Escolar Documentos
Profissional Documentos
Cultura Documentos
Doc 1
Filed 08/18/15
Page 1 of 36
Voluntary Petition
Young, Maurice
All Other Names used by the Debtor in the last 8 years
(include married, maiden, and trade names):
All Other Names used by the Joint Debtor in the last 8 years
(include married, maiden, and trade names):
Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN
(if more than one, state all)
xxx-xx-3111
Street Address of Joint Debtor (No. and Street, City, and State):
16573 SW 19 St
Miramar, FL
ZIP Code
ZIP Code
33027
County of Residence or of the Principal Place of Business:
Broward
Mailing Address of Joint Debtor (if different from street address):
ZIP Code
ZIP Code
Type of Debtor
Nature of Business
Chapter 15 Debtors
Tax-Exempt Entity
Chapter 7
Chapter 9
Chapter 11
Chapter 12
Chapter 13
100199
200999
1,0005,000
5,00110,000
10,00125,000
25,00150,000
50,001100,000
OVER
100,000
$100,001 to
$500,000
$500,001
to $1
million
$1,000,001
to $10
million
$10,000,001
to $50
million
$50,000,001
to $100
million
$100,001 to
$500,000
$500,001
to $1
million
$1,000,001
to $10
million
$10,000,001
to $50
million
$50,000,001
to $100
million
Estimated Assets
$0 to
$50,000
$50,001 to
$100,000
Estimated Liabilities
$0 to
$50,000
$50,001 to
$100,000
Chapter 11 Debtors
Check one box:
Debtor is a small business debtor as defined in 11 U.S.C. 101(51D).
Debtor is not a small business debtor as defined in 11 U.S.C. 101(51D).
Check if:
Debtors aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates)
are less than $2,490,925 (amount subject to adjustment on 4/01/16 and every three years thereafter).
Statistical/Administrative Information
Debtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expenses paid,
there will be no funds available for distribution to unsecured creditors.
149
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Page 2 of 36
Page 2
Name of Debtor(s):
Young, Maurice
Voluntary Petition
(This page must be completed and filed in every case)
Location
Where Filed: - None -
All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)
Case Number:
Date Filed:
Location
Where Filed:
Case Number:
Date Filed:
Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)
Name of Debtor:
Case Number:
Date Filed:
- None District:
Relationship:
Judge:
Exhibit B
Exhibit A
(To be completed if debtor is an individual whose debts are primarily consumer debts.)
I, the attorney for the petitioner named in the foregoing petition, declare that I
have informed the petitioner that [he or she] may proceed under chapter 7, 11,
12, or 13 of title 11, United States Code, and have explained the relief available
under each such chapter. I further certify that I delivered to the debtor the notice
required by 11 U.S.C. 342(b).
Exhibit D
(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)
Exhibit D completed and signed by the debtor is attached and made a part of this petition.
If this is a joint petition:
Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.
Information Regarding the Debtor - Venue
(Check any applicable box)
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180
days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.
There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.
Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in
this District, or has no principal place of business or assets in the United States but is a defendant in an action or
proceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the relief
sought in this District.
Certification by a Debtor Who Resides as a Tenant of Residential Property
(Check all applicable boxes)
Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)
(Name of landlord that obtained judgment)
(Address of landlord)
Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to cure
the entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and
Debtor has included with this petition the deposit with the court of any rent that would become due during the 30-day period
after the filing of the petition.
Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. 362(l)).
Case 15-24945-JKO
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Page 3
Name of Debtor(s):
Young, Maurice
Voluntary Petition
(This page must be completed and filed in every case)
Signatures
Signature(s) of Debtor(s) (Individual/Joint)
I declare under penalty of perjury that the information provided in this petition
is true and correct, that I am the foreign representative of a debtor in a foreign
proceeding, and that I am authorized to file this petition.
(Check only one box.)
I request relief in accordance with chapter 15 of title 11. United States Code.
Certified copies of the documents required by 11 U.S.C. 1515 are attached.
Pursuant to 11 U.S.C. 1511, I request relief in accordance with the chapter
of title 11 specified in this petition. A certified copy of the order granting
recognition of the foreign main proceeding is attached.
I request relief in accordance with the chapter of title 11, United States Code,
specified in this petition.
X
Signature of Foreign Representative
Signature of Attorney*
Address
Email: Pleadings@bkclawmiami.com
(305) 443-4217 Fax: (305) 443-3219
Telephone Number
August 18, 2015
Date
*In a case in which 707(b)(4)(D) applies, this signature also constitutes a
certification that the attorney has no knowledge after an inquiry that the
information in the schedules is incorrect.
Address
X
Date
Signature of bankruptcy petition preparer or officer, principal, responsible
person,or partner whose Social Security number is provided above.
Names and Social-Security numbers of all other individuals who prepared or
assisted in preparing this document unless the bankruptcy petition preparer is
not an individual:
X
Signature of Authorized Individual
Printed Name of Authorized Individual
Title of Authorized Individual
Date
If more than one person prepared this document, attach additional sheets
conforming to the appropriate official form for each person.
A bankruptcy petition preparers failure to comply with the provisions of
title 11 and the Federal Rules of Bankruptcy Procedure may result in
fines or imprisonment or both. 11 U.S.C. 110; 18 U.S.C. 156.
Case 15-24945-JKO
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Maurice Young
Debtor(s)
Case No.
Chapter
13
Case 15-24945-JKO
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Page 2
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In re
Maurice Young
Case No.
,
Debtor
Homestead
16573 SW 19 St
Miramar, FL 33027
Nature of Debtor's
Interest in Property
Fee simple
Current Value of
Husband,
Debtor's Interest in
Wife,
Property, without
Joint, or
any Secured
Community Deducting
Claim or Exemption
-
417,370.00
Sub-Total >
417,370.00
Total >
417,370.00
Amount of
Secured Claim
281,364.00
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In re
Maurice Young
Case No.
Debtor
1.
Cash on hand
2.
3.
4.
5.
6.
N
O
N
E
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
X
Bank Accounts
Bank of America
0.00
Household Goods
2,500.00
Wearing apparel.
Wearing Apparel
150.00
7.
Jewelry
400.00
8.
9.
Sub-Total >
(Total of this page)
2
3,050.00
Case 15-24945-JKO
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Page 8 of 36
In re
Maurice Young
Case No.
Debtor
Type of Property
N
O
N
E
Stock
Trick & Rick Music Publishing
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
10,000.00
Sub-Total >
(Total of this page)
10,000.00
Sheet 1 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
Case 15-24945-JKO
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Page 9 of 36
In re
Maurice Young
Case No.
Debtor
Type of Property
N
O
N
E
30. Inventory.
31. Animals.
Sheet 2 of 2
continuation sheets attached
to the Schedule of Personal Property
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
Husband,
Current Value of
Wife,
Debtor's Interest in Property,
Joint, or
without Deducting any
Community Secured Claim or Exemption
Sub-Total >
(Total of this page)
Total >
0.00
13,050.00
Case 15-24945-JKO
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In re
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Case No.
,
Debtor
Value of
Claimed
Exemption
Total:
0
Current Value of
Property Without
Deducting Exemption
100%
417,370.00
1,000.00
2,500.00
137,006.00
419,870.00
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In re
Maurice Young
Case No.
,
Debtor
CREDITOR'S NAME
AND MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
H
W
J
C
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF
CLAIM
WITHOUT
DEDUCTING
VALUE OF
COLLATERAL
UNSECURED
PORTION, IF
ANY
417,370.00
280,164.00
0.00
417,370.00
1,200.00
0.00
281,364.00
0.00
281,364.00
0.00
Value $
Account No.
Maintenance
Homestead
16573 SW 19 St
Miramar, FL 33027
Value $
Account No.
Value $
Account No.
Value $
0
_____
continuation sheets attached
Subtotal
(Total of this page)
Total
(Report on Summary of Schedules)
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In re
Maurice Young
Case No.
Debtor
TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)
Domestic support obligations
Claims 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 U.S.C. 507(a)(1).
Deposits by individuals
Claims of individuals up to $2,775* 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 U.S.C. 507(a)(7).
* Amount subject to adjustment on 4/01/16, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
2
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
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In re
Maurice Young
Case No.
,
Debtor
C
O
D
E
B
T
O
R
Child Support
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
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D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
0.00
34,837.00
Child Support
34,837.00
0.00
22,282.00
22,282.00
Account No.
Account No.
Account No.
1
2
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Subtotal
(Total of this page)
0.00
57,119.00
57,119.00
Case 15-24945-JKO
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Page 14 of 36
In re
Maurice Young
Case No.
,
Debtor
C
O
D
E
B
T
O
R
Account No.
Internal Revenue Service
Insolvency Support Group, Unit 1
Stop 5730
7850 SW 6th Court, Room 165
Fort Lauderdale, FL 33318
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT
OF CLAIM
AMOUNT NOT
ENTITLED TO
PRIORITY, IF ANY
AMOUNT
ENTITLED TO
PRIORITY
290,000.00
290,000.00
0.00
Account No.
Special Assistant United States
Associates Area Counsel (SBSE) Miami
PO BOX 9, Stop 8000
51 SW 1st Avenue
Miami, FL 33130
0.00
0.00
0.00
Account No.
Special Assistant United States
Associates Area Counsel (SBSE) -Ft.
Laud
1000 S. Pine Island Road
Suite 300
Fort Lauderdale, FL 33324
0.00
0.00
0.00
Account No.
The Honorable Loretta Lynch
United States Attorney General
Department of Justice, Room 4400
950 Pennsylvania Avenue N.W.
Washington, DC 20530-0001
0.00
0.00
0.00
Account No.
The Honorable Wifredo A. Ferrer
United States Attorney
99 NE 4th Street
Miami, FL 33132
0.00
0.00
2
2
Sheet _____
of _____
continuation sheets attached to
Schedule of Creditors Holding Unsecured Priority Claims
Subtotal
0.00
290,000.00
290,000.00
0.00
Total
(Report on Summary of Schedules)
347,119.00
290,000.00
57,119.00
Best Case Bankruptcy
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In re
Maurice Young
Case No.
Debtor
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
C
O
N
T
I
N
G
E
N
T
U
N
L
I
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A
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E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
Credit Card
-
1,386.00
Account No. 9700
Cavalry Portfolio Serv
Po Box 27288
Tempe, AZ 85285
543.00
Account No. 4600
Cbe Group
1309 Technology Pkwy
Cedar Falls, IA 50613
Opened 3/15/15
Collection Attorney Directv Quad
-
1,308.00
Account No. 7856
Ccs/First National Ban
500 E 60th St N
Sioux Falls, SD 57104
1,658.00
_____
3
continuation sheets attached
Subtotal
(Total of this page)
S/N:25839-150804
4,895.00
Case 15-24945-JKO
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In re
Maurice Young
Case No.
Debtor
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
Account No.
Charlotte Towne Esq
100 NW 70 Ave
Suite 203
Plantation, FL 33317
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
X X X
Unknown
Account No. 8586
Collection & Recover
5834 Monroe Street Suite A 142
Sylvania, OH 43560
108.00
Account No. 1349
Credit Coll
Po Box 9134
Needham, MA 02494
Opened 2/24/14
Collection 06 Progressive Insur
-
1,660.00
Account No. 5520
Eos Cca
Po Box 981025
Boston, MA 02298
Opened 5/15/15
Collection Attorney At T
-
140.00
Account No. 0048
First Premier Bank
601 S Minnesota Ave
Sioux Falls, SD 57104
552.00
Sheet no. _____
of _____
sheets attached to Schedule of
1
3
Creditors Holding Unsecured Nonpriority Claims
Subtotal
(Total of this page)
2,460.00
Case 15-24945-JKO
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Page 17 of 36
In re
Maurice Young
Case No.
Debtor
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
440.00
Account No. 1831
M.A.R.S.Inc
5810 E Skelly Dr Ste 200
Tulsa, OK 74135
1,006.00
Account No. 5313
Pinnacle Credit Servic
Po Box 640
Hopkins, MN 55343
330.00
Account No. 2449
Portfolio Recovery Ass
120 Corporate Blvd Ste 1
Norfolk, VA 23502
5,343.00
Account No. 2160
Portfolio Recovery Ass
120 Corporate Blvd Ste 1
Norfolk, VA 23502
836.00
Sheet no. _____
of _____
sheets attached to Schedule of
2
3
Creditors Holding Unsecured Nonpriority Claims
Subtotal
(Total of this page)
7,955.00
Case 15-24945-JKO
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In re
Maurice Young
Case No.
Debtor
CREDITOR'S NAME,
MAILING ADDRESS
INCLUDING ZIP CODE,
AND ACCOUNT NUMBER
(See instructions above.)
C
O
D
E
B
T
O
R
C
O
N
T
I
N
G
E
N
T
U
N
L
I
Q
U
I
D
A
T
E
D
D
I
S
P
U
T
E
D
AMOUNT OF CLAIM
820.00
Account No.
Account No.
Account No.
Account No.
Subtotal
(Total of this page)
820.00
Total
(Report on Summary of Schedules)
16,130.00
Case 15-24945-JKO
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In re
Maurice Young
Case No.
Debtor
0
continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
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In re
Maurice Young
Case No.
Debtor
SCHEDULE H - CODEBTORS
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. Include all guarantors and co-signers. If the debtor resides or resided in a community property state,
commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or
Wisconsin) within the eight year period immediately preceding the commencement of the case, identify the name of the debtor's spouse and of
any former spouse who resides or resided with the debtor in the community property state, commonwealth, or territory. Include all names used
by the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or a creditor,
state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not
disclose the child's name. See, 11 U.S.C. 112 and Fed. R. Bankr. P. 1007(m).
Check this box if debtor has no codebtors.
NAME AND ADDRESS OF CODEBTOR
0
continuation sheets attached to Schedule of Codebtors
Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com
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Maurice Young
Debtor(s)
Case No.
Chapter
13
I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of
sheets, and that they are true and correct to the best of my knowledge, information, and belief.
Signature
21
Debtor
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.
18 U.S.C. 152 and 3571.
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Maurice Young
Debtor(s)
Case No.
Chapter
13
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. Identify the beginning and ending dates of the debtor's fiscal year.) If 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.)
AMOUNT
$190,000.00
SOURCE
Debtor's Income
2013 $73,000.00
2014 $72,000.00
2015 $45,000.00
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. If 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.)
AMOUNT
SOURCE
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3. Payments to creditors
None
AMOUNT PAID
AMOUNT STILL
OWING
b. Debtor 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 unless the aggregate value of all property that constitutes or is affected by such
transfer is less than $6,225*. If the debtor is an individual, indicate with an asterisk (*) 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 credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and other
transfers 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.)
DATES OF
PAYMENTS
AMOUNT
PAID OR
VALUE OF
TRANSFERS
DATES OF
PAYMENTS/
TRANSFERS
AMOUNT STILL
OWING
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.)
DATE OF PAYMENT
AMOUNT PAID
AMOUNT STILL
OWING
a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of
this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses
whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
CAPTION OF SUIT
AND CASE NUMBER
Chase v Debtor
CACE15 9809
None
COURT OR AGENCY
AND LOCATION
Circuit
Broward
STATUS OR
DISPOSITION
Pending
b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately
preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning
property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
NATURE OF
PROCEEDING
Foreclosure
DATE OF SEIZURE
Amount subject to adjustment on 4/01/16, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
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List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or
returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12
or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the
spouses are separated and a joint petition is not filed.)
DATE OF REPOSSESSION,
FORECLOSURE SALE,
TRANSFER OR RETURN
a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of
this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment 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.)
DATE OF
ASSIGNMENT
b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately
preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning
property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
DATE OF
ORDER
7. Gifts
None
List all gifts or charitable contributions made within one year immediately preceding the commencement of this case except ordinary
and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions
aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions 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.)
RELATIONSHIP TO
DEBTOR, IF ANY
DATE OF GIFT
DESCRIPTION AND
VALUE OF GIFT
8. Losses
None
List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or
since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses 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.)
DATE OF LOSS
List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation
concerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy within one year immediately
preceding the commencement of this case.
DATE OF PAYMENT,
NAME OF PAYER IF OTHER
THAN DEBTOR
AMOUNT OF MONEY
OR DESCRIPTION AND VALUE
OF PROPERTY
$1,500.00
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DATE OF PAYMENT,
NAME OF PAYER IF OTHER
THAN DEBTOR
AMOUNT OF MONEY
OR DESCRIPTION AND VALUE
OF PROPERTY
$50.00
a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,
transferred either absolutely or as security within two years immediately preceding the commencement of this case. (Married debtors
filing under chapter 12 or chapter 13 must include transfers 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.)
DATE
b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled
trust or similar device of which the debtor is a beneficiary.
DATE(S) OF
TRANSFER(S)
List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or
otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other
financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,
cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must
include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed,
unless the spouses are separated and a joint petition is not filed.)
TYPE OF ACCOUNT, LAST FOUR
DIGITS OF ACCOUNT NUMBER,
AND AMOUNT OF FINAL BALANCE
List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year
immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or
depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not
filed.)
DESCRIPTION
OF CONTENTS
DATE OF TRANSFER OR
SURRENDER, IF ANY
13. Setoffs
None
List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the
commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both
spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
DATE OF SETOFF
AMOUNT OF SETOFF
List all property owned by another person that the debtor holds or controls.
LOCATION OF PROPERTY
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If the debtor has moved within three years immediately preceding the commencement of this case, list all premises which the debtor
occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate
address of either spouse.
ADDRESS
NAME USED
DATES OF OCCUPANCY
If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho,
Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within eight years immediately preceding the
commencement of the case, identify the name of the debtors spouse and of any former spouse who resides or resided with the debtor in
the community property state.
NAME
17. Environmental Information.
For the purpose of this question, the following definitions apply:
"Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous
or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to,
statutes or regulations regulating the cleanup of these substances, wastes, or material.
"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly owned or
operated by the debtor, including, but not limited to, disposal sites.
"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material,
pollutant, or contaminant or similar term under an Environmental Law
None
a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable
or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known,
the Environmental Law:
DATE OF
NOTICE
ENVIRONMENTAL
LAW
b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous
Material. Indicate the governmental unit to which the notice was sent and the date of the notice.
DATE OF
NOTICE
ENVIRONMENTAL
LAW
c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which
the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the
docket number.
DOCKET NUMBER
STATUS OR DISPOSITION
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a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partner in a
partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time within six years
immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities
within six years immediately preceding the commencement of this case.
If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, within six
years immediately preceding the commencement of this case.
If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and
ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within six
years immediately preceding the commencement of this case.
LAST FOUR DIGITS OF
SOCIAL-SECURITY OR
OTHER INDIVIDUAL
TAXPAYER-I.D. NO.
(ITIN)/ COMPLETE EIN
NAME
None
ADDRESS
NATURE OF BUSINESS
BEGINNING AND
ENDING DATES
b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. 101.
NAME
ADDRESS
The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has
been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or
owner of more than 5 percent 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 in a trade, profession, or other activity, either full- or part-time.
(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,
within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go
directly to the signature page.)
19. Books, records and financial statements
None
a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or
supervised the keeping of books of account and records of the debtor.
b. List all firms or individuals who within the two years immediately preceding the filing of this bankruptcy case have audited the books
of account and records, or prepared a financial statement of the debtor.
NAME
None
ADDRESS
c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records
of the debtor. If any of the books of account and records are not available, explain.
NAME
None
ADDRESS
d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was
issued by the debtor within two years immediately preceding the commencement of this case.
DATE ISSUED
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20. Inventories
None
a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory,
and the dollar amount and basis of each inventory.
DATE OF INVENTORY
None
INVENTORY SUPERVISOR
b. List the name and address of the person having possession of the records of each of the inventories reported in a., above.
DATE OF INVENTORY
a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.
NATURE OF INTEREST
PERCENTAGE OF INTEREST
b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns,
controls, or holds 5 percent or more of the voting or equity securities of the corporation.
TITLE
a. If the debtor is a partnership, list each member who withdrew from the partnership within one year immediately preceding the
commencement of this case.
NAME
None
ADDRESS
DATE OF WITHDRAWAL
b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated within one year
immediately preceding the commencement of this case.
TITLE
DATE OF TERMINATION
If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation
in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite during one year immediately preceding the
commencement of this case.
AMOUNT OF MONEY
OR DESCRIPTION AND
VALUE OF PROPERTY
If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated
group for tax purposes of which the debtor has been a member at any time within six years immediately preceding the commencement
of the case.
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If the debtor is not an individual, list the name and federal taxpayer-identification number of any pension fund to which the debtor, as an
employer, has been responsible for contributing at any time within six years immediately preceding the commencement of the case.
Signature
Debtor
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. 152 and 3571
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2. The Four Chapters of the Bankruptcy Code Available to Individual Consumer Debtors
Chapter 7: Liquidation ($245 filing fee, $75 administrative fee, $15 trustee surcharge: Total Fee $335)
Chapter 7 is designed for debtors in financial difficulty who do not have the ability to pay their existing debts. Debtors whose
debts are primarily consumer debts are subject to a "means test" designed to determine whether the case should be permitted to
proceed under chapter 7. If your income is greater than the median income for your state of residence and family size, in some cases,
the United States trustee (or bankruptcy administrator), the trustee, or creditors have the right to file a motion requesting that the court
dismiss your case under 707(b) of the Code. It is up to the court to decide whether the case should be dismissed.
Under chapter 7, you may claim certain of your property as exempt under governing law. A trustee may have the right to take
possession of and sell the remaining property that is not exempt and use the sale proceeds to pay your creditors.
The purpose of filing a chapter 7 case is to obtain a discharge of your existing debts. If, however, you are found to have
committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny your discharge and, if it does, the
purpose for which you filed the bankruptcy petition will be defeated.
Even if you receive a general discharge, some particular debts are not discharged under the law. Therefore, you may still be
responsible for most taxes and student loans; debts incurred to pay nondischargeable taxes; domestic support and property settlement
obligations; most fines, penalties, forfeitures, and criminal restitution obligations; certain debts which are not properly listed in your
bankruptcy papers; and debts for death or personal injury caused by operating a motor vehicle, vessel, or aircraft while intoxicated
from alcohol or drugs. Also, if a creditor can prove that a debt arose from fraud, breach of fiduciary duty, or theft, or from a willful and
malicious injury, the bankruptcy court may determine that the debt is not discharged.
Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee,
$75 administrative fee: Total Fee $310)
Chapter 13 is designed for individuals with regular income who would like to pay all or part of their debts in installments over
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Page 2
a period of time. You are only eligible for chapter 13 if your debts do not exceed certain dollar amounts set forth in the Bankruptcy
Code.
Under chapter 13, you must file with the court a plan to repay your creditors all or part of the money that you owe them, using
your future earnings. The period allowed by the court to repay your debts may be three years or five years, depending upon your
income and other factors. The court must approve your plan before it can take effect.
After completing the payments under your plan, your debts are generally discharged except for domestic support obligations;
most student loans; certain taxes; most criminal fines and restitution obligations; certain debts which are not properly listed in your
bankruptcy papers; certain debts for acts that caused death or personal injury; and certain long term secured obligations.
Chapter 11: Reorganization ($1,167 filing fee, $550 administrative fee: Total Fee $1,717)
Chapter 11 is designed for the reorganization of a business but is also available to consumer debtors. Its provisions are quite
complicated, and any decision by an individual to file a chapter 11 petition should be reviewed with an attorney.
Chapter 12: Family Farmer or Fisherman ($200 filing fee, $75 administrative fee: Total Fee $275)
Chapter 12 is designed to permit family farmers and fishermen to repay their debts over a period of time from future earnings
and is similar to chapter 13. The eligibility requirements are restrictive, limiting its use to those whose income arises primarily from a
family-owned farm or commercial fishing operation.
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Maurice Young
Debtor(s)
Case No.
Chapter
13
X
Signature of Joint Debtor (if any)
Date
Date
Instructions: Attach a copy of Form B 201 A, Notice to Consumer Debtor(s) Under 342(b) of the Bankruptcy Code.
Use this form to certify that the debtor has received the notice required by 11 U.S.C. 342(b) only if the certification has NOT been made on the
Voluntary Petition, Official Form B1. Exhibit B on page 2 of Form B1 contains a certification by the debtor's attorney that the attorney has given the
notice to the debtor. The Declarations made by debtors and bankruptcy petition preparers on page 3 of Form B1 also include this certification.
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Maurice Young
Debtor(s)
Case No.
Chapter
13
The above-named Debtor hereby verifies that the attached list of creditors is true and correct to the best of his/her knowledge.
Signature of Debtor
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}
b
k
1
{
C
r
e
d
i
t
o
A
s
M
a
x
Applied Bank
660 Plaza Dr
Newark, DE 19702
Cavalry Portfolio Serv
Po Box 27288
Tempe, AZ 85285
Cbe Group
1309 Technology Pkwy
Cedar Falls, IA 50613
Ccs/First National Ban
500 E 60th St N
Sioux Falls, SD 57104
Charlotte Towne Esq
100 NW 70 Ave
Suite 203
Plantation, FL 33317
Chase
c/o Kahane & Associates
8201 Peters Rd
Suite 3000
Plantation, FL 33324
Child Support Enforcem
5050 W Tennessee St
Tallahassee, FL 32399
Collection & Recover
5834 Monroe Street Suite A 142
Sylvania, OH 43560
Credit Coll
Po Box 9134
Needham, MA 02494
Eos Cca
Po Box 981025
Boston, MA 02298
Page 35 of 36
Page 36 of 36