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Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Form 6. Summary of Schedules}bk{UnitedStatesBankruptcyCourtDistrictofNewJerseyInre,DebtorsCaseNo.Chapter11-334057HectorL.Delgado,MiryamDelgadoB6Summary(OfficialForm6-Summary)(12/07)Indicateastoeachschedulewhetherthatscheduleisattachedandstatethenumberofpagesineach.ReportthetotalsfromSchedulesA,B,D,E,F,I,andJintheboxesprovided.AddtheamountsfromSchedulesAandBtodeterminethetotalamountofthedebtor’sassets.AddtheamountsofallclaimsfromSchedulesD,E,andFtodeterminethetotalamountofthedebtor’sliabilities.Individualdebtorsmustalsocompletethe"StatisticalSummaryofCertainLiabilitiesandRelatedData"iftheyfileacaseunderchapter7,11,or13.SUMMARYOFSCHEDULESATTACHEDNO.OFNAMEOFSCHEDULEASSETSLIABILITIESOTHER(YES/NO)SHEETSA-RealPropertyB-PersonalPropertyC-PropertyClaimedasExemptD-CreditorsHoldingSecuredClaimsE-CreditorsHoldingUnsecuredPriorityClaimsF-CreditorsHoldingUnsecuredNonpriorityClaimsG-ExecutoryContractsandUnexpiredLeasesH-CodebtorsI-CurrentIncomeofIndividualDebtor(s)J-CurrentExpendituresofIndividualDebtor(s)TotalNumberofSheetsofALLSchedulesTotalAssetsTotalLiabilities(TotalofClaimsonScheduleE)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyYesYesYesYesYesYesYesYesYesYes11,204,500.00438,700.0011,490,357.0020.001173,433.3581114,600.0014,521.00211,243,200.001,663,790.35Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Form 6. Statistical Summary of Certain Liabilities and Related Data}bk{UnitedStatesBankruptcyCourtDistrictofNewJerseyInre,DebtorsCaseNo.Chapter11-334057HectorL.Delgado,MiryamDelgadoForm6-StatisticalSummary(12/07)STATISTICALSUMMARYOFCERTAINLIABILITIESANDRELATEDDATA(28U.S.C.§159)Ifyouareanindividualdebtorwhosedebtsareprimarilyconsumerdebts,asdefinedin§101(8)oftheBankruptcyCode(11U.S.C.§101(8)),filingacaseunderchapter7,11or13,youmustreportallinformationrequestedbelow.CheckthisboxifyouareanindividualdebtorwhosedebtsareNOTprimarilyconsumerdebts.Youarenotrequiredtoreportanyinformationhere.Thisinformationisforstatisticalpurposesonlyunder28U.S.C.§159.Summarizethefollowingtypesofliabilities,asreportedintheSchedules,andtotalthem.TypeofLiabilityAmountDomesticSupportObligations(fromScheduleE)TaxesandCertainOtherDebtsOwedtoGovernmentalUnits(fromScheduleE)ClaimsforDeathorPersonalInjuryWhileDebtorWasIntoxicated(fromScheduleE)(whetherdisputedorundisputed)StudentLoanObligations(fromScheduleF)DomesticSupport,SeparationAgreement,andDivorceDecreeObligationsNotReportedonScheduleEObligationstoPensionorProfit-Sharing,andOtherSimilarObligations(fromScheduleF)TOTALStatethefollowing:AverageIncome(fromScheduleI,Line16)AverageExpenses(fromScheduleJ,Line18)CurrentMonthlyIncome(fromForm22ALine12;OR,Form22BLine11;OR,Form22CLine20)Statethefollowing:1.TotalfromScheduleD,"UNSECUREDPORTION,IFANY"column2.TotalfromScheduleE,"AMOUNTENTITLEDTOPRIORITY"column3.TotalfromScheduleE,"AMOUNTNOTENTITLEDTOPRIORITY,IFANY"column4.TotalfromScheduleF5.Totalofnon-priorityunsecureddebt(sumof1,3,and4)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy0.000.000.000.000.000.000.004,600.004,521.005,500.00285,857.000.000.00173,433.35459,290.35Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule A - Real Property}bk{Inre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoB6A(OfficialForm6A)(12/07)Exceptasdirectedbelow,listallrealpropertyinwhichthedebtorhasanylegal,equitable,orfutureinterest,includingallpropertyownedasacotenant,communityproperty,orinwhichthedebtorhasalifeestate.Includeanypropertyinwhichthedebtorholdsrightsandpowersexercisableforthedebtor'sownbenefit.Ifthedebtorismarried,statewhetherhusband,wife,both,orthemaritalcommunityownthepropertybyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Ifthedebtorholdsnointerestinrealproperty,write"None"under"DescriptionandLocationofProperty."Donotincludeinterestsinexecutorycontractsandunexpiredleasesonthisschedule.ListtheminScheduleG-ExecutoryContractsandUnexpiredLeases.Ifanentityclaimstohavealienorholdasecuredinterestinanyproperty,statetheamountofthesecuredclaim.SeeScheduleD.Ifnoentityclaimstoholdasecuredinterestintheproperty,write"None"inthecolumnlabeled"AmountofSecuredClaim."Ifthedebtorisanindividualorifajointpetitionisfiled,statetheamountofanyexemptionclaimedinthepropertyonlyinScheduleC-PropertyClaimedasExempt.DescriptionandLocationofPropertyNatureofDebtor'sInterestinPropertyHusband,Wife,Joint,orCommunityCurrentValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionAmountofSecuredClaimcontinuationsheetsattachedtotheScheduleofRealPropertySCHEDULEA-REALPROPERTYSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy0366ChamberlainAvenue,Paterson,NJ4UnitMultifamilyFeeSimpleH200,000.00291,015.002848O'ConnellDrive,Kissimmee,FloridaSingleFamilyHomeFeeSimpleH154,500.00217,567.00703SummitAvenue,FranklinLakes,NJ07417SingleFamilyHomeFeeSimpleW600,000.00652,303.00One-halfinterestin25-27HillStreet,Brooklyn,NewYorktwofamilyhomeJointtenantW250,000.00329,472.00Sub-Total>(Totalofthispage)1,204,500.00Total>(ReportalsoonSummaryofSchedules)1,204,500.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule B - Personal Property}bk{Inre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoB6B(OfficialForm6B)(12/07)Exceptasdirectedbelow,listallpersonalpropertyofthedebtorofwhateverkind.Ifthedebtorhasnopropertyinoneormoreofthecategories,placean"x"intheappropriatepositioninthecolumnlabeled"None."Ifadditionalspaceisneededinanycategory,attachaseparatesheetproperlyidentifiedwiththecasename,casenumber,andthenumberofthecategory.Ifthedebtorismarried,statewhetherhusband,wife,both,orthemaritalcommunityownthepropertybyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Ifthedebtorisanindividualorajointpetitionisfiled,statetheamountofanyexemptionsclaimedonlyinScheduleC-PropertyClaimedasExempt.Donotlistinterestsinexecutorycontractsandunexpiredleasesonthisschedule.ListtheminScheduleG-ExecutoryContractsandUnexpiredLeases.Ifthepropertyisbeingheldforthedebtorbysomeoneelse,statethatperson'snameandaddressunder"DescriptionandLocationofProperty."Ifthepropertyisbeingheldforaminorchild,simplystatethechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptioncontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB-PERSONALPROPERTYSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy31.CashonhandCashonHandJ600.002.Checking,savingsorotherfinancialaccounts,certificatesofdeposit,orsharesinbanks,savingsandloan,thrift,buildingandloan,andhomesteadassociations,orcreditunions,brokeragehouses,orcooperatives.CheckingaccountwithTDBankAccountendingin2757BalanceasofJuly3,2011J350.00BusinessCheckingaccountaccountendingin5424EndingbalanceasofJune30,2011was$0.00J0.003.Securitydepositswithpublicutilities,telephonecompanies,landlords,andothers.X4.Householdgoodsandfurnishings,includingaudio,video,andcomputerequipment.MiscellaneousHouseholdGoodsJ10,000.005.Books,picturesandotherartobjects,antiques,stamp,coin,record,tape,compactdisc,andothercollectionsorcollectibles.X6.Wearingapparel.MiscellaneousEverydayClothingJ500.007.Fursandjewelry.X8.Firearmsandsports,photographic,andotherhobbyequipment.X9.Interestsininsurancepolicies.Nameinsurancecompanyofeachpolicyanditemizesurrenderorrefundvalueofeach.NorthwesternWholelifeinsurancePolicyJ21,000.0010.Annuities.Itemizeandnameeachissuer.XSub-Total>(Totalofthispage)32,450.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6B(OfficialForm6B)(12/07)-Cont.TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionSheetofcontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB-PERSONALPROPERTY(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado11.InterestsinaneducationIRAasdefinedin26U.S.C.§530(b)(1)orunderaqualifiedStatetuitionplanasdefinedin26U.S.C.§529(b)(1).Giveparticulars.(Fileseparatelytherecord(s)ofanysuchinterest(s).11U.S.C.§521(c).)X12.InterestsinIRA,ERISA,Keogh,orotherpensionorprofitsharingplans.Giveparticulars.X13.Stockandinterestsinincorporatedandunincorporatedbusinesses.Itemize.PremierHomeMortgageInc100%ownerofBusinessBusinessisbeingdissolved.Therehavebeennosalessince2008.J0.00ProfessionalTeamRealtyInc100%ownedbyDebtor,HectorDelgadoDissolutionpaperworksentintotheState.H0.0014.Interestsinpartnershipsorjointventures.Itemize.X15.Governmentandcorporatebondsandothernegotiableandnonnegotiableinstruments.X16.Accountsreceivable.X17.Alimony,maintenance,support,andpropertysettlementstowhichthedebtorisormaybeentitled.Giveparticulars.X18.Otherliquidateddebtsowedtodebtorincludingtaxrefunds.Giveparticulars.X19.Equitableorfutureinterests,lifeestates,andrightsorpowersexercisableforthebenefitofthedebtorotherthanthoselistedinScheduleA-RealProperty.X20.Contingentandnoncontingentinterestsinestateofadecedent,deathbenefitplan,lifeinsurancepolicy,ortrust.XSub-Total>(Totalofthispage)0.0013Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6B(OfficialForm6B)(12/07)-Cont.TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionSheetofcontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB-PERSONALPROPERTY(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado21.Othercontingentandunliquidatedclaimsofeverynature,includingtaxrefunds,counterclaimsofthedebtor,andrightstosetoffclaims.Giveestimatedvalueofeach.X22.Patents,copyrights,andotherintellectualproperty.Giveparticulars.X23.Licenses,franchises,andothergeneralintangibles.Giveparticulars.X24.Customerlistsorothercompilationscontainingpersonallyidentifiableinformation(asdefinedin11U.S.C.§101(41A))providedtothedebtorbyindividualsinconnectionwithobtainingaproductorservicefromthedebtorprimarilyforpersonal,family,orhouseholdpurposes.X25.Automobiles,trucks,trailers,andothervehiclesandaccessories.2000MercedesE320,100,000miles(PIF)J6,250.002008JeepWrangler(Leased)J0.0026.Boats,motors,andaccessories.X27.Aircraftandaccessories.X28.Officeequipment,furnishings,andsupplies.X29.Machinery,fixtures,equipment,andsuppliesusedinbusiness.X30.Inventory.X31.Animals.X32.Crops-growingorharvested.Giveparticulars.X33.Farmingequipmentandimplements.X34.Farmsupplies,chemicals,andfeed.XSub-Total>(Totalofthispage)6,250.0023Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6B(OfficialForm6B)(12/07)-Cont.TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionSheetofcontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB-PERSONALPROPERTY(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado35.Otherpersonalpropertyofanykindnotalreadylisted.Itemize.XSub-Total>(Totalofthispage)0.0033Total>(ReportalsoonSummaryofSchedules)38,700.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule C - Property Claimed as Exempt}bk{Inre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoB6C(OfficialForm6C)(4/10)Debtorclaimstheexemptionstowhichdebtorisentitledunder:Checkifdebtorclaimsahomesteadexemptionthatexceeds(Checkonebox)$146,450.(Amountsubjecttoadjustmenton4/1/13,andeverythreeyearsthereafterwithrespecttocasescommencedonorafterthedateofadjustment.)11U.S.C.§522(b)(2)11U.S.C.§522(b)(3)DescriptionofPropertySpecifyLawProvidingEachExemptionValueofClaimedExemptionCurrentValueofPropertyWithoutDeductingExemptioncontinuationsheetsattachedtoScheduleofPropertyClaimedasExemptSCHEDULEC-PROPERTYCLAIMEDASEXEMPTSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy0CashonHandCashonHand600.0011U.S.C.§522(d)(5)600.00Checking,Savings,orOtherFinancialAccounts,CertificatesofDepositCheckingaccountwithTDBankAccountendingin2757BalanceasofJuly3,2011350.0011U.S.C.§522(d)(5)350.00HouseholdGoodsandFurnishingsMiscellaneousHouseholdGoods10,000.0011U.S.C.§522(d)(3)10,000.00WearingApparelMiscellaneousEverydayClothing500.0011U.S.C.§522(d)(5)500.00InterestsinInsurancePoliciesNorthwesternWholelifeinsurancePolicy21,000.0011U.S.C.§522(d)(5)21,000.00Automobiles,Trucks,Trailers,andOtherVehicles2000MercedesE320,100,000miles(PIF)6,250.0011U.S.C.§522(d)(2)6,250.00Total:38,700.0038,700.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule D - Creditors Holding Secured Claims}bk{AMOUNTOFCLAIMWITHOUTDEDUCTINGVALUEOFCOLLATERALDATECLAIMWASINCURRED,NATUREOFLIEN,ANDDESCRIPTIONANDVALUEOFPROPERTYSUBJECTTOLIENCODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAMEANDMAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.Value$AccountNo.Value$AccountNo.Value$AccountNo.Value$Subtotal_____continuationsheetsattached(Totalofthispage)UNSECUREDPORTION,IFANYB6D(OfficialForm6D)(12/07)Statethename,mailingaddress,includingzipcode,andlastfourdigitsofanyaccountnumberofallentitiesholdingclaimssecuredbypropertyofthedebtorasofthedateoffilingofthepetition.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.Listcreditorsholdingalltypesofsecuredinterestssuchasjudgmentliens,garnishments,statutoryliens,mortgages,deedsoftrust,andothersecurityinterests.Listcreditorsinalphabeticalordertotheextentpracticable.Ifaminorchildisacreditor,thechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).Ifallsecuredcreditorswillnotfitonthispage,usethecontinuationsheetprovided.Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor",includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH-Codebtors.Ifajointpetitionisfiled,statewhetherthehusband,wife,bothofthem,orthemaritalcommunitymaybeliableoneachclaimbyplacingan"H","W","J",or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity".Iftheclaimiscontingent,placean"X"inthecolumnlabeled"Contingent".Iftheclaimisunliquidated,placean"X"inthecolumnlabeled"Unliquidated".Iftheclaimisdisputed,placean"X"inthecolumnlabeled"Disputed".(Youmayneedtoplacean"X"inmorethanoneofthesethreecolumns.)Totalthecolumnslabeled"AmountofClaimWithoutDeductingValueofCollateral"and"UnsecuredPortion,ifAny"intheboxeslabeled"Total(s)"onthelastsheetofthecompletedschedule.Reportthetotalfromthecolumnlabeled"AmountofClaim"alsoontheSummaryofSchedulesand,ifthedebtorisanindividualwithprimarilyconsumerdebts,reportthetotalfromthecolumnlabeled"UnsecuredPortion"ontheStatisticalSummaryofCertainLiabilitiesandRelatedData.CheckthisboxifdebtorhasnocreditorsholdingsecuredclaimstoreportonthisScheduleD.SCHEDULED-CREDITORSHOLDINGSECUREDCLAIMSSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado1xxxx98218/1/2003FirstMortgage366ChamberlainAvenue,Paterson,NJ4UnitMultifamilyBankofAmerica450AmericanStreetSimiValley,CA93065J91,015.000.00200,000.00xxxx989812/1/2002FirstMortgage(InterestOnly)703SummitAvenue,FranklinLakes,NJ07417SingleFamilyHomeBankofAmerica450AmericanStreetSimiValley,CA93065J417,371.000.00600,000.00xxxxxxxxx065311/1/2005FirstMortgage2848O'ConnellDrive,Kissimmee,FloridaSingleFamilyHomeEMCMortgageAttentionBankruptcyDepartmentP.O.Box293150Lewisville,TX75029J174,920.0020,420.00154,500.00xxxxxxxxx070311/1/2005SecondMortgage2848O'ConnellDrive,Kissimmee,FloridaSingleFamilyHomeEMCMortgageAttentionBankruptcyDepartmentP.O.Box293150Lewisville,TX75029J42,647.0042,647.00154,500.00725,953.0063,067.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6D(OfficialForm6D)(12/07)-Cont.AMOUNTOFCLAIMWITHOUTDEDUCTINGVALUEOFCOLLATERALDATECLAIMWASINCURRED,NATUREOFLIEN,ANDDESCRIPTIONANDVALUEOFPROPERTYSUBJECTTOLIENCODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAMEANDMAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructions.)AccountNo.Value$AccountNo.Value$AccountNo.Value$AccountNo.Value$AccountNo.Value$SubtotalSheet_____of_____continuationsheetsattachedto(Totalofthispage)ScheduleofCreditorsHoldingSecuredClaimsUNSECUREDPORTION,IFANYSCHEDULED-CREDITORSHOLDINGSECUREDCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoxxxxxxxx50884/1/2007HELOC703SummitAvenue,FranklinLakes,NJ07417SingleFamilyHomeValleyNationalBank1460ValleyRdWayne,NJ07470J234,932.0052,303.00600,000.00JudgmentLien366ChamberlainAvenue,Paterson,NJ4UnitMultifamilyValleyNationalBank1445ValleyRoadWayne,NJ07470XJ200,000.0091,015.00200,000.00xxxxxxxxx78154/18/2008FirstMortgageOne-halfinterestin25-27HillStreet,Brooklyn,NewYorktwofamilyhomeWellsFargoHomeMortgage7255BaymeadowsWayDesMoines,IA50306J329,472.0079,472.00250,000.00764,404.00222,790.00111,490,357.00285,857.00Total(ReportonSummaryofSchedules)Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule E - Creditors Holding Unsecured Priority Claims}bk{B6E(OfficialForm6E)(4/10)Acompletelistofclaimsentitledtopriority,listedseparatelybytypeofpriority,istobesetforthonthesheetsprovided.Onlyholdersofunsecuredclaimsentitledtopriorityshouldbelistedinthisschedule.Intheboxesprovidedontheattachedsheets,statethename,mailingaddress,includingzipcode,andlastfourdigitsoftheaccountnumber,ifany,ofallentitiesholdingpriorityclaimsagainstthedebtororthepropertyofthedebtor,asofthedateofthefilingofthepetition.Useaseparatecontinuationsheetforeachtypeofpriorityandlabeleachwiththetypeofpriority.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.Ifaminorchildisacreditor,statethechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor,"includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH-Codebtors.Ifajointpetitionisfiled,statewhetherthehusband,wife,bothofthem,orthemaritalcommunitymaybeliableoneachclaimbyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Iftheclaimiscontingent,placean"X"inthecolumnlabeled"Contingent."Iftheclaimisunliquidated,placean"X"inthecolumnlabeled"Unliquidated."Iftheclaimisdisputed,placean"X"inthecolumnlabeled"Disputed."(Youmayneedtoplacean"X"inmorethanoneofthesethreecolumns.)Reportthetotalofclaimslistedoneachsheetintheboxlabeled"Subtotals"oneachsheet.ReportthetotalofallclaimslistedonthisScheduleEintheboxlabeled"Total"onthelastsheetofthecompletedschedule.ReportthistotalalsoontheSummaryofSchedules.Reportthetotalofamountsentitledtoprioritylistedoneachsheetintheboxlabeled"Subtotals"oneachsheet.ReportthetotalofallamountsentitledtoprioritylistedonthisScheduleEintheboxlabeled"Totals"onthelastsheetofthecompletedschedule.IndividualdebtorswithprimarilyconsumerdebtsreportthistotalalsoontheStatisticalSummaryofCertainLiabilitiesandRelatedData.Reportthetotalofamountsnotentitledtoprioritylistedoneachsheetintheboxlabeled"Subtotals"oneachsheet.ReportthetotalofallamountsnotentitledtoprioritylistedonthisScheduleEintheboxlabeled"Totals"onthelastsheetofthecompletedschedule.IndividualdebtorswithprimarilyconsumerdebtsreportthistotalalsoontheStatisticalSummaryofCertainLiabilitiesandRelatedData.CheckthisboxifdebtorhasnocreditorsholdingunsecuredpriorityclaimstoreportonthisScheduleE.TYPESOFPRIORITYCLAIMS(Checktheappropriatebox(es)belowifclaimsinthatcategoryarelistedontheattachedsheets)DomesticsupportobligationsClaimsfordomesticsupportthatareowedtoorrecoverablebyaspouse,formerspouse,orchildofthedebtor,ortheparent,legalguardian,orresponsiblerelativeofsuchachild,oragovernmentalunittowhomsuchadomesticsupportclaimhasbeenassignedtotheextentprovidedin11U.S.C.§507(a)(1).ExtensionsofcreditinaninvoluntarycaseClaimsarisingintheordinarycourseofthedebtor'sbusinessorfinancialaffairsafterthecommencementofthecasebutbeforetheearlieroftheappointmentofatrusteeortheorderforrelief.11U.S.C.§507(a)(3).Wages,salaries,andcommissionsWages,salaries,andcommissions,includingvacation,severance,andsickleavepayowingtoemployeesandcommissionsowingtoqualifyingindependentsalesrepresentativesupto$11,725*perpersonearnedwithin180daysimmediatelyprecedingthefilingoftheoriginalpetition,orthecessationofbusiness,whicheveroccurredfirst,totheextentprovidedin11U.S.C.§507(a)(4).ContributionstoemployeebenefitplansMoneyowedtoemployeebenefitplansforservicesrenderedwithin180daysimmediatelyprecedingthefilingoftheoriginalpetition,orthecessationofbusiness,whicheveroccurredfirst,totheextentprovidedin11U.S.C.§507(a)(5).CertainfarmersandfishermenClaimsofcertainfarmersandfishermen,upto$5,775*perfarmerorfisherman,againstthedebtor,asprovidedin11U.S.C.§507(a)(6).DepositsbyindividualsClaimsofindividualsupto$2,600*fordepositsforthepurchase,lease,orrentalofpropertyorservicesforpersonal,family,orhouseholduse,thatwerenotdeliveredorprovided.11U.S.C.§507(a)(7).TaxesandcertainotherdebtsowedtogovernmentalunitsTaxes,customsduties,andpenaltiesowingtofederal,state,andlocalgovernmentalunitsassetforthin11U.S.C.§507(a)(8).CommitmentstomaintainthecapitalofaninsureddepositoryinstitutionClaimsbasedoncommitmentstotheFDIC,RTC,DirectoroftheOfficeofThriftSupervision,ComptrolleroftheCurrency,orBoardofGovernorsoftheFederalReserveSystem,ortheirpredecessorsorsuccessors,tomaintainthecapitalofaninsureddepositoryinstitution.11U.S.C.§507(a)(9).ClaimsfordeathorpersonalinjurywhiledebtorwasintoxicatedClaimsfordeathorpersonalinjuryresultingfromtheoperationofamotorvehicleorvesselwhilethedebtorwasintoxicatedfromusingalcohol,adrug,oranothersubstance.11U.S.C.§507(a)(10).*Amountsubjecttoadjustmenton4/01/13,andeverythreeyearsthereafterwithrespecttocasescommencedonorafterthedateofadjustment.continuationsheetsattachedSCHEDULEE-CREDITORSHOLDINGUNSECUREDPRIORITYCLAIMSSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado0Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule F - Creditors Holding Unsecured Nonpriority Claims}bk{CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.Subtotal_____continuationsheetsattached(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMB6F(OfficialForm6F)(12/07)Statethename,mailingaddress,includingzipcode,andlastfourdigitsofanyaccountnumber,ofallentitiesholdingunsecuredclaimswithoutpriorityagainstthedebtororthepropertyofthedebtor,asofthedateoffilingofthepetition.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.Ifaminorchildisacreditor,statethechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).DonotincludeclaimslistedinSchedulesDandE.Ifallcreditorswillnotfitonthispage,usethecontinuationsheetprovided.Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor,"includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH-Codebtors.Ifajointpetitionisfiled,statewhetherthehusband,wife,bothofthem,orthemaritalcommunitymaybeliableoneachclaimbyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Iftheclaimiscontingent,placean"X"inthecolumnlabeled"Contingent."Iftheclaimisunliquidated,placean"X"inthecolumnlabeled"Unliquidated."Iftheclaimisdisputed,placean"X"inthecolumnlabeled"Disputed."(Youmayneedtoplacean"X"inmorethanoneofthesethreecolumns.)Reportthetotalofallclaimslistedonthisscheduleintheboxlabeled"Total"onthelastsheetofthecompletedschedule.ReportthistotalalsoontheSummaryofSchedulesand,ifthedebtorisanindividualwithprimarilyconsumerdebts,reportthistotalalsoontheStatisticalSummaryofCertainLiabilitiesandRelatedData.CheckthisboxifdebtorhasnocreditorsholdingunsecuredclaimstoreportonthisScheduleF.S/N:37521-110309SCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMSSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgado7x1749CollectionsActionCollectionP.O.Box351Livingston,NJ07039J100.00xxxxxxxxxxxx5113Opened3/01/95LastActive1/13/10CheckCreditOrLineOfCreditAmericanExpressP.O.Box981535ElPaso,TX79998H9,446.00xxxxxxxxxxxx0113Opened6/01/95LastActive4/13/09CreditCardAmericanExpressP.O.Box981535ElPaso,TX79998H3,723.00xxxxxxxxxxxx4623Opened6/01/95LastActive2/26/10CreditCardAmericanExpressP.O.Box981535ElPaso,TX79998H2,789.0016,058.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadocreditCardAccountAmericanExpressPOBox1270Newark,NJ07101-1270J3,198.49xxxxxxxxxxxx0054Opened2/01/05LastActive11/23/09CreditCardBankOfAmericaAttn:BankruptcyNC4-105-03-14PoBox26012Greensboro,NC27410J10,609.00xxxxxxxxxxxx5124Opened5/01/08LastActive11/16/09CreditCardBankOfAmericaPoBox17054Wilmington,DE19850H10,512.00xxxxxxxxxxxx0420Opened3/01/01LastActive11/06/09ChargeAccountCapitalOne,N.a.CapitalOneBank(USA)N.A.PoBox30285SaltLakeCity,UT84130H8,838.00xxxxxxxxxxxx6023Opened11/01/03LastActive9/17/09ChargeAccountCapitalOne,N.a.CapitalOneBank(USA)N.A.PoBox30285SaltLakeCity,UT84130H1,668.0034,825.4917Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoxxxxxxxxxxxx4431Opened11/01/01LastActive11/11/09CreditCardChaseP.o.Box15298Wilmington,DE19850J20,868.00xxxxxxxxxxxxxxxxxxx1231Opened12/01/02LastActive7/13/11EducationalChelaAttn:BankruptcyPoBox9500Wilkes-Barre,PA18773J9,387.00xxxxxxxxx1026Opened12/01/02LastActive3/01/03EducationalChelaAttn:BankruptcyPoBox9500Wilkes-Barre,PA18773JUnknownCooperLevenson1125AtlanticAvenueAtlanticCity,NJ08401J18,096.96xxxxxxxx9310Opened5/01/02LastActive9/01/03ChargeAccountCtbk/sylvanCitifinancial/Attn:BankruptcyDeptPoBox140489Irving,TX75014JUnknown48,351.9627Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoDahianaMoreta67CarlisleAvenuePaterson,NJ07501J2,507.00DavidZuidema90MidlandAvenueMidlandPark,NJ07432J842.519669CollectionsforVerizonDiversifiedAdjustmentServicesP.O.Box32145Minneapolis,MN55432J969.33xxxxxxxxx4902Opened12/01/03LastActive5/05/10ChargeAccountDsnbBloomBloomingdale'sBankruptcyPoBox8053Mason,OH45040H315.00xxxxxx6902Opened1/01/02LastActive2/24/09ChargeAccountDsnbBloomBloomingdale'sBankruptcyPoBox8053Mason,OH45040J91.004,724.8437Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoxxxxxxxxx3120Opened9/01/00LastActive5/13/10ChargeAccountDsnbMacys9111DukeBlvdMason,OH45040J714.00xxxxxxxxx4820Opened6/01/08LastActive5/06/10ChargeAccountDsnbMacys9111DukeBlvdMason,OH45040H466.00xxx-xx6-13MEnviromentalControlBoardP.O.Box2307NewYork,NY10272J2,500.00xxxxxxxxxxxx3259Opened4/01/02LastActive12/22/09CreditCardExxmblcitiAttn.:CentralizedBankruptcyPoBox20507KansasCity,MO64195J1,241.005201CollectionsforBallyTotalFitnessFirstsourceAdvantage205BryantWoodsSouthBuffalo,NY14228J447.005,368.0047Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoCreditCardAccountFortunoffC/OWorldFinancialNetworkBankP.O.Box182124Columbus,OH43218J2,342.00xxxxxxx0001Opened2/01/11CollectionAttorneyPseGICSystemIncPoBox64378SaintPaul,MN55164H186.00NJMLSP.O.BoxUHaworth,NJ07641J600.00xxxxxx9643Opened6/01/04LastActive6/16/11ChargeAccountNordstromFSBRecovery/BankruptcyDepartmentPoBox6566Englewood,CO80155J322.00xxxx8-001NYCWaterBoardP.O.Box410ChurchStreetStationNewYork,NY10008J5,056.318,506.3157Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoServicesRenderedforHillStreetNYCWaterBoardP.O.Box410ChurchStreetStationNewYork,NY10008J8,559.00xxxxxxxxxxxx4499Opened6/01/10FactoringCompanyAccountGeMoneyBankF.S.B.PortfolioRcAttn:BankruptcyPoBox41067Norfolk,VA23541J1,300.00xxx0-1-39UtilityPSEGP.O.Box14444NewBrunswick,NJ08906J186.171289CollectionsforBioReferenceLabsRMSPOBox270431EastHartford,CT06128J339.10x0005CollectionsforConEdRUICreditServicesP.O.Box1349Melville,NY11747J3,786.0014,170.2767Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6F(OfficialForm6F)(12/07)-Cont.CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,MAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF-CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)SoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcyInre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoxxxx2987Opened4/01/02LastActive6/16/11ChargeAccountTalbots1TalbotsDrHingham,MA02043J665.00xxxx5210OverdraftValleyNationalBank1445ValleyRoadWayne,NJ07470J10,421.48LineofCreditforpreviousbusinessRemaxValleyNationalBank1445ValleyRoadWayne,NJ07470XJ28,000.00xxxxxxxxxxxx0910Opened8/01/08LastActive11/13/09ChargeAccountWfnnb/fortunoffPoBox182273Columbus,OH43218H2,342.0041,428.4877173,433.35Total(ReportonSummaryofSchedules)Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule G - Executory Contracts and Unexpired Leases}bk{Inre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoB6G(OfficialForm6G)(12/07)Describeallexecutorycontractsofanynatureandallunexpiredleasesofrealorpersonalproperty.Includeanytimeshareinterests.Statenatureofdebtor'sinterestincontract,i.e.,"Purchaser","Agent",etc.Statewhetherdebtoristhelessororlesseeofalease.Providethenamesandcompletemailingaddressesofallotherpartiestoeachleaseorcontractdescribed.Ifaminorchildisapartytooneoftheleasesorcontracts,statethechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).Checkthisboxifdebtorhasnoexecutorycontractsorunexpiredleases.NameandMailingAddress,IncludingZipCode,ofOtherPartiestoLeaseorContractDescriptionofContractorLeaseandNatureofDebtor'sInterest.Statewhetherleaseisfornonresidentialrealproperty.Statecontractnumberofanygovernmentcontract.continuationsheetsattachedtoScheduleofExecutoryContractsandUnexpiredLeasesSCHEDULEG-EXECUTORYCONTRACTSANDUNEXPIREDLEASESSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy0ChryslerCreditPoBox9218FarmingtonHills,MI48333Acct#7002807247OpenedOpened6/01/08LastActive11/17/102008JeepWranglerLeaseVehicleCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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}bk1{Schedule H - Codebtors}bk{Inre,DebtorsCaseNo.11-33405HectorL.Delgado,MiryamDelgadoB6H(OfficialForm6H)(12/07)Providetheinformationrequestedconcerninganypersonorentity,otherthanaspouseinajointcase,thatisalsoliableonanydebtslistedbydebtorintheschedulesofcreditors.Includeallguarantorsandco-signers.Ifthedebtorresidesorresidedinacommunitypropertystate,commonwealth,orterritory(includingAlaska,Arizona,California,Idaho,Louisiana,Nevada,NewMexico,PuertoRico,Texas,Washington,orWisconsin)withintheeightyearperiodimmediatelyprecedingthecommencementofthecase,identifythenameofthedebtor'sspouseandofanyformerspousewhoresidesorresidedwiththedebtorinthecommunitypropertystate,commonwealth,orterritory.Includeallnamesusedbythenondebtorspouseduringtheeightyearsimmediatelyprecedingthecommencementofthiscase.Ifaminorchildisacodebtororacreditor,statethechild'sinitialsandthenameandaddressofthechild'sparentorguardian,suchas"A.B.,aminorchild,byJohnDoe,guardian."Donotdisclosethechild'sname.See,11U.S.C.§112andFed.R.Bankr.P.1007(m).Checkthisboxifdebtorhasnocodebtors.NAMEANDADDRESSOFCODEBTORNAMEANDADDRESSOFCREDITORcontinuationsheetsattachedtoScheduleofCodebtorsSCHEDULEH-CODEBTORSSoftwareCopyright(c)1996-2011-CCHINCORPORATED-www.bestcase.comBestCaseBankruptcy0PremierHomeMortgageIncValleyNationalBank1445ValleyRoadWayne,NJ07470PremierHomeMortgageIncValleyNationalBank1445ValleyRoadWayne,NJ07470ProfessionalTeamRealtyIncValleyNationalBank1445ValleyRoadWayne,NJ07470ProfessionalTeamrealtyIncValleyNationalBank1445ValleyRoadWayne,NJ07470VanessaDelgadoValleyNationalBank1445ValleyRoadWayne,NJ07470VanessaDelgadoValleyNationalBank1445ValleyRoadWayne,NJ07470Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6I (Official Form 6I) (12/07)In reHector L. DelgadoMiryam DelgadoCase No.11-33405Debtor(s)SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S)The column labeled "Spouse" must be completed in all cases filed by joint debtors and by every married debtor, whether or not a joint petition isfiled, unless the spouses are separated and a joint petition is not filed. Do not state the name of any minor child. The average monthly incomecalculated on this form may differ from the current monthly income calculated on Form 22A, 22B, or 22C.Debtor's Marital Status:DEPENDENTS OF DEBTOR AND SPOUSEMarriedRELATIONSHIP(S):None.AGE(S):Employment:DEBTORSPOUSEOccupationName of EmployerSelf-EmployedSel-EmployedHow long employedAddress of EmployerINCOME: (Estimate of average or projected monthly income at time case filed)DEBTORSPOUSE1. Monthly gross wages, salary, and commissions (Prorate if not paid monthly)$0.00$0.002. Estimate monthly overtime$0.00$0.003. SUBTOTAL$0.00$0.004. LESS PAYROLL DEDUCTIONSa. Payroll taxes and social security$0.00$0.00b. Insurance$0.00$0.00c. Union dues$0.00$0.00d. Other (Specify):$0.00$0.00$0.00$0.005. SUBTOTAL OF PAYROLL DEDUCTIONS$0.00$0.006. TOTAL NET MONTHLY TAKE HOME PAY$0.00$0.007. Regular income from operation of business or profession or farm (Attach detailed statement)$2,700.00$1,200.008. Income from real property$0.00$0.009. Interest and dividends$0.00$0.0010. Alimony, maintenance or support payments payable to the debtor for the debtor's use or that ofdependents listed above$0.00$0.0011. Social security or government assistance(Specify):$0.00$0.00$0.00$0.0012. Pension or retirement income$0.00$0.0013. Other monthly income(Specify):Family Contribution$0.00$700.00$0.00$0.0014. SUBTOTAL OF LINES 7 THROUGH 13$2,700.00$1,900.0015. AVERAGE MONTHLY INCOME (Add amounts shown on lines 6 and 14)$2,700.00$1,900.0016. COMBINED AVERAGE MONTHLY INCOME: (Combine column totals from line 15)$4,600.00(Report also on Summary of Schedules and, if applicable, onStatistical Summary of Certain Liabilities and Related Data)17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6J (Official Form 6J) (12/07)In reHector L. DelgadoMiryam DelgadoCase No.11-33405Debtor(s)SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)Complete this schedule by estimating the average or projected monthly expenses of the debtor and the debtor's family at time casefiled. Prorate any payments made bi-weekly, quarterly, semi-annually, or annually to show monthly rate. The average monthlyexpenses calculated on this form may differ from the deductions from income allowed on Form 22A or 22C.(cid:134)Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule ofexpenditures labeled "Spouse."1. Rent or home mortgage payment (include lot rented for mobile home)$2,541.00 a. Are real estate taxes included?Yes XNo b. Is property insurance included?Yes XNo2. Utilities:a. Electricity and heating fuel$320.00b. Water and sewer$60.00c. Telephone$100.00d. OtherCable$100.003. Home maintenance (repairs and upkeep)$80.004. Food$650.005. Clothing$80.006. Laundry and dry cleaning$50.007. Medical and dental expenses$65.008. Transportation (not including car payments)$200.009. Recreation, clubs and entertainment, newspapers, magazines, etc.$50.0010. Charitable contributions$0.0011. Insurance (not deducted from wages or included in home mortgage payments)a. Homeowner's or renter's$0.00b. Life$0.00c. Health$0.00d. Auto$225.00e. Other$0.0012. Taxes (not deducted from wages or included in home mortgage payments)(Specify)$0.0013. Installment payments: (In chapter 11, 12, and 13 cases, do not list payments to be included in theplan)a. Auto$0.00b. Other$0.00c. Other$0.0014. Alimony, maintenance, and support paid to others$0.0015. Payments for support of additional dependents not living at your home$0.0016. Regular expenses from operation of business, profession, or farm (attach detailed statement)$0.0017. Other$0.00 Other$0.0018. AVERAGE MONTHLY EXPENSES (Total lines 1-17. Report also on Summary of Schedules and,if applicable, on the Statistical Summary of Certain Liabilities and Related Data.)$4,521.0019. Describe any increase or decrease in expenditures reasonably anticipated to occur within the yearfollowing the filing of this document:20. STATEMENT OF MONTHLY NET INCOMEa.Average monthly income from Line 15 of Schedule I$4,600.00b.Average monthly expenses from Line 18 above$4,521.00c.Monthly net income (a. minus b.)$79.00Case 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B6 Declaration (Official Form 6 - Declaration). (12/07)United States Bankruptcy CourtDistrict of New JerseyIn reHector L. DelgadoMiryam DelgadoCase No.11-33405Debtor(s)Chapter7DECLARATION CONCERNING DEBTOR'S SCHEDULESDECLARATION UNDER PENALTY OF PERJURYBY INDIVIDUAL DEBTORI declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of 23 sheets, and that they are true and correct to the best of my knowledge, information, and belief.DateAugust 31, 2011Signature/s/ Hector L. DelgadoHector L. DelgadoDebtorDateAugust 31, 2011Signature/s/ Miryam DelgadoMiryam DelgadoJoint DebtorPenalty 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.Software Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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B7 (Official Form 7) (04/10)United States Bankruptcy CourtDistrict of New JerseyIn reHector L. DelgadoMiryam DelgadoCase No.11-33405Debtor(s)Chapter7STATEMENT OF FINANCIAL AFFAIRSThis statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information forboth spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether ornot 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 soleproprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all suchactivities as well as the individual's personal affairs. To indicate payments, transfers and the like to minor children, state the child's initials and thename 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, 11U.S.C. § 112; Fed. R. Bankr. P. 1007(m).Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must completeQuestions 19 - 25.If the answer to an applicable question is "None," mark the box labeled "None."If additional space is needed for the answerto any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.DEFINITIONS"In business."A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "inbusiness" 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 ofthe 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 "inbusiness" for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement incomefrom the debtor's primary employment."Insider."The 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 orequity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11U.S.C. § 101.None(cid:134)1. Income from employment or operation of businessState the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor'sbusiness, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendaryear to the date this case was commenced. State also the gross amounts received during thetwo yearsimmediately preceding thiscalendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year mayreport fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income foreach spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a jointpetition is filed, unless the spouses are separated and a joint petition is not filed.)AMOUNTSOURCE$-59,968.002009 AGI (Hector)$-49,064.002009 AGI (Miryam)$-102,104.002010 AGI (Hector)$-91,934.002010 AGI (Miryam)Software Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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2None(cid:132)2. Income other than from employment or operation of businessState the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's businessduring thetwo yearsimmediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state incomefor each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not ajoint petition is filed, unless the spouses are separated and a joint petition is not filed.)AMOUNTSOURCENone(cid:132)3. Payments to creditorsComplete a. or b., as appropriate, and c.a.Individual 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 within90 daysimmediately preceding the commencement of this case unless the aggregate valueof all property that constitutes or is affected by such transfer is less than $600. Indicate with an (*) any payments that were made to acreditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approvednonprofit budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments byeither or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)NAME AND ADDRESSOF CREDITORDATES OFPAYMENTSAMOUNT PAIDAMOUNT STILLOWINGNone(cid:132)b.Debtor whose debts are not primarily consumer debts:List each payment or other transfer to any creditor made within90 daysimmediately preceding the commencement of the case unless the aggregate value of all property that constitutes or is affected by suchtransfer is less than $5,850*. If the debtor is an individual, indicate with an asterisk (*) any payments that were made to a creditor onaccount of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofitbudgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and othertransfers by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is notfiled.)NAME AND ADDRESS OF CREDITORDATES OFPAYMENTS/TRANSFERSAMOUNTPAID ORVALUE OFTRANSFERSAMOUNT STILLOWINGNone(cid:132)c.All debtors: List all payments made withinone yearimmediately preceding the commencement of this case to or for the benefit ofcreditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or bothspouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)NAME AND ADDRESS OF CREDITOR ANDRELATIONSHIP TO DEBTORDATE OF PAYMENTAMOUNT PAIDAMOUNT STILLOWINGNone(cid:134)4. Suits and administrative proceedings, executions, garnishments and attachmentsa. List all suits and administrative proceedings to which the debtor is or was a party withinone yearimmediately preceding the filing ofthis bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouseswhether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)CAPTION OF SUITAND CASE NUMBERNATURE OFPROCEEDINGCOURT OR AGENCYAND LOCATIONSTATUS ORDISPOSITIONAmerican ExpressversusDelgado, HectorCivil Actions(Collections)Superior Court of New JerseyDocket#DC-009417-10JudgmentRenderedCapital One BankversusDelgado, HectorCivil Actions(Collections)Superior Court of New JerseyDocket#DC-022048-10JudgmentRenderedChase BankversusHector L. DelgadoCivil Action(Collections)Superior Court of New JerseyDocket#L-004012-10JudgmentRendered* Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.Software Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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3CAPTION OF SUITAND CASE NUMBERNATURE OFPROCEEDINGCOURT OR AGENCYAND LOCATIONSTATUS ORDISPOSITIONDahiana MoretaversusHector Delgado(dba Remax)Civil Action(Collections)Superior Court of New JerseyDC#SC-000378-10JudgmentRenderedDavid ZuidemaversusHector DelgadoCivil Actions(Collections)Superior Court of New JerseyDocket#SC-4248-10JudgmentRenderedFIA Card Services NAversusMiryam A. DelgadoCivil Actions(Collections)Superior Court of New JerseyDocket#DC-032694-10JudgmentRenderedValley National BankversusPremier Home Mortgage Inc, Hector Delgado,Myriam Delgado and Vanessa DelgadoCivil Action(Collections)Superior Court of New JerseyDocket#PAS-L-6173-10JudgmentRenderedValley National BankversusHector L. Delgado and Miryam DelgadoCivil Action(Collections)Superior Court of New JerseyDocket#DC-011649-11JudgmentRenderedValley National BankversusProfessional Team Realty, Inc. and HectorDelgadoCivil Actions(Collections)Superior Court of New JerseyDocket#PAS-L-6188-10JudgmentRenderedNone(cid:132)b. Describe all property that has been attached, garnished or seized under any legal or equitable process withinone yearimmediatelypreceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerningproperty of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is notfiled.)NAME AND ADDRESS OF PERSON FOR WHOSEBENEFIT PROPERTY WAS SEIZEDDATE OF SEIZUREDESCRIPTION AND VALUE OFPROPERTYNone(cid:132)5. Repossessions, foreclosures and returnsList all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure orreturned to the seller, withinone yearimmediately preceding the commencement of this case. (Married debtors filing under chapter 12or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless thespouses are separated and a joint petition is not filed.)NAME AND ADDRESS OFCREDITOR OR SELLERDATE OF REPOSSESSION,FORECLOSURE SALE,TRANSFER OR RETURNDESCRIPTION AND VALUE OFPROPERTYNone(cid:132)6. Assignments and receivershipsa. Describe any assignment of property for the benefit of creditors made within120 daysimmediately preceding the commencement ofthis case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not ajoint petition is filed, unless the spouses are separated and a joint petition is not filed.)NAME AND ADDRESS OF ASSIGNEEDATE OFASSIGNMENTTERMS OF ASSIGNMENT OR SETTLEMENTNone(cid:132)b. List all property which has been in the hands of a custodian, receiver, or court-appointed official withinone yearimmediatelypreceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerningproperty of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is notfiled.)NAME AND ADDRESSOF CUSTODIANNAME AND LOCATIONOF COURTCASE TITLE & NUMBERDATE OFORDERDESCRIPTION AND VALUE OFPROPERTYSoftware Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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4None(cid:132)7. GiftsList all gifts or charitable contributions made withinone yearimmediately preceding the commencement of this case except ordinaryand usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributionsaggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions byeither or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)NAME AND ADDRESS OFPERSON OR ORGANIZATIONRELATIONSHIP TODEBTOR, IF ANYDATE OF GIFTDESCRIPTION ANDVALUE OF GIFTNone(cid:132)8. LossesList all losses from fire, theft, other casualty or gambling withinone yearimmediately preceding the commencement of this caseorsince the commencement of this case.(Married debtors filing under chapter 12 or chapter 13 must include losses by either or bothspouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)DESCRIPTION AND VALUEOF PROPERTYDESCRIPTION OF CIRCUMSTANCES AND, IFLOSS WAS COVERED IN WHOLE OR IN PARTBY INSURANCE, GIVE PARTICULARSDATE OF LOSSNone(cid:134)9. Payments related to debt counseling or bankruptcyList all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultationconcerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy withinone yearimmediatelypreceding the commencement of this case.NAME AND ADDRESSOF PAYEEDATE OF PAYMENT,NAME OF PAYOR IF OTHERTHAN DEBTORAMOUNT OF MONEYOR DESCRIPTION AND VALUEOF PROPERTYStuart D. Gavzy, Esquire163 East Main Street Suite BLittle Falls, NJ 07424$2500.00None(cid:132)10. Other transfersa. 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 withintwo yearsimmediately preceding the commencement of this case. (Married debtorsfiling under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless thespouses are separated and a joint petition is not filed.)NAME AND ADDRESS OF TRANSFEREE,RELATIONSHIP TO DEBTORDATEDESCRIBE PROPERTY TRANSFERREDAND VALUE RECEIVEDNone(cid:132)b. List all property transferred by the debtor withinten years immediately preceding the commencement of this case to a self-settledtrust or similar device of which the debtor is a beneficiary.NAME OF TRUST OR OTHERDEVICEDATE(S) OFTRANSFER(S)AMOUNT OF MONEY OR DESCRIPTION ANDVALUE OF PROPERTY OR DEBTOR'S INTERESTIN PROPERTYNone(cid:132)11. Closed financial accountsList all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, orotherwise transferred withinone yearimmediately preceding the commencement of this case. Include checking, savings, or otherfinancial 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 mustinclude 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.)NAME AND ADDRESS OF INSTITUTIONTYPE OF ACCOUNT, LAST FOURDIGITS OF ACCOUNT NUMBER,AND AMOUNT OF FINAL BALANCEAMOUNT AND DATE OF SALEOR CLOSINGSoftware Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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5None(cid:132)12. Safe deposit boxesList each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables withinone yearimmediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes ordepositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is notfiled.)NAME AND ADDRESS OF BANKOR OTHER DEPOSITORYNAMES AND ADDRESSESOF THOSE WITH ACCESSTO BOX OR DEPOSITORYDESCRIPTIONOF CONTENTSDATE OF TRANSFER ORSURRENDER, IF ANYNone(cid:132)13. SetoffsList all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within90 dayspreceding thecommencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or bothspouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)NAME AND ADDRESS OF CREDITORDATE OF SETOFFAMOUNT OF SETOFFNone(cid:132)14. Property held for another personList all property owned by another person that the debtor holds or controls.NAME AND ADDRESS OF OWNERDESCRIPTION AND VALUE OF PROPERTYLOCATION OF PROPERTYNone(cid:132)15. Prior address of debtorIf the debtor has moved withinthree yearsimmediately preceding the commencement of this case, list all premises which the debtoroccupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separateaddress of either spouse.ADDRESSNAME USEDDATES OF OCCUPANCYNone(cid:132)16. Spouses and Former SpousesIf 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 yearsimmediately preceding thecommencement of the case, identify the name of the debtor’s spouse and of any former spouse who resides or resided with the debtor inthe community property state.NAME17. 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 hazardousor toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limitedto, 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 formerlyowned 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 LawNone(cid:132)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 beliable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, ifknown, the Environmental Law:SITE NAME AND ADDRESSNAME AND ADDRESS OFGOVERNMENTAL UNITDATE OFNOTICEENVIRONMENTALLAWSoftware Copyright (c) 1996-2011 CCH INCORPORATED - www.bestcase.comBest Case BankruptcyCase 11-33405-NLW Doc 11 Filed 08/31/11 Entered 08/31/11 17:50:18 Desc Main

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6None(cid:132)b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of HazardousMaterial. Indicate the governmental unit to which the notice was sent and the date of the notice.SITE NAME AND ADDRESSNAME AND ADDRESS OFGOVERNMENTAL UNITDATE OFNOTICEENVIRONMENTALLAWNone(cid:132)c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect