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Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Form(cid:160)1.(cid:160)Voluntary(cid:160)Petition}bk{(OfficialForm1)(12/03)FORMB1UnitedStatesBankruptcyCourtVoluntaryPetitionNameofDebtor(ifindividual,enterLast,First,Middle):NameofJointDebtor(Spouse)(Last,First,Middle):AllOtherNamesusedbytheDebtorinthelast6years(includemarried,maiden,andtradenames):AllOtherNamesusedbytheJointDebtorinthelast6years(includemarried,maiden,andtradenames):LastfourdigitsofSoc.Sec.No./CompleteEINorotherTaxI.D.No.LastfourdigitsofSoc.Sec.No./CompleteEINorotherTaxI.D.No.(ifmorethanone,stateall):(ifmorethanone,stateall):StreetAddressofDebtor(No.&Street,City,State&ZipCode):StreetAddressofJointDebtor(No.&Street,City,State&ZipCode):CountyofResidenceorofthePrincipalPlaceofBusiness:CountyofResidenceorofthePrincipalPlaceofBusiness:MailingAddressofDebtor(ifdifferentfromstreetaddress):MailingAddressofJointDebtor(ifdifferentfromstreetaddress):LocationofPrincipalAssetsofBusinessDebtor(ifdifferentfromstreetaddressabove):InformationRegardingtheDebtor(ChecktheApplicableBoxes)Venue(Checkanyapplicablebox)Debtorhasbeendomiciledorhashadaresidence,principalplaceofbusiness,orprincipalassetsinthisDistrictfor180daysimmediatelyprecedingthedateofthispetitionorforalongerpartofsuch180daysthaninanyotherDistrict.Thereisabankruptcycaseconcerningdebtor'saffiliate,generalpartner,orpartnershippendinginthisDistrict.TypeofDebtor(Checkallboxesthatapply)Individual(s)RailroadCorporationStockbrokerPartnershipCommodityBrokerOtherClearingBankChapterorSectionofBankruptcyCodeUnderWhichthePetitionisFiled(Checkonebox)Chapter7Chapter11Chapter13Chapter9Chapter12Sec.304(cid:173)CaseancillarytoforeignproceedingNatureofDebts(Checkonebox)Consumer/Non(cid:173)BusinessBusinessFilingFee(Checkonebox)FullFilingFeeattachedFilingFeetobepaidininstallments(Applicabletoindividualsonly.)Mustattachsignedapplicationforthecourt'sconsiderationcertifyingthatthedebtorisunabletopayfeeexceptininstallments.Rule1006(b).SeeOfficialFormNo.3.Chapter11SmallBusiness(Checkallboxesthatapply)Debtorisasmallbusinessasdefinedin11U.S.C.§101Debtorisandelectstobeconsideredasmallbusinessunder11U.S.C.§1121(e)(Optional)Statistical/AdministrativeInformation(Estimatesonly)Debtorestimatesthatfundswillbeavailablefordistributiontounsecuredcreditors.Debtorestimatesthat,afteranyexemptpropertyisexcludedandadministrativeexpensespaid,therewillbenofundsavailablefordistributiontounsecuredcreditors.THISSPACEISFORCOURTUSEONLYEstimatedNumberofCreditors1(cid:173)1516(cid:173)4950(cid:173)99100(cid:173)199200(cid:173)9991000(cid:173)overEstimatedAssets$0to$50,001to$100,001to$500,001to$1,000,001to$10,000,001to$50,000,001toMorethan$50,000$100,000$500,000$1million$10million$50million$100million$100millionEstimatedDebts$0to$50,001to$100,001to$500,001to$1,000,001to$10,000,001to$50,000,001toMorethan$50,000$100,000$500,000$1million$10million$50million$100million$100millionWesternDistrictofPennsylvaniaPeterson,CraigWilliamxxx(cid:173)xx(cid:173)2846220SugarMapleCircleWashington,PA15301WashingtonCase 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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(OfficialForm1)(12/03)VoluntaryPetition(Thispagemustbecompletedandfiledineverycase)NameofDebtor(s):FORMB1,Page2PriorBankruptcyCaseFiledWithinLast6Years(Ifmorethanone,attachadditionalsheet)LocationCaseNumber:DateFiled:WhereFiled:PendingBankruptcyCaseFiledbyanySpouse,Partner,orAffiliateofthisDebtor(Ifmorethanone,attachadditionalsheet)NameofDebtor:CaseNumber:DateFiled:District:Relationship:Judge:SignaturesSignature(s)ofDebtor(s)(Individual/Joint)Ideclareunderpenaltyofperjurythattheinformationprovidedinthispetitionistrueandcorrect.[Ifpetitionerisanindividualwhosedebtsareprimarilyconsumerdebtsandhaschosentofileunderchapter7]IamawarethatImayproceedunderchapter7,11,12,or13oftitle11,UnitedStatesCode,understandthereliefavailableundereachsuchchapter,andchoosetoproceedunderchapter7.Irequestreliefinaccordancewiththechapteroftitle11,UnitedStatesCode,specifiedinthispetition.XSignatureofDebtorXSignatureofJointDebtorTelephoneNumber(Ifnotrepresentedbyattorney)DateSignatureofAttorneyXSignatureofAttorneyforDebtor(s)PrintedNameofAttorneyforDebtor(s)FirmNameAddressTelephoneNumberDateSignatureofDebtor(Corporation/Partnership)Ideclareunderpenaltyofperjurythattheinformationprovidedinthispetitionistrueandcorrect,andthatIhavebeenauthorizedtofilethispetitiononbehalfofthedebtor.Thedebtorrequestsreliefinaccordancewiththechapteroftitle11,UnitedStatesCode,specifiedinthispetition.XSignatureofAuthorizedIndividualPrintedNameofAuthorizedIndividualTitleofAuthorizedIndividualDateExhibitA(Tobecompletedifdebtorisrequiredtofileperiodicreports(e.g.,forms10Kand10Q)withtheSecuritiesandExchangeCommissionpursuanttoSection13or15(d)oftheSecuritiesExchangeActof1934andisrequestingreliefunderchapter11)ExhibitAisattachedandmadeapartofthispetition.ExhibitB(Tobecompletedifdebtorisanindividualwhosedebtsareprimarilyconsumerdebts)I,theattorneyforthepetitionernamedintheforegoingpetition,declarethatIhaveinformedthepetitionerthat[heorshe]mayproceedunderchapter7,11,12,or13oftitle11,UnitedStatesCode,andhaveexplainedthereliefavailableundereachsuchchapter.XSignatureofAttorneyforDebtor(s)DateExhibitCDoesthedebtorownorhavepossessionofanypropertythatposesathreatofimminentandidentifiableharmtopublichealthorsafety?Yes,andExhibitCisattachedandmadeapartofthispetition.NoSignatureofNon(cid:173)AttorneyPetitionPreparerIcertifythatIamabankruptcypetitionpreparerasdefinedin11U.S.C.§110,thatIpreparedthisdocumentforcompensation,andthatIhaveprovidedthedebtorwithacopyofthisdocument.PrintedNameofBankruptcyPetitionPreparerSocialSecurityNumber(Requiredby11U.S.C.§110(c).)AddressNamesandSocialSecuritynumbersofallotherindividualswhopreparedorassistedinpreparingthisdocument:Ifmorethanonepersonpreparedthisdocument,attachadditionalsheetsconformingtotheappropriateofficialformforeachperson.XSignatureofBankruptcyPetitionPreparerDateAbankruptcypetitionpreparer'sfailuretocomplywiththeprovisionsoftitle11andtheFederalRulesofBankruptcyProceduremayresultinfinesorimprisonmentorboth.11U.S.C.§110;18U.S.C.§156.Peterson,CraigWilliam(cid:173)None(cid:173)(cid:173)None(cid:173)/s/DavidA.RiceDavidA.Rice50329Rice&AssociatesLawFirm15WestBeauStreetWashington,PA15301(724)225(cid:173)7270October10,2005October10,2005/s/DavidA.RiceDavidA.RiceCraigWilliamPeterson/s/CraigWilliamPetersonOctober10,2005Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Form(cid:160)6.(cid:160)Summary(cid:160)of(cid:160)Schedules}bk{UnitedStatesBankruptcyCourtWesternDistrictofPennsylvaniaInre,DebtorCaseNo.Chapter7CraigWilliamPetersonIndicateastoeachschedulewhetherthatscheduleisattachedandstatethenumberofpagesineach.ReportthetotalsfromSchedulesA,B,D,E,F,I,andJintheboxesprovided.AddtheamountsfromSchedulesAandBtodeterminethetotalamountofthedebtor'sassets.AddtheamountsfromSchedulesD,E,andFtodeterminethetotalamountofthedebtor'sliabilities.SUMMARYOFSCHEDULESAMOUNTSSCHEDULEDATTACHEDNO.OFNAMEOFSCHEDULEASSETSLIABILITIESOTHER(YES/NO)SHEETSA(cid:173)RealPropertyB(cid:173)PersonalPropertyC(cid:173)PropertyClaimedasExemptD(cid:173)CreditorsHoldingSecuredClaimsE(cid:173)CreditorsHoldingUnsecuredPriorityClaimsF(cid:173)CreditorsHoldingUnsecuredNonpriorityClaimsG(cid:173)ExecutoryContractsandUnexpiredLeasesH(cid:173)CodebtorsI(cid:173)CurrentIncomeofIndividualDebtor(s)J(cid:173)CurrentExpendituresofIndividualDebtor(s)TotalNumberofSheetsofALLSchedulesTotalAssetsTotalLiabilitiesCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyYesYesYesYesYesYesYesYesYesYes10.0036,550.0018,650.0010.00173,675.0021110.0011,091.00136,550.0082,325.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)A.(cid:160)Real(cid:160)Property}bk{Inre,DebtorCaseNo.CraigWilliamPetersonExceptasdirectedbelow,listallrealpropertyinwhichthedebtorhasanylegal,equitable,orfutureinterest,includingallpropertyownedasacotenant,communityproperty,orinwhichthedebtorhasalifeestate.Includeanypropertyinwhichthedebtorholdsrightsandpowersexercisableforthedebtor'sownbenefit.Ifthedebtorismarried,statewhetherhusband,wife,orbothownthepropertybyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Ifthedebtorholdsnointerestinrealproperty,write"None"under"DescriptionandLocationofProperty."Donotincludeinterestsinexecutorycontractsandunexpiredleasesonthisschedule.ListtheminScheduleG(cid:173)ExecutoryContractsandUnexpiredLeases.Ifanentityclaimstohavealienorholdasecuredinterestinanyproperty,statetheamountofthesecuredclaim.(SeeScheduleD.)Ifnoentityclaimstoholdasecuredinterestintheproperty,write"None"inthecolumnlabeled"AmountofSecuredClaim."Ifthedebtorisanindividualorifajointpetitionisfiled,statetheamountofanyexemptionclaimedinthepropertyonlyinScheduleC(cid:173)PropertyClaimedasExempt.DescriptionandLocationofPropertyNatureofDebtor'sInterestinPropertyHusband,Wife,Joint,orCommunityCurrentMarketValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionAmountofSecuredClaimcontinuationsheetsattachedtotheScheduleofRealPropertySCHEDULEA.REALPROPERTYCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcy0NoneSub(cid:173)Total>(Totalofthispage)0.00Total>(ReportalsoonSummaryofSchedules)0.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)B.(cid:160)Personal(cid:160)Property}bk{Inre,DebtorCaseNo.CraigWilliamPetersonExceptasdirectedbelow,listallpersonalpropertyofthedebtorofwhateverkind.Ifthedebtorhasnopropertyinoneormoreofthecategories,placean"x"intheappropriatepositioninthecolumnlabeled"None."Ifadditionalspaceisneededinanycategory,attachaseparatesheetproperlyidentifiedwiththecasename,casenumber,andthenumberofthecategory.Ifthedebtorismarried,statewhetherhusband,wife,orbothownthepropertybyplacingan"H,""W,""J,"or"C"inthecolumnlabeled"Husband,Wife,Joint,orCommunity."Ifthedebtorisanindividualorajointpetitionisfiled,statetheamountofanyexemptionsclaimedonlyinScheduleC(cid:173)PropertyClaimedasExempt.Donotlistinterestsinexecutorycontractsandunexpiredleasesonthisschedule.ListtheminScheduleG(cid:173)ExecutoryContractsandUnexpiredLeases.Ifthepropertyisbeingheldforthedebtorbysomeoneelse,statethatperson'snameandaddressunder"DescriptionandLocationofProperty."TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentMarketValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptioncontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB.PERSONALPROPERTYCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcy21.CashonhandX2.Checking,savingsorotherfinancialaccounts,certificatesofdeposit,orsharesinbanks,savingsandloan,thrift,buildingandloan,andhomesteadassociations,orcreditunions,brokeragehouses,orcooperatives.checkingaccount(cid:173)100.003.Securitydepositswithpublicutilities,telephonecompanies,landlords,andothers.X4.Householdgoodsandfurnishings,includingaudio,video,andcomputerequipment.livingroomset;bedroomsetTV;vcr;stereotools(cid:173)750.005.Books,picturesandotherartobjects,antiques,stamp,coin,record,tape,compactdisc,andothercollectionsorcollectibles.books;record/tape/CDcollections(cid:173)50.006.Wearingapparel.clothing(cid:173)100.007.Fursandjewelry.X8.Firearmsandsports,photographic,andotherhobbyequipment.cameras;sportsequipment(cid:173)50.009.Interestsininsurancepolicies.Nameinsurancecompanyofeachpolicyanditemizesurrenderorrefundvalueofeach.XSub(cid:173)Total>(Totalofthispage)1,050.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentMarketValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionSheetofcontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB.PERSONALPROPERTY(ContinuationSheet)Copyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson10.Annuities.Itemizeandnameeachissuer.X11.InterestsinIRA,ERISA,Keogh,orotherpensionorprofitsharingplans.Itemize.X12.Stockandinterestsinincorporatedandunincorporatedbusinesses.Itemize.X13.Interestsinpartnershipsorjointventures.Itemize.X14.Governmentandcorporatebondsandothernegotiableandnonnegotiableinstruments.X15.Accountsreceivable.X16.Alimony,maintenance,support,andpropertysettlementstowhichthedebtorisormaybeentitled.Giveparticulars.X17.Otherliquidateddebtsowingdebtorincludingtaxrefunds.Giveparticulars.X18.Equitableorfutureinterests,lifeestates,andrightsorpowersexercisableforthebenefitofthedebtorotherthanthoselistedinScheduleofRealProperty.X19.Contingentandnoncontingentinterestsinestateofadecedent,deathbenefitplan,lifeinsurancepolicy,ortrust.XSub(cid:173)Total>(Totalofthispage)0.0012Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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TypeofPropertyNONEDescriptionandLocationofPropertyHusband,Wife,Joint,orCommunityCurrentMarketValueofDebtor'sInterestinProperty,withoutDeductinganySecuredClaimorExemptionSheetofcontinuationsheetsattachedtotheScheduleofPersonalPropertySCHEDULEB.PERSONALPROPERTY(ContinuationSheet)Copyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson20.Othercontingentandunliquidatedclaimsofeverynature,includingtaxrefunds,counterclaimsofthedebtor,andrightstosetoffclaims.Giveestimatedvalueofeach.X21.Patents,copyrights,andotherintellectualproperty.Giveparticulars.X22.Licenses,franchises,andothergeneralintangibles.Giveparticulars.X23.Automobiles,trucks,trailers,andothervehiclesandaccessories.1998AudiA4;120,000miles(cid:173)5,500.0024.Boats,motors,andaccessories.X25.Aircraftandaccessories.X26.Officeequipment,furnishings,andsupplies.X27.Machinery,fixtures,equipment,andsuppliesusedinbusiness.X28.Inventory.X29.Animals.X30.Crops(cid:173)growingorharvested.Giveparticulars.X31.Farmingequipmentandimplements.X32.Farmsupplies,chemicals,andfeed.X33.Otherpersonalpropertyofanykindnotalreadylisted.XSub(cid:173)Total>(Totalofthispage)5,500.0022Total>(ReportalsoonSummaryofSchedules)6,550.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)C.(cid:160)Property(cid:160)Claimed(cid:160)as(cid:160)Exempt}bk{Inre,DebtorCaseNo.CraigWilliamPetersonDebtorelectstheexemptionstowhichdebtorisentitledunder:[Checkonebox]11U.S.C.§522(b)(1):Exemptionsprovidedin11U.S.C.§522(d).Note:Theseexemptionsareavailableonlyincertainstates.11U.S.C.§522(b)(2):Exemptionsavailableunderapplicablenonbankruptcyfederallaws,stateorlocallawwherethedebtor'sdomicilehasbeenlocatedforthe180daysimmediatelyprecedingthefilingofthepetition,orforalongerportionofthe180(cid:173)dayperiodthaninanyotherplace,andthedebtor'sinterestasatenantbytheentiretyorjointtenanttotheextenttheinterestisexemptfromprocessunderapplicablenonbankruptcylaw.DescriptionofPropertySpecifyLawProvidingEachExemptionValueofClaimedExemptionCurrentMarketValueofPropertyWithoutDeductingExemptioncontinuationsheetsattachedtoScheduleofPropertyClaimedasExemptSCHEDULEC.PROPERTYCLAIMEDASEXEMPTCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcy0Checking,Savings,orOtherFinancialAccounts,CertificatesofDepositcheckingaccount100.0011U.S.C.§522(d)(5)100.00HouseholdGoodsandFurnishingslivingroomset;bedroomsetTV;vcr;stereotools750.0011U.S.C.§522(d)(3)750.00Books,PicturesandOtherArtObjects;Collectiblesbooks;record/tape/CDcollections50.0011U.S.C.§522(d)(3)50.00WearingApparelclothing100.0011U.S.C.§522(d)(3)100.00FirearmsandSports,PhotographicandOtherHobbyEquipmentcameras;sportsequipment50.0011U.S.C.§522(d)(5)50.00Automobiles,Trucks,Trailers,andOtherVehicles1998AudiA4;120,000miles5,500.0011U.S.C.§522(d)(2)0.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)D.(cid:160)Creditors(cid:160)Holding(cid:160)Secured(cid:160)Claims}bk{AMOUNTOFCLAIMWITHOUTDEDUCTINGVALUEOFCOLLATERALDATECLAIMWASINCURRED,NATUREOFLIEN,ANDDESCRIPTIONANDMARKETVALUEOFPROPERTYSUBJECTTOLIENCODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,ANDMAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.Value$AccountNo.Value$AccountNo.Value$AccountNo.Value$Subtotal_____continuationsheetsattached(Totalofthispage)UNSECUREDPORTIONIFANYFormB6D(12/03)Statethename,mailingaddress,includingzipcodeandlastfourdigitsofanyaccountnumberofallentitiesholdingclaimssecuredbypropertyofthedebtorasofthedateoffilingofthepetition.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.Listcreditorsholdingalltypesofsecuredinterestssuchasjudgmentliens,garnishments,statutoryliens,mortgages,deedsoftrust,andothersecurityinterests.Listcreditorsinalphabeticalordertotheextentpracticable.Ifallsecuredcreditorswillnotfitonthispage,usethecontinuationsheetprovided.Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor",includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH(cid:173)Codebtors.Ifajointpetitionisfiled,statewhetherhusband,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.ReportthistotalalsoontheSummaryofSchedules.CheckthisboxifdebtorhasnocreditorsholdingsecuredclaimstoreportonthisScheduleD.SCHEDULED.CREDITORSHOLDINGSECUREDCLAIMSCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson0085232415582003autoloan1998AudiA4;120,000milesStateFarmBankP.O.Box3299Milwaukee,WI53201(cid:173)8,650.003,150.005,500.008,650.008,650.00Total(ReportonSummaryofSchedules)Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)E.(cid:160)Creditors(cid:160)Holding(cid:160)Unsecured(cid:160)Priority(cid:160)Claims}bk{FormB6E(04/04)Acompletelistofclaimsentitledtopriority,listedseparatelybytypeofpriority,istobesetforthonthesheetsprovided.Onlyholdersofunsecuredclaimsentitledtopriorityshouldbelistedinthisschedule.Intheboxesprovidedontheattachedsheets,statethename,mailingaddress,includingzipcode,andlastfourdigitsoftheaccountnumber,ifany,ofallentitiesholdingpriorityclaimsagainstthedebtororthepropertyofthedebtor,asofthedateofthefilingofthepetition.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor",includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH(cid:173)Codebtors.Ifajointpetitionisfiled,statewhetherhusband,wife,bothofthemorthemaritalcommunitymaybeliableoneachclaimbyplacingan"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"Subtotal"oneachsheet.ReportthetotalofallclaimslistedonthisScheduleEintheboxlabeled"Total"onthelastsheetofthecompletedschedule.RepeatthistotalalsoontheSummaryofSchedules.CheckthisboxifdebtorhasnocreditorsholdingunsecuredpriorityclaimstoreportonthisScheduleE.TYPESOFPRIORITYCLAIMS(Checktheappropriatebox(es)belowifclaimsinthatcategoryarelistedontheattachedsheets.)ExtensionsofcreditinaninvoluntarycaseClaimsarisingintheordinarycourseofthedebtor'sbusinessorfinancialaffairsafterthecommencementofthecasebutbeforetheearlieroftheappointmentofatrusteeortheorderforrelief.11U.S.C.§507(a)(2).Wages,salaries,andcommissionsWages,salaries,andcommissions,includingvacation,severance,andsickleavepayowingtoemployeesandcommissionsowingtoqualifyingindependentsalesrepresentativesupto$4,925*perpersonearnedwithin90daysimmediatelyprecedingthefilingoftheoriginalpetition,orthecessationofbusiness,whicheveroccurredfirst,totheextentprovidedin11U.S.C.§507(a)(3).ContributionstoemployeebenefitplansMoneyowedtoemployeebenefitplansforservicesrenderedwithin180daysimmediatelyprecedingthefilingoftheoriginalpetition,orthecessationofbusiness,whicheveroccurredfirst,totheextentprovidedin11U.S.C.§507(a)(4).CertainfarmersandfishermenClaimsofcertainfarmersandfishermen,upto$4,925*perfarmerorfisherman,againstthedebtor,asprovidedin11U.S.C.§507(a)(5).DepositsbyindividualsClaimsofindividualsupto$2,225*fordepositsforthepurchase,lease,orrentalofpropertyorservicesforpersonal,family,orhouseholduse,thatwerenotdeliveredorprovided.11U.S.C.§507(a)(6).Alimony,Maintenance,orSupportClaimsofaspouse,formerspouse,orchildofthedebtorforalimony,maintenance,orsupport,totheextentprovidedin11U.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).*AmountsaresubjecttoadjustmentonApril1,2007,andeverythreeyearsthereafterwithrespecttocasescommencedonorafterthedateofadjustment.continuationsheetsattachedSCHEDULEE.CREDITORSHOLDINGUNSECUREDPRIORITYCLAIMSCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson0Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)F.(cid:160)Creditors(cid:160)Holding(cid:160)Unsecured(cid:160)Nonpriority(cid:160)Claims}bk{CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,ANDMAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructionsabove.)AccountNo.AccountNo.AccountNo.AccountNo.Subtotal_____continuationsheetsattached(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMFormB6F(12/03)Statethename,mailingaddress,includingzipcode,andlastfourdigitsofanyaccountnumber,ofallentitiesholdingunsecuredclaimswithoutpriorityagainstthedebtororthepropertyofthedebtor,asofthedateoffilingofthepetition.Thecompleteaccountnumberofanyaccountthedebtorhaswiththecreditorisusefultothetrusteeandthecreditorandmaybeprovidedifthedebtorchoosestodoso.DonotincludeclaimslistedinSchedulesDandE.Ifallcreditorswillnotfitonthispage,usethecontinuationsheetprovided.Ifanyentityotherthanaspouseinajointcasemaybejointlyliableonaclaim,placean"X"inthecolumnlabeled"Codebtor",includetheentityontheappropriatescheduleofcreditors,andcompleteScheduleH(cid:173)Codebtors.Ifajointpetitionisfiled,statewhetherhusband,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.ReportthistotalalsoontheSummaryofSchedules.CheckthisboxifdebtorhasnocreditorsholdingunsecuredclaimstoreportonthisScheduleF.S/N:24277(cid:173)050615SCHEDULEF.CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMSCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson140045386604/05studentloans(cid:173)nondischargableAmericanEducationServicesP.O.Box2461Harrisburg,PA17105(cid:173)2461(cid:173)32,300.003712(cid:173)829142(cid:173)130096/05revolvingcreditaccountusedtobuyhouseholdgoodsAmericanExpressP.O.Box360002Ft.Lauderdale,FL33336(cid:173)1,050.004417(cid:173)1284(cid:173)9624(cid:173)05146/05revolvingcreditaccountusedtobuyhouseholdgoodsandpaybillsChaseP.O.Box15123Wilmington,DE19850(cid:173)2,250.005491(cid:173)1303(cid:173)1721(cid:173)52835/05revolvingcreditaccountusedtobuyhouseholdgoodsandpaybillsCitiCardsP.O.Box1503SaintPeters,MO63376(cid:173)12,800.0048,400.00Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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FormB6F(cid:173)Cont.(12/03)CODEBTORCONTINGENTUNLIQUIDATEDDISPUTEDHusband,Wife,Joint,orCommunityHWJCCREDITOR'SNAME,ANDMAILINGADDRESSINCLUDINGZIPCODE,ANDACCOUNTNUMBER(Seeinstructions.)AccountNo.AccountNo.AccountNo.AccountNo.AccountNo.Sheetno._____of_____sheetsattachedtoScheduleofSubtotalCreditorsHoldingUnsecuredNonpriorityClaims(Totalofthispage)DATECLAIMWASINCURREDANDCONSIDERATIONFORCLAIM.IFCLAIMISSUBJECTTOSETOFF,SOSTATE.AMOUNTOFCLAIMSCHEDULEF.CREDITORSHOLDINGUNSECUREDNONPRIORITYCLAIMS(ContinuationSheet)Copyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcyInre,DebtorCaseNo.CraigWilliamPeterson460449505057420personalloanusedfortuitionCitibankP.O.Box6094SiouxFalls,SD57117X(cid:173)5,725.008493125210029247cellularphoneserviceComcastP.O.Box3002Southeastern,PA19398(cid:173)200.004185(cid:173)8716(cid:173)2042(cid:173)71566/05revolvingcreditaccountusedtobuyhouseholdgoodsandpaybillsProvidianP.O.Box660433Dallas,TX75266(cid:173)2,850.00SS#studentloans(cid:173)nondischargableSallie(cid:173)MaeP.O.Box9500Wilkes(cid:173)Barre,PA18773(cid:173)16,500.0025,275.001173,675.00Total(ReportonSummaryofSchedules)Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)G.(cid:160)Executory(cid:160)Contracts(cid:160)and(cid:160)Unexpired(cid:160)Leases}bk{Inre,DebtorCaseNo.CraigWilliamPetersonDescribeallexecutorycontractsofanynatureandallunexpiredleasesofrealorpersonalproperty.Includeanytimeshareinterests.Statenatureofdebtor'sinterestincontract,i.e.,"Purchaser,""Agent,"etc.Statewhetherdebtoristhelessororlesseeofalease.Providethenamesandcompletemailingaddressesofallotherpartiestoeachleaseorcontractdescribed.NOTE:Apartylistedonthisschedulewillnotreceivenoticeofthefilingofthiscaseunlessthepartyisalsoscheduledintheappropriatescheduleofcreditors.Checkthisboxifdebtorhasnoexecutorycontractsorunexpiredleases.NameandMailingAddress,IncludingZipCode,ofOtherPartiestoLeaseorContractDescriptionofContractorLeaseandNatureofDebtor'sInterest.Statewhetherleaseisfornonresidentialrealproperty.Statecontractnumberofanygovernmentcontract.continuationsheetsattachedtoScheduleofExecutoryContractsandUnexpiredLeasesSCHEDULEG.EXECUTORYCONTRACTSANDUNEXPIREDLEASESCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcy0Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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}bk1{Schedule(cid:160)H.(cid:160)Codebtors}bk{Inre,DebtorCaseNo.CraigWilliamPetersonProvidetheinformationrequestedconcerninganypersonorentity,otherthanaspouseinajointcase,thatisalsoliableonanydebtslistedbydebtorintheschedulesofcreditors.Includeallguarantorsandco(cid:173)signers.Incommunitypropertystates,amarrieddebtornotfilingajointcaseshouldreportthenameandaddressofthenondebtorspouseonthisschedule.Includeallnamesusedbythenondebtorspouseduringthesixyearsimmediatelyprecedingthecommencementofthiscase.Checkthisboxifdebtorhasnocodebtors.NAMEANDADDRESSOFCODEBTORNAMEANDADDRESSOFCREDITORcontinuationsheetsattachedtoScheduleofCodebtorsSCHEDULEH.CODEBTORSCopyright(c)1996(cid:173)2005(cid:173)BestCaseSolutions,Inc.(cid:173)Evanston,IL(cid:173)(800)492(cid:173)8037BestCaseBankruptcy0WilmaPetersonCitibankP.O.Box6094SiouxFalls,SD57117Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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Form(cid:160)B6I(12/03)In(cid:160)reCraig(cid:160)William(cid:160)PetersonCase(cid:160)No.Debtor(s)SCHEDULE(cid:160)I.(cid:160)CURRENT(cid:160)INCOME(cid:160)OF(cid:160)INDIVIDUAL(cid:160)DEBTOR(S)The(cid:160)column(cid:160)labeled(cid:160)"Spouse"(cid:160)must(cid:160)be(cid:160)completed(cid:160)in(cid:160)all(cid:160)cases(cid:160)filed(cid:160)by(cid:160)joint(cid:160)debtors(cid:160)and(cid:160)by(cid:160)a(cid:160)married(cid:160)debtor(cid:160)in(cid:160)a(cid:160)chapter(cid:160)12(cid:160)or(cid:160)13(cid:160)casewhether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.Debtor's(cid:160)Marital(cid:160)Status:DEPENDENTS(cid:160)OF(cid:160)DEBTOR(cid:160)AND(cid:160)SPOUSESingleRELATIONSHIPNone.AGEEMPLOYMENTDEBTORSPOUSEOccupationName(cid:160)of(cid:160)EmployerunemployedHow(cid:160)long(cid:160)employedAddress(cid:160)of(cid:160)EmployerINCOME:(cid:160)(cid:160)(Estimate(cid:160)of(cid:160)average(cid:160)monthly(cid:160)income)DEBTORSPOUSECurrent(cid:160)monthly(cid:160)gross(cid:160)wages,(cid:160)salary,(cid:160)and(cid:160)commissions(cid:160)(pro(cid:160)rate(cid:160)if(cid:160)not(cid:160)paid(cid:160)monthly)$0.00$N/AEstimated(cid:160)monthly(cid:160)overtime$0.00$N/ASUBTOTAL$0.00$N/ALESS(cid:160)PAYROLL(cid:160)DEDUCTIONSa.(cid:160)(cid:160)Payroll(cid:160)taxes(cid:160)and(cid:160)social(cid:160)security$0.00$N/Ab.(cid:160)(cid:160)Insurance$0.00$N/Ac.(cid:160)(cid:160)Union(cid:160)dues$0.00$N/Ad.(cid:160)(cid:160)Other(cid:160)(Specify)$0.00$N/A$0.00$N/ASUBTOTAL(cid:160)OF(cid:160)PAYROLL(cid:160)DEDUCTIONS$0.00$N/ATOTAL(cid:160)NET(cid:160)MONTHLY(cid:160)TAKE(cid:160)HOME(cid:160)PAY$0.00$N/ARegular(cid:160)income(cid:160)from(cid:160)operation(cid:160)of(cid:160)business(cid:160)or(cid:160)profession(cid:160)or(cid:160)farm(cid:160)(attach(cid:160)detailed(cid:160)statement)$0.00$N/AIncome(cid:160)from(cid:160)real(cid:160)property$0.00$N/AInterest(cid:160)and(cid:160)dividends$0.00$N/AAlimony,(cid:160)maintenance(cid:160)or(cid:160)support(cid:160)payments(cid:160)payable(cid:160)to(cid:160)the(cid:160)debtor(cid:160)for(cid:160)the(cid:160)debtor's(cid:160)use(cid:160)or(cid:160)thatof(cid:160)dependents(cid:160)listed(cid:160)above$0.00$N/ASocial(cid:160)security(cid:160)or(cid:160)other(cid:160)government(cid:160)assistance(Specify)$0.00$N/A$0.00$N/APension(cid:160)or(cid:160)retirement(cid:160)income$0.00$N/AOther(cid:160)monthly(cid:160)income(Specify)$0.00$N/A$0.00$N/ATOTAL(cid:160)MONTHLY(cid:160)INCOME$0.00$N/ATOTAL(cid:160)COMBINED(cid:160)MONTHLY(cid:160)INCOME$0.00(Report(cid:160)also(cid:160)on(cid:160)Summary(cid:160)of(cid:160)Schedules)Describe(cid:160)any(cid:160)increase(cid:160)or(cid:160)decrease(cid:160)of(cid:160)more(cid:160)than(cid:160)10%(cid:160)in(cid:160)any(cid:160)of(cid:160)the(cid:160)above(cid:160)categories(cid:160)anticipated(cid:160)to(cid:160)occur(cid:160)within(cid:160)the(cid:160)year(cid:160)following(cid:160)thefiling(cid:160)of(cid:160)this(cid:160)document:Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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In(cid:160)reCraig(cid:160)William(cid:160)PetersonCase(cid:160)No.Debtor(s)SCHEDULE(cid:160)J.(cid:160)CURRENT(cid:160)EXPENDITURES(cid:160)OF(cid:160)INDIVIDUAL(cid:160)DEBTOR(S)Complete(cid:160)this(cid:160)schedule(cid:160)by(cid:160)estimating(cid:160)the(cid:160)average(cid:160)monthly(cid:160)expenses(cid:160)of(cid:160)the(cid:160)debtor(cid:160)and(cid:160)the(cid:160)debtor's(cid:160)family.(cid:160)(cid:160)Pro(cid:160)rate(cid:160)any(cid:160)paymentsmade(cid:160)bi(cid:173)weekly,(cid:160)quarterly,(cid:160)semi(cid:173)annually,(cid:160)or(cid:160)annually(cid:160)to(cid:160)show(cid:160)monthly(cid:160)rate.oCheck(cid:160)this(cid:160)box(cid:160)if(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed(cid:160)and(cid:160)debtor's(cid:160)spouse(cid:160)maintains(cid:160)a(cid:160)separate(cid:160)household.(cid:160)(cid:160)Complete(cid:160)a(cid:160)separate(cid:160)schedule(cid:160)ofexpenditures(cid:160)labeled(cid:160)"Spouse."Rent(cid:160)or(cid:160)home(cid:160)mortgage(cid:160)payment(cid:160)(include(cid:160)lot(cid:160)rented(cid:160)for(cid:160)mobile(cid:160)home)$0.00Are(cid:160)real(cid:160)estate(cid:160)taxes(cid:160)included?YesNo(cid:160)(cid:160)(cid:160)XIs(cid:160)property(cid:160)insurance(cid:160)included?YesNo(cid:160)(cid:160)(cid:160)XUtilities:Electricity(cid:160)and(cid:160)heating(cid:160)fuel$0.00Water(cid:160)and(cid:160)sewer$0.00Telephone$50.00Othercable;(cid:160)garbage$30.00Home(cid:160)maintenance(cid:160)(repairs(cid:160)and(cid:160)upkeep)$0.00Food$200.00Clothing$30.00Laundry(cid:160)and(cid:160)dry(cid:160)cleaning$20.00Medical(cid:160)and(cid:160)dental(cid:160)expenses$35.00Transportation(cid:160)(not(cid:160)including(cid:160)car(cid:160)payments)$200.00Recreation,(cid:160)clubs(cid:160)and(cid:160)entertainment,(cid:160)newspapers,(cid:160)magazines,(cid:160)etc.$15.00Charitable(cid:160)contributions$0.00Insurance(cid:160)(not(cid:160)deducted(cid:160)from(cid:160)wages(cid:160)or(cid:160)included(cid:160)in(cid:160)home(cid:160)mortgage(cid:160)payments)Homeowner's(cid:160)or(cid:160)renter's$0.00Life$0.00Health$32.00Auto$122.00Other$0.00Taxes(cid:160)(not(cid:160)deducted(cid:160)from(cid:160)wages(cid:160)or(cid:160)included(cid:160)in(cid:160)home(cid:160)mortgage(cid:160)payments)(Specify)$0.00Installment(cid:160)payments:(cid:160)(In(cid:160)chapter(cid:160)12(cid:160)and(cid:160)13(cid:160)cases,(cid:160)do(cid:160)not(cid:160)list(cid:160)payments(cid:160)to(cid:160)be(cid:160)included(cid:160)in(cid:160)the(cid:160)plan.)Auto$272.00Other$0.00Other$0.00Other$0.00Alimony,(cid:160)maintenance,(cid:160)and(cid:160)support(cid:160)paid(cid:160)to(cid:160)others$0.00Payments(cid:160)for(cid:160)support(cid:160)of(cid:160)additional(cid:160)dependents(cid:160)not(cid:160)living(cid:160)at(cid:160)your(cid:160)home$0.00Regular(cid:160)expenses(cid:160)from(cid:160)operation(cid:160)of(cid:160)business,(cid:160)profession,(cid:160)or(cid:160)farm(cid:160)(attach(cid:160)detailed(cid:160)statement)$0.00Otherhousehold(cid:160)supplies$25.00Otherhealth(cid:160)and(cid:160)beauty(cid:160)supplies$60.00TOTAL(cid:160)MONTHLY(cid:160)EXPENSES(cid:160)(Report(cid:160)also(cid:160)on(cid:160)Summary(cid:160)of(cid:160)Schedules)$1,091.00[FOR(cid:160)CHAPTER(cid:160)12(cid:160)AND(cid:160)13(cid:160)DEBTORS(cid:160)ONLY]Provide(cid:160)the(cid:160)information(cid:160)requested(cid:160)below,(cid:160)including(cid:160)whether(cid:160)plan(cid:160)payments(cid:160)are(cid:160)to(cid:160)be(cid:160)made(cid:160)bi(cid:173)weekly,(cid:160)monthly,(cid:160)annually,(cid:160)or(cid:160)at(cid:160)someother(cid:160)regular(cid:160)interval.A.Total(cid:160)projected(cid:160)monthly(cid:160)income$N/AB.Total(cid:160)projected(cid:160)monthly(cid:160)expenses$N/AC.Excess(cid:160)income(cid:160)(A(cid:160)minus(cid:160)B)$N/AD.Total(cid:160)amount(cid:160)to(cid:160)be(cid:160)paid(cid:160)into(cid:160)plan(cid:160)each$N/A(interval)Case 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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United(cid:160)States(cid:160)Bankruptcy(cid:160)CourtWestern(cid:160)District(cid:160)of(cid:160)PennsylvaniaIn(cid:160)reCraig(cid:160)William(cid:160)PetersonCase(cid:160)No.Debtor(s)Chapter7DECLARATION(cid:160)CONCERNING(cid:160)DEBTOR'S(cid:160)SCHEDULESDECLARATION(cid:160)UNDER(cid:160)PENALTY(cid:160)OF(cid:160)PERJURYBY(cid:160)INDIVIDUAL(cid:160)DEBTORI(cid:160)declare(cid:160)under(cid:160)penalty(cid:160)of(cid:160)perjury(cid:160)that(cid:160)I(cid:160)have(cid:160)read(cid:160)the(cid:160)foregoing(cid:160)summary(cid:160)and(cid:160)schedules,(cid:160)consisting(cid:160)of(cid:160)(cid:160)(cid:160)(cid:160)14(cid:160)sheets[total(cid:160)shown(cid:160)on(cid:160)summary(cid:160)page(cid:160)plus(cid:160)1],(cid:160)and(cid:160)that(cid:160)they(cid:160)are(cid:160)true(cid:160)and(cid:160)correct(cid:160)to(cid:160)the(cid:160)best(cid:160)of(cid:160)myknowledge,(cid:160)information,(cid:160)and(cid:160)belief.DateOctober(cid:160)10,(cid:160)2005Signature/s/(cid:160)Craig(cid:160)William(cid:160)PetersonCraig(cid:160)William(cid:160)PetersonDebtorPenalty(cid:160)for(cid:160)making(cid:160)a(cid:160)false(cid:160)statement(cid:160)or(cid:160)concealing(cid:160)property:Fine(cid:160)of(cid:160)up(cid:160)to(cid:160)$500,000(cid:160)or(cid:160)imprisonment(cid:160)for(cid:160)up(cid:160)to(cid:160)5(cid:160)years(cid:160)or(cid:160)both.18(cid:160)U.S.C.(cid:160)§§(cid:160)(cid:160)(cid:160)152(cid:160)and(cid:160)3571.Software(cid:160)Copyright(cid:160)(c)(cid:160)1996(cid:173)2003(cid:160)Best(cid:160)Case(cid:160)Solutions,(cid:160)Inc.(cid:160)(cid:173)(cid:160)Evanston,(cid:160)IL(cid:160)(cid:173)(cid:160)(800)(cid:160)492(cid:173)8037Best(cid:160)Case(cid:160)BankruptcyCase 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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Form(cid:160)7(12/03)United(cid:160)States(cid:160)Bankruptcy(cid:160)CourtWestern(cid:160)District(cid:160)of(cid:160)PennsylvaniaIn(cid:160)reCraig(cid:160)William(cid:160)PetersonCase(cid:160)No.Debtor(s)Chapter7STATEMENT(cid:160)OF(cid:160)FINANCIAL(cid:160)AFFAIRSThis(cid:160)statement(cid:160)is(cid:160)to(cid:160)be(cid:160)completed(cid:160)by(cid:160)every(cid:160)debtor.(cid:160)Spouses(cid:160)filing(cid:160)a(cid:160)joint(cid:160)petition(cid:160)may(cid:160)file(cid:160)a(cid:160)single(cid:160)statement(cid:160)on(cid:160)which(cid:160)the(cid:160)information(cid:160)forboth(cid:160)spouses(cid:160)is(cid:160)combined.(cid:160)If(cid:160)the(cid:160)case(cid:160)is(cid:160)filed(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13,(cid:160)a(cid:160)married(cid:160)debtor(cid:160)must(cid:160)furnish(cid:160)information(cid:160)for(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)ornot(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.(cid:160)An(cid:160)individual(cid:160)debtor(cid:160)engaged(cid:160)in(cid:160)business(cid:160)as(cid:160)a(cid:160)soleproprietor,(cid:160)partner,(cid:160)family(cid:160)farmer,(cid:160)or(cid:160)self(cid:173)employed(cid:160)professional,(cid:160)should(cid:160)provide(cid:160)the(cid:160)information(cid:160)requested(cid:160)on(cid:160)this(cid:160)statement(cid:160)concerning(cid:160)all(cid:160)suchactivities(cid:160)as(cid:160)well(cid:160)as(cid:160)the(cid:160)individual's(cid:160)personal(cid:160)affairs.Questions(cid:160)1(cid:160)(cid:173)(cid:160)18(cid:160)are(cid:160)to(cid:160)be(cid:160)completed(cid:160)by(cid:160)all(cid:160)debtors.(cid:160)Debtors(cid:160)that(cid:160)are(cid:160)or(cid:160)have(cid:160)been(cid:160)in(cid:160)business,(cid:160)as(cid:160)defined(cid:160)below,(cid:160)also(cid:160)must(cid:160)completeQuestions(cid:160)19(cid:160)(cid:173)(cid:160)25.If(cid:160)the(cid:160)answer(cid:160)to(cid:160)an(cid:160)applicable(cid:160)question(cid:160)is(cid:160)"None,"(cid:160)mark(cid:160)the(cid:160)box(cid:160)labeled(cid:160)"None."If(cid:160)additional(cid:160)space(cid:160)is(cid:160)needed(cid:160)for(cid:160)the(cid:160)answerto(cid:160)any(cid:160)question,(cid:160)use(cid:160)and(cid:160)attach(cid:160)a(cid:160)separate(cid:160)sheet(cid:160)properly(cid:160)identified(cid:160)with(cid:160)the(cid:160)case(cid:160)name,(cid:160)case(cid:160)number(cid:160)(if(cid:160)known),(cid:160)and(cid:160)the(cid:160)number(cid:160)of(cid:160)the(cid:160)question.DEFINITIONS"In(cid:160)business."A(cid:160)debtor(cid:160)is(cid:160)"in(cid:160)business"(cid:160)for(cid:160)the(cid:160)purpose(cid:160)of(cid:160)this(cid:160)form(cid:160)if(cid:160)the(cid:160)debtor(cid:160)is(cid:160)a(cid:160)corporation(cid:160)or(cid:160)partnership.(cid:160)An(cid:160)individual(cid:160)debtor(cid:160)is(cid:160)"inbusiness"(cid:160)for(cid:160)the(cid:160)purpose(cid:160)of(cid:160)this(cid:160)form(cid:160)if(cid:160)the(cid:160)debtor(cid:160)is(cid:160)or(cid:160)has(cid:160)been,(cid:160)within(cid:160)the(cid:160)six(cid:160)years(cid:160)immediately(cid:160)preceding(cid:160)the(cid:160)filing(cid:160)of(cid:160)this(cid:160)bankruptcy(cid:160)case,(cid:160)anyof(cid:160)the(cid:160)following:(cid:160)an(cid:160)officer,(cid:160)director,(cid:160)managing(cid:160)executive,(cid:160)or(cid:160)owner(cid:160)of(cid:160)5(cid:160)percent(cid:160)or(cid:160)more(cid:160)of(cid:160)the(cid:160)voting(cid:160)or(cid:160)equity(cid:160)securities(cid:160)of(cid:160)a(cid:160)corporation;(cid:160)a(cid:160)partner,other(cid:160)than(cid:160)a(cid:160)limited(cid:160)partner,(cid:160)of(cid:160)a(cid:160)partnership;(cid:160)a(cid:160)sole(cid:160)proprietor(cid:160)or(cid:160)self(cid:173)employed."Insider."The(cid:160)term(cid:160)"insider"(cid:160)includes(cid:160)but(cid:160)is(cid:160)not(cid:160)limited(cid:160)to:(cid:160)relatives(cid:160)of(cid:160)the(cid:160)debtor;(cid:160)general(cid:160)partners(cid:160)of(cid:160)the(cid:160)debtor(cid:160)and(cid:160)their(cid:160)relatives;corporations(cid:160)of(cid:160)which(cid:160)the(cid:160)debtor(cid:160)is(cid:160)an(cid:160)officer,(cid:160)director,(cid:160)or(cid:160)person(cid:160)in(cid:160)control;(cid:160)officers,(cid:160)directors,(cid:160)and(cid:160)any(cid:160)owner(cid:160)of(cid:160)5(cid:160)percent(cid:160)or(cid:160)more(cid:160)of(cid:160)the(cid:160)voting(cid:160)orequity(cid:160)securities(cid:160)of(cid:160)a(cid:160)corporate(cid:160)debtor(cid:160)and(cid:160)their(cid:160)relatives;(cid:160)affiliates(cid:160)of(cid:160)the(cid:160)debtor(cid:160)and(cid:160)insiders(cid:160)of(cid:160)such(cid:160)affiliates;(cid:160)any(cid:160)managing(cid:160)agent(cid:160)of(cid:160)the(cid:160)debtor.(cid:160)11U.S.C.(cid:160)§(cid:160)101.__________________________________________Noneo1.(cid:160)Income(cid:160)from(cid:160)employment(cid:160)or(cid:160)operation(cid:160)of(cid:160)businessState(cid:160)the(cid:160)gross(cid:160)amount(cid:160)of(cid:160)income(cid:160)the(cid:160)debtor(cid:160)has(cid:160)received(cid:160)from(cid:160)employment,(cid:160)trade,(cid:160)or(cid:160)profession,(cid:160)or(cid:160)from(cid:160)operation(cid:160)of(cid:160)the(cid:160)debtor'sbusiness(cid:160)from(cid:160)the(cid:160)beginning(cid:160)of(cid:160)this(cid:160)calendar(cid:160)year(cid:160)to(cid:160)the(cid:160)date(cid:160)this(cid:160)case(cid:160)was(cid:160)commenced.(cid:160)State(cid:160)also(cid:160)the(cid:160)gross(cid:160)amounts(cid:160)received(cid:160)during(cid:160)thetwo(cid:160)yearsimmediately(cid:160)preceding(cid:160)this(cid:160)calendar(cid:160)year.(cid:160)(A(cid:160)debtor(cid:160)that(cid:160)maintains,(cid:160)or(cid:160)has(cid:160)maintained,(cid:160)financial(cid:160)records(cid:160)on(cid:160)the(cid:160)basis(cid:160)of(cid:160)afiscal(cid:160)rather(cid:160)than(cid:160)a(cid:160)calendar(cid:160)year(cid:160)may(cid:160)report(cid:160)fiscal(cid:160)year(cid:160)income.(cid:160)Identify(cid:160)the(cid:160)beginning(cid:160)and(cid:160)ending(cid:160)dates(cid:160)of(cid:160)the(cid:160)debtor's(cid:160)fiscal(cid:160)year.)(cid:160)If(cid:160)ajoint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)state(cid:160)income(cid:160)for(cid:160)each(cid:160)spouse(cid:160)separately.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)state(cid:160)incomeof(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)AMOUNTSOURCE(cid:160)(if(cid:160)more(cid:160)than(cid:160)one)$0.002003(cid:160)(cid:173)(cid:160)Mon(cid:160)Valley(cid:160)YMCA$2,200.002004$2,600.002005Nonen2.(cid:160)Income(cid:160)other(cid:160)than(cid:160)from(cid:160)employment(cid:160)or(cid:160)operation(cid:160)of(cid:160)businessState(cid:160)the(cid:160)amount(cid:160)of(cid:160)income(cid:160)received(cid:160)by(cid:160)the(cid:160)debtor(cid:160)other(cid:160)than(cid:160)from(cid:160)employment,(cid:160)trade,(cid:160)profession,(cid:160)or(cid:160)operation(cid:160)of(cid:160)the(cid:160)debtor's(cid:160)businessduring(cid:160)thetwo(cid:160)yearsimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)Give(cid:160)particulars.(cid:160)If(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)state(cid:160)income(cid:160)foreach(cid:160)spouse(cid:160)separately.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)state(cid:160)income(cid:160)for(cid:160)each(cid:160)spouse(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)jointpetition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)AMOUNTSOURCESoftware(cid:160)Copyright(cid:160)(c)(cid:160)1996(cid:173)2003(cid:160)Best(cid:160)Case(cid:160)Solutions,(cid:160)Inc.(cid:160)(cid:173)(cid:160)Evanston,(cid:160)IL(cid:160)(cid:173)(cid:160)(800)(cid:160)492(cid:173)8037Best(cid:160)Case(cid:160)BankruptcyCase 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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2Noneo3.(cid:160)Payments(cid:160)to(cid:160)creditorsa.(cid:160)List(cid:160)all(cid:160)payments(cid:160)on(cid:160)loans,(cid:160)installment(cid:160)purchases(cid:160)of(cid:160)goods(cid:160)or(cid:160)services,(cid:160)and(cid:160)other(cid:160)debts,(cid:160)aggregating(cid:160)more(cid:160)than(cid:160)$600(cid:160)to(cid:160)any(cid:160)creditor,made(cid:160)within90(cid:160)daysimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13must(cid:160)include(cid:160)payments(cid:160)by(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)jointpetition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESSOF(cid:160)CREDITORDATES(cid:160)OFPAYMENTSAMOUNT(cid:160)PAIDAMOUNT(cid:160)STILLOWINGState(cid:160)Farm(cid:160)BankP.O.(cid:160)Box(cid:160)3299Milwaukee,(cid:160)WI(cid:160)53201monthly(cid:160)auto(cid:160)payments$272.00$8,650.00Nonenb.(cid:160)List(cid:160)all(cid:160)payments(cid:160)made(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case(cid:160)to(cid:160)or(cid:160)for(cid:160)the(cid:160)benefit(cid:160)of(cid:160)creditors(cid:160)whoare(cid:160)or(cid:160)were(cid:160)insiders.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)payments(cid:160)by(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)ornot(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OF(cid:160)CREDITOR(cid:160)ANDRELATIONSHIP(cid:160)TO(cid:160)DEBTORDATE(cid:160)OF(cid:160)PAYMENTAMOUNT(cid:160)PAIDAMOUNT(cid:160)STILLOWINGNonen4.(cid:160)(cid:160)Suits(cid:160)and(cid:160)administrative(cid:160)proceedings,(cid:160)executions,(cid:160)garnishments(cid:160)and(cid:160)attachmentsa.(cid:160)List(cid:160)all(cid:160)suits(cid:160)and(cid:160)administrative(cid:160)proceedings(cid:160)to(cid:160)which(cid:160)the(cid:160)debtor(cid:160)is(cid:160)or(cid:160)was(cid:160)a(cid:160)party(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)filing(cid:160)ofthis(cid:160)bankruptcy(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)information(cid:160)concerning(cid:160)either(cid:160)or(cid:160)both(cid:160)spouseswhether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)CAPTION(cid:160)OF(cid:160)SUITAND(cid:160)CASE(cid:160)NUMBERNATURE(cid:160)OF(cid:160)PROCEEDINGCOURT(cid:160)OR(cid:160)AGENCYAND(cid:160)LOCATIONSTATUS(cid:160)ORDISPOSITIONNonenb.(cid:160)Describe(cid:160)all(cid:160)property(cid:160)that(cid:160)has(cid:160)been(cid:160)attached,(cid:160)garnished(cid:160)or(cid:160)seized(cid:160)under(cid:160)any(cid:160)legal(cid:160)or(cid:160)equitable(cid:160)process(cid:160)withinone(cid:160)yearimmediatelypreceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)information(cid:160)concerningproperty(cid:160)of(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)notfiled.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OF(cid:160)PERSON(cid:160)FOR(cid:160)WHOSEBENEFIT(cid:160)PROPERTY(cid:160)WAS(cid:160)SEIZEDDATE(cid:160)OF(cid:160)SEIZUREDESCRIPTION(cid:160)AND(cid:160)VALUE(cid:160)OFPROPERTYNonen5.(cid:160)(cid:160)Repossessions,(cid:160)foreclosures(cid:160)and(cid:160)returnsList(cid:160)all(cid:160)property(cid:160)that(cid:160)has(cid:160)been(cid:160)repossessed(cid:160)by(cid:160)a(cid:160)creditor,(cid:160)sold(cid:160)at(cid:160)a(cid:160)foreclosure(cid:160)sale,(cid:160)transferred(cid:160)through(cid:160)a(cid:160)deed(cid:160)in(cid:160)lieu(cid:160)of(cid:160)foreclosure(cid:160)orreturned(cid:160)to(cid:160)the(cid:160)seller,(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)information(cid:160)concerning(cid:160)property(cid:160)of(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)thespouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OFCREDITOR(cid:160)OR(cid:160)SELLERDATE(cid:160)OF(cid:160)REPOSSESSION,FORECLOSURE(cid:160)SALE,TRANSFER(cid:160)OR(cid:160)RETURNDESCRIPTION(cid:160)AND(cid:160)VALUE(cid:160)OFPROPERTYNonen6.(cid:160)(cid:160)Assignments(cid:160)and(cid:160)receivershipsa.(cid:160)Describe(cid:160)any(cid:160)assignment(cid:160)of(cid:160)property(cid:160)for(cid:160)the(cid:160)benefit(cid:160)of(cid:160)creditors(cid:160)made(cid:160)within120(cid:160)daysimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)ofthis(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)any(cid:160)assignment(cid:160)by(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)ajoint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OF(cid:160)ASSIGNEEDATE(cid:160)OFASSIGNMENTTERMS(cid:160)OF(cid:160)ASSIGNMENT(cid:160)OR(cid:160)SETTLEMENTSoftware(cid:160)Copyright(cid:160)(c)(cid:160)1996(cid:173)2003(cid:160)Best(cid:160)Case(cid:160)Solutions,(cid:160)Inc.(cid:160)(cid:173)(cid:160)Evanston,(cid:160)IL(cid:160)(cid:173)(cid:160)(800)(cid:160)492(cid:173)8037Best(cid:160)Case(cid:160)BankruptcyCase 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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3Nonenb.(cid:160)List(cid:160)all(cid:160)property(cid:160)which(cid:160)has(cid:160)been(cid:160)in(cid:160)the(cid:160)hands(cid:160)of(cid:160)a(cid:160)custodian,(cid:160)receiver,(cid:160)or(cid:160)court(cid:173)appointed(cid:160)official(cid:160)withinone(cid:160)yearimmediatelypreceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)information(cid:160)concerningproperty(cid:160)of(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)notfiled.)NAME(cid:160)AND(cid:160)ADDRESSOF(cid:160)CUSTODIANNAME(cid:160)AND(cid:160)LOCATIONOF(cid:160)COURTCASE(cid:160)TITLE(cid:160)&(cid:160)NUMBERDATE(cid:160)OFORDERDESCRIPTION(cid:160)AND(cid:160)VALUE(cid:160)OFPROPERTYNonen7.(cid:160)(cid:160)GiftsList(cid:160)all(cid:160)gifts(cid:160)or(cid:160)charitable(cid:160)contributions(cid:160)made(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case(cid:160)except(cid:160)ordinaryand(cid:160)usual(cid:160)gifts(cid:160)to(cid:160)family(cid:160)members(cid:160)aggregating(cid:160)less(cid:160)than(cid:160)$200(cid:160)in(cid:160)value(cid:160)per(cid:160)individual(cid:160)family(cid:160)member(cid:160)and(cid:160)charitable(cid:160)contributionsaggregating(cid:160)less(cid:160)than(cid:160)$100(cid:160)per(cid:160)recipient.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)gifts(cid:160)or(cid:160)contributions(cid:160)byeither(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OFPERSON(cid:160)OR(cid:160)ORGANIZATIONRELATIONSHIP(cid:160)TODEBTOR,(cid:160)IF(cid:160)ANYDATE(cid:160)OF(cid:160)GIFTDESCRIPTION(cid:160)ANDVALUE(cid:160)OF(cid:160)GIFTNonen8.(cid:160)(cid:160)LossesList(cid:160)all(cid:160)losses(cid:160)from(cid:160)fire,(cid:160)theft,(cid:160)other(cid:160)casualty(cid:160)or(cid:160)gambling(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)caseorsince(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(Married(cid:160)debtors(cid:160)filing(cid:160)under(cid:160)chapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)losses(cid:160)by(cid:160)either(cid:160)or(cid:160)bothspouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)are(cid:160)separated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)DESCRIPTION(cid:160)AND(cid:160)VALUEOF(cid:160)PROPERTYDESCRIPTION(cid:160)OF(cid:160)CIRCUMSTANCES(cid:160)AND,(cid:160)IFLOSS(cid:160)WAS(cid:160)COVERED(cid:160)IN(cid:160)WHOLE(cid:160)OR(cid:160)IN(cid:160)PARTBY(cid:160)INSURANCE,(cid:160)GIVE(cid:160)PARTICULARSDATE(cid:160)OF(cid:160)LOSSNoneo9.(cid:160)(cid:160)Payments(cid:160)related(cid:160)to(cid:160)debt(cid:160)counseling(cid:160)or(cid:160)bankruptcyList(cid:160)all(cid:160)payments(cid:160)made(cid:160)or(cid:160)property(cid:160)transferred(cid:160)by(cid:160)or(cid:160)on(cid:160)behalf(cid:160)of(cid:160)the(cid:160)debtor(cid:160)to(cid:160)any(cid:160)persons,(cid:160)including(cid:160)attorneys,(cid:160)for(cid:160)consultationconcerning(cid:160)debt(cid:160)consolidation,(cid:160)relief(cid:160)under(cid:160)the(cid:160)bankruptcy(cid:160)law(cid:160)or(cid:160)preparation(cid:160)of(cid:160)the(cid:160)petition(cid:160)in(cid:160)bankruptcy(cid:160)withinone(cid:160)yearimmediatelypreceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.NAME(cid:160)AND(cid:160)ADDRESSOF(cid:160)PAYEEDATE(cid:160)OF(cid:160)PAYMENT,NAME(cid:160)OF(cid:160)PAYOR(cid:160)IF(cid:160)OTHERTHAN(cid:160)DEBTORAMOUNT(cid:160)OF(cid:160)MONEYOR(cid:160)DESCRIPTION(cid:160)AND(cid:160)VALUEOF(cid:160)PROPERTYRice(cid:160)&(cid:160)Associates(cid:160)Law(cid:160)Firm15(cid:160)West(cid:160)Beau(cid:160)StreetWashington,(cid:160)PA(cid:160)15301prior(cid:160)to(cid:160)filing$200(cid:160)(used(cid:160)as(cid:160)filing(cid:160)fee)Nonen10.(cid:160)(cid:160)Other(cid:160)transfersList(cid:160)all(cid:160)other(cid:160)property,(cid:160)other(cid:160)than(cid:160)property(cid:160)transferred(cid:160)in(cid:160)the(cid:160)ordinary(cid:160)course(cid:160)of(cid:160)the(cid:160)business(cid:160)or(cid:160)financial(cid:160)affairs(cid:160)of(cid:160)the(cid:160)debtor,(cid:160)transferredeither(cid:160)absolutely(cid:160)or(cid:160)as(cid:160)security(cid:160)withinone(cid:160)yearimmediately(cid:160)preceding(cid:160)the(cid:160)commencement(cid:160)of(cid:160)this(cid:160)case.(cid:160)(Married(cid:160)debtors(cid:160)filing(cid:160)underchapter(cid:160)12(cid:160)or(cid:160)chapter(cid:160)13(cid:160)must(cid:160)include(cid:160)transfers(cid:160)by(cid:160)either(cid:160)or(cid:160)both(cid:160)spouses(cid:160)whether(cid:160)or(cid:160)not(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)filed,(cid:160)unless(cid:160)the(cid:160)spouses(cid:160)areseparated(cid:160)and(cid:160)a(cid:160)joint(cid:160)petition(cid:160)is(cid:160)not(cid:160)filed.)NAME(cid:160)AND(cid:160)ADDRESS(cid:160)OF(cid:160)TRANSFEREE,RELATIONSHIP(cid:160)TO(cid:160)DEBTORDATEDESCRIBE(cid:160)PROPERTY(cid:160)TRANSFERREDAND(cid:160)VALUE(cid:160)RECEIVEDSoftware(cid:160)Copyright(cid:160)(c)(cid:160)1996(cid:173)2003(cid:160)Best(cid:160)Case(cid:160)Solutions,(cid:160)Inc.(cid:160)(cid:173)(cid:160)Evanston,(cid:160)IL(cid:160)(cid:173)(cid:160)(800)(cid:160)492(cid:173)8037Best(cid:160)Case(cid:160)BankruptcyCase 05-35295-MBM Doc 1 Filed 10/10/05 Entered 10/10/05 15:14:04 Desc Main

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