case 14-36770-rld11 Doc 1 Filed 12/11/14 United States Bankruptcy Court District

More information

Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 SAN FRANCISCO DIVISION

Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 SAN FRANCISCO DIVISION Case 3:08-cv-03251-WHA Document 69 Filed 05/26/2009 Page 1 of 5 1 2 3 4 5 6 7 8 9 10 11 ROBERT J. YORIO (SBN 93178) yorio@carrferrell.com COLBY B. SPRINGER (SBN 214868) cspringer@carrferrell.com CHRISTINE

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ Official Form 1 (4/07) Name of Debtor (if individual, enter Last, First, Middle): EF Logistics Corp United States Bankruptcy Court Eastern District of New York Name

More information

Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9

Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9 }bk1{form 1. Voluntary Petition}bk{ Case 15-06443-JMC-11 Doc 1 Filed 07/29/15 EOD 07/29/15 13:52:47 Pg 1 of 9 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Name

More information

United States Bankruptcy Court Central District of California. Voluntary Petition. B1 (Official Form 1) (1/08)

United States Bankruptcy Court Central District of California. Voluntary Petition. B1 (Official Form 1) (1/08) B1 (Official Form 1) (1/08) Name of Debtor (if individual, enter Last, First, Middle): Diamond Executive Office Suites & Virtual Offices, LLC All Other Names used by the Debtor in the last 8 years (include

More information

Case Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6

Case Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Case 11-41181 Doc 1 Filed 10/10/11 Entered 10/10/11 17:32:29 Desc Main Document Page 1 of 6 Name of Debtor (if individual, enter Last, First,

More information

Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8. Health Care Business Single Asset Real Estate as defined

Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): Artecity Holding LTD Case 10-31407-AJC Doc 1 Filed 07/26/10 Page 1 of 8 United

More information

United States Bankruptcy Court District of Delaware

United States Bankruptcy Court District of Delaware B1 (Official Form 1) (04/13) United States Bankruptcy Court District of Delaware Name of Debtor (if individual, enter Last, First, Middle): Pennysaver USA, LLC All Other Names used by the Debtor in the

More information

Case 8:13-bk-00922 Doc 1 Filed 01/25/13 Page 1 of 60

Case 8:13-bk-00922 Doc 1 Filed 01/25/13 Page 1 of 60 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Anthony, asey Marie ase 8:13-bk-00922 oc 1 Filed 01/25/13 Page 1 of 60 nited States

More information

thejasminebrand.com thejasminebrand.com thejasminebrand.com

thejasminebrand.com thejasminebrand.com thejasminebrand.com ase 2:10bk51909BR oc 25 Filed 11/04/10 ntered 11/04/10 22:01:27 esc Main ocument Page 1 of 28 n re oni Braxton: ase o. 2:1051909 BR ebtor. hapter 7 nited States Bankruptcy ourt entral istrict of alifornia

More information

Case 15-10019-DHS Doc 1 Filed 01/02/15 Entered 01/02/15 12:24:24 Desc Main Document Page 1 of 50

Case 15-10019-DHS Doc 1 Filed 01/02/15 Entered 01/02/15 12:24:24 Desc Main Document Page 1 of 50 }bk1{form 1. Voluntary Petition}bk{ ase 15-10019-HS oc 1 Filed 01/02/15 ntered 01/02/15 12:24:24 esc Main ocument Page 1 of 50 B1 (fficial Form 1)(04/13) nited States Bankruptcy ourt istrict of ew Jersey

More information

Official Form 1 (4/07) FORM B1, Page 2 Name of Debtor(s):

Official Form 1 (4/07) FORM B1, Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ Official Form 1 (4/07) Name of Debtor (if individual, enter Last, First, Middle): King, John A. United States Bankruptcy Court Northern District of Alabama Name of Joint

More information

Honolulu, Hawaii 96813-5010 (808) 593-2199

Honolulu, Hawaii 96813-5010 (808) 593-2199 Honolulu, Hawaii 96813-5010 (808) 593-2199 BUSINESS BANKRUPTCY -- CLIENT INFORMATION WORKSHEETS DEBTOR JOINT DEBTOR FULL NAME: STREET ADDRESS: MAILING ADDRESS: COUNTY: HOME PHONE: WORK PHONE: FAX (if available)

More information

United States Bankruptcy Court District of Arizona. Voluntary Petition

United States Bankruptcy Court District of Arizona. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): SLR RGY RP nited States Bankruptcy ourt istrict of Arizona ame of Joint ebtor (Spouse)

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ame of ebtor (if individual, enter Last, First, Middle): Lochrann's rish Pub and atery, Ltd. United States Bankruptcy Court astern istrict

More information

09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8

09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8 09-53308-rbk Doc#1 Filed 08/28/09 Entered 08/28/09 16:21:04 Main Document Pg 1 of 8 B1 (Official Form 1) (1/08) Name of Debtor (if individual, enter Last, First, Middle): UNITED STATES BANKRUPTCY COURT

More information

Case 09-38395-EPK Doc 1 Filed 12/23/09 Page 1 of 37. Health Care Business Single Asset Real Estate as defined

Case 09-38395-EPK Doc 1 Filed 12/23/09 Page 1 of 37. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): FFS AA, nc. Case 09-38395-PK oc 1 Filed 12/23/09 Page 1 of 37 United States Bankruptcy

More information

Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9

Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-50217 Doc 1 Filed 02/13/14 Entered 02/13/14 15:40:25 Desc Main Document Page 1 of 9 Name of Debtor (if individual, enter Last, First,

More information

Case 12-32699 Doc 1 Filed 08/17/12 Entered 08/17/12 12:32:19 Desc Main Document Page 1 of 42

Case 12-32699 Doc 1 Filed 08/17/12 Entered 08/17/12 12:32:19 Desc Main Document Page 1 of 42 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(12/11) ase 12-32699 oc 1 Filed 08/17/12 ntered 08/17/12 12:32:19 esc Main ocument Page 1 of 42 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 8:14-bk-09906 Doc 1 Filed 08/26/14 Page 1 of 22. Nature of Business (Check one box)

Case 8:14-bk-09906 Doc 1 Filed 08/26/14 Page 1 of 22. Nature of Business (Check one box) }bk1{form1.voluntarypetition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual enter Last First Middle): Case 8:14-bk-09906 oc 1 Filed 08/26/14 Page 1 of 22 United States Bankruptcy Court Middle

More information

Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of 8 33883-2725

Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of 8 33883-2725 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): Perfect Temp of Florida, LLC Case 8:15-bk-00990 Doc 1 Filed 01/31/15 Page 1 of

More information

Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9. Health Care Business Single Asset Real Estate as defined

Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Case 09-22171 Doc 1 Filed 05/26/09 Entered 05/26/09 16:20:31 Desc Main Document Page 1 of 9 Name of Debtor (if individual, enter Last, First,

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7. STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 7 STATEMENT OF FINANCIAL AFFAIRS (Revised 2/01) I. INTRODUCTION The Statement of Financial Affairs provides a summary of the debtor's financial history, transactions,

More information

Case 15-90412 Doc 1 Filed 04/24/15 Entered 04/24/15 14:51:24 Desc Main Document Page 1 of 8 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS

Case 15-90412 Doc 1 Filed 04/24/15 Entered 04/24/15 14:51:24 Desc Main Document Page 1 of 8 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Document Page 1 of 8 B4 (Official Form 4) (12/07) United States Bankruptcy Court In re Case No. Debtor(s) Chapter 11 LIST OF CREDITORS HOLDING 20 LARGEST UNSECURED CLAIMS Following is the list of the debtor's

More information

Case 13-45024 Doc 1 Filed 10/15/13 Entered 10/15/13 16:44:01 Desc Main Document Page 1 of 99

Case 13-45024 Doc 1 Filed 10/15/13 Entered 10/15/13 16:44:01 Desc Main Document Page 1 of 99 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ase 1345024 oc 1 Filed 10/15/13 ntered 10/15/13 16:44:01 esc Main ocument Page 1 of 99 ame of ebtor (if individual, enter Last, First, Middle):

More information

Case 15-20831 Doc 1 Filed 02/04/15 Entered 02/04/15 13:01:57 Desc Main. Document Page 1 of 6

Case 15-20831 Doc 1 Filed 02/04/15 Entered 02/04/15 13:01:57 Desc Main. Document Page 1 of 6 B1 (Official Form 1) (04/13) Document Page 1 of 6 Name of Debtor (if individual, enter Last, First, Middle): Cocharan, Kirby David All Other Names used by the Debtor in the last 8 years (include married,

More information

Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58

Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58 }bk1{form 1. Voluntary Petition}bk{ Case 13-35422-KRH Doc 1 Filed 10/07/13 Entered 10/07/13 14:53:01 Desc Main 10/07/13 2:52PM Document Page 1 of 58 B1 (Official Form 1)(04/13) Name of Debtor (if individual,

More information

Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 75370-2508. Health Care Business Single Asset Real Estate as defined

Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 75370-2508. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) Name of Debtor (if individual, enter Last, First, Middle): Case: 09-14938 Doc: 1 Filed: 09/04/09 Page: 1 of 8 Name of Joint Debtor (Spouse)

More information

Case 12-10736-JKC-11 Doc 1 Filed 09/07/12 EOD 09/07/12 15:30:45 Pg 1 of 133

Case 12-10736-JKC-11 Doc 1 Filed 09/07/12 EOD 09/07/12 15:30:45 Pg 1 of 133 }bk1{form 1. Voluntary Petition}bk{ ase 1210736JK11 oc 1 Filed 09/07/12 09/07/12 15:30:45 Pg 1 of 133 B1 (fficial Form 1)(12/11) ame of ebtor (if individual enter Last First Middle): nited States Bankruptcy

More information

B1 (Official Form 1)(1/08) Page 2 Name of Debtor(s):

B1 (Official Form 1)(1/08) Page 2 Name of Debtor(s): }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): Akl, Hor. United States Bankruptcy Court orthern istrict of Ohio FL 2008 Aug 28 PM

More information

Case 8:14-bk-02759 Doc 1 Filed 03/13/14 Page 1 of 96

Case 8:14-bk-02759 Doc 1 Filed 03/13/14 Page 1 of 96 }bk{form. Voluntary Petition}bk{ B (fficial Form )(04/3) ame of ebtor (if individual enter Last First Middle): Vertical Health Solutions nc. ase 8:4bk02759 oc Filed 03/3/4 Page of 96 nited States Bankruptcy

More information

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 1 of 22

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 1 of 22 ase 11-54098-jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 1 of 22 H SAS BAKRPY R RHR SR F GRGA ALAA VS R: ) ) HAPR 7 RAFAL ARA ) ) AS. 11-54098-JRS ebtor. ) AMM SHLS and F SMMARY

More information

Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10

Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 13-72236 Doc 1 Filed 10/09/13 Entered 10/09/13 16:20:22 Desc Main Document Page 1 of 10 Name of Debtor (if individual, enter Last, First,

More information

Case KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8

Case KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ Case 13-34848-KRH Doc 1 Filed 09/08/13 Entered 09/08/13 13:28:40 Desc Main Document Page 1 of 8 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last,

More information

United States Bankruptcy Court Eastern District of Wisconsin. Voluntary Petition. Case 13-35691-pp Doc 1 Filed 12/06/13 Page 1 of 54

United States Bankruptcy Court Eastern District of Wisconsin. Voluntary Petition. Case 13-35691-pp Doc 1 Filed 12/06/13 Page 1 of 54 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Johnson, La onya Ann United States Bankruptcy Court astern istrict of Wisconsin ame

More information

VOLUNTARY PETITION I. APPLICABLE LAW AND RULES

VOLUNTARY PETITION I. APPLICABLE LAW AND RULES Instructions, Form B1 11.21.12 VOLUNTARY PETITION This form, known as a voluntary petition must be used by a debtor to begin a bankruptcy case. Filing this petition is how an individual or other entity

More information

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION

UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION In re: ) Chapter 11 ) BURTON DOUGLAS MORRISS, ) Case No.: 12-40164 ) Debtor. ) Judge Kathy A. Surratt-States ) STATEMENT CONCERNING

More information

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES

United States Bankruptcy Court District of Connecticut SUMMARY OF SCHEDULES }bk1{form 6. Sumary of Schedules}bk{ Case 14-51790 Doc 13 Filed 12/31/14 Entered 12/31/14 16:04:37 Desc Main Document Page 1 of 90 B 6 Summary (Official Form 6 - Summary) (12/13) United States Bankruptcy

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Client Questionnaire For Business Debtor Section 1 Basic Information Part A. Name and Address Name of business: Contact Person s name: Telephone Number: ext.: Alternative Number: Has the business gone

More information

Client Questionnaire For Business Debtor

Client Questionnaire For Business Debtor Part A. Name and Address Name of business: Contact Person s name: Client Questionnaire For Business Debtor Section 1 Basic Information Telephone Number: ext.: Alternative Number: Has the business gone

More information

14-10701-rg Doc 237 Filed 05/22/14 Entered 05/22/14 22:40:17 Main Document Pg 1 of 7

14-10701-rg Doc 237 Filed 05/22/14 Entered 05/22/14 22:40:17 Main Document Pg 1 of 7 Pg 1 of 7 DECHERT LLP 1095 Avenue of the Americas New York, New York 10036 Telephone (212) 698-3500 Facsimile (212) 698-3599 Allan S. Brilliant Shmuel Vasser Jeffrey T. Mispagel Attorneys for the Debtors

More information

United States Bankruptcy Court Southern District of Florida SUMMARY OF SCHEDULES - AMENDED

United States Bankruptcy Court Southern District of Florida SUMMARY OF SCHEDULES - AMENDED }bk{form 6. umary of chedules}bk{ ase 42644 oc 7 Filed 08/20/4 age of 7 6 ummary (fficial Form 6 ummary) (2/3) nited tates ankruptcy ourt outhern istrict of Florida n re ebtor ase o. hapter 42644 7 MMY

More information

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last

BANKRUPTCY QUESTIONNAIRE. Name of Debtor: first middle last Name of Co-Debtor: first middle last BANKRUPTCY QUESTIONNAIRE Name of Debtor: first middle last Name of Co-Debtor: first middle last I. By completing this document and returning it to Broc E. Whitehead, I/we certify that it is my/our duty

More information

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different:

Legal Name: All other names you have used in the last 6 years: Address, City, State, Zip: Mailing Address if different: BANKRUPTCY INTERVIEW INSTRUCTIONS: The interview sheet contains basic information needed for your bankruptcy. Do the best to complete the information. If you do not know the answer, then write "I do not

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): ifong, Michael B. nited States Bankruptcy ourt Middle istrict of orth arolina ame

More information

Case 13-29815 Doc 1 Filed 09/13/13 Entered 09/13/13 09:27:12 Desc Main Document Page 1 of 10

Case 13-29815 Doc 1 Filed 09/13/13 Entered 09/13/13 09:27:12 Desc Main Document Page 1 of 10 Document Page 1 of 10 B1 (Official Form 1) (04/13) United States Bankruptcy Court Western District of Tennessee Voluntary Petition Name of Debtor (if individual, enter Last, First, Middle): Chapple Companies,

More information

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition

United States Bankruptcy Court Eastern District of Michigan. Voluntary Petition }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of Debtor (if individual, enter Last, First, Middle): Harris, Charlene B United States Bankruptcy Court Eastern District of Michigan

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): United States Bankruptcy Court Eastern District of Virginia Name of Joint Debtor

More information

Case:12-28478-MER Doc#:1 Filed:09/04/12 Entered:09/04/12 14:47:23 Page1 of 61

Case:12-28478-MER Doc#:1 Filed:09/04/12 Entered:09/04/12 14:47:23 Page1 of 61 }bk1{form 1. Voluntary Petition}bk{ ase:1228478mr oc#:1 Filed:09/04/12 ntered:09/04/12 14:47:23 Page1 of 61 B1 (fficial Form 1)(12/11) ame of ebtor (if individual, enter Last, First, Middle): Professional

More information

United States Bankruptcy Court Southern District of Indiana SUMMARY OF SCHEDULES - AMENDED

United States Bankruptcy Court Southern District of Indiana SUMMARY OF SCHEDULES - AMENDED }bk1{form 6. Sumary of Schedules}bk{ Case -7A Doc 89 Filed 01/17/11 D 01/17/11 09:22:04 Pg 1 of 9 B6 Summary (fficial Form 6 - Summary) (12/07) United States Bankruptcy Court Southern District of Indiana

More information

Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8

Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8 }bk1{form 1. Voluntary Petition}bk{ Case 12-11085-BFK Doc 1 Filed 02/19/12 Entered 02/19/12 21:31:42 Desc Main Document Page 1 of 8 B1 (Official Form 1)(12/11) Name of Debtor (if individual, enter Last,

More information

Case 09-37765-DOT Doc 1 Filed 11/25/09 Entered 11/25/09 10:58:52 Desc Main Document Page 1 of 29. Mechanicsville, VA 23116

Case 09-37765-DOT Doc 1 Filed 11/25/09 Entered 11/25/09 10:58:52 Desc Main Document Page 1 of 29. Mechanicsville, VA 23116 }bk1{form 1. Voluntary Petition}bk{ Case 09-37765-O oc 1 Filed 11/25/09 ntered 11/25/09 10:58:52 esc Main ocument Page 1 of 29 B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First,

More information

Client Questionnaire For Business Debtor Section 1 - Basic Information

Client Questionnaire For Business Debtor Section 1 - Basic Information Part A. Name and Address Name of business: Contact Person's Name: Client Questionnaire For Business Debtor Section 1 - Basic Information Telephone Number: ext: Alternative Number: Email: Has the business

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(1/08) ame of ebtor (if individual, enter Last, First, Middle): United States Bankruptcy Court istrict of ew Jersey ame of Joint ebtor (Spouse) (Last,

More information

Instructions Bankruptcy Forms for Individuals

Instructions Bankruptcy Forms for Individuals Instructions Bankruptcy Forms for Individuals U.S. Bankruptcy Court December 2015 (Rev. April 2016) About this Booklet of Instructions... 1 About the bankruptcy forms and filing bankruptcy... 2 Understand

More information

Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10

Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10 }bk1{form 1. Voluntary Petition}bk{ Case 15-07401-JJG-11 Doc 1 Filed 08/31/15 EOD 08/31/15 16:28:40 Pg 1 of 10 B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): S&S

More information

Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1 of 9

Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1 of 9 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Name of Debtor (if individual, enter Last, First, Middle): United Electronics, Corporation Case 14-12674-JKO Doc 1 Filed 02/04/14 Page 1

More information

Case 10-46904-LMI Doc 1 Filed 12/01/10 Page 1 of 9. Health Care Business Single Asset Real Estate as defined

Case 10-46904-LMI Doc 1 Filed 12/01/10 Page 1 of 9. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) Name of Debtor (if individual, enter Last, First, Middle): Quality Breeze Air Conditioning, Inc. Case 10-46904-LMI Doc 1 Filed 12/01/10 Page

More information

Case 14-25709-PGH Doc 1 Filed 07/10/14 Page 1 of 34

Case 14-25709-PGH Doc 1 Filed 07/10/14 Page 1 of 34 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Case 14-25709-PGH oc 1 Filed 07/10/14 Page 1 of 34 United States Bankruptcy Court

More information

Case 09-30938-elp11 Doc 1 Filed 02/17/09 97286-0010. Health Care Business Single Asset Real Estate as defined

Case 09-30938-elp11 Doc 1 Filed 02/17/09 97286-0010. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(1/08) ame of ebtor (if individual enter Last First Middle): Society of Jesus regon Province ase 0930938elp11 oc 1 Filed 02/17/09 nited States Bankruptcy

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 1, VOLUNTARY PETITION I. INTRODUCTION This form, known as a "voluntary petition," must be used by a debtor to begin a bankruptcy case. Filing this petition is

More information

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW

MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW LAW OFFICE OF MARK S. ZUCKERBERG, P.C. ATTORNEY AT LAW Full Legal Name: (Last, First, Middle) Spouse's Full Legal Name: (Last, First Middle) All other names used in the past 6 years: All other names used

More information

United States Bankruptcy Court New Jersey SUMMARY OF SCHEDULES

United States Bankruptcy Court New Jersey SUMMARY OF SCHEDULES }bk1{form 6. Sumary of Schedules}bk{ ase 1430963MG oc 18 Filed 10/15/14 ntered 10/15/14 10:14:27 esc Main ocument Page 1 of 91 B 6 Summary (fficial Form 6 Summary) (12/13) nited States Bankruptcy ourt

More information

Health Care Business Single Asset Real Estate as defined

Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(4/10) ame of ebtor (if individual enter Last First Middle): Miller Paving & onstruction LL nited States Bankruptcy ourt istrict of Kansas ame of

More information

United States Bankruptcy Court Western District of Tennessee. Voluntary Petition. (Official Form 1) (10/05) 4466 Elvis Presley Blvd.

United States Bankruptcy Court Western District of Tennessee. Voluntary Petition. (Official Form 1) (10/05) 4466 Elvis Presley Blvd. }bk1{form 1. Voluntary Petition}bk{ (Official Form 1) (10/05) Name of Debtor (if individual, enter Last, First, Middle): Memphis Security Company, Inc. United States Bankruptcy Court Western District of

More information

Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40. Health Care Business Single Asset Real Estate as defined

Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40. Health Care Business Single Asset Real Estate as defined }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(4/10) ame of Debtor (if individual, enter Last, First, Middle): Case 11-08902-11 Filed 05/27/11 Doc 1 Pg. 1 of 40 United States Bankruptcy Court

More information

United States Bankruptcy Court District of Utah

United States Bankruptcy Court District of Utah }bk1{form 6. Sumary of Schedules (istrict of Utah)}bk{ Case 10-22287 oc 3 Filed 03/02/10 ntered 03/02/10 12:52:39 esc Main ocument Page 1 of 34 B6 Summary (fficial Form 6 - Summary) (12/07) United States

More information

Case 09-13133 Doc# 1 Filed 09/23/09 Page 1 of 44

Case 09-13133 Doc# 1 Filed 09/23/09 Page 1 of 44 B1 (Official Form 1) (1/08) Name of (if individual, enter Last, First, Middle): Mobley, Robert J. All Other Names used by the in the last 8 years (include married, maiden, and trade names): dba Correctional

More information

United States Bankruptcy Court District of Montana SUMMARY OF SCHEDULES

United States Bankruptcy Court District of Montana SUMMARY OF SCHEDULES }bk1{form 6. Sumary of Schedules}bk{ 07-61053-RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 1 of 35 Form 6-Summary (10/06) nited States Bankruptcy ourt istrict of Montana n re GRGRY B. A LAR

More information

Case 14-36493-EPK Doc 1 Filed 12/03/14 Page 1 of 47

Case 14-36493-EPK Doc 1 Filed 12/03/14 Page 1 of 47 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): Abreu, Manuel Case 14-36493-PK oc 1 Filed 12/03/14 Page 1 of 47 United States Bankruptcy

More information

Case 2:11-bk-62889-TD Doc 1 Filed 12/30/11 Entered 12/30/11 16:13:57 Desc Voluntary Petition

Case 2:11-bk-62889-TD Doc 1 Filed 12/30/11 Entered 12/30/11 16:13:57 Desc Voluntary Petition United States Bankruptcy Main Document Court Page 1 of 40 Central District of California Voluntary Petition Form B1 (Official Form 1) - (Rev. 12/11) 2011 USBC, Central District of California Name of Debtor

More information