United States Bankruptcy Court District of Montana SUMMARY OF SCHEDULES

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "United States Bankruptcy Court District of Montana SUMMARY OF SCHEDULES"

Transcription

1 }bk1{form 6. Sumary of Schedules}bk{ 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 L A ebtors 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 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 1 - urrent ncome of ndividual ebtor(s) - urrent xpenditures of ndividual ebtor(s) otal umber of Sheets of ALL Schedules Yes Yes otal Assets otal Liabilities opyright (c) Best ase Solutions - vanston L - (800)

2 }bk1{form 6. Statistical Sumary of ertain Liabilities and Related ata}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 2 of 35 fficial Form 6 - Statistical Summary (10/06) nited States Bankruptcy ourt istrict of Montana n re GRGRY B. A LAR L A ebtors 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 ) (whether disputed or undisputed) laims for eath or Personal njury hile ebtor as ntoxicated (from Schedule ) 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 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) opyright (c) Best ase Solutions - vanston L - (800)

3 }bk1{schedule A. Real Property}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 3 of 35 Form B6A (10/05) n re GRGRY B. A LAR L A 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 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 or both own the property by placing an "H" "" "" or "" in the column labeled "Husband ife oint 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 ife oint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption Amount of Secured laim 1.) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: 702 Birch Point rive hitefish M value $ escribed as L 1 BRH P LAG HFSH M ) House at: 920 Birch Point rive hitefish M value $ less sr. lien $ = $ escribed as L 6 F BRH P PHAS 2 S R.22 4.) House at: 930 Birch Point rive hitefish M value $ escribed as L 5 F BRH P PHAS 2 S R.22 Ranch located at: 2500 pper Lost reek Road hitefish M escribed as: PARL A F S #13782 PARLS A&B S #11666 PARLS A&B S #13640 House at: 850 Birch Point rive hitefish M escribed as:parl A F S #13782 PARLS A&B S #11666 PARLS A&B S # Value of 920 Birch Point rive secured by senior lien Sub-otal > (otal of this page) 0 continuation sheets attached to the Schedule of Real Property otal > (Report also on Summary of Schedules) opyright (c) Best ase Solutions - vanston L - (800)

4 }bk1{schedule B. Personal Property}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 4 of 35 Form B6B (10/05) n re GRGRY B. A LAR L A ebtors 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 or both own the property by placing an "H" "" "" or "" in the column labeled "Husband ife oint 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." n providing the information requested in this schedule do not include the name or address of a minor child. Simply state "a minor child." ype of Property 1. ash on hand SHL B. PRSAL PRPRY escription and Location of Property Husband ife oint 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. Household goods and furnishings Art earing apparel. 7. Furs and jewelry. ewelry 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. Sub-otal > (otal of this page) continuation sheets attached to the Schedule of Personal Property opyright (c) Best ase Solutions - vanston L - (800)

5 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 5 of 35 Form B6B (10/05) n re GRGRY B. A LAR L A ebtors SHL B. PRSAL PRPRY (ontinuation Sheet) ase o ype of Property escription and Location of Property Husband ife oint 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); Rule 1007(b)). 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. 100% nterest in Krone nc. losely held corporation. 1/3 nterest in Sharshela nc. losely held corporatiomn H H /3 interest in ore nnovation nc. H /3 interest in Fitness ater nc. H /3 interest in Fitness xpert nc. H /3 interest in Super Gobble nc. H % interest in iamant Motivational nc % interest in ayspring Lodge Limited Partnership % interest in ayspring Farm Limited Partnership 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 owing debtor including tax refunds. Give particulars. Sub-otal > (otal of this page) Sheet 1 of 3 continuation sheets attached to the Schedule of Personal Property opyright (c) Best ase Solutions - vanston L - (800)

6 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 6 of 35 Form B6B (10/05) n re GRGRY B. A LAR L A ebtors SHL B. PRSAL PRPRY (ontinuation Sheet) ase o ype of Property escription and Location of Property Husband ife oint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption 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. 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. Vehicles - ebtors include this category on their financial statement but their vehicles are in the name of his corporation. Value below would be added to value of Krone nc ffice equipment furnishings and supplies. 29. Machinery fixtures equipment and supplies used in business. 30. nventory. Sub-otal > (otal of this page) Sheet 2 of 3 continuation sheets attached to the Schedule of Personal Property opyright (c) Best ase Solutions - vanston L - (800)

7 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 7 of 35 Form B6B (10/05) n re GRGRY B. A LAR L A ebtors SHL B. PRSAL PRPRY (ontinuation Sheet) ase o ype of Property escription and Location of Property Husband ife oint or ommunity urrent Value of ebtor's nterest in Property without educting any Secured laim or xemption 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. Personal ffects Sheet 3 of 3 continuation sheets attached to the Schedule of Personal Property opyright (c) Best ase Solutions - vanston L - (800) Sub-otal > (otal of this page) otal > (Report also on Summary of Schedules)

8 }bk1{schedule. Property laimed as xempt}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 8 of 35 Form B6 (4/07) n re GRGRY B. A LAR L A ebtors ase o SHL. PRPRY LAM AS MP ebtor claims the exemptions to which debtor is entitled under: heck if debtor claims a homestead exemption that exceeds (heck one box) $ S.. 522(b)(2) 11.S.. 522(b)(3) escription of Property Real Property 1.) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: 702 Birch Point rive hitefish M value $ escribed as L 1 BRH P LAG HFSH M ) House at: 920 Birch Point rive hitefish M value $ less sr. lien $ = $ escribed as L 6 F BRH P PHAS 2 S R.22 4.) House at: 930 Birch Point rive hitefish M value $ escribed as L 5 F BRH P PHAS 2 S R.22 Specify Law Providing ach xemption Mont. ode Ann Value of laimed xemption urrent Value of Property ithout educting xemption Household Goods and Furnishings Household goods and furnishings Mont. ode Ann (1) continuation sheets attached to Schedule of Property laimed as xempt opyright (c) Best ase Solutions - vanston L - (800) otal:

9 }bk1{schedule. reditors Holding Secured laims}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 9 of 35 fficial Form 6 (10/06) n re GRGRY B. A LAR L A ebtors SHL. RRS HLG SR LAMS ase o 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 indicate that by stating "a minor child" and do not disclose the child s name. See 11.S f "a minor child" is stated also include the name address and legal relationship to the minor child of a person described in 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" "" "" or "" in the column labeled "Husband ife oint 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 ithout 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. RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity Account o. xxxxxxxx9070 ov reditor #: 1 astern Savings Bank Mcormic Rd P Suite 300 Hunt Valley M H A LAM AS RR AR F L A SRP A VAL F PRPRY SB L 2nd mortgage 1.) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: G L Q A S P AM F LAM H G VAL F LLARAL SR PR F AY Account o. Representing: astern Savings Bank Value $ illiam. Heilman r. HMA HLMA & LASA 204 entral Avenue hitefish M Value $ Account o. xxxxxxxx9070 une 2005 reditor #: 2 astern Savings Bank Mcormic Rd P Suite 300 Hunt Valley M eed of rust 1.) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: Value $ Account o. ***-** reditor #: 3 nternal Revenue Service Attn: Special Procedures Function th Street enver Federal ax Lien ) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: continuation sheets attached Value $ Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800)

10 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 10 of 35 fficial Form 6 (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL. RRS HLG SR LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions.) B R Husband ife oint or ommunity Account o. ***-** reditor #: 4 nternal Revenue Service Attn: Special Procedures Function th Street enver H A LAM AS RR AR F L A SRP A VAL F PRPRY SB L Federal ax Lien ) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: G L Q A S P AM F LAM H G VAL F LLARAL SR PR F AY Value $ Account o. ***-** reditor #: 5 nternal Revenue Service Attn: Special Procedures Function th Street enver Value $ Account o. ***-**-xxxx and ***-** reditor #: 6 nternal Revenue Service Attn: Special Procedures Function th Street enver Value $ Account o. xx-xxxx6909 an 2006 reditor #: 7 Provident Financial hitefish Stage Rd P Box 2900 Kalispell M Account o. reditor #: 8 Richard Quigley 2005 Sundance r. Longmont Sheet 1 of 2 continuation sheets attached to Schedule of reditors Holding Secured laims Value $ Value $ Federal ax Lien ) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: Federal ax Lien 6672 assessment 1.) ebtors' Residence at: 706 Birch Point rive hitefish M value $ escribed as L 2 F BRH P PHAS 2 S R.22 2.) Lot at: eed of rust House at: 850 Birch Point rive hitefish M escribed as:parl A F S #13782 PARLS A&B S #11666 PARLS A&B S # ontract for eed Ranch located at: 2500 pper Lost reek Road hitefish M escribed as: PARL A F S #13782 PARLS A&B S #11666 PARLS A&B S # Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800)

11 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 11 of 35 fficial Form 6 (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL. RRS HLG SR LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions.) B R Husband ife oint or ommunity Account o. xx8422 pened 4/08/05 reditor #: 9 ilshire redit orp 1776 Sw Madison St Portland R H A LAM AS RR AR F L A SRP A VAL F PRPRY SB L Value of 920 Birch Point rive secured by senior lien G L Q A S P AM F LAM H G VAL F LLARAL SR PR F AY Account o. Representing: ilshire redit orp Value $ ilshire redit orp P Box 7195 Pasadena A Value $ Account o. Value $ Account o. Value $ Account o. Value $ Sheet 2 of 2 continuation sheets attached to Schedule of reditors Holding Secured laims Subtotal (otal of this page) otal (Report on Summary of Schedules) opyright (c) Best ase Solutions - vanston L - (800)

12 }bk1{schedule. reditors Holding nsecured Priority laims}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 12 of 35 fficial Form 6 (4/07) n re GRGRY B. A LAR L A ebtors SHL. RRS HLG SR PRRY LAMS ase o 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 indicate that by stating "a minor child" and do not disclose the child s name. See 11.S f "a minor child" is stated also include the name address and legal relationship to the minor child of a person described in 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 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" "" "" or "" in the column labeled "Husband ife oint 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 who file a case under chapter 7 or 13 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 who file a case under chapter 7 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 trust or the order for relief. 11.S.. 507(a)(3). ages salaries and commissions ages salaries and commissions including vacation severance and sick leave pay owing to employees and commissions owing to qualifying independent sales representatives up to $10950* 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 $5400* per farmer or fisherman against the debtor as provided in 11.S.. 507(a)(6). eposits by individuals laims of individuals up to $2425* for deposits for the purchase lease or rental of property or services for personal family or household use that were not delivered 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). * Amounts are subject to adjustment on April and every three years thereafter with respect to cases commenced on or after the date of adjustment. 1 continuation sheets attached opyright (c) Best ase Solutions - vanston L - (800)

13 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 13 of 35 fficial Form 6 (4/07) - ont. n re GRGRY B. A LAR L A ebtors SHL. RRS HLG SR PRRY LAMS (ontinuation Sheet) ase o axes and ertain ther ebts wed to Governmental nits YP F PRRY RR'S AM A MALG ARSS LG ZP A A MBR (See instructions.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM Account o. ***-**-xxxx & ***-** /15/2005 & 4/15/2006 reditor #: 1 nternal Revenue Service ncome axes & 2006 Attn: Special Procedures Function (projected) th Street enver G L Q A S P AM F LAM AM L PRRY F AY 0.00 AM L PRRY Account o. ***-** & 2005 reditor #: 2 Montana ept of Revenue and 2004 income taxes Attn: Kim avis P Box 7701 Helena M Account o. ***-** & 2005 reditor #: 3 Montana ept of Revenue ncome axes 2003 & 2004 Attn: Kim avis P Box 7701 Helena M 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) opyright (c) Best ase Solutions - vanston L - (800)

14 }bk1{schedule F. reditors Holding nsecured onpriority laims}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 14 of 35 fficial Form 6F (10/06) n re GRGRY B. A LAR L A ebtors 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 indicate that by stating "a minor child" and do not disclose the child s name. See 11.S f "a minor child" is stated also include the name address and legal relationship to the minor child of a person described in 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" "" "" or "" in the column labeled "Husband ife oint 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 filing a case under chapter 7 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 A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM. F LAM S SB SFF S SA. Account o. xxxxx8398 pened 12/20/06 Last Active 2/01/07 reditor #: 1 ollection irectv Allied nterstate nc 435 Ford Rd Ste 800 Minneapolis M G L Q A S P AM F LAM Account o. xxxxxxxxxxxxxx5761 pened 6/21/02 Last Active 8/30/07 reditor #: 2 reditard Amex Po Box Fort Lauderdale FL Account o. xxxxxxxxxxxxxx7722 pened 4/12/02 Last Active 8/13/07 reditor #: 3 reditard Amex Po Box Fort Lauderdale FL Account o. xxxx8935 pened 10/25/02 Last Active 8/01/07 reditor #: 4 Factoring ompany Account hase Manhattan Asset Acceptance Bank P Box 2036 H arren M continuation sheets attached Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800) S/:

15 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 15 of 35 fficial Form 6F (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL F. RRS HLG SR PRRY LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM. F LAM S SB SFF S SA. Account o. xxxxxxxx8007 pened 7/10/84 Last Active 12/06/03 reditor #: 5 reditard Bank f America Po Box 1598 orfolk VA G L Q A S P AM F LAM Account o. xxxxxxxx0520 pened 11/24/03 Last Active 8/07/07 reditor #: 6 reditard apital 1 Bank Broad St Glen Allen VA Account o. xxxxxxxx6060 pened 1/29/01 Last Active 8/16/07 reditor #: 7 reditard apital 1 Bank Broad St H Glen Allen VA Account o. xxxxxxxx6814 pened 10/20/01 Last Active 8/07/07 reditor #: 8 reditard apital 1 Bank Broad St Glen Allen VA Account o. xxxxxxxx5767 pened 1/24/01 Last Active 8/07/07 reditor #: 9 reditard apital 1 Bank Broad St Glen Allen VA Sheet no. 1 of 4 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800)

16 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 16 of 35 fficial Form 6F (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL F. RRS HLG SR PRRY LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM. F LAM S SB SFF S SA. Account o. xxxxxxxx6182 pened 9/17/03 Last Active 7/24/07 reditor #: 10 reditard apital 1 Bank Broad St H Glen Allen VA G L Q A S P AM F LAM Account o. xxx2900 pened 2/14/06 Last Active 6/01/06 reditor #: 11 ollection omcast BA ollecttion Bureau den Landing Rd Hayward A Account o. xxxxxxxx5003 pened 1/19/88 Last Active 7/06/05 reditor #: 12 reditard iscover Fin Pob ilmington Account o. xxxxxxxxxxxx5472 pened 12/12/02 Last Active 7/26/07 reditor #: 13 reditard First Premier Bank 601 S Minnesota Ave Sioux Falls S Account o. xxxxxxx6863 pened 10/01/84 Last Active 8/01/07 reditor #: 14 hargeaccount Hsbc/neimn Po Box ilmington Sheet no. 2 of 4 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800)

17 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 17 of 35 fficial Form 6F (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL F. RRS HLG SR PRRY LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM. F LAM S SB SFF S SA. Account o. xxxx6026 pened 4/20/07 Last Active 8/01/07 reditor #: 15 Factoring ompany Account Asgne of SB / ollection Agency Pob Philadelphia PA G L Q A S P AM F LAM Account o pened 11/02/79 Last Active 8/06/07 reditor #: 16 hargeaccount ordstrom Fsb Po Box 6555 nglewood Account o. xxxx0152 pened 6/01/06 Last Active 7/01/06 reditor #: irectv Riddle Assoc S lection raper Account o. xxxxxx8265 pened 1/24/90 Last Active 4/21/07 reditor #: 18 reditard exaco/citibank Po Box 6003 Hagerstown M Account o. xxxxxxxx0650 pened 8/20/97 Last Active 11/23/01 reditor #: 19 Businessreditard S Bank 101 5th St Ste A Saint Paul M Sheet no. 3 of 4 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) opyright (c) Best ase Solutions - vanston L - (800)

18 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 18 of 35 fficial Form 6F (10/06) - ont. n re GRGRY B. A LAR L A ebtors SHL F. RRS HLG SR PRRY LAMS (ontinuation Sheet) ase o RR'S AM A MALG ARSS LG ZP A A MBR (See instructions above.) B R Husband ife oint or ommunity H A LAM AS RR A SRA FR LAM. F LAM S SB SFF S SA. Account o. xxxxxxxx0603 pened 8/16/96 Last Active 10/19/04 reditor #: 20 Businessreditard S Bank 101 5th St Ste A H Saint Paul M G L Q A S P AM F LAM Account o Account o. Account o. Account o. Sheet no. 4 of 4 sheets attached to Schedule of reditors Holding nsecured onpriority laims Subtotal (otal of this page) otal (Report on Summary of Schedules) opyright (c) Best ase Solutions - vanston L - (800)

19 }bk1{schedule G. xecutory ontracts and nexpired Leases}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 19 of 35 Form B6G (10/05) n re GRGRY B. A LAR L A ebtors 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 indicate that by stating "a minor child" and do not disclose the child's name. See 11.S.. 112; 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. Amex P Box Fort Lauderdale FL Bank f America Po Box 1598 orfolk VA apital 1 Bk Broad St Glen Allen VA iscover Financial P Box ilmington Richard Quigley 2005 Sundance r. Longmont Possible Arbitration lause. Possible Arbitration lause Possible Arbitration lause Possible Arbitration lause ontract for eed 0 continuation sheets attached to Schedule of xecutory ontracts and nexpired Leases opyright (c) Best ase Solutions - vanston L - (800)

20 }bk1{schedule H. odebtors}bk{ RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 20 of 35 Form B6H (10/05) n re GRGRY B. A LAR L A ebtors 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 co-signers. 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 ashington or isconsin) 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 indicate that by stating "a minor child" and do not disclose the child's name. See 11.S.. 112; Fed. 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 opyright (c) Best ase Solutions - vanston L - (800)

21 fficial Form 6 (10/06) RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 21 of 35 n re GRGRY B. A LAR L A ase o ebtor(s) SHL. RR M F VAL BR(S) he column labeled "Spouse" must be completed in all cases filed by joint debtors and by every married debtor whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed. o not state the name of any minor child. ebtor's Marital Status: PS F BR A SPS Married RLASHP(S): aughter Son AG(S): mployment: BR SPS ccupation President ame of mployer Sarshela LL How long employed Address of mployer 5 years Belmont r Ault M: (stimate of average or projected monthly income at time case filed) BR SPS 1. Monthly gross wages salary and commissions (Prorate if not paid monthly) $ $ stimate monthly overtime $ 0.00 $ SBAL $ $ LSS PAYRLL S a. Payroll taxes and social security $ $ 0.00 b. nsurance $ 0.00 $ 0.00 c. nion dues $ 0.00 $ 0.00 d. ther (Specify): $ 0.00 $ 0.00 $ 0.00 $ SBAL F PAYRLL S $ $ AL MHLY AK HM PAY $ $ Regular income from operation of business or profession or farm (Attach detailed statement) $ 0.00 $ ncome from real property $ 0.00 $ nterest and dividends $ 0.00 $ Alimony maintenance or support payments payable to the debtor for the debtor's use or that of dependents listed above $ 0.00 $ Social security or government assistance (Specify): $ 0.00 $ 0.00 $ 0.00 $ Pension or retirement income $ 0.00 $ ther monthly income (Specify): iamant Motivational nc. $ $ 0.00 $ 0.00 $ SBAL F LS 7 HRGH 13 $ $ AVRAG MHLY M (Add amounts shown on lines 6 and 14) $ $ MB AVRAG MHLY M: (ombine column totals $ from line 15; if there is only one debtor repeat total reported on line 15) (Report also on Summary of Schedules and if applicable on Statistical Summary of ertain Liabilities and Related ata) 17. escribe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:

22 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 22 of 35 fficial Form 6 (10/06) n re GRGRY B. A LAR L A ase o ebtor(s) SHL. RR PRS F VAL BR(S) omplete this schedule by estimating the average or projected monthly expenses of the debtor and the debtor's family at time case filed. Prorate any payments made bi-weekly quarterly semi-annually or annually to show monthly rate. heck this box if a joint petition is filed and debtor's spouse maintains a separate household. omplete a separate schedule of expenditures labeled "Spouse." 1. Rent or home mortgage payment (include lot rented for mobile home) $ 0.00 a. Are real estate taxes included? Yes o b. s property insurance included? Yes o 2. tilities: a. lectricity and heating fuel $ 0.00 b. ater and sewer $ 0.00 c. elephone $ 0.00 d. ther $ Home maintenance (repairs and upkeep) $ Food $ lothing $ Laundry and dry cleaning $ Medical and dental expenses $ ransportation (not including car payments) $ Recreation clubs and entertainment newspapers magazines etc. $ haritable contributions $ nsurance (not deducted from wages or included in home mortgage payments) a. Homeowner's or renter's $ 0.00 b. Life $ 0.00 c. Health $ 0.00 d. Auto $ 0.00 e. ther $ axes (not deducted from wages or included in home mortgage payments) (Specify) $ nstallment payments: (n chapter and 13 cases do not list payments to be included in the plan) a. Auto $ 0.00 b. ther $ 0.00 c. ther $ 0.00 d. ther $ Alimony maintenance and support paid to others $ Payments for support of additional dependents not living at your home $ Regular expenses from operation of business profession or farm (attach detailed statement) $ ther $ 0.00 ther $ AVRAG MHLY PSS (otal lines Report also on Summary of Schedules and $ 0.00 if applicable on the Statistical Summary of ertain Liabilities and Related ata.) 19. escribe any increase or decrease in expenditures reasonably anticipated to occur within the year following the filing of this document: ebtors have not been able to adequately develop the figures necessary for Schedule expenditures at this time. Schedule will be amended when figures are available. 20. SAM F MHLY M a. Average monthly income from Line 15 of Schedule $ b. Average monthly expenses from Line 18 above $ 0.00 c. Monthly net income (a. minus b.) $

23 fficial Form 6-eclaration. (10/06) n re RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 23 of 35 nited States Bankruptcy ourt istrict of Montana GRGRY B. A LAR L A ase o ebtor(s) hapter 11 LARA RG BR'S SHLS LARA R PALY F PRRY BY VAL BR declare under penalty of perjury that have read the foregoing summary and schedules consisting of 22 sheets [total shown on summary page plus 2] and that they are true and correct to the best of my knowledge information and belief. ate ctober Signature /s/ GRGRY B. A GRGRY B. A ebtor ate ctober Signature /s/ LAR L A LAR L A oint ebtor 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 nc. - vanston L - (800)

24 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 24 of 35 fficial Form 7 (04/07) n re nited States Bankruptcy ourt istrict of Montana GRGRY B. A LAR L A ase o ebtor(s) hapter 11 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 self-employed professional should provide the information requested on this statement concerning all such activities as well as the individual's personal affairs. o not include the name or address of a minor child in this statement. ndicate payments transfers and the like to minor children by stating "a minor child." 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 self-employed full-time or part-time. 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 part-time 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 $ ages from ax return $ Partnership and S orporation ncome from tax return $ ncome from partnerships and S orporations from Amended ax Return $ ages ebtor Sarshela $ K-1 ncome Sarshela ebtor $ K-1 ncome Fitness ater ebtor $ K-1 ncome Super Gobble ebtor $ K-1 ncome ore nnovation ebtor $ K-1 ncome ay Springs Farm Ltd. ebtors Software opyright (c) Best ase Solutions nc. - vanston L - (800)

25 RBK oc#: 16 Filed: 10/09/07 ntered: 10/09/07 19:35:52 Page 25 of 35 2 AM SR $ K-1 ncome iamont Motivation nc. ebtors $ K-1 ncome ay Springs Lodge Ltd. ebtors $ Y nclassified distributions Sarshela ebtors 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 3. Payments to creditors one omplete a. or b. as appropriate and c. a. ndividual or joint debtor(s) with primarily consumer debts. List all payments on loans installment purchases of goods or services and other debts to any creditor made within 90 days immediately preceding the commencement of this case if the aggregate value of all property that constitutes or is affected by such transfer is not less than $600. ndicate with an (*) any payments that were made to a creditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofit budgeting and creditor counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed.) AM A ARSS F RR AS F PAYMS AM PA AM SLL G one b. ebtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days immediately preceding the commencement of the case if the aggregate value of all property that constitutes or is affected by such transfer is not less than $5475. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed.) AM A ARSS F RR Montana ept of Revenue Attn: Kim avis P Box 7701 Helena M Montana ept of Revenue Attn: Kim avis P Box 7701 Helena M nternal Revenue Service Attn: Special Procedures Function th Street enver AS F PAYMS/ RASFRS 6/15/07 $ /13/07 $ /15/07 $ /13/07 $ AM PA R VAL F AM SLL RASFRS G $ $ $ $ une $ $ one c. All debtors: List all payments made within one year immediately preceding the commencement of this case to or for the benefit of creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed unless the spouses are separated and a joint petition is not filed.) AM A ARSS F RR A RLASHP BR A F PAYM AM PA AM SLL G Software opyright (c) Best ase Solutions nc. - vanston L - (800)

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

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

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

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

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

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

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

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 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

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

BANKRUPTCY QUESTIONNAIRE

BANKRUPTCY QUESTIONNAIRE BANKRUPTCY QUESTIONNAIRE In order to properly complete your bankruptcy, it is necessary to obtain certain information from you, especially concerning the names and complete addresses of all creditors,

More information

Pocatello Office 410 Yellowstone Pocatello, ID Avery Law

Pocatello Office 410 Yellowstone Pocatello, ID Avery Law Idaho Falls Office 770 S. Woodruff Ave. Idaho Falls, ID 83401 208.524.3020 208.524.2051 fax Pocatello Office 410 Yellowstone Pocatello, ID 83201 208.232.3020 208.242.3833 Avery Law Twin Falls Office 808

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

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 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

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

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

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

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 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 12-24664 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 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

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): Americas Powersport Auction LL nited States Bankruptcy ourt Middle istrict of ennessee

More information

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200

Greg Gouner, Attorney at Law 11750 Bricksome Avenue, Suite C Baton Rouge, LA 70816 (225) 293-6200 Bankruptcy Forms: Chapters 7/Chapter 13 Instructions: Please fill out this form completely. You are providing this office with the information required to prepare the filing of a Chapter 7 or Chapter 13

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 10-57048 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

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 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 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

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

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

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

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

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

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

Debtor SCHEDULE A - REAL PROPERTY

Debtor SCHEDULE A - REAL PROPERTY }bk1{schedule A Real Property}bk{ B6A (fficial Form 6A) (12/07) n re Pappas elecasting of entral alifornia a alifornia Limited Partnership ebtor SHL A RAL PRPRY ase o. 0810934 xcept as directed below list

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

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

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 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11

Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34. Case No.: 14-14360-ABL Chapter 11 Case 14-14360-abl Doc 33 Entered 07/18/14 18:04:56 Page 1 of 34 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 GORDON SILVER GERALD M. GORDON, ESQ. Nevada Bar No. 229 E-mail: ggordon@gordonsilver.com

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

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 EPK Doc 1 Filed 12/16/13 Page 1 of 43

Case EPK Doc 1 Filed 12/16/13 Page 1 of 43 }bk1{form 1. Voluntary Petition}bk{ B1 (fficial Form 1)(04/13) ame of ebtor (if individual, enter Last, First, Middle): McCline, Jameel B Case 1339719PK oc 1 Filed 12/16/13 Page 1 of 43 United States Bankruptcy

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 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

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

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

Case Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41

Case Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41 }bk1{form 1. Voluntary Petition}bk{ B1 (Official Form 1)(04/13) Case 14-80263 Doc 1 Filed 01/30/14 Entered 01/30/14 14:29:33 Desc Main Document Page 1 of 41 Name of Debtor (if individual, enter Last, First,

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

Banning Law Firm. 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508

Banning Law Firm. 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508 Banning Law Firm 10801 Lomas NE Ste. 104 Albuquerque, NM 87112 Office 883-9577 Fax 866-677-0508 Questionnaire Taxes Credit Report Paper Work Needed To File Counseling Certificate Pay Check Stubs Payment

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 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

M. Caroline Cantrell & Associates, PC Attorney at Law

M. Caroline Cantrell & Associates, PC Attorney at Law M. Caroline Cantrell & Associates, PC Attorney at Law 8800 SE Sunnyside Road, Suite 207N, Clackamas, OR 97015 (503) 236-9211 549 NW 2nd Avenue, Canby Oregon 97013 (503) 266-0382 Date: PENDING FORECLOSURE,

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

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

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 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-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

Bankruptcy Petition Preparation Checklist

Bankruptcy Petition Preparation Checklist Chapter 7 / 13 Bankruptcy Worksheet IMPORTANT! This page must be read and signed before your case will be filed. If this set of worksheets is not filled out completely, WE CANNOT PREPARE THE PETITION AND

More information

SCHEDULE A - REAL PROPERTY

SCHEDULE A - REAL PROPERTY }bk1{schedulearealproperty}bk{ B6A (fficial Form 6A) (12/07) ase 1521233 oc 55 Filed 08/03/15 ntered 08/03/15 14:39:28 esc Main ocument Page 1 of 38 n re urtis James Jackson ebtor ase o. 1521233 SHL A

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

INITIAL CLIENT QUESTIONNAIRE Financial. Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: Length of Residence:

INITIAL CLIENT QUESTIONNAIRE Financial. Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: Length of Residence: FOR OFFICE USE ONLY Chapter 7 13 Individual Joint Attorney s Fee: Filing Fee: INITIAL CLIENT QUESTIONNAIRE Financial Date: Name: SSN: DOB: Spouse: SSN: DOB: Address: City: State: Zip: County: Length of

More information

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY:

ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT A LEGAL SERVICE PROVIDED BY: ALL WASHINGTON LEGAL CLINIC OF SEATTLE/EVERETT SEATTLE OFFICE: TACOMA OFFICE EVERETT OFFICE: 212 Pioneer Building Suite 1204 Suite 602 600 First Avenue 1119 Pacific Ave. 2722 Colby Ave. Seattle, WA 98104

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

Chapter 13 Bankruptcy

Chapter 13 Bankruptcy Chapter 13 Bankruptcy Individual Debt Adjustment The chapter of the Bankruptcy Code providing for adjustment of debts of an individual with regular income. (Chapter 13 allows a debtor to keep property

More information

Chapter 13 - Bankruptcy Basics. Background. Advantages of Chapter 13

Chapter 13 - Bankruptcy Basics. Background. Advantages of Chapter 13 Chapter 13 - Bankruptcy Basics This chapter of the Bankruptcy Code provides for adjustment of debts of an individual with regular income. Chapter 13 allows a debtor to keep property and pay debts over

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

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

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

603 N. West St. Wheaton, IL. Health Care Business Single Asset Real Estate as defined

603 N. West St. Wheaton, IL. 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): Van er Molen, dward nited States Bankruptcy ourt orthern istrict of llinois, astern

More information

Name: Last First Middle. Telephone Number Home: Work: Have you used any other names in the past six years? No

Name: Last First Middle. Telephone Number Home: Work: Have you used any other names in the past six years? No Client questionnaire for bankruptcy cases 1 N. Marshall St. Suite 100 Winston-Salem, NC 27101 www.attorneygates.com Section 1 Basic Information Part A. Name and Address Name: Last First Middle Telephone

More information

United States Bankruptcy Court Northern District of Georgia

United States Bankruptcy Court Northern District of Georgia Case 15-64277-wlh oc 9 Filed 08/19/15 ntered 08/19/15 21:39:55 esc Main ocument Page 1 of 30 B7 (fficial Form 7) (04/13) United States Bankruptcy Court orthern istrict of Georgia n re Southern Regional

More information

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION

INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION INSTRUCTIONS FOR COMPLETING OFFICIAL FORM 10, PROOF OF CLAIM I. INTRODUCTION The principal response of a creditor to the filing of a bankruptcy case is to file a proof of claim (Official Form 10). Specifically,

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 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

Client Questionnaire Section 1 - Basic Information

Client Questionnaire Section 1 - Basic Information Client Questionnaire Section 1 - Basic Information Part A. Name and Address Name: Have you used any other names in the past eight years? If yes, please list other names used: Telephone Numbers\Email address:

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

SCHEDULE B - PERSONAL PROPERTY - AMENDED

SCHEDULE B - PERSONAL PROPERTY - AMENDED }bk1{scheduleb-personalproperty}bk{ B6B (fficial Form 6B) (12/07) Bender Shipbuilding Case o. & Repair 09-12616 Co. Inc. xcept as directed below list all personal property of the debtor of whatever kind.

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

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

United States Bankruptcy Court Western District of Louisiana SUMMARY OF SCHEDULES

United States Bankruptcy Court Western District of Louisiana SUMMARY OF SCHEDULES }bk1{form6.sumaryofschedules}bk{ B6 Summary (fficial Form 6 Summary) (12/14) nited States Bankruptcy ourt Western istrict of Louisiana n re A&B Valve and Piping Systems LL ebtor, ase o. hapter 1551336

More information

Thomas K. Atwood BANKRUPTCY WORKSHEET

Thomas K. Atwood BANKRUPTCY WORKSHEET Thomas K. Atwood Attorney at Law 19427 SE 14th St, Sammamish, WA 98075 18820 Aurora Avenue North, Suite #202, Shoreline, WA 98133 Voice (425) 996-4145 or (206) 569-4685 - Fax (815) 550-1378 Email: tom@tomlaw.com

More information

The individual or husband and wife must be engaged in a farming operation or a commercial fishing operation.

The individual or husband and wife must be engaged in a farming operation or a commercial fishing operation. Chapter 12 Background: Chapter 12 is designed for "family farmers" or "family fishermen" with "regular annual income." It enables financially distressed family farmers and fishermen to propose and carry

More information

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN

PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN PREPARING THE PETITION, SCHEDULES, STATEMENT OF FINANCIAL AFFAIRS, MEANS TEST (FORM 22C) AND CHAPTER 13 PLAN THE PETITION Provide complete information for each debtor. Full name Any aka, dba or fdba Complete

More information

Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed.

Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed. Chapter 7/13 Bankruptcy Worksheet NOTICE!! IMPORTANT!! This page must be read and signed before your case will be filed. If this set of worksheets is not filled out completely, we cannot properly prepare

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

Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee, $39 administrative fee: Total fee $274)

Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee, $39 administrative fee: Total fee $274) B 201A (Form 201A) (12/09) WARNING: Effective December 1, 2009, the 15-day deadline to file schedules and certain other documents under Bankruptcy Rule 1007(c) is shortened to 14 days. For further information,

More information

UNITED STATES BANKRUPTCY COURT District of Arizona

UNITED STATES BANKRUPTCY COURT District of Arizona UNITED STATES BANKRUPTCY COURT District of Arizona Consumer Debtor Instructions for Completing the Petition, Schedules, Means Test, Statement of Current Monthly Income, and Statement of Affairs May 2010

More information

Your Guide to Bankruptcy for Individuals

Your Guide to Bankruptcy for Individuals Consumer Legal Guide Your Guide to Bankruptcy for Individuals ILLINOIS STATE BAR ASSOCIATION ASK A LAWYER WHAT IS BANKRUPTCY? Bankruptcy is a court proceeding that is governed by the federal law known

More information

CURRENT MONTHLY INCOME

CURRENT MONTHLY INCOME Client Questionnaire Section 1 - Basic Information Part A. Name and Address Name: Have you used any other names in the past eight years? No Yes If yes, please list other names used: Telephone Numbers\Email

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

Name of Joint Debtor (Spouse) (Last, First, Middle): ZIP CODE 10465-0000 ZIP CODE 10465-0000

Name of Joint Debtor (Spouse) (Last, First, Middle): ZIP CODE 10465-0000 ZIP CODE 10465-0000 B1 (Official Form 1) (1/08) United States Bankruptcy Court Southern District of New York Voluntary Petition Name of Debtor (if individual, enter Last, First, Middle): All Other Names used by the Debtor

More information

United States Bankruptcy Court Middle District of Florida SUMMARY OF SCHEDULES

United States Bankruptcy Court Middle District of Florida SUMMARY OF SCHEDULES }bk1{form6.sumaryofschedules}bk{ B6 Summary (fficial Form 6 Summary) (12/07) ase 9:10bk03949ALP oc 35 Filed 04/09/10 Page 1 of 40 nited States Bankruptcy ourt Middle istrict of Florida n re ebtor ase o.

More information

United States Bankruptcy Court Western District of Washington SUMMARY OF SCHEDULES

United States Bankruptcy Court Western District of Washington SUMMARY OF SCHEDULES }bk1{form 6. umary of chedules}bk{ 6 ummary (fficial Form 6 ummary) (12/07) nited tates ankruptcy ourt estern istrict of ashington n re lobal nc. ebtor ase o. hapter 11 MMY F ndicate as to each schedule

More information

INTAKE PACKET SACRAMENTO LAW GROUP

INTAKE PACKET SACRAMENTO LAW GROUP INTAKE PACKET SACRAMENTO LAW GROUP Contents: 1. Intake Sheet 2. Free Consultation Agreement 3. 527(a) Disclosure 4. 527(b) Disclosure 5. 342(b) Disclosure Please take a few moments to complete the intake

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

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

MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063

MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063 DATE: MACHI & ASSOCIATES, P.C. 1521 N. Cooper, Suite 550 990 N. Walnut Creek, Suite 2016 Arlington, Texas 76011 Mansfield, Texas 76063 Local 817-335-8880 Metro 972-445-5387 Toll Free 866-DEBTDRS (866-332-8377)

More information

Form M-433-OIS Statement of Financial Condition and Other Information

Form M-433-OIS Statement of Financial Condition and Other Information Form M-433-OIS Statement of Financial Condition and Other Information Rev. 6/09 Massachusetts Department of Revenue Complete all entries with the most current information available. For entries that do

More information