Case 04-21521-reb (Official Form 1) (12/03) FORM B1 Filed 06/23/04 Entered 06/23/04 23:04:53 Desc Main Document Page 1 of 37 United States Bankruptcy Court Voluntary Petition Northern District of Georgia Name of Joint Debtor (Spouse) (Last, First, Middle): All Other Names used by the Joint Debtor in the last 6 years (include married, maiden, and trade names): Doc 1 Name of Debtor (if individual, enter Last, First, Middle): Edens, John Letcher All Other Names used by the Debtor in the last 6 years (include married, maiden, and trade names): aka John L. Edens Last four digits of Soc.Sec.No./Complete EIN or other Tax ID No. Last four digits of Soc.Sec.No./Complete EIN or other Tax ID No. (if more than one, state all): 4278 (if more than one, state all): Street Address of Debtor (No. & Street, City, State & Zip Code): 4015 Whispering Pines Ct. Suwanee, GA 30024 Street Address of Joint Debtor (No. & Street, City, State & Zip Code): County of Residence or of the Principal Place of Business: Forsyth County of Residence or of the Principal Place of Business: Mailing Address of Joint Debtor (if different from street address): Mailing Address of Debtor (if different from street address): Location of Principal Assets of Business Debtor (if different from street address above): Attorney: Steven R Jacob, 388613 Steven R Jacob, P .A. 555 North Point Center East 4th Floor Alpharetta, GA 30022 ph: 678.624.0811 Information Regarding the Debtor (Check the Applicable Boxes) Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Venue (Check any applicable box) Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District. There is a bankruptcy case concerning debtor's affi liate, general partner, or partnership pending in this District. Type of Debtor (Check all boxes that apply) Individual(s) Railroad Corporation Partnership Other Stockbroker Commodity Broker Clearing Bank Chapter or Section of Bankruptcy Code Under Which the Petition is Filed (Check one box) Chapter 13 Chapter 7 Chapter 11 Chapter 9 Chapter 12 Nature of Debts (Check one box) Consumer/Non-Business Business Chapter 11 Small Business (Check all boxes that apply) Debtor is a small business as defined in 11 U.S.C. ? 101 Debtor is and elects to be considered a small business under 11 U.S.C. ? 1121(e) (Optional) Statistical/Administrative Information (Estimates only) Filing Fee (Check one box) Full Filing Fee attached Filing Fee to be paid in installments (Applicable to individuals only) Must attach signed application for the court's consideration certifying that the debtor is unable to pay fee except in installments. Rule 1006(b). See Official Form No. 3. THIS SPACE IS FOR COURT USE ONLY Debtor estimates that funds will be available for distribution to unsecured creditors. Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds available for distribution to unsecured creditors. Estimated Number of Creditors Estimated Assets $0 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1 million $1,000,001 to $10 million $10,000,001 to $50 million $50,000, 001 to $100 million More than $100 million 1-15 16-49 50-99 100-199 200-999 1000-over Estimated Debts $0 to $50,000 $50,001 to $100,000 $100,001 to $500,000 $500,001 to $1 million $1,000,001 to $10 million $10,000,001 to $50 million $50,000,001 to $100 million More than $100 million Case (12/03) (Official Form 1)04-21521-reb Voluntary Petition Location Where Filed: Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 2 of 37 Name of Debtor(s): John Letcher Edens Desc Main Page 2 FORM B1, (This page must be completed and filed in every case) Prior Bankruptcy Case Filed Within Last 6 Years (If more than one, attach additional sheet) Case Number: Date Filed: NONE Case Number: Relationship: Date Filed: Judge: Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor (If more than one, attach additional sheet) Name of Debtor: NONE District: Signature(s) of Debtor(s) (Individual/Joint) Signatures Exhibit A I declare under penalty of perjury that the information provided in this petition is true and correct. [If petitioner is an individual whose debts are primarily consumer debts and has chosen to file under chapter 7] I am aware that I may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief available under each such chapter, and choose to proceed under chapter 7. I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. (To be completed if debtor is required to file periodic reports (e.g., forms 10K and 10Q) with the Securities and Exchange Commission pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934 and is requesting relief under chapter 11) Exhibit A is attached and made a part of this petition. Exhibit B ( (To be completed if debtor is an individual whose debts are primarily consumer debts) I, the attorney for the petitioner named in the foregoing petition, declare that I have informed the petitioner that [he or she] may proceed under chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter. X X /s/ John Letcher Edens Signature of Debtor Signature of Joint Debtor Telephone Number (If not represented by attorney) X /s/ Steven R Jacob 6/19/04 Date Signature of Attorney for Debtor(s) 6/19/04 Date Exhibit C Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety? Yes, and Exhibit C is attached and made a part of this petition. No X Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Signature of Attorney /s/ Steven R Jacob Signature of Attorney for Debtor(s) STEVEN R JACOB 388613 Printed Name of Attorney for Debtor(s) Signature of Non-Attorney Petition Preparer I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. ? 110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. Printed Name of Bankruptcy Petition Preparer Social Security Number (Required by 11 U.S.C. ? 110(c).) Address Names and Social Security numbers of all other individuals who prepared or assisted in preparing this document: Steven R Jacob, P.A. Firm Name 555 North Point Center East Address 4th FloorAlpharetta, GA 30022 678.624.0811 Telephone Number 6/19/04 Date Signature of Debtor (Corporation/Partnership) I declare under penalty of perjury that the information provided in this petition is true and correct, and that I have been authorized to file this petition on behalf of the debtor. The debtor requests relief in accordance with the chapter of title 11, United States Code, specified in this petition. X Signature of Authorized Individual Printed Name of Authorized Individual If more than one person prepared this document, attach additional sheets conforming to the appropriate official form for each person. X Signature of Bankruptcy Petition Preparer Date Title of Authorized Individual Date A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both 11 U.S.C. ?110; 18 U.S.C. ?156. Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 3 of 37 Desc Main Form 7 (12/03) FORM 7. STATEMENT OF FINANCIAL AFFAIRS UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA In Re John Letcher Edens (Name) Debtor Case No. (if known) STATEMENT OF FINANCIAL AFFAIRS This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such activities as well as the individual's personal affairs. Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question. DEFINITIONS Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 "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 "in business" for the purpose of this form if the debtor is or has been, within the six years immediately preceding the filing of this bankruptcy case, any of the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership; a sole proprietor or self-employed. "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 or equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11 U.S.C. ? 101. 1. None Income from employment or operation of business State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's business from the beginning of this calendar year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year) If a joint petition is filed, state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) AMOUNT SOURCE (if more than one) 2004(H) 0 Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 4 of 37 Desc Main AMOUNT SOURCE (if more than one) 2003(H) 2002(H) AMOUNT 0 0 SOURCE (if more than one) 2004(W) 2003(W) 2002(W) 2. None Income other than from employment or operation of business State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business during the two years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income for each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) AMOUNT 3. Payments to Creditors SOURCE None Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 a. List all payments on loans, installment purchases of goods or services, and other debts, aggregating more than $600 to any creditor, made within 90 days immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR DATES OF PAYMENTS AMOUNT PAID AMOUNT STILL OWING None b. List all payments made within one year immediately preceding the commencement of this case to or for the benefit of creditors, who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR AND RELATIONSHIP TO DEBTOR DATES OF PAYMENTS AMOUNT PAID AMOUNT STILL OWING Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 5 of 37 Desc Main 4. Suits and administrative proceedings, executions, garnishments and attachments None a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) CAPTION OF SUIT AND CASE NUMBER NATURE OF PROCEEDING COURT OR AGENCY AND LOCATION STATUS OR DISPOSITION Ford Motor Credit v Edens Civil Action File #035C-1184 Thomas OConnor v Edens, 95-VS-103946-C Cory Snyder v Edens, Case No 03 C 07640-S1 None repo deficiency State Court of Forsyth County pending contract State Court Fulton Judgment collection State Court Gwinnett Judgment b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 NAME AND ADDRESS OF PERSON FOR WHOSE BENEFIT PROPERTY WAS SEIZED DATE OF SEIZURE DESCRIPTION AND VALUE OF PROPERTY 5. None Repossessions, foreclosures and returns List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR OR SELLER DATE OF REPOSESSION, FORECLOSURE SALE, TRANSFER OR RETURN DESCRIPTION AND VALUE OF PROPERTY Ford Motor Credit c/o correspondence POB 689007 Franklin, TN 37068-9007 7/03 2002 Navigator Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 6 of 37 Desc Main 6. Assignments and Receiverships None a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF ASSIGNEE DATE OF ASSIGNMENT TERMS OF ASSIGNMENT OR SETTLEMENT None b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CUSTODIAN NAME AND LOCATION OF COURT CASE TITLE & NUMBER DATE OF ORDER DESCRIPTION AND VALUE OF PROPERTY 7. None Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Gifts List all gifts or charitable contributions made within one year immediately preceding the commencement of this case, except ordinary and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF PERSON OR ORGANIZATION RELATIONSHIP TO DEBTOR, IF ANY DATE OF GIFT DESCRIPTION AND VALUE OF GIFT 8. None Losses List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) DESCRIPTION AND VALUE OF PROPERTY DESCRIPTION OF CIRCUMSTANCES, AND, IF LOSS WAS COVERED IN WHOLE OR IN PART BY INSURANCE, GIVE PARTICULARS DATE OF LOSS Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 7 of 37 Desc Main 9. None Payments related to debt counseling or bankruptcy List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation concerning debt consolidation, relief under the bankruptcy law or preparation of a petition in bankruptcy within one year immediately preceding the commencement of this case. NAME AND ADDRESS OF PAYEE DATE OF PAYMENT, NAME OF PAYOR IF OTHER THAN DEBTOR AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY Steven R Jacob 555 North Point Center East 4th Floor Alpharetta, GA 30022 10. Other transfers None 3/04 $1000 List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor, transferred either absolutely or as security within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF TRANSFEREE, RELATIONSHIP TO DEBTOR Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 DATE DESCRIBE PROPERTY TRANSFERRED AND VALUE RECEIVED 11. Closed financial accounts None List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds, cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must include information concerning accounts or instruments held by 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 INSTITUTION TYPE OF ACCOUNT, LAST FOUR DIGITS OF ACCOUNT NUMBER, AND AMOUNT OF FINAL BALANCE AMOUNT AND DATE OF SALE OR CLOSING Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 8 of 37 Desc Main 12. Safe deposit boxes None List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF BANK OR OTHER DEPOSITORY NAMES AND ADDRESSES OF THOSE WITH ACCESS TO BOX OR DEPOSITORY DESCRIPTION OF CONTENTS DATE OF TRANSFER OR SURRENDER, IF ANY 13. Setoffs None List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.) NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF 14. Property held for another person None Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 List all property owned by another person that the debtor holds or controls. NAME AND ADDRESS OF OWNER DESCRIPTION AND VALUE OF PROPERTY LOCATION OF PROPERTY 15. Prior address of debtor None If the debtor has moved within the two years immediately preceding the commencement of this case, list all premises which the debtor occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate address of either spouse. ADDRESS NAME USED DATES OF OCCUPANCY 113 Plantation Trace, Duluth same 17 months until 3/03, then at present address Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 9 of 37 Desc Main 16. Spouses and Former Spouses None If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within the six-year period immediately preceding the commencement of the case, identify the name of the debtor's spouse and of any former spouse who resides or resided with the debtor in the community property state. NAME 17. Environmental Sites For the purpose of this question, the following definitions apply: "Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to, statutes or regulations regulating the cleanup of these substances, wastes, or material. "Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly owned or operated by the debtor, including, but not limited to, disposal sites. "Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, or contaminant or similar term under an Environmental Law None Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known, the Environmental Law: SITE NAME AND ADDRESS NAME AND ADDRESS OF GOVERNMENTAL UNIT DATE OF NOTICE ENVIRONMENTAL LAW b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous Material. Indicate the governmental unit to which the notice was sent and the date of the notice. None SITE NAME AND ADDRESS NAME AND ADDRESS OF GOVERNMENTAL UNIT DATE OF NOTICE ENVIRONMENTAL LAW None c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the docket number. NAME AND ADDRESS OF GOVERNMENTAL UNIT DOCKET NUMBER STATUS OR DISPOSITION Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 10 of 37 Desc Main 18. Nature, location and name of business None a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partnership, sole proprietorship, or was a self-employed professional within the six years immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case. If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, within the six years immediately preceding the commencement of this case. If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within the six years immediately preceding the commencement of this case. NAME TAXPAYER I.D. NO. (EIN) ADDRESS NATURE OF BUSINESS BEGINNING AND ENDING DATES None b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. ? 101. NAME Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ADDRESS [Questions 19 - 25 are not applicable to this case] * * * * * * [If completed by an individual or individual and spouse] I declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct. Date 6/19/04 Signature of Debtor /s/ John Letcher Edens JOHN LETCHER EDENS Case 04-21521-reb Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 11 of 37 Desc Main - - - - - - - - - - CERTIFICATION - - -SIGNATURE OF-NON-ATTORNEY BANKRUPTCY-PETITION-PREPARER - - -11-U.S.C.- ?-110)- - - - - - - - - - - - - - - - AND - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - (See - I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C.?110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. Printed or Typed Name of Bankruptcy Petition Preparer Social Security No. (Required by 11 U.S.C. ? 110(c).) Address Names and Social Security numbers of all other individuals who prepared or assisted in preparing this document: If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person. X Signature of Bankruptcy Petition Preparer Date A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. ? 110; 18 U.S.C. ?156. ------------------------------------------------------------------------- Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 0 _____ continuation sheets attached Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. ?152 and 3571 Case 04-21521-reb FORM B6A (10/89) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 12 of 37 Desc Main John Letcher Edens In re Debtor Case No. (if known) SCHEDULE A - REAL PROPERTY Except as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a co-tenant, community property, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for the debtor's own benefit. If the debtor is married, state whether husband, wife, or both own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, write "None" under "Description and Location of Property." Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G Executory Contracts and Unexpired Leases. If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity claims to hold a secured interest in the property, write "None" in the column labeled "Amount of Secured Claim." If the debtor is an individual or if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property Claimed as Exempt. DESCRIPTION AND LOCATION OF PROPERTY NATURE OF DEBTOR'S INTEREST IN PROPERTY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY WITHOUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION AMOUNT OF SECURED CLAIM NONE Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Total 0 (Report also on Summary of Schedules) Case 04-21521-reb FORM B6B (10/89) In re Debtor Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 13 of 37 Desc Main John Letcher Edens Case No. (if known) SCHEDULE B - PERSONAL PROPERTY Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place an "X" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, or both own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt. Do not list interests in executory contracts and unexpired leases on this schedule. Executory Contracts and Unexpired Leases. List them in Schedule G- If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property." TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY WITHOUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION 1. Cash on hand. cash 100 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 2. Checking, savings or other financial accounts, certificates of deposit, or shares in banks, savings and loan, thrift, building and loan, and homestead associations, or credit unions, brokerage houses, or cooperatives. checking account-BB&T 50 3. Security deposits with public utilities, telephone companies, landlords, and others. 4. Household goods and furnishings, including audio, video, and computer equipment. 5. Books. Pictures and other art objects, antiques, stamp, coin, record, tape, compact disc, and other collections or collectibles. 6. Wearing apparel . X bed, sofa, chair, dresser 500 X clothing 500 7. Furs and jewelry. watch 100 Case 04-21521-reb FORM B6B (10/89) In re Debtor Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 14 of 37 Desc Main John Letcher Edens Case No. (if known) SCHEDULE B - PERSONAL PROPERTY (Continuation Sheet) CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY WITHOUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY 8. Firearms and sports, photographic, and other hobby equipment. 9. Interests in insurance policies. Name insurance company of each policy and itemize surrender or refund value of each . 10. Annuities. Itemize and name each issuer . 11. Interests in IRA, ERISA, Keogh, or other pension or profit sharing plans. Itemize. 12. Stock and interests in incorporated and unincorporated businesses. Itemize. 13. Interests in partnerships or joint ventures. Itemize. 14. Government and corporate bonds and other negotiable and non-negotiable instruments. 15. Accounts receivable. 16. Alimony, maintenance, support, and property settlement to which the debtor is or may be entitled . Give particulars. 17. Other liquidated debts owing debtor including tax refunds. Give particulars. 18. Equitable or future interests, life estates, and rights or powers exercisable for the benefit of the debtor other than those listed in Schedule of Real Property. 19. Contingent and noncontingent interests in estate or a decedent, death benefit plan, life insurance policy, or trust. 20. Other contingent and unliquidated claims of every nature, including tax refunds, counterclaims of the debtor, and rights of setoff claims. Give estimated value of each . X X X X X Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 X X X X X X X X Case 04-21521-reb FORM B6B (10/89) In re Debtor Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 15 of 37 Desc Main John Letcher Edens Case No. (if known) SCHEDULE B - PERSONAL PROPERTY (Continuation Sheet) CURRENT MARKET VALUE OF DEBTOR'S INTEREST IN PROPERTY WITHOUT DEDUCTING ANY SECURED CLAIM OR EXEMPTION TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY 21. Patents, copyrights, and other intellectual property. Give particulars. 22. Licenses, franchises, and other general intangibles. Give particulars. 23. Automobiles, trucks, trailers, and other vehicles and accessories. 24. Boats, motors, and accessories. 25. Aircraft and accessories. 26. Office equipment, furnishings, and supplies. 27. Machinery, fixtures, equipment, and supplies used in business. 28. Inventory. Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 X X X X X X X X X X X X X 29. Animals. 30. Crops - growing or harvested . Give particulars. 31. Farming equipment and implements. 32. Farm supplies, chemicals, and feed. 33. Other personal property of any kind not already listed . 0 continuation sheets attached Total $ 1,250 (Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Case 04-21521-reb FORM B6C (6/90) In re Debtor Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 16 of 37 Desc Main John Letcher Edens Case No. (if known) SCHEDULE C - PROPERTY CLAIMED AS EXEMPT Debtor elects the exemption to which debtor is entitled under (Check one box) 11 U.S.C. ?522(b)(1) 11 U.S.C. ?522(b)(2) Exemptions provided in 11 U.S.C. ?522(d). Note: These exemptions are available only in certain states. Exemptions available under applicable nonbankruptcy federal laws, state or local law where the debtor's domicile has been located for the 180 days immediately preceding the filing of the petition, or for a longer portion of the 180-day period than in any other place, and the debtor's interest as a tenant by the entirety or joint tenant to the extent the interest is exempt from process under applicable nonbankruptcy law. SPECIFY LAW PROVIDING EACH EXEMPTION VALUE OF CLAIMED EXEMPTION CURRENT MARKET VALUE OF PROPERTY WITHOUT DEDUCTING EXEMPTIONS DESCRIPTION OF PROPERTY cash checking account-BB&T bed, sofa, chair, dresser clothing watch OCGA ?44-13-100(6) OCGA ?44-13-100(6) OCGA ?44-13-100(4) OCGA ?44-13-100(4) OCGA ?44-13-100(5) 100 50 500 500 100 100 50 500 500 100 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Case 04-21521-reb Form B6D (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 17 of 37 Desc Main In re _______________________________________________, Debtor John Letcher Edens Case No. _________________________________ (If known) SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS State the name, mailing address, including zip code and last four digits of any account number of all entities holding claims secured by property of the debtor as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and other security interests. List creditors in alphabetical order to the extent practicable. If all secured creditors will not fit on this page, use the continuation sheet provided. If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether husband, wife, both of them, or the marital community may be liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.) Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules. Check this box if debtor has no creditors holding secured claims to report on this Schedule D. HUSBAND, WIFE, JOINT ORCOMMUNITY CODEBTOR CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) ACCOUNT NO. DATE CLAIM WAS INCURRED, NATURE OF LIEN, AND DESCRIPTION AND MARKET VALUE OF PROPERTY SUBJECT TO LIEN UNLIQUIDATED AMOUNT OF CLAIM WITHOUT DEDUCTING VALUE OF COLLATERAL CONTINGENT DISPUTED UNSECURED PORTION, IF ANY Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 United States Attorney General Main Justice Building 10th & Constitutional Ave Washington DC 20530 VALUE $ ACCOUNT NO. Notice Only Notice Only 0 VALUE $ ACCOUNT NO. VALUE $ ACCOUNT NO. VALUE $ 0 _______continuation sheets attached Subtotal ? $ (Total of this page) Total $ (Use only on last page) 0 0 (Report total also on Summary of Schedules) Case 04-21521-reb Form B6E (04/04) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 18 of 37 Desc Main In re________________________________________________________________, Debtor John Letcher Edens Case No.______________________________ (if known) SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitled to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of the account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether husband, wife, both of them or the marital community may be liable on each claim by placing an "H,""W,""J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.) Report the total of claims listed on each sheet in the box labeled "Subtotal" on each sheet. Report the total of all claims listed on this Schedule E in the box labeled "Total" on the last sheet of the completed schedule. Repeat this total also on the Summary of Schedules. Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E. TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets) Extensions of credit in an involuntary case Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a trustee or the order for relief. 11 U.S.C. ? 507(a)(2). Wages, salaries, and commissions Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales representatives up to $4,925* per person earned within 90 days immediately preceding the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. ? 507(a)(3). Contributions to employee benefit plans Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. ? 507(a)(4). Certain farmers and fishermen Claims of certain farmers and fishermen, up to $4,925* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. ? 507(a)(5). Deposits by individuals Claims of individuals up to $2,225* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not delivered or provided. 11 U.S. C. ? 507(a)(6). Alimony, Maintenance, or Support Claims of a spouse, former spouse, or child of the debtor for alimony, maintenance, or support, to the extent provided in 11 U.S.C. ? 507(a)(7). Taxes and Certain Other Debts Owed to Governmental Units Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. ? 507(a)(8). Commitments to Maintain the Capital of an Insured Depository Institution Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. ? 507 (a)(9). * Amounts are subject to adjustment on April 1, 2007, and every three years thereafter with respect to cases commenced on or after the date of adjustment. 0 ____ continuation sheets attached Case 04-21521-reb Form B6F (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 19 of 37 Desc Main In re __________________________________________, Debtor John Letcher Edens Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. Do not include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided. If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether husband, wife, both of them, or the marital community maybe liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.) Report total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules. Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F. HUSBAND, WIFE, JOINT ORCOMMUNITY CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) ACCOUNT NO. DISPUTED DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, SO STATE. UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM 467353 6,962 Accounts Recievable Technologies One Woodbridge Center, Suite 410 Woodbridge, NJ 07095-1304 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 10663946 577 Armor Systems Corporation 2322 N Green Bay Rd Waukegan, IL 60087 ACCOUNT NO. 10663946 Notice Only Armor Systems Corporation Retail Recover Service of NJ, Inc. 190 Moore Street, Suite 300 Hackensack, NJ 07601 0303449179001 ACCOUNT NO. AT&T POB 8212 Aurora, IL 60572-8212 586 _______continuation sheets attached 10 Subtotal (Total of this page) Total (Use only on last page) $ $ 8,125 (Report total also on Summary of Schedules) Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 20 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 3206502 Notice Only AT&T/American Recover Service Inc POB 1025 Thousand Oaks, CA 91358 ACCOUNT NO. 0303449179001 Notice Only AT&T/Collections Bureau of America POB 5013 Hayward, CA 94540-5013 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 3401076 22,315 BMW Financial Services Account Solutions Group, LLC POB 628 Buffalo, NY 14240-0628 12485041020400275 ACCOUNT NO. Bronson and Migiliaccio, LLP 2361 Wehrie Drive Williamsville, NY 14221 23,766 ACCOUNT NO. 12485041020400573 34,000 Cambece Law Office, PC 8 Bourbon Street Peabody, MA 01960 1 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 80,081 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 21 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. Capital One Services POB 85015 Richmond, VA 23285-5015 8,191 ACCOUNT NO. 0001039674 Notice Only Capital One Services Riddle and Associates, PC POB 1187 Sandy, UT 84091-1187 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 031641901 2,368 Carmen V Porreca Suite 303 4901 Olde Towne Parkway Marietta, GA 30068-4353 51759101 ACCOUNT NO. Cendant Mortgage c/o McCalla, Raymer, Padrick 1544 Old Alabama Rd Roswell, GA 30076 7073976115 Notice Only ACCOUNT NO. Cendant Mortgage POB 5459 Mt Laurel, NJ 08054-5459 606,975 2 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) 617,534 (Report total also on Summary of Schedules) Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 22 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 07009652515 263 Charter Communications Credit Collection Services Two Wells Avenue Newton, MA 02459 ACCOUNT NO. Consideration: Judgment Unknown Cory Snyder c/o Swift Currie 1355 Peachtree St NE #300 Atlanta GA 30309 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 0027887434 258 Direct TV Nationwide Credit, Inc 2015 Vaughn Rd NW, Suite 400 Kennesaw, GA 30144-7802 0027887434 ACCOUNT NO. Direct TV POB 70014 Boise, ID 83707-0114 258 ACCOUNT NO. 31291869 12,557 Ford Motor Credit c/o Bridgers, Peters, Kleber 120 N Candler St Decatur GA 30030 3 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 13,336 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 23 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 711961 232 Georgia Natural Gas POB 723908 Atlanta, GA 31139-0908 ACCOUNT NO. 770661782749 Notice Only Georgia Natural Gas Risk Management Alternatives, Inc. 7775 Baymeadows Way, Suite 302 Jacksonville, FL 32256 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 6403451076 Notice Only Georgia Power Notte & Kreyling, PC 11770 Haynes Bridge Rd 205-104 Alpharetta, GA 30004 6403451076 ACCOUNT NO. Georgia Power POB 105537 Atlanta, GA 30348 531 ACCOUNT NO. Global Crossing 200 Galleria Office, Suite 402 South Field, MI 48034 100 4 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 863 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 24 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. Gwinnett County Public Utilities 684 Winder Highway Lawrenceville, GA 30045 100 ACCOUNT NO. R64034-0372 7,756 Gwinnett County Tax Commissioner Property Tax Division POB 372 Lawrenceville, GA 30046-0372 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 12680829 12680829, 12770081, 13192814 2,600 Gwinnett Hospital POB 1190 Lawrenceville, GA 30046 ACCOUNT NO. 5488975009696363 1,280 Household Credit Services POB 4155 Carol Stream, IL 60197-4155 ACCOUNT NO. 12770081 Notice Only HSI Financial Services, LLC POB 723537 Atlanta, GA 31139 5 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 11,736 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 25 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 5666911 Notice Only MBNA Asset Acceptance LLC POB 2036 Warren, MI 48090-2036 ACCOUNT NO. 4264298999416947 MBNA America POB 15026 Wilmington, DE 19850-5026 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 4264298999416947, 549099210532, 5490997999221115 84,000 ACCOUNT NO. 5002182741786 Notice Only Mercedes Credit AMO Recoveries 7001 Peachtree Ind Blvd Suite 300 Norcross, GA 30092 14939910 ACCOUNT NO. Mercedes Credit POB 685 Roanoke, TX 76262 51,800 ACCOUNT NO. 3158759 53,818 MRS Associates, Inc. 3 Executive Campus, Suite 400 Cherry Hill, NJ 08002 6 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) 189,618 (Report total also on Summary of Schedules) Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 26 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 1183511 662 National Financial Group 6110 Executive Blvd, Suite 305 Rockville, MD 20852 ACCOUNT NO. 1183511 662 National Financial Group 6110 Executive Blvd., Suite 205 Rockville, MD 20852 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 043044084200 637 Neiman Marcus 1201 Elm Street, 27th Floor Dallas, TX 75270 ACCOUNT NO. 043044084200 637 Neiman Marcus POB 620016 Dallas, TX 75262-0016 ACCOUNT NO. 126491998 184 North Metro Radiology 1605 Lakes Parkway Lawrenceville, GA 30043 7 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 2,782 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 27 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 113192814 Notice Only North Metro Radiology Allied Collection and Credit Bureau, Inc POB 1723 Tucker, GA 30085 ACCOUNT NO. 5407150 45 OSI Collection Services, Inc POB 6110 Westerville, OH 43086-6110 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. 27887434 356 Riddle and Associates, PC POB 1187 Sandy, UT 84091-1187 ACCOUNT NO. Roberts Property Management 2650 Old Norcross Rd Plantation Trace Apt #113 Lawrenceville, GA 30044 774427 6,069 ACCOUNT NO. Roberts Property Management National Credit Systems, Inc POB 312125 Atlanta, GA 31131-2125 8 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Notice Only Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) (Report total also on Summary of Schedules) 6,470 Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 28 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. 10663946 550 Saks Fifth Avenue POB 10327 Jackson, MS 39289-0327 ACCOUNT NO. Sunshine Pool 1111 SE Hillside Ave Smyrna, GA Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 2,000 ACCOUNT NO. 341217 36,870 Targusinfo Credit Clearing House, Inc. 200 Business Park Dr Armonk, NY 10204-1712 ACCOUNT NO. Thomas O'Connor c/o Gary M Nadler 1518 Monroe Dr Atlanta GA 30324 X X X 144,000 ACCOUNT NO. United States Attorney 75 Spring St SW, #1800 Atlanta GA 30303 Notice Only 9 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) 183,420 (Report total also on Summary of Schedules) Case 04-21521-reb Form B6F - Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 29 of 37 Desc Main John Letcher Edens In re __________________________________________________, Debtor Case No. _________________________________ (If known) SCHEDULE F- CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) HUSBAND, WIFE, JOINT ORCOMMUNITY DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, DISPUTED CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) UNLIQUIDATED CONTINGENT CODEBTOR AMOUNT OF CLAIM ACCOUNT NO. United States Attorney General Main Justice Building 10th & Constitutional Ave Washington DC 20530 ACCOUNT NO. Notice Only Consideration: 93-98 income tax 1,200,000 United States of America c/o IRS POB 995, #1640 Atlanta GA 30370 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 ACCOUNT NO. Wilshire Credit POB 650314 Dallas, TX 75265-0314 70,000 ACCOUNT NO. ACCOUNT NO. 10 10 Sheet no. _____ of _____continuation sheets attached to Schedule of Creditors Creditors Holding Unsecured Nonpriority Claims Subtotal ? $ (Total of this page) $ Total (Use only on last page of the completed Schedule F. ) 1,270,000 2,383,965 (Report total also on Summary of Schedules) Case 04-21521-reb FORM B6G (10/89) In re Debtor Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 30 of 37 Desc Main John Letcher Edens Case No. (if known) SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests. State nature of debtor's interest in contract, i.e., "Purchaser," "Agent," etc. State whether debtor is the lessor or lessee of a lease. Provide the names and complete mailing addresses of all other parties to each lease or contract described. NOTE: A party listed on this schedule will not receive notice of the filing of this case unless the party is also scheduled in the appropriate schedule of creditors. Check this box if debtor has no executory contracts or unexpired leases. DESCRIPTION OF CONTRACT OR LEASE AND NATURE OF DEBTOR'S INTEREST, STATE WHETHER LEASE IS FOR NONRESIDENTIAL REAL PROPERTY. STATE CONTRACT NUMBER OF ANY GOVERNMENT CONTRACT NAME AND MAILING ADDRESS, INCLUDING ZIP CODE OF OTHER PARTIES TO LEASE OR CONTRACT Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Case 04-21521-reb FORM B6H (6/90) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 31 of 37 Desc Main John Letcher Edens In re Debtor Case No. (if known) SCHEDULE H - CODEBTORS Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed by debtor in the schedules of creditors. Include all guarantors and co-signers. In community property states, a married debtor not filing a joint case should report the name and address of the nondebtor spouse on this schedule. Include all names used by the nondebtor spouse during the six years immediately preceding the commencement of this case. Check this box if debtor has no codebtors. NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Case 04-21521-reb Form B6I 12/03 Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 32 of 37 Desc Main John Letcher Edens In re________________________________________________ , Debtor Case No.______________________________ (if known) SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S) The column labeled "Spouse" must be completed in all cases filed by joint debtors and by a married debtor in a chapter 12 or 13 case whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. Debtor's Marital Status: DEPENDENTS OF DEBTOR AND SPOUSE RELATIONSHIP AGE Married No dependents Employment: Occupation Name of Employer How long employed Address of Employer DEBTOR SPOUSE advertising and marketing unemployed Income: (Estimate of average monthly income) Current monthly gross wages, salary, and commissions (pro rate if not paid monthly.) Estimated monthly overtime SUBTOTAL LESS PAYROLL DEDUCTIONS a. Payroll taxes and social security b. Insurance c. Union Dues d. Other (Specify:___________________________________________________________) SUBTOTAL OF PAYROLL DEDUCTIONS TOTAL NET MONTHLY TAKE HOME PAY DEBTOR SPOUSE 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Regular income from operation of business or profession or farm (attach detailed statement) Income from real property Interest and dividends Alimony, maintenance or support payments payable to the debtor for the debtor's use or that of dependents listed above. Social security or other government assistance (Specify) _______________________________________________________________________ Pension or retirement income Other monthly income (Specify) ___________________________________________________________________ ___________________________________________________________________ TOTAL MONTHLY INCOME TOTAL COMBINED MONTHLY INCOME 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ 0 $ _____________ (Report also on Summary of Schedules) Describe any increase or decrease of more than 10% in any of the above categories anticipated to occur within the year following the filing of this document: Case 04-21521-reb FORM B6J (6/90) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 33 of 37 Desc Main John Letcher Edens In re Debtor , Case No. (If known) SCHEDULE J - CURRENT EXPENDITURES OF INDIVIDUAL DEBTORS Complete this schedule by estimating the average monthly expenses of the debtor and the debtor's family. Pro rate any payments made bi-weekly, quarterly, semi-annually, or annually to show monthly rate. Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of expenditures labeled "Spouse." Rent or home mortgage payment (include lot rented for mobile home) Are real estate taxes included? Yes No Is property insurance included? Yes No Utilities Electricity and heating fuel Water and sewer Telephone Other Home maintenance (Repairs and upkeep) Food Clothing Laundry and dry cleaning Medical and dental expenses Transportation (not including car payments) Recreation, clubs and entertainment, newspapers, magazines, etc. Charitable contributions Insurance (not deducted from wages or included in home mortgage payments) Homeowner's or renter's Life Health Auto Other Taxes (not deducted from wages or included in home mortgage payments) (Specify) Installment payments (In chapter 12 and 13 cases, do not list payments to be included in the plan) Auto Other Other Alimony, maintenance, and support paid to others Payments for support of additional dependents not living at your home Regular expenses from operation of business, profession, or farm (attach detailed statement) Other TOTAL MONTHLY EXPENSES (Report also on Summary of Schedules) $ 750 $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 200 0 0 0 0 300 100 0 150 0 0 0 0 70 150 0 0 0 0 0 0 0 750 0 0 2,470 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 (FOR CHAPTER 12 AND 13 DEBTORS ONLY) Provide the information requested below, including whether plan payments are to be made bi-weekly, monthly, annually, or at some other regular interval. N.A. A. Total projected monthly income $ N.A. B. Total projected monthly expenses $ N.A. C. Excess income (A minus B) $ N.A. N.A. D. Total amount to be paid into plan each $ (interval) Case 04-21521-reb Form B8 (Official Form 8) (12/03) Filed 06/23/04 Entered 06/23/04 23:04:53 Desc Main Document Page 34 of 37 Form 8. INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION UNITED STATES BANKRUPTCY COURT Northern District of Georgia Doc 1 In re John Letcher Edens Debtor , Case No. Chapter Chapter 7 CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION 1. I have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estate. 2. I intend to do the following with respect to the property of the estate which secures those consumer debts: a. Property to Be Surrendered. Description of Property Creditor's name NONE b. Property to Be Retained. [Check any applicable statement.] Description of Property Creditor's name Property is claimed as exempt Property will be redeemed pursuant to 11 U.S.C. ? 722 Debt will be reaffirmed pursuant to 11 U.S.C. ? 524(c) NONE Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Date: 6/19/04 /s/ John Letcher Edens Signature of Debtor JOHN LETCHER EDENS ------------------------------------------------------------------------CERTIFICATION OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. ? 110) I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C.?110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. Printed or Typed Name of Bankruptcy Petition Preparer Social Security No. (Required by 11 U.S.C. ? 110(c).) Address Names and Social Security Numbers of all other individuals who prepared or assisted in preparing this document. If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person. X Signature of Bankruptcy Petition Preparer Date A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. ? 110; 18 U.S.C. ?156. Case 04-21521-reb B203 12/94 Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 35 of 37 Northern District of Georgia Desc Main United States Bankruptcy Court In re John Letcher Edens Case No. ____________________ Chapter Debtor(s) DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR 7 ____________________ 1. Pursuant to 11 U .S.C. ? 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above-named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follow s: 1,000 For legal services, I have agreed to accept ............................................................ $ ______________ 1,000 Prior to the filing of this statement I have received .................................................. $ ______________ 0 Balance Due ....................................................................................................... $ ______________ 2. The source of compensation paid to me was: Debtor 3. Other (specify) The source of compensation to be paid to me is: Debtor Other (specify) 4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm. I have agreed to share the above-disclosed compensation with a other person or persons who are not members or associates of my law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached. 5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including: a. b. c. d. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; Preparation and filing of any petition, schedules, statements of affairs and plan which may be required; Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; [Other provisions as needed] Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Allen Broxton will be paid a fee of $75 for attending the meeting of creditors. Mr. Broxton will be paid from the general account of this firm and not from the funds of the debtor. 6. By agreement with the debtor(s), the above-disclosed fee does not include the following services: Representation in adversary and contested matters. CERTIFICATION I certify that the foregoing is a complete statement of any agreement or arrangement for payment to me for representation of the debtor(s) in the bankruptcy proceeding. 6/19/04 ____________________________________ Date /s/ Steven R Jacob __________________________________________________ Signature of Attorney Steven R Jacob, P.A. __________________________________________________ Name of law firm Case 04-21521-reb FORM B6 - Cont. (6/90) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 36 of 37 Desc Main United States Bankruptcy Court Northern District of Georgia John Letcher Edens In re Debtor Case No. (If known) SUMMARY OF SCHEDULES Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor's assets. Add the amounts from Schedules D, E, and F to determine the total amount of the debtor's liabilities. AMOUNTS SCHEDULED NAME OF SCHEDULE A - Real Property ATTACHED (YES/NO) NO. OF SHEETS ASSETS $ LIABILITIES OTHER YES 1 0 B - Personal Property YES 3 $ 1,250 C - Property Claimed As Exempt D - Creditors Holding Secured Claims E - Creditors Holding Unsecured Priority Claims F - Creditors Holding Unsecured Nonpriority Claims G - Executory Contracts and Unexpired Leases H - Codebtors YES 1 Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 YES 1 $ 0 YES 1 $ 0 YES 11 $ 2,383,965 YES 1 YES 1 I - Current Income of Individual Debtor(s) J - Current Expenditures of Individual Debtor(s) YES 1 $ 0 YES 1 $ 2,470 Total Number of Sheets in ALL Schedules 22 Total Assets 1,250 Total Liabilities 2,383,965 Case 04-21521-reb Official Form 6-Cont. (12/03) Doc 1 Filed 06/23/04 Entered 06/23/04 23:04:53 Document Page 37 of 37 Desc Main John Letcher Edens In re Debtor , Case No. (If known) DECLARATION CONCERNING DEBTOR'S SCHEDULES DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of (Total shown on summary page plus 1) sheets and that they are true and correct to the best of my knowledge, information and belief. Date 23 6/19/04 Signature /s/ John Letcher Edens Debtor Date Signature Not Applicable (Joint Debtor, if any) [If joint case, both spouses must sign] - - - - - - - - - - - - CERTIFICATION-AND SIGNATURE - - NON-ATTORNEY -BANKRUPTCY-PETITION PREPARER-(See-11 U.S.C. ? 110) - - - - - - - - - - - - - - - - - - - - - OF - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C.?110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. Printed or Typed Name of Bankruptcy Petition Preparer Bankruptcy2004 (C)1991-2004, New Hope Software, Inc., ver. 3.7.0-607 - 30338 Social Security No. (Required by 11 U.S.C. ? 110(c).) Address Names and Social Security numbers of all other individuals who prepared or assisted in preparing this document: If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person. X Signature of Bankruptcy Petition Preparer Date A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. ? 110; 18 U.S.C. ?156. -------------------------------------------------------------------------