Case jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 1 of 22
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- Derrick Weaver
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1 ase 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 JRS ebtor. ) AMM SHLS and F SMMARY F SHLS A RR MARX MS W Rafael ardona the ebtor in the above-styled hapter 7 Bankruptcy ase ( ebtor ) and files this Amendment and respectfully show the ourt as follows: (1) Schedules and F: he ebtor hereby substitutes the Schedules and F which are attached hereto in lieu of any such Schedules and F previously filed. (2) Summary of Schedules. he ebtor hereby substitutes the Summary of Schedules which is attached hereto in lieu of any such Summary of Schedules previously filed. (3) reditor Matrix. he ebtor hereby amends the reditor Matrix to include the creditors listed below: Georgia epartment of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta GA Gano xcel SA nc Fourth St. rwindale A Raymond Berrones Jr Rivercliff r. Lilburn GA Melaleuca nc S. Yellowstone Hwy. daho Falls Smoke Rise ountry lub 4900 hedworth r. Stone Mountain GA 30087
2 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 2 of 22 (4) All other Schedules remain the same. RSPFLLY SBM HS 15 th AY F MARH JS & WAL LL /s/ oel J. Bartels oel J. Bartles Georgia Bar o Attorney for ebtor 21 ighth Street Atlanta Georgia (404) nbartles@joneswalden.com
3 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 3 of 22 H SAS BAKRPY R RHR SR F GRGA ALAA VS R: ) ) HAPR 7 RAFAL ARA ) ) AS JRS ebtor. ) LARA R PALY F PRJRY BY VAL BR declare under penalty of perjury that have read the foregoing Amendment and that the same is true and correct to the best of my knowledge information and belief. ate: March /s/ Rafael ardona Rafael ardona
4 }bk1{schedule-reditorsholdingnsecuredprioritylaims}bk{ ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 4 of 22 B6 (fficial Form 6) (4/10) n re Rafael Agustin ardona 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 "X" 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 "X" in the column labeled "ontingent." f the claim is unliquidated place an "X" in the column labeled "nliquidated." f the claim is disputed place an "X" in the column labeled "isputed." (You may need to place an "X" 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) H RPRA - Best ase Bankruptcy
5 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 5 of 22 B6 (fficial Form 6) (4/10) - ont. n re Rafael Agustin ardona 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.) GA ept of Banking & Finance 2990 Brandywine Road Suite 200 Atlanta GA B R Husband Wife Joint or ommunity H W J - A LAM WAS RR AM F LAM G L S P A SRA FR LAM Audit Fine and Assessment Q A AM L PRRY F AY 0.00 AM L PRRY Account o Account o. Account o. Account o. 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) H RPRA - Best ase Bankruptcy
6 }bk1{schedulef-reditorsholdingnsecuredonprioritylaims}bk{ ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 6 of 22 B6F (fficial Form 6F) (12/07) n re Rafael Agustin ardona 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 "X" 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 "X" in the column labeled "ontingent." f the claim is unliquidated place an "X" in the column labeled "nliquidated." f the claim is disputed place an "X" in the column labeled "isputed." (You may need to place an "X" 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-xxxx-xxxx-9240 Aeromexico Visa 800 icollet Mall Minneapolis M 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. redit ard G L Q A S P AM F LAM Account o. xxxx-xxxx-xxxx-3840 redit ard Amazon hase Visa P.. Box Wilmington Account o. xxxx-xxxx-xxxx-4490 redit ard Assoc redit nion Visa 6251 rooked reed Rd orcross GA Account o. xxxxxxxxxxx0218 Business ebt A& Business Phone Service P.. Box Atlanta GA continuation sheets attached Subtotal (otal of this page) Software opyright (c) H RPRA - S/: Best ase Bankruptcy
7 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 7 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona ebtor ase o SHL F - RRS HLG SR PRRY LAMS (ontinuation Sheet) RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) Account o. xxxxxxxxx0-001 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. Business ebt G L Q A S P AM F LAM A& Business Phone Service P.. Box Atlanta GA Account o. Judgment - Business ebt entro P ortheast Plaza LL 800 Kennesaw Ave Ste 400 Marietta GA Account o. Business ebt hamblee Retail Holdings LL 2498 hamblee ucker Rd Atlanta GA Account o Business ebt rime Free Alarm Service 5825 Live ak Pkwy Ste A orcross GA Account o. xx2978 Business ebt rime Free Alarm Service 5825 Live ak Pkwy Ste A orcross GA Sheet no. 1 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
8 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 8 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona ebtor ase o SHL F - RRS HLG SR PRRY LAMS (ontinuation Sheet) Account o. xxx3365 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. Business ebt G L Q A S P AM F LAM ekalb ounty Water 1300 ommerce r ecatur GA Account o. Business ebt ennis Matthews 2934 Mabry Lane acula GA Account o. Business ebt inex 188 Bering r Ste 420 Houston X Account o. Business debt Gano xcel SA nc Fourth St. Baldwin Park A Account o. xxxxx-x4049 Business ebt Georgia Power 1841 mablee ucker Rd Atlanta GA Sheet no. 2 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
9 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 9 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona ebtor ase o SHL F - RRS HLG SR PRRY LAMS (ontinuation Sheet) RR'S AM MALG ARSS LG ZP A A MBR (See instructions above.) Account o. xxxxx-x4058 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. Business ebt G L Q A S P AM F LAM Georgia Power 1841 mablee ucker Rd Atlanta GA Account o. Business ebt Halpern Business 5269 Buford Hwy Ste A Atlanta GA Account o. Business ebt nsight 600 Beacon Pkwy West Ste 901 Birmingham AL Account o. Business ebt PP Bill Payment 330 Passiac Ave Fairfield J Account o. Business ebt transfer-empo Financial LL 7995 Prentice Ave Ste 103 nglewood Sheet no. 3 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
10 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 10 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona 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. Business ebt G L Q A S P AM F LAM transfer-empo Financial LL 7995 Prentice Ave Ste 103 nglewood Account o. Business ebt Lawrence Buckles 9330 ailey ir Alpharetta GA Account o. Payment owed Melaleuca nc S. Yellowstone Hwy daho Falls Account o. Business ebt Money Gram 1550 tica Ave South Minneapolis M Account o. Business ebt Money Gram Money rders 1550 tica Ave South Minneapolis M Sheet no. 4 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
11 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 11 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona 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. For otice nly G L Q A S P AM F LAM ew Plan Realty 3440 Preston Ridge Rd Alpharetta GA Account o. Business ebt rlandi Valuta 1301 nternational Pkwy 4th Fl Fort Lauderdale FL Account o. Business ebt Prepaidworx - Page Plus ellul Hwy 70 Ste 202 Arlington Account o. Personal Loan Raymond Berrones Jr Rivercliff r. Lilburn GA Account o. Business ebt Ria Financial erritos orp r Ste erritos A Sheet no. 5 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
12 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 12 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona 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. Business ebt G L Q A S P AM F LAM Ria Financial erritos orp r Ste erritos A Account o. Business ebt Sigue Ralston Ave Sylmar A Account o. Membership ues Smoke Rise ounty lub 4900 hedworth rive Stone Mountain GA Account o. Business ebt South xchange 80 SW 8th St Ste 120 Miami FL Account o. xxxxx7384 Business ebt -Mobile P.. Box incinnati H Sheet no. 6 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) Software opyright (c) H RPRA - Best ase Bankruptcy
13 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 13 of 22 B6F (fficial Form 6F) (12/07) - ont. n re Rafael Agustin ardona 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. Business ebt G L Q A S P AM F LAM ranspayment Services 3721 Kings Rd hattanooga Account o. Business ebt nidos Money ransfers 1250 Broadway Ave ew York Y Account o. Business ebt Vigo 1301 nternational Pkwy 4th Fl Fort Lauderdale FL Account o. Business ebt Vigo 1301 nternational Pkwy 4th Fl Fort Lauderdale FL Account o. Sheet no. 7 of 7 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) otal (Report on Summary of Schedules) Software opyright (c) H RPRA - Best ase Bankruptcy
14 }bk1{form6.sumaryofschedules}bk{ ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 14 of 22 B6 Summary (fficial Form 6 - Summary) (12/07) nited States Bankruptcy ourt orthern istrict of Georgia n re Rafael Agustin ardona ebtor ase o. hapter 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 Yes 1 - 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 3 - urrent ncome of ndividual ebtor(s) J - urrent xpenditures of ndividual ebtor(s) otal umber of Sheets of ALL Schedules Yes Yes otal Assets otal Liabilities Software opyright (c) H RPRA - Best ase Bankruptcy
15 }bk1{form6.statisticalsumaryofertainliabilitiesandrelatedata}bk{ ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 15 of 22 Form 6 - Statistical Summary (12/07) nited States Bankruptcy ourt orthern istrict of Georgia n re Rafael Agustin ardona ebtor ase o. hapter 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 Profit-Sharing 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 non-priority unsecured debt (sum of 1 3 and 4) Software opyright (c) H RPRA - Best ase Bankruptcy
16 }bk1{reditoradresmatrix}bk{ ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 16 of 22 Aeromexico Visa 800 icollet Mall Minneapolis M Amazon hase Visa P.. Box Wilmington Assoc redit nion Visa 6251 rooked reed Rd orcross GA Associated redit nion 6251 rooked reek Rd A& Business Phone Service P.. Box Atlanta GA entro P ortheast Plaza LL 800 Kennesaw Ave Ste 400 Marietta GA hamblee Retail Holdings LL 9925 Haynes Bridge Rd Ste 200 Alpharetta GA hamblee Retail Holdings LL 2498 hamblee ucker Rd Atlanta GA rime Free Alarm Service 5825 Live ak Pkwy Ste A orcross GA 30093
17 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 17 of 22 ekalb ounty Water 1300 ommerce r ecatur GA ennis Matthews 2934 Mabry Lane acula GA inex 188 Bering r Ste 420 Houston X GA ept of Banking & Finance 2990 Brandywine Road Suite 200 Atlanta GA Gano xcel SA nc Fourth St. Baldwin Park A Georgia Power 1841 mablee ucker Rd Atlanta GA Halpern Business 5269 Buford Hwy Ste A Atlanta GA nsight 600 Beacon Pkwy West Ste 901 Birmingham AL PP Bill Payment 330 Passiac Ave Fairfield J 07004
18 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 18 of 22 transfer-empo Financial LL 7995 Prentice Ave Ste 103 nglewood Ladden Group LL 2498 hamblee unwody Rd. Atlanta GA Lawrence Buckles 9330 ailey ir Alpharetta GA Melaleuca nc S. Yellowstone Hwy daho Falls Money Gram 1550 tica Ave South Minneapolis M Money Gram Money rders 1550 tica Ave South Minneapolis M ationstar Mortgage 350 Highland r Lewisville X ew Plan Realty 3440 Preston Ridge Rd Alpharetta GA rlandi Valuta 1301 nternational Pkwy 4th Fl Fort Lauderdale FL 33323
19 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 19 of 22 Prepaidworx - Page Plus ellul Hwy 70 Ste 202 Arlington Raymond Berrones Jr Rivercliff r. Lilburn GA Ria Financial erritos orp r Ste erritos A Sigue Ralston Ave Sylmar A Smoke Rise ounty lub 4900 hedworth rive Stone Mountain GA South xchange 80 SW 8th St Ste 120 Miami FL Mobile P.. Box incinnati H ranspayment Services 3721 Kings Rd hattanooga nidos Money ransfers 1250 Broadway Ave ew York Y 10001
20 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 20 of 22 nited Americas Bank/StateBank 3789 Roswell Rd Atlanta GA Vigo 1301 nternational Pkwy 4th Fl Fort Lauderdale FL 33323
21 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 21 of 22 reditors Added to Mailing Matrix: Georgia epartment of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta GA Smoke Rise ountry lub 4900 hedworth r. Stone Mountain Ga Melaleuca nc S. Yellowstone Hwy. daho Falls Gano xcel SA nc Fourth St. rwindale A Raymond Berrones Jr Rivercliff r. Lilburn GA 30047
22 ase jrs oc 20 Filed 03/15/11 ntered 03/15/11 13:24:19 esc Main ocument Page 22 of 22 H SAS BAKRPY R RHR SR F GRGA ALAA VS R: ) ) HAPR 7 RAFAL ARA ) ) AS JRS ebtor. ) RFA F SRV hereby certify that have served a copy of the AMM SHLS A RR MARX on all parties referenced below by depositing a copy of same in the nited States Mail postage prepaid to the following: Georgia epartment of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta GA Gano xcel SA nc Fourth St. rwindale A Smoke Rise ountry lub 4900 hedworth r. Stone Mountain GA Melaleuca nc S. Yellowstone Hwy. daho Falls Rafael ardona 2869 Briarlake Road Atlanta GA amara Miles gier llenberg gier Rothschild & Rosenfeld 170 Mitchell St. S.W. Atlanta GA Raymond Berrones Jr Rivercliff r. Lilburn GA his 15 th day of March JS & WAL LL /s/ oel J. Bartels oel J. Bartles Georgia Bar o Attorney for ebtor 21 ighth Street Atlanta Georgia (404) nbartles@joneswalden.com
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
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}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.
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}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
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}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
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}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
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}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):
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