Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 1 of 59 Fill in this information to identify your case: United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Chapter you are filing under: Chapter 7 Chapter 11 Chapter 12 Check if this an amended filing Chapter 13 Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy 12/17 The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,” the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in all of the forms. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Identify Yourself About Debtor 1: 1. Your full name Write the name that is on your government-issued picture identification (for example, your driver's license or passport). Bring your picture identification to your meeting with the trustee. 2. About Debtor 2 (Spouse Only in a Joint Case): Viridiana First name First name Garcia Middle name Middle name Martinez Last name and Suffix (Sr., Jr., II, III) Last name and Suffix (Sr., Jr., II, III) All other names you have used in the last 8 years Include your married or maiden names. 3. Only the last 4 digits of your Social Security number or federal Individual Taxpayer Identification number (ITIN) Official Form 101 xxx-xx-1847 Voluntary Petition for Individuals Filing for Bankruptcy page 1 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 2 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez About Debtor 1: 4. Any business names and Employer Identification Numbers (EIN) you have used in the last 8 years Include trade names and doing business as names 5. I have not used any business name or EINs. About Debtor 2 (Spouse Only in a Joint Case): I have not used any business name or EINs. Business name(s) Business name(s) EINs EINs Where you live If Debtor 2 lives at a different address: 7002 Hillsboro St Houston, TX 77020 Number, Street, City, State & ZIP Code Number, Street, City, State & ZIP Code Harris 6. Why you are choosing this district to file for bankruptcy Official Form 101 County County If your mailing address is different from the one above, fill it in here. Note that the court will send any notices to you at this mailing address. If Debtor 2's mailing address is different from yours, fill it in here. Note that the court will send any notices to this mailing address. Number, P.O. Box, Street, City, State & ZIP Code Number, P.O. Box, Street, City, State & ZIP Code Check one: Check one: Over the last 180 days before filing this petition, I have lived in this district longer than in any other district. Over the last 180 days before filing this petition, I have lived in this district longer than in any other district. I have another reason. Explain. (See 28 U.S.C. § 1408.) I have another reason. Explain. (See 28 U.S.C. § 1408.) Voluntary Petition for Individuals Filing for Bankruptcy page 2 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 3 of 59 Debtor 1 Part 2: 7. Case number (if known) Viridiana Garcia Martinez Tell the Court About Your Bankruptcy Case The chapter of the Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy Bankruptcy Code you are (Form 2010)). Also, go to the top of page 1 and check the appropriate box. choosing to file under Chapter 7 Chapter 11 Chapter 12 Chapter 13 8. How you will pay the fee I will pay the entire fee when I file my petition. Please check with the clerk’s office in your local court for more details about how you may pay. Typically, if you are paying the fee yourself, you may pay with cash, cashier’s check, or money order. If your attorney is submitting your payment on your behalf, your attorney may pay with a credit card or check with a pre-printed address. I need to pay the fee in installments. If you choose this option, sign and attach the Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A). I request that my fee be waived (You may request this option only if you are filing for Chapter 7. By law, a judge may, but is not required to, waive your fee, and may do so only if your income is less than 150% of the official poverty line that applies to your family size and you are unable to pay the fee in installments). If you choose this option, you must fill out the Application to Have the Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition. 9. Have you filed for bankruptcy within the last 8 years? 10. Are any bankruptcy cases pending or being filed by a spouse who is not filing this case with you, or by a business partner, or by an affiliate? No. Yes. District When Case number District When Case number District When Case number No Yes. Debtor Relationship to you District When Debtor Relationship to you District 11. Do you rent your residence? Case number, if known When No. Go to line 12. Yes. Has your landlord obtained an eviction judgment against you? Case number, if known No. Go to line 12. Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as part of this bankruptcy petition. Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 3 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 4 of 59 Debtor 1 Part 3: Case number (if known) Viridiana Garcia Martinez Report About Any Businesses You Own as a Sole Proprietor 12. Are you a sole proprietor of any full- or part-time business? No. Go to Part 4. Yes. Name and location of business A sole proprietorship is a business you operate as an individual, and is not a separate legal entity such as a corporation, partnership, or LLC. Name of business, if any Number, Street, City, State & ZIP Code If you have more than one sole proprietorship, use a separate sheet and attach it to this petition. Check the appropriate box to describe your business: Health Care Business (as defined in 11 U.S.C. § 101(27A)) Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) Stockbroker (as defined in 11 U.S.C. § 101(53A)) Commodity Broker (as defined in 11 U.S.C. § 101(6)) None of the above 13. Are you filing under Chapter 11 of the Bankruptcy Code and are you a small business debtor? For a definition of small business debtor, see 11 U.S.C. § 101(51D). Part 4: If you are filing under Chapter 11, the court must know whether you are a small business debtor so that it can set appropriate deadlines. If you indicate that you are a small business debtor, you must attach your most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or if any of these documents do not exist, follow the procedure in 11 U.S.C. 1116(1)(B). No. I am not filing under Chapter 11. No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in the Bankruptcy Code. Yes. I am filing under Chapter 11 and I am a small business debtor according to the definition in the Bankruptcy Code. Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention 14. Do you own or have any property that poses or is alleged to pose a threat of imminent and identifiable hazard to public health or safety? Or do you own any property that needs immediate attention? For example, do you own perishable goods, or livestock that must be fed, or a building that needs urgent repairs? No. Yes. What is the hazard? If immediate attention is needed, why is it needed? Where is the property? Number, Street, City, State & Zip Code Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 4 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 5 of 59 Debtor 1 Part 5: Case number (if known) Viridiana Garcia Martinez Explain Your Efforts to Receive a Briefing About Credit Counseling 15. Tell the court whether you have received a briefing about credit counseling. The law requires that you receive a briefing about credit counseling before you file for bankruptcy. You must truthfully check one of the following choices. If you cannot do so, you are not eligible to file. If you file anyway, the court can dismiss your case, you will lose whatever filing fee you paid, and your creditors can begin collection activities again. About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case): You must check one: I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, and I received a certificate of completion. You must check one: I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, and I received a certificate of completion. Attach a copy of the certificate and the payment plan, if any, that you developed with the agency. Attach a copy of the certificate and the payment plan, if any, that you developed with the agency. I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, but I do not have a certificate of completion. I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, but I do not have a certificate of completion. Within 14 days after you file this bankruptcy petition, you MUST file a copy of the certificate and payment plan, if any. Within 14 days after you file this bankruptcy petition, you MUST file a copy of the certificate and payment plan, if any. I certify that I asked for credit counseling services from an approved agency, but was unable to obtain those services during the 7 days after I made my request, and exigent circumstances merit a 30-day temporary waiver of the requirement. I certify that I asked for credit counseling services from an approved agency, but was unable to obtain those services during the 7 days after I made my request, and exigent circumstances merit a 30-day temporary waiver of the requirement. To ask for a 30-day temporary waiver of the requirement, attach a separate sheet explaining what efforts you made to obtain the briefing, why you were unable to obtain it before you filed for bankruptcy, and what exigent circumstances required you to file this case. Your case may be dismissed if the court is dissatisfied with your reasons for not receiving a briefing before you filed for bankruptcy. If the court is satisfied with your reasons, you must still receive a briefing within 30 days after you file. You must file a certificate from the approved agency, along with a copy of the payment plan you developed, if any. If you do not do so, your case may be dismissed. Any extension of the 30-day deadline is granted only for cause and is limited to a maximum of 15 days. I am not required to receive a briefing about credit counseling because of: Your case may be dismissed if the court is dissatisfied with your reasons for not receiving a briefing before you filed for bankruptcy. If the court is satisfied with your reasons, you must still receive a briefing within 30 days after you file. You must file a certificate from the approved agency, along with a copy of the payment plan you developed, if any. If you do not do so, your case may be dismissed. Any extension of the 30-day deadline is granted only for cause and is limited to a maximum of 15 days. I am not required to receive a briefing about credit counseling because of: Incapacity. I have a mental illness or a mental deficiency that makes me incapable of realizing or making rational decisions about finances. Incapacity. I have a mental illness or a mental deficiency that makes me incapable of realizing or making rational decisions about finances. Disability. My physical disability causes me to be unable to participate in a briefing in person, by phone, or through the internet, even after I reasonably tried to do so. Disability. My physical disability causes me to be unable to participate in a briefing in person, by phone, or through the internet, even after I reasonably tried to do so. Active duty. I am currently on active military duty in a military combat zone. Active duty. I am currently on active military duty in a military combat zone. If you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver credit counseling with the court. Official Form 101 To ask for a 30-day temporary waiver of the requirement, attach a separate sheet explaining what efforts you made to obtain the briefing, why you were unable to obtain it before you filed for bankruptcy, and what exigent circumstances required you to file this case. If you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver of credit counseling with the court. Voluntary Petition for Individuals Filing for Bankruptcy page 5 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 6 of 59 Debtor 1 Part 6: Case number (if known) Viridiana Garcia Martinez Answer These Questions for Reporting Purposes 16. What kind of debts do you have? 16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8) as “incurred by an individual primarily for a personal, family, or household purpose.” No. Go to line 16b. Yes. Go to line 17. 16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain money for a business or investment or through the operation of the business or investment. No. Go to line 16c. Yes. Go to line 17. 16c. 17. Are you filing under Chapter 7? Do you estimate that after any exempt property is excluded and administrative expenses are paid that funds will be available for distribution to unsecured creditors? State the type of debts you owe that are not consumer debts or business debts No. I am not filing under Chapter 7. Go to line 18. Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and administrative expenses are paid that funds will be available to distribute to unsecured creditors? No Yes 18. How many Creditors do you estimate that you owe? 1-49 50-99 100-199 200-999 1,000-5,000 5001-10,000 10,001-25,000 25,001-50,000 50,001-100,000 More than100,000 19. How much do you estimate your assets to be worth? $0 - $50,000 $50,001 - $100,000 $100,001 - $500,000 $500,001 - $1 million $1,000,001 - $10 million $10,000,001 - $50 million $50,000,001 - $100 million $100,000,001 - $500 million $500,000,001 - $1 billion $1,000,000,001 - $10 billion $10,000,000,001 - $50 billion More than $50 billion 20. How much do you estimate your liabilities to be? $0 - $50,000 $50,001 - $100,000 $1,000,001 - $10 million $10,000,001 - $50 million $50,000,001 - $100 million $100,000,001 - $500 million $500,000,001 - $1 billion $1,000,000,001 - $10 billion $10,000,000,001 - $50 billion More than $50 billion $100,001 - $500,000 $500,001 - $1 million Part 7: Sign Below For you I have examined this petition, and I declare under penalty of perjury that the information provided is true and correct. If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13 of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed under Chapter 7. If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out this document, I have obtained and read the notice required by 11 U.S.C. § 342(b). I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. I understand making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. /s/ Viridiana Garcia Martinez Viridiana Garcia Martinez Signature of Debtor 2 Signature of Debtor 1 Executed on May 23, 2018 Executed on MM / DD / YYYY Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy MM / DD / YYYY page 6 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 7 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez For your attorney, if you are represented by one If you are not represented by an attorney, you do not need to file this page. I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s) the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no knowledge after an inquiry that the information in the schedules filed with the petition is incorrect. /s/ Jessica Lee Hoff Date Signature of Attorney for Debtor May 23, 2018 MM / DD / YYYY Jessica Lee Hoff 24093963 Printed name Hoff Law Offices, P.C. Firm name 14 Inverness Drive East, Suite 236 Englewood, CO 80112 Number, Street, City, State & ZIP Code Contact phone 3038034438 Email address jhoff@hofflawoffices.com 24093963 TX Bar number & State Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 7 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 8 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file your original forms, you must fill out a new Summary and check the box at the top of this page. Part 1: Summarize Your Assets Your assets Value of what you own 1. Schedule A/B: Property (Official Form 106A/B) 1a. Copy line 55, Total real estate, from Schedule A/B................................................................................................ $ 0.00 1b. Copy line 62, Total personal property, from Schedule A/B..................................................................................... $ 23,506.00 1c. Copy line 63, Total of all property on Schedule A/B............................................................................................... $ 23,506.00 Part 2: Summarize Your Liabilities Your liabilities Amount you owe 2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D) 2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D... $ 21,840.00 3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F) 3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F................................. $ 189,000.00 3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................ $ 162,765.80 Your total liabilities $ Part 3: 373,605.80 Summarize Your Income and Expenses 4. Schedule I: Your Income (Official Form 106I) Copy your combined monthly income from line 12 of Schedule I................................................................................ $ 3,400.00 5. Schedule J: Your Expenses (Official Form 106J) Copy your monthly expenses from line 22c of Schedule J.......................................................................... $ 4,409.00 Part 4: 6. 7. Answer These Questions for Administrative and Statistical Records Are you filing for bankruptcy under Chapters 7, 11, or 13? No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules. Yes What kind of debt do you have? Your debts are primarily consumer debts. Consumer debts are those “incurred by an individual primarily for a personal, family, or household purpose.” 11 U.S.C. § 101(8). Fill out lines 8-9g for statistical purposes. 28 U.S.C. § 159. Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules. Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 1 of 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 9 of 59 Debtor 1 Viridiana Garcia Martinez Case number (if known) 8. From the Statement of Your Current Monthly Income: Copy your total current monthly income from Official Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. 9. Copy the following special categories of claims from Part 4, line 6 of Schedule E/F: $ Total claim From Part 4 on Schedule E/F, copy the following: 9a. Domestic support obligations (Copy line 6a.) $ 0.00 9b. Taxes and certain other debts you owe the government. (Copy line 6b.) $ 189,000.00 9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.) $ 0.00 9d. Student loans. (Copy line 6f.) $ 0.00 9e. Obligations arising out of a separation agreement or divorce that you did not report as priority claims. (Copy line 6g.) $ 0.00 +$ 0.00 9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) 9g. Total. Add lines 9a through 9f. Official Form 106Sum $ 189,000.00 Summary of Your Assets and Liabilities and Certain Statistical Information Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 2 of 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 10 of 59 Fill in this information to identify your case and this filing: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number Check if this is an amended filing Official Form 106A/B Schedule A/B: Property 12/15 In each category, separately list and describe items. List an asset only once. If an asset fits in more than one category, list the asset in the category where you think it fits best. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest In 1. Do you own or have any legal or equitable interest in any residence, building, land, or similar property? No. Go to Part 2. Yes. Where is the property? Part 2: Describe Your Vehicles Do you own, lease, or have legal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles you own that someone else drives. If you lease a vehicle, also report it on Schedule G: Executory Contracts and Unexpired Leases. 3. Cars, vans, trucks, tractors, sport utility vehicles, motorcycles No Yes 3.1 Make: Model: Year: Ford Transit F 450 2015 Approximate mileage: Who has an interest in the property? Check one Debtor 1 only Debtor 2 only 80,000 Other information: Debtor 1 and Debtor 2 only Do not deduct secured claims or exemptions. Put the amount of any secured claims on Schedule D: Creditors Who Have Claims Secured by Property. Current value of the entire property? Current value of the portion you own? At least one of the debtors and another Check if this is community property $15,000.00 $15,000.00 (see instructions) 4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, other vehicles, and accessories Examples: Boats, trailers, motors, personal watercraft, fishing vessels, snowmobiles, motorcycle accessories No Yes 5 Add the dollar value of the portion you own for all of your entries from Part 2, including any entries for .pages you have attached for Part 2. Write that number here.............................................................................=> $15,000.00 Part 3: Describe Your Personal and Household Items Do you own or have any legal or equitable interest in any of the following items? 6. Household goods and furnishings Examples: Major appliances, furniture, linens, china, kitchenware No Official Form 106A/B Schedule A/B: Property Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Current value of the portion you own? Do not deduct secured claims or exemptions. page 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 11 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez Yes. Describe..... Standard Furnishings:Standard furnishings: Living room: 2 sofas 100, table set 75, Fire Place 50, bar 100, entertainment center 300, lamp 10, picture frame 50. Kitchen table with 6 charis 75, 1 china cabinet, 100, 2 pantry caninets 50, stove 100, icebox 100, refrigerator 100, microwave 15, pots, pans dishes, and glasses 100.00 Laundry Room 1 washer 125, dryer 125. Bedroom 1 king bed 300, dresser 100, 2 night stands 150, 2 armouires 200, 2 lamps 20.00, Bedroom 2 clothes 150, Bunkbed 100, armouir 100, small desk 5.00, twin bed 175 $6,366.00 7. Electronics Examples: Televisions and radios; audio, video, stereo, and digital equipment; computers, printers, scanners; music collections; electronic devices including cell phones, cameras, media players, games No Yes. Describe..... 42"tv 80, 2 alarm clock 10.00, 42" tv 150, 1 computer 100, playstation 150, laptop 100, 32 tv 100.00 cell phones 150 $840.00 8. Collectibles of value Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects; stamp, coin, or baseball card collections; other collections, memorabilia, collectibles No Yes. Describe..... 9. Equipment for sports and hobbies Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, golf clubs, skis; canoes and kayaks; carpentry tools; musical instruments No Yes. Describe..... 10. Firearms Examples: Pistols, rifles, shotguns, ammunition, and related equipment No Yes. Describe..... 11. Clothes Examples: Everyday clothes, furs, leather coats, designer wear, shoes, accessories No Yes. Describe..... Standard wearing apparel $700.00 12. Jewelry Examples: Everyday jewelry, costume jewelry, engagement rings, wedding rings, heirloom jewelry, watches, gems, gold, silver No Yes. Describe..... Wedding ring diamonds 400.00, costume jewelry 200.00 $600.00 13. Non-farm animals Examples: Dogs, cats, birds, horses No Yes. Describe..... 14. Any other personal and household items you did not already list, including any health aids you did not list No Yes. Give specific information..... Official Form 106A/B Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Schedule A/B: Property page 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 12 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez 15. Add the dollar value of all of your entries from Part 3, including any entries for pages you have attached for Part 3. Write that number here .............................................................................. $8,506.00 Part 4: Describe Your Financial Assets Do you own or have any legal or equitable interest in any of the following? Current value of the portion you own? Do not deduct secured claims or exemptions. 16. Cash Examples: Money you have in your wallet, in your home, in a safe deposit box, and on hand when you file your petition No Yes................................................................................................................ 17. Deposits of money Examples: Checking, savings, or other financial accounts; certificates of deposit; shares in credit unions, brokerage houses, and other similar institutions. If you have multiple accounts with the same institution, list each. No Institution name: Yes........................ None 17.1. $0.00 18. Bonds, mutual funds, or publicly traded stocks Examples: Bond funds, investment accounts with brokerage firms, money market accounts No Yes.................. Institution or issuer name: 19. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including an interest in an LLC, partnership, and joint venture No Yes. Give specific information about them................... Name of entity: % of ownership: JBM Janitorial Maintenance, Inc No (assets) 100 % $0.00 20. Government and corporate bonds and other negotiable and non-negotiable instruments Negotiable instruments include personal checks, cashiers’ checks, promissory notes, and money orders. Non-negotiable instruments are those you cannot transfer to someone by signing or delivering them. No Yes. Give specific information about them Issuer name: 21. Retirement or pension accounts Examples: Interests in IRA, ERISA, Keogh, 401(k), 403(b), thrift savings accounts, or other pension or profit-sharing plans No Yes. List each account separately. Type of account: Institution name: 22. Security deposits and prepayments Your share of all unused deposits you have made so that you may continue service or use from a company Examples: Agreements with landlords, prepaid rent, public utilities (electric, gas, water), telecommunications companies, or others No Yes. ..................... Institution name or individual: 23. Annuities (A contract for a periodic payment of money to you, either for life or for a number of years) No Yes............. Issuer name and description. 24. Interests in an education IRA, in an account in a qualified ABLE program, or under a qualified state tuition program. 26 U.S.C. §§ 530(b)(1), 529A(b), and 529(b)(1). Official Form 106A/B Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Schedule A/B: Property page 3 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 13 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez No Yes............. Institution name and description. Separately file the records of any interests.11 U.S.C. § 521(c): 25. Trusts, equitable or future interests in property (other than anything listed in line 1), and rights or powers exercisable for your benefit No Yes. Give specific information about them... 26. Patents, copyrights, trademarks, trade secrets, and other intellectual property Examples: Internet domain names, websites, proceeds from royalties and licensing agreements No Yes. Give specific information about them... 27. Licenses, franchises, and other general intangibles Examples: Building permits, exclusive licenses, cooperative association holdings, liquor licenses, professional licenses No Yes. Give specific information about them... Money or property owed to you? Current value of the portion you own? Do not deduct secured claims or exemptions. 28. Tax refunds owed to you No Yes. Give specific information about them, including whether you already filed the returns and the tax years....... 29. Family support Examples: Past due or lump sum alimony, spousal support, child support, maintenance, divorce settlement, property settlement No Yes. Give specific information...... 30. Other amounts someone owes you Examples: Unpaid wages, disability insurance payments, disability benefits, sick pay, vacation pay, workers’ compensation, Social Security benefits; unpaid loans you made to someone else No Yes. Give specific information.. 31. Interests in insurance policies Examples: Health, disability, or life insurance; health savings account (HSA); credit, homeowner’s, or renter’s insurance No Yes. Name the insurance company of each policy and list its value. Company name: Beneficiary: Surrender or refund value: 32. Any interest in property that is due you from someone who has died If you are the beneficiary of a living trust, expect proceeds from a life insurance policy, or are currently entitled to receive property because someone has died. No Yes. Give specific information.. 33. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment Examples: Accidents, employment disputes, insurance claims, or rights to sue No Yes. Describe each claim......... 34. Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and rights to set off claims No Yes. Describe each claim......... 35. Any financial assets you did not already list No Yes. Give specific information.. Official Form 106A/B Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Schedule A/B: Property page 4 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 14 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez 36. Add the dollar value of all of your entries from Part 4, including any entries for pages you have attached for Part 4. Write that number here..................................................................................................................... $0.00 Part 5: Describe Any Business-Related Property You Own or Have an Interest In. List any real estate in Part 1. 37. Do you own or have any legal or equitable interest in any business-related property? No. Go to Part 6. Yes. Go to line 38. Part 6: Describe Any Farm- and Commercial Fishing-Related Property You Own or Have an Interest In. If you own or have an interest in farmland, list it in Part 1. 46. Do you own or have any legal or equitable interest in any farm- or commercial fishing-related property? No. Go to Part 7. Yes. Go to line 47. Part 7: Describe All Property You Own or Have an Interest in That You Did Not List Above 53. Do you have other property of any kind you did not already list? Examples: Season tickets, country club membership No Yes. Give specific information......... 54. Add the dollar value of all of your entries from Part 7. Write that number here .................................... Part 8: $0.00 List the Totals of Each Part of this Form 55. Part 1: Total real estate, line 2 ...................................................................................................................... 56. Part 2: Total vehicles, line 5 57. Part 3: Total personal and household items, line 15 58. Part 4: Total financial assets, line 36 59. Part 5: Total business-related property, line 45 60. Part 6: Total farm- and fishing-related property, line 52 61. Part 7: Total other property not listed, line 54 + 62. Total personal property. Add lines 56 through 61... $23,506.00 63. Total of all property on Schedule A/B. Add line 55 + line 62 Official Form 106A/B Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com $0.00 $15,000.00 $8,506.00 $0.00 $0.00 $0.00 $0.00 Schedule A/B: Property Copy personal property total $23,506.00 $23,506.00 page 5 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 15 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106C Schedule C: The Property You Claim as Exempt 4/16 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Using the property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more space is needed, fill out and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write your name and case number (if known). For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a specific dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount of any applicable statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt retirement funds—may be unlimited in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that limits the exemption to a particular dollar amount and the value of the property is determined to exceed that amount, your exemption would be limited to the applicable statutory amount. Part 1: Identify the Property You Claim as Exempt 1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you. You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3) You are claiming federal exemptions. 11 U.S.C. § 522(b)(2) 2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below. Brief description of the property and line on Schedule A/B that lists this property Current value of the portion you own Amount of the exemption you claim Copy the value from Schedule A/B Check only one box for each exemption. Standard Furnishings:Standard furnishings: Living room: 2 sofas 100, table set 75, Fire Place 50, bar 100, entertainment center 300, lamp 10, picture frame 50. Kitchen table with 6 charis 75, 1 china cabinet, 100, 2 pantry caninets 50, stove 100, icebox 10 Line from Schedule A/B: 6.1 $6,366.00 42"tv 80, 2 alarm clock 10.00, 42" tv 150, 1 computer 100, playstation 150, laptop 100, 32 tv 100.00 cell phones 150 Line from Schedule A/B: 7.1 $840.00 $6,366.00 Specific laws that allow exemption 11 U.S.C. § 522(d)(3) 100% of fair market value, up to any applicable statutory limit $840.00 11 U.S.C. § 522(d)(3) 100% of fair market value, up to any applicable statutory limit 3. Are you claiming a homestead exemption of more than $160,375? (Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment.) No Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case? No Yes Official Form 106C Schedule C: The Property You Claim as Exempt Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 1 of 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 16 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, number the entries, and attach it to this form. On the top of any additional pages, write your name and case number (if known). 1. Do any creditors have claims secured by your property? No. Check this box and submit this form to the court with your other schedules. You have nothing else to report on this form. Yes. Fill in all of the information below. Part 1: List All Secured Claims 2. List all secured claims. If a creditor has more than one secured claim, list the creditor separately for each claim. If more than one creditor has a particular claim, list the other creditors in Part 2. As much as possible, list the claims in alphabetical order according to the creditor’s name. 2.1 Ally Financial Describe the property that secures the claim: Creditor's Name 2015 Ford Transit F 450 80,000 miles Attn: Bankruptcy Po Box 380901 Bloomington, MN 55438 Number, Street, City, State & Zip Code Column A Column B Column C Amount of claim Do not deduct the value of collateral. Value of collateral that supports this claim Unsecured portion If any $21,840.00 $15,000.00 $6,840.00 As of the date you file, the claim is: Check all that apply. Contingent Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. An agreement you made (such as mortgage or secured car loan) Debtor 1 only Debtor 2 only Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a community debt Other (including a right to offset) Date debt was incurred Opened 05/15 Last Active 3/27/18 Last 4 digits of account number 2616 Add the dollar value of your entries in Column A on this page. Write that number here: If this is the last page of your form, add the dollar value totals from all pages. Write that number here: Part 2: $21,840.00 $21,840.00 List Others to Be Notified for a Debt That You Already Listed Use this page only if you have others to be notified about your bankruptcy for a debt that you already listed in Part 1. For example, if a collection agency is trying to collect from you for a debt you owe to someone else, list the creditor in Part 1, and then list the collection agency here. Similarly, if you have more than one creditor for any of the debts that you listed in Part 1, list the additional creditors here. If you do not have additional persons to be notified for any debts in Part 1, do not fill out or submit this page. Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 1 of 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 17 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 12/15 Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY claims and Part 2 for creditors with NONPRIORITY claims. List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Property (Official Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not include any creditors with partially secured claims that are listed in Schedule D: Creditors Who Have Claims Secured by Property. If more space is needed, copy the Part you need, fill it out, number the entries in the boxes on the left. Attach the Continuation Page to this page. If you have no information to report in a Part, do not file that Part. On the top of any additional pages, write your name and case number (if known). Part 1: 1. List All of Your PRIORITY Unsecured Claims Do any creditors have priority unsecured claims against you? No. Go to Part 2. Yes. 2. List all of your priority unsecured claims. If a creditor has more than one priority unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. If a claim has both priority and nonpriority amounts, list that claim here and show both priority and nonpriority amounts. As much as possible, list the claims in alphabetical order according to the creditor’s name. If you have more than two priority unsecured claims, fill out the Continuation Page of Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3. (For an explanation of each type of claim, see the instructions for this form in the instruction booklet.) Total claim Internal Revenue Service 2.1 $189,000.0 0 Last 4 digits of account number Priority amount Nonpriority amount $189,000.00 $0.00 Priority Creditor's Name PO Box 7346 Philadelphia, PA 19101 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Type of PRIORITY unsecured claim: Debtor 1 and Debtor 2 only Domestic support obligations At least one of the debtors and another Check if this claim is for a community debt Taxes and certain other debts you owe the government Claims for death or personal injury while you were intoxicated Is the claim subject to offset? No Other. Specify 2017 Taxes Yes Part 2: 3. List All of Your NONPRIORITY Unsecured Claims Do any creditors have nonpriority unsecured claims against you? No. You have nothing to report in this part. Submit this form to the court with your other schedules. Yes. 4. List all of your nonpriority unsecured claims in the alphabetical order of the creditor who holds each claim. If a creditor has more than one nonpriority unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. Do not list claims already included in Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3.If you have more than three nonpriority unsecured claims fill out the Continuation Page of Part 2. Total claim Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com 52114 Page 1 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 18 of 59 Debtor 1 Viridiana Garcia Martinez 4.1 Case number (if know) Ad Astra Recovery Last 4 digits of account number 9234 7330 W 33rd Street N Ste 118 Wichita, KS 67205 When was the debt incurred? Opened 10/14/15 Last Active 4/21/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $314.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Angel Flores Collection Attorney Speedycash.Com 96-Tx Unknown Last 4 digits of account number Nonpriority Creditor's Name c/o Melissa Moore, Morre and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Capital One Last 4 digits of account number 4950 Attn: Bankruptcy Po Box 30285 Salt Lake City, UT 84130 When was the debt incurred? Opened 11/11 Last Active 3/13/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $743.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Credit Card Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 2 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 19 of 59 Debtor 1 Viridiana Garcia Martinez 4.4 Case number (if know) cash net usa Last 4 digits of account number 4912 175 West Jackson Suite 1000 Chicago, IL 60604 When was the debt incurred? 11/14/2017 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $1,025.29 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.5 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify cash net usa Last 4 digits of account number 4912 175 West Jackson Suite 1000 Chicago, IL 60604 When was the debt incurred? 11/14/2017 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $1,025.29 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.6 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Cesar Hernandez Last 4 digits of account number Unknown Nonpriority Creditor's Name c/o Melissa Moore, Moore & Associates 440 Louisanna St, Suite 675 Houston, TX 77002 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 3 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 20 of 59 Debtor 1 Viridiana Garcia Martinez 4.7 Case number (if know) Chase $600.00 Last 4 digits of account number Nonpriority Creditor's Name 340 S Clevland Ave Building 370 Westerville, OH 43081 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.8 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify City of Houston Unknown Last 4 digits of account number Nonpriority Creditor's Name PO Box 368 Houston, TX 77001 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.9 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify city of houston fire dept Last 4 digits of account number 6007 p.o. box 4945 houston, TX 77210 When was the debt incurred? 12/23/2016 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $1,210.50 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 4 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 21 of 59 Debtor 1 Viridiana Garcia Martinez 4.1 0 Case number (if know) Last 4 digits of account number 4563 Attn: Bankruptcy Dept Po Box 182125 Columbus, OH 45318 When was the debt incurred? Opened 06/17 Last Active 03/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Comenity Bank/Victoria Secret $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 1 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Charge Account Last 4 digits of account number 1236 Attn: Bankruptcy Po Box 2358 Beaumont, TX 77704 When was the debt incurred? Opened 04/16 Last Active 2/22/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Conn's HomePlus $3,913.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 2 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Deborah Rivera Secured Last 4 digits of account number Unknown Nonpriority Creditor's Name c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 5 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 22 of 59 Debtor 1 Viridiana Garcia Martinez 4.1 3 Case number (if know) Last 4 digits of account number 4005 2727 Lyndon B Johnson Fwy Dallas, TX 75234 When was the debt incurred? Opened 10/17 Last Active 1/29/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Famsa Inc $1,328.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 4 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Unsecured Last 4 digits of account number 2069 Bankruptcy Dept 6250 Ridgewood Rd Saint Cloud, MN 56303 When was the debt incurred? Opened 07/12 Last Active 6/15/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Fingerhut $493.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 5 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Charge Account Last 4 digits of account number 0559 Po Box 4477 Beaverton, OR 97076 When was the debt incurred? Opened 09/17 Last Active 3/12/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Genesis Bankcard Services $173.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Credit Card Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 6 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 23 of 59 Debtor 1 Viridiana Garcia Martinez 4.1 6 Case number (if know) Last 4 digits of account number 3063 Attn: Bankruptcy 4839 N Elston Ave. Chicago, IL 60630 When was the debt incurred? Opened 11/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Harvard Collection $64.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 7 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Collection Attorney Bucking Horse Emerg Phys Llc Last 4 digits of account number 3064 Attn: Bankruptcy 4839 N Elston Ave. Chicago, IL 60630 When was the debt incurred? Opened 11/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Harvard Collection $42.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.1 8 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Collection Attorney Bucking Horse Emerg Phys Llc Last 4 digits of account number 1130 Attention Bankruptcy 203 E Emma Ave Ste A Springdale, AR 72764 When was the debt incurred? Opened 4/28/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply HC Processing Center $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Credit Card Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 7 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 24 of 59 Debtor 1 Viridiana Garcia Martinez 4.1 9 Case number (if know) Laura Lozoya Unknown Last 4 digits of account number Nonpriority Creditor's Name c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 0 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Lincoln Automotive Financial Service Last 4 digits of account number 8794 Attn: Bankruptcy Po Box 542000 Omaha, NE 68154 When was the debt incurred? Opened 04/15 Last Active 3/28/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply $3,541.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 1 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Automobile Last 4 digits of account number 2518 Po Box 1629 Maryland Heights, MO 63043 When was the debt incurred? Opened 09/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Medicredit Inc. $934.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Collection Attorney Bayshore Medical Ctr E Housto Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 8 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 25 of 59 Debtor 1 Viridiana Garcia Martinez 4.2 2 Case number (if know) Last 4 digits of account number 2056 Po Box 1629 Maryland Heights, MO 63043 When was the debt incurred? Opened 10/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Medicredit Inc. $909.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 3 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Collection Attorney Bayshore Medical Ctr E Housto Last 4 digits of account number 2314 Po Box 1629 Maryland Heights, MO 63043 When was the debt incurred? Opened 09/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Medicredit Inc. $486.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 4 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Collection Attorney Bayshore Medical Ctr E Housto Last 4 digits of account number 4209 1112 7th avenue monroe, WI 53566 When was the debt incurred? Date Opened: 02/5/2018 Last Used: 02/5/2018 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply montgomery ward $515.75 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 9 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 26 of 59 Debtor 1 Viridiana Garcia Martinez 4.2 5 Case number (if know) Last 4 digits of account number 0200 413 Bastrop St Houston, TX 77003 When was the debt incurred? Opened 08/17 Last Active 3/30/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Peoples Trust Federal $39,876.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 6 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Automobile Last 4 digits of account number 9601 7118 Maynardville Pike Houston, TX 77022 When was the debt incurred? Opened 1/13/15 Last Active 6/19/15 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Regional Fin $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 7 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Unsecured Last 4 digits of account number 8709 1628 Dekalb Ave Sycamore, IL 60178 When was the debt incurred? Opened 09/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Rozlin Financial Group $1,558.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Collection Attorney St Joseph Med Center J Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 10 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 27 of 59 Debtor 1 Viridiana Garcia Martinez 4.2 8 Case number (if know) Sally A Martinez Unknown Last 4 digits of account number Nonpriority Creditor's Name c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.2 9 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Last 4 digits of account number 5552 2504 BuildingAmerica drive hampton, VA 23666 When was the debt incurred? 09/11/2017 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply special financing company llc $5,227.94 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 0 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Last 4 digits of account number 4043 Attn: Bankruptcy Dept Po Box 965060 Orlando, FL 32896 When was the debt incurred? Opened 09/17 Last Active 11/21/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Synchrony Bank $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Charge Account Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 11 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 28 of 59 Debtor 1 Viridiana Garcia Martinez 4.3 1 Case number (if know) Last 4 digits of account number 5841 Attn: Bankruptcy Dept Po Box 965061 Orlando, FL 32896 When was the debt incurred? Opened 10/13 Last Active 5/05/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Synchrony Bank/Care Credit $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 2 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Charge Account Last 4 digits of account number 1868 Attn: Bankruptcy Po Box 965060 Orlando, FL 32896 When was the debt incurred? Opened 04/08 Last Active 2/23/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Synchrony Bank/Sams $1,181.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 3 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Charge Account Last 4 digits of account number 8179 Attn: Bankruptcy Dept Po Box 965060 Orlando, FL 32896 When was the debt incurred? Opened 04/18 Last Active 04/18 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Synchrony Bank/Walmart $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Charge Account Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 12 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 29 of 59 Debtor 1 Viridiana Garcia Martinez 4.3 4 Case number (if know) Last 4 digits of account number 2977 p.o. box 4494 HOUSTON, TX 77210 When was the debt incurred? 04/12/2017 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply texas children hospital $767.79 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 5 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Last 4 digits of account number 3946 p.o. box 4494 HOUSTON, TX 77210 When was the debt incurred? 04/19/2017 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply texas children hospital $591.59 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 6 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Texas Workforce Commission Last 4 digits of account number $1,239.33 Nonpriority Creditor's Name 101 E 15th St Austin, TX 78778 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Quarterly Report Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 13 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 30 of 59 Debtor 1 Viridiana Garcia Martinez 4.3 7 Case number (if know) Last 4 digits of account number 6287 Attn: Compliance Dept Po Box 15630 Wilmington, DE 19850 When was the debt incurred? Opened 04/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Transworld Sys Inc/33 $1,957.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 8 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Collection Attorney Bucking Horse Er Phys Llc Last 4 digits of account number 4652 Attn: Compliance Dept Po Box 15630 Wilmington, DE 19850 When was the debt incurred? Opened 10/16 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Transworld Sys Inc/33 $1,863.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? 4.3 9 Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Vernon Capital Grp LLC Collection Attorney Bucking Horse Er Phys Llc Last 4 digits of account number $91,077.39 Nonpriority Creditor's Name c/o Law Office of Nosson T. Abrams 30 Wallstreet 8th Floor New York, NY 10005 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Disputed Debtor 1 and Debtor 2 only At least one of the debtors and another Check if this claim is for a community debt Is the claim subject to offset? Type of NONPRIORITY unsecured claim: Student loans Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 14 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 31 of 59 Debtor 1 Viridiana Garcia Martinez 4.4 0 Case number (if know) wellsfargo $109.93 Last 4 digits of account number Nonpriority Creditor's Name po box 5058 portland, OR 97208 When was the debt incurred? Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Is the claim subject to offset? 4.4 1 Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Last 4 digits of account number 5130 Customer Care Po Box 76809 Los Angeles, CA 90054 When was the debt incurred? Opened 04/16 Last Active 9/11/17 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Westlake Financial Services $0.00 Nonpriority Creditor's Name Who incurred the debt? Check one. Debtor 1 only Contingent Debtor 2 only Unliquidated Debtor 1 and Debtor 2 only Disputed Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Is the claim subject to offset? Part 3: Obligations arising out of a separation agreement or divorce that you did not report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify Automobile List Others to Be Notified About a Debt That You Already Listed 5. Use this page only if you have others to be notified about your bankruptcy, for a debt that you already listed in Parts 1 or 2. For example, if a collection agency is trying to collect from you for a debt you owe to someone else, list the original creditor in Parts 1 or 2, then list the collection agency here. Similarly, if you have more than one creditor for any of the debts that you listed in Parts 1 or 2, list the additional creditors here. If you do not have additional persons to be notified for any debts in Parts 1 or 2, do not fill out or submit this page. Name and Address digitech computer inc 480 bedford road bldg 600, 2nd floor chappaqua, NY 10514 On which entry in Part 1 or Part 2 did you list the original creditor? Line 4.9 of (Check one): Part 1: Creditors with Priority Unsecured Claims Part 2: Creditors with Nonpriority Unsecured Claims Last 4 digits of account number Name and Address financial corporation of america 12515 research blvd bldg 2 suite 100 austin, TX 78759 On which entry in Part 1 or Part 2 did you list the original creditor? Line 4.34 of (Check one): Part 1: Creditors with Priority Unsecured Claims Part 2: Creditors with Nonpriority Unsecured Claims Last 4 digits of account number Name and Address financial corporation of america 12515 research blvd bldg 2 suite 100 austin, TX 78759 2977 On which entry in Part 1 or Part 2 did you list the original creditor? Line 4.35 of (Check one): Part 1: Creditors with Priority Unsecured Claims Part 2: Creditors with Nonpriority Unsecured Claims Last 4 digits of account number Part 4: 6007 3946 Add the Amounts for Each Type of Unsecured Claim Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 15 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 32 of 59 Debtor 1 Viridiana Garcia Martinez Case number (if know) 6. Total the amounts of certain types of unsecured claims. This information is for statistical reporting purposes only. 28 U.S.C. §159. Add the amounts for each type of unsecured claim. Total Claim 6a. Total claims from Part 1 Domestic support obligations 6a. $ 0.00 6b. Taxes and certain other debts you owe the government 6b. $ 6c. Claims for death or personal injury while you were intoxicated 6c. $ 6d. Other. Add all other priority unsecured claims. Write that amount here. 6d. $ 189,000.00 0.00 0.00 6e. Total Priority. Add lines 6a through 6d. 6e. $ 189,000.00 6f. Student loans 6f. $ 0.00 6g. Obligations arising out of a separation agreement or divorce that you did not report as priority claims Debts to pension or profit-sharing plans, and other similar debts 6g. 6h. $ $ 0.00 0.00 $ 162,765.80 $ 162,765.80 Total Claim Total claims from Part 2 6h. Official Form 106 E/F 6i. Other. Add all other nonpriority unsecured claims. Write that amount here. 6i. 6j. Total Nonpriority. Add lines 6f through 6i. 6j. Schedule E/F: Creditors Who Have Unsecured Claims Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 16 of 16 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 33 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106G Schedule G: Executory Contracts and Unexpired Leases 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the additional page, fill it out, number the entries, and attach it to this page. On the top of any additional pages, write your name and case number (if known). 1. Do you have any executory contracts or unexpired leases? No. Check this box and file this form with the court with your other schedules. You have nothing else to report on this form. Yes. Fill in all of the information below even if the contacts of leases are listed on Schedule A/B:Property (Official Form 106 A/B). 2. List separately each person or company with whom you have the contract or lease. Then state what each contract or lease is for (for example, rent, vehicle lease, cell phone). See the instructions for this form in the instruction booklet for more examples of executory contracts and unexpired leases. Person or company with whom you have the contract or lease State what the contract or lease is for Name, Number, Street, City, State and ZIP Code 2.1 Name Number Street City State ZIP Code State ZIP Code State ZIP Code State ZIP Code State ZIP Code 2.2 Name Number Street City 2.3 Name Number Street City 2.4 Name Number Street City 2.5 Name Number City Official Form 106G Street Schedule G: Executory Contracts and Unexpired Leases Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Page 1 of 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 34 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106H Schedule H: Your Codebtors 12/15 Codebtors are people or entities who are also liable for any debts you may have. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, and number the entries in the boxes on the left. Attach the Additional Page to this page. On the top of any Additional Pages, write your name and case number (if known). Answer every question. 1. Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor. No Yes 2. Within the last 8 years, have you lived in a community property state or territory? (Community property states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.) No. Go to line 3. Yes. Did your spouse, former spouse, or legal equivalent live with you at the time? 3. In Column 1, list all of your codebtors. Do not include your spouse as a codebtor if your spouse is filing with you. List the person shown in line 2 again as a codebtor only if that person is a guarantor or cosigner. Make sure you have listed the creditor on Schedule D (Official Form 106D), Schedule E/F (Official Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D, Schedule E/F, or Schedule G to fill out Column 2. Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apply: Name, Number, Street, City, State and ZIP Code 3.1 Schedule D, line Schedule E/F, line Schedule G, line Name Number Street City State ZIP Code 3.2 Schedule D, line Schedule E/F, line Schedule G, line Name Number City Street State Official Form 106H Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com ZIP Code Schedule H: Your Codebtors Page 1 of 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 35 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number Check if this is: An amended filing A supplement showing postpetition chapter 13 income as of the following date: (If known) Official Form 106I Schedule I: Your Income MM / DD/ YYYY 12/15 Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for supplying correct information. If you are married and not filing jointly, and your spouse is living with you, include information about your spouse. If you are separated and your spouse is not filing with you, do not include information about your spouse. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: 1. Describe Employment Fill in your employment information. If you have more than one job, attach a separate page with information about additional employers. Include part-time, seasonal, or self-employed work. Occupation may include student or homemaker, if it applies. Debtor 1 Debtor 2 or non-filing spouse Employed Employed Not employed Not employed Employment status Occupation Unemployed Manager Employer's name KRC, Inc Employer's address 6101 Lyons Ave Houston, TX 77020 How long employed there? Part 2: 5months Give Details About Monthly Income Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing spouse unless you are separated. If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need more space, attach a separate sheet to this form. For Debtor 1 For Debtor 2 or non-filing spouse 2. List monthly gross wages, salary, and commissions (before all payroll deductions). If not paid monthly, calculate what the monthly wage would be. 2. $ 0.00 $ 3. Estimate and list monthly overtime pay. 3. +$ 0.00 +$ 4. Calculate gross Income. Add line 2 + line 3. 4. $ Official Form 106I Schedule I: Your Income 0.00 3,400.00 $ 0.00 3,400.00 page 1 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 36 of 59 Debtor 1 Viridiana Garcia Martinez Case number (if known) For Debtor 1 Copy line 4 here 5. 4. $ 0.00 For Debtor 2 or non-filing spouse $ 3,400.00 5a. 5b. 5c. 5d. 5e. 5f. 5g. 5h.+ $ $ $ $ $ $ $ $ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 + $ $ $ $ $ $ $ $ 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 List all payroll deductions: 5a. 5b. 5c. 5d. 5e. 5f. 5g. 5h. Tax, Medicare, and Social Security deductions Mandatory contributions for retirement plans Voluntary contributions for retirement plans Required repayments of retirement fund loans Insurance Domestic support obligations Union dues Other deductions. Specify: 6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 0.00 $ 0.00 7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 0.00 $ 3,400.00 8. List all other income regularly received: 8a. Net income from rental property and from operating a business, profession, or farm Attach a statement for each property and business showing gross receipts, ordinary and necessary business expenses, and the total monthly net income. 8b. Interest and dividends 8c. Family support payments that you, a non-filing spouse, or a dependent regularly receive Include alimony, spousal support, child support, maintenance, divorce settlement, and property settlement. 8d. Unemployment compensation 8e. Social Security 8f. Other government assistance that you regularly receive Include cash assistance and the value (if known) of any non-cash assistance that you receive, such as food stamps (benefits under the Supplemental Nutrition Assistance Program) or housing subsidies. Specify: 8g. Pension or retirement income 8h. Other monthly income. Specify: 8a. 8b. $ $ 0.00 0.00 $ $ 0.00 0.00 8c. 8d. 8e. $ $ $ 0.00 0.00 0.00 $ $ $ 0.00 0.00 0.00 8f. $ 8g. $ 8h.+ $ $ 0.00 $ 0.00 0.00 + $ 0.00 0.00 0.00 9. 0.00 9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 10. Calculate monthly income. Add line 7 + line 9. Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse. 10. $ $ 0.00 + $ $ 0.00 3,400.00 = $ 3,400.00 11. State all other regular contributions to the expenses that you list in Schedule J. Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and other friends or relatives. Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J. Specify: 11. +$ 0.00 12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income. Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it applies 12. $ 3,400.00 Combined monthly income 13. Do you expect an increase or decrease within the year after you file this form? No. Yes. Explain: Official Form 106I Schedule I: Your Income page 2 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 37 of 59 Fill in this information to identify your case: Debtor 1 Check if this is: An amended filing A supplement showing postpetition chapter 13 expenses as of the following date: Viridiana Garcia Martinez Debtor 2 (Spouse, if filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS MM / DD / YYYY Case number (If known) Official Form 106J Schedule J: Your Expenses 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Your Household 1. Is this a joint case? No. Go to line 2. Yes. Does Debtor 2 live in a separate household? No Yes. Debtor 2 must file Official Form 106J-2, Expenses for Separate Household of Debtor 2. 2. Do you have dependents? No Do not list Debtor 1 and Debtor 2. Yes. Fill out this information for each dependent.............. Do your expenses include expenses of people other than yourself and your dependents? Dependent’s age Does dependent live with you? son 8 Yes No son 11 Yes No Daughter 17 Yes No Yes No Do not state the dependents names. 3. Dependent’s relationship to Debtor 1 or Debtor 2 No Yes Part 2: Estimate Your Ongoing Monthly Expenses Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the applicable date. Include expenses paid for with non-cash government assistance if you know the value of such assistance and have included it on Schedule I: Your Income (Official Form 106I.) 4. The rental or home ownership expenses for your residence. Include first mortgage payments and any rent for the ground or lot. Your expenses 4. $ 500.00 If not included in line 4: 5. 4a. Real estate taxes 4b. Property, homeowner’s, or renter’s insurance 4c. Home maintenance, repair, and upkeep expenses 4d. Homeowner’s association or condominium dues Additional mortgage payments for your residence, such as home equity loans Official Form 106J Schedule J: Your Expenses 4a. 4b. 4c. 4d. 5. $ $ $ $ $ 0.00 0.00 0.00 0.00 0.00 page 1 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 38 of 59 Debtor 1 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. Viridiana Garcia Martinez Case number (if known) Utilities: 6a. Electricity, heat, natural gas 6a. $ 6b. Water, sewer, garbage collection 6b. $ 6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 6d. Other. Specify: 6d. $ Food and housekeeping supplies 7. $ Childcare and children’s education costs 8. $ Clothing, laundry, and dry cleaning 9. $ Personal care products and services 10. $ Medical and dental expenses 11. $ Transportation. Include gas, maintenance, bus or train fare. 12. $ Do not include car payments. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $ Charitable contributions and religious donations 14. $ Insurance. Do not include insurance deducted from your pay or included in lines 4 or 20. 15a. Life insurance 15a. $ 15b. Health insurance 15b. $ 15c. Vehicle insurance 15c. $ 15d. Other insurance. Specify: 15d. $ Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20. Specify: 16. $ Installment or lease payments: 17a. Car payments for Vehicle 1 17a. $ 17b. Car payments for Vehicle 2 17b. $ 17c. Other. Specify: 17c. $ 17d. Other. Specify: 17d. $ Your payments of alimony, maintenance, and support that you did not report as 18. $ deducted from your pay on line 5, Schedule I, Your Income (Official Form 106I). Other payments you make to support others who do not live with you. $ Specify: 19. Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income. 20a. Mortgages on other property 20a. $ 20b. Real estate taxes 20b. $ 20c. Property, homeowner’s, or renter’s insurance 20c. $ 20d. Maintenance, repair, and upkeep expenses 20d. $ 20e. Homeowner’s association or condominium dues 20e. $ Other: Specify: 21. +$ 22. Calculate your monthly expenses 22a. Add lines 4 through 21. 22b. Copy line 22 (monthly expenses for Debtor 2), if any, from Official Form 106J-2 22c. Add line 22a and 22b. The result is your monthly expenses. 23. Calculate your monthly net income. 23a. Copy line 12 (your combined monthly income) from Schedule I. 23b. Copy your monthly expenses from line 22c above. 23c. Subtract your monthly expenses from your monthly income. The result is your monthly net income. 180.00 110.00 384.00 0.00 600.00 0.00 290.00 80.00 60.00 150.00 125.00 0.00 239.00 0.00 225.00 0.00 0.00 785.00 681.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 $ $ 4,409.00 $ 4,409.00 23a. $ 23b. -$ 3,400.00 4,409.00 23c. $ -1,009.00 24. Do you expect an increase or decrease in your expenses within the year after you file this form? For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a modification to the terms of your mortgage? No. Yes. Official Form 106J Explain here: Schedule J: Your Expenses page 2 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 39 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 106Dec Declaration About an Individual Debtor's Schedules 12/15 If two married people are filing together, both are equally responsible for supplying correct information. You must file this form whenever you file bankruptcy schedules or amended schedules. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Sign Below Did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms? No Yes. Name of person Attach Bankruptcy Petition Preparer’s Notice, Declaration, and Signature (Official Form 119) Under penalty of perjury, I declare that I have read the summary and schedules filed with this declaration and that they are true and correct. X /s/ Viridiana Garcia Martinez X Signature of Debtor 2 Viridiana Garcia Martinez Signature of Debtor 1 Date Date May 23, 2018 Official Form 106Dec Declaration About an Individual Debtor's Schedules Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 40 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) SOUTHERN DISTRICT OF TEXAS United States Bankruptcy Court for the: Case number (if known) Check if this is an amended filing Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy 4/16 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: 1. Give Details About Your Marital Status and Where You Lived Before What is your current marital status? Married Not married 2. During the last 3 years, have you lived anywhere other than where you live now? No Yes. List all of the places you lived in the last 3 years. Do not include where you live now. Debtor 1 Prior Address: Dates Debtor 1 lived there Debtor 2 Prior Address: Dates Debtor 2 lived there 3. Within the last 8 years, did you ever live with a spouse or legal equivalent in a community property state or territory? (Community property states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington and Wisconsin.) No Yes. Make sure you fill out Schedule H: Your Codebtors (Official Form 106H). Part 2 4. Explain the Sources of Your Income Did you have any income from employment or from operating a business during this year or the two previous calendar years? Fill in the total amount of income you received from all jobs and all businesses, including part-time activities. If you are filing a joint case and you have income that you receive together, list it only once under Debtor 1. No Yes. Fill in the details. Debtor 1 Sources of income Check all that apply. Official Form 107 Debtor 2 Gross income (before deductions and exclusions) Sources of income Check all that apply. Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Gross income (before deductions and exclusions) page 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 41 of 59 Debtor 1 5. Case number (if known) Viridiana Garcia Martinez Did you receive any other income during this year or the two previous calendar years? Include income regardless of whether that income is taxable. Examples of other income are alimony; child support; Social Security, unemployment, and other public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and gambling and lottery winnings. If you are filing a joint case and you have income that you received together, list it only once under Debtor 1. List each source and the gross income from each source separately. Do not include income that you listed in line 4. No Yes. Fill in the details. Debtor 1 Sources of income Describe below. Part 3: 6. Gross income from each source (before deductions and exclusions) Debtor 2 Sources of income Describe below. Gross income (before deductions and exclusions) List Certain Payments You Made Before You Filed for Bankruptcy Are either Debtor 1’s or Debtor 2’s debts primarily consumer debts? No. Neither Debtor 1 nor Debtor 2 has primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101(8) as “incurred by an individual primarily for a personal, family, or household purpose.” During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $6,425* or more? No. Go to line 7. Yes List below each creditor to whom you paid a total of $6,425* or more in one or more payments and the total amount you paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to an attorney for this bankruptcy case. * Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment. Yes. Debtor 1 or Debtor 2 or both have primarily consumer debts. During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $600 or more? No. Go to line 7. Yes List below each creditor to whom you paid a total of $600 or more and the total amount you paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to an attorney for this bankruptcy case. Creditor's Name and Address 7. Dates of payment Total amount paid Amount you still owe Was this payment for ... Within 1 year before you filed for bankruptcy, did you make a payment on a debt you owed anyone who was an insider? Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; corporations of which you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, such as child support and alimony. No Yes. List all payments to an insider. Insider's Name and Address 8. Dates of payment Total amount paid Amount you still owe Reason for this payment Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited an insider? Include payments on debts guaranteed or cosigned by an insider. No Yes. List all payments to an insider Insider's Name and Address Official Form 107 Dates of payment Total amount paid Amount you still owe Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Reason for this payment Include creditor's name page 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 42 of 59 Debtor 1 Part 4: 9. Case number (if known) Viridiana Garcia Martinez Identify Legal Actions, Repossessions, and Foreclosures Within 1 year before you filed for bankruptcy, were you a party in any lawsuit, court action, or administrative proceeding? List all such matters, including personal injury cases, small claims actions, divorces, collection suits, paternity actions, support or custody modifications, and contract disputes. No Yes. Fill in the details. Case title Case number Nature of the case Court or agency Status of the case 10. Within 1 year before you filed for bankruptcy, was any of your property repossessed, foreclosed, garnished, attached, seized, or levied? Check all that apply and fill in the details below. No. Go to line 11. Yes. Fill in the information below. Creditor Name and Address Describe the Property Date Value of the property Explain what happened 11. Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your accounts or refuse to make a payment because you owed a debt? No Yes. Fill in the details. Creditor Name and Address Describe the action the creditor took Date action was taken Amount 12. Within 1 year before you filed for bankruptcy, was any of your property in the possession of an assignee for the benefit of creditors, a court-appointed receiver, a custodian, or another official? No Yes Part 5: List Certain Gifts and Contributions 13. Within 2 years before you filed for bankruptcy, did you give any gifts with a total value of more than $600 per person? No Yes. Fill in the details for each gift. Gifts with a total value of more than $600 per person Describe the gifts Dates you gave the gifts Value Person to Whom You Gave the Gift and Address: 14. Within 2 years before you filed for bankruptcy, did you give any gifts or contributions with a total value of more than $600 to any charity? No Yes. Fill in the details for each gift or contribution. Gifts or contributions to charities that total more than $600 Charity's Name Address (Number, Street, City, State and ZIP Code) Part 6: Describe what you contributed Dates you contributed Value List Certain Losses 15. Within 1 year before you filed for bankruptcy or since you filed for bankruptcy, did you lose anything because of theft, fire, other disaster, or gambling? No Yes. Fill in the details. Describe the property you lost and how the loss occurred Official Form 107 Describe any insurance coverage for the loss Include the amount that insurance has paid. List pending insurance claims on line 33 of Schedule A/B: Property. Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Date of your loss Value of property lost page 3 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 43 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez Part 7: List Certain Payments or Transfers 16. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone you consulted about seeking bankruptcy or preparing a bankruptcy petition? Include any attorneys, bankruptcy petition preparers, or credit counseling agencies for services required in your bankruptcy. No Yes. Fill in the details. Person Who Was Paid Address Email or website address Person Who Made the Payment, if Not You Description and value of any property transferred Date payment or transfer was made Hoff Law Offices, P.C. 14 Inverness Drive E. H-236 Englewood, CO 80112 Amount of payment $1,500.00 Abacus 04/10/2018 $24.00 17. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone who promised to help you deal with your creditors or to make payments to your creditors? Do not include any payment or transfer that you listed on line 16. No Yes. Fill in the details. Person Who Was Paid Address Description and value of any property transferred Date payment or transfer was made Amount of payment 18. Within 2 years before you filed for bankruptcy, did you sell, trade, or otherwise transfer any property to anyone, other than property transferred in the ordinary course of your business or financial affairs? Include both outright transfers and transfers made as security (such as the granting of a security interest or mortgage on your property). Do not include gifts and transfers that you have already listed on this statement. No Yes. Fill in the details. Person Who Received Transfer Address Description and value of property transferred Describe any property or payments received or debts paid in exchange Date transfer was made Person's relationship to you 19. Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you are a beneficiary? (These are often called asset-protection devices.) No Yes. Fill in the details. Name of trust Part 8: Description and value of the property transferred Date Transfer was made List of Certain Financial Accounts, Instruments, Safe Deposit Boxes, and Storage Units 20. Within 1 year before you filed for bankruptcy, were any financial accounts or instruments held in your name, or for your benefit, closed, sold, moved, or transferred? Include checking, savings, money market, or other financial accounts; certificates of deposit; shares in banks, credit unions, brokerage houses, pension funds, cooperatives, associations, and other financial institutions. No Yes. Fill in the details. Name of Financial Institution and Address (Number, Street, City, State and ZIP Last 4 digits of account number Code) Official Form 107 Type of account or instrument Date account was closed, sold, moved, or transferred Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Last balance before closing or transfer page 4 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 44 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez 21. Do you now have, or did you have within 1 year before you filed for bankruptcy, any safe deposit box or other depository for securities, cash, or other valuables? No Yes. Fill in the details. Name of Financial Institution Address (Number, Street, City, State and ZIP Code) Who else had access to it? Address (Number, Street, City, Describe the contents Do you still have it? State and ZIP Code) 22. Have you stored property in a storage unit or place other than your home within 1 year before you filed for bankruptcy? No Yes. Fill in the details. Name of Storage Facility Address (Number, Street, City, State and ZIP Code) Who else has or had access to it? Address (Number, Street, City, Describe the contents Do you still have it? State and ZIP Code) Part 9: Identify Property You Hold or Control for Someone Else 23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, or hold in trust for someone. No Yes. Fill in the details. Owner's Name Address (Number, Street, City, State and ZIP Code) Part 10: Where is the property? Describe the property Value (Number, Street, City, State and ZIP Code) Give Details About Environmental Information For the purpose of Part 10, the following definitions apply: Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of hazardous or toxic substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, including statutes or regulations controlling the cleanup of these substances, wastes, or material. Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize it or used to own, operate, or utilize it, including disposal sites. Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, contaminant, or similar term. Report all notices, releases, and proceedings that you know about, regardless of when they occurred. 24. Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law? No Yes. Fill in the details. Name of site Address (Number, Street, City, State and ZIP Code) Governmental unit Address (Number, Street, City, State and Environmental law, if you know it Date of notice Environmental law, if you know it Date of notice ZIP Code) 25. Have you notified any governmental unit of any release of hazardous material? No Yes. Fill in the details. Name of site Address (Number, Street, City, State and ZIP Code) Governmental unit Address (Number, Street, City, State and ZIP Code) Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 5 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 45 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez 26. Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders. No Yes. Fill in the details. Case Title Case Number Court or agency Name Address (Number, Street, City, Nature of the case Status of the case State and ZIP Code) Part 11: Give Details About Your Business or Connections to Any Business 27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business? A sole proprietor or self-employed in a trade, profession, or other activity, either full-time or part-time A member of a limited liability company (LLC) or limited liability partnership (LLP) A partner in a partnership An officer, director, or managing executive of a corporation An owner of at least 5% of the voting or equity securities of a corporation No. None of the above applies. Go to Part 12. Yes. Check all that apply above and fill in the details below for each business. Business Name Address Describe the nature of the business Employer Identification number Do not include Social Security number or ITIN. (Number, Street, City, State and ZIP Code) Name of accountant or bookkeeper JBM Janitorial Maintenance, Inc 7002 Hillsboro St Houston, TX 77020 Janitorial EIN: 45-4920711 Mary Ann Guillen From-To 4/2012-Present Dates business existed 28. Within 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial institutions, creditors, or other parties. No Yes. Fill in the details below. Name Address Date Issued (Number, Street, City, State and ZIP Code) Part 12: Sign Below I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the answers are true and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. /s/ Viridiana Garcia Martinez Viridiana Garcia Martinez Signature of Debtor 2 Signature of Debtor 1 Date Date May 23, 2018 Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)? No Yes Did you pay or agree to pay someone who is not an attorney to help you fill out bankruptcy forms? No Yes. Name of Person Official Form 107 . Attach the Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119). Statement of Financial Affairs for Individuals Filing for Bankruptcy Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 6 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 46 of 59 Fill in this information to identify your case: Debtor 1 Viridiana Garcia Martinez First Name Middle Name Last Name First Name Middle Name Last Name Debtor 2 (Spouse if, filing) United States Bankruptcy Court for the: SOUTHERN DISTRICT OF TEXAS Case number (if known) Check if this is an amended filing Official Form 108 Statement of Intention for Individuals Filing Under Chapter 7 12/15 If you are an individual filing under chapter 7, you must fill out this form if: creditors have claims secured by your property, or you have leased personal property and the lease has not expired. You must file this form with the court within 30 days after you file your bankruptcy petition or by the date set for the meeting of creditors, whichever is earlier, unless the court extends the time for cause. You must also send copies to the creditors and lessors you list on the form If two married people are filing together in a joint case, both are equally responsible for supplying correct information. Both debtors must sign and date the form. Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Part 1: List Your Creditors Who Have Secured Claims 1. For any creditors that you listed in Part 1 of Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D), fill in the information below. Identify the creditor and the property that is collateral What do you intend to do with the property that Did you claim the property secures a debt? as exempt on Schedule C? Creditor's name: Description of property securing debt: Creditor's name: Description of property securing debt: Creditor's name: Description of property securing debt: Creditor's Official Form 108 Surrender the property. Retain the property and redeem it. Retain the property and enter into a Reaffirmation Agreement. Retain the property and [explain]: No Surrender the property. Retain the property and redeem it. Retain the property and enter into a Reaffirmation Agreement. Retain the property and [explain]: No Surrender the property. Retain the property and redeem it. Retain the property and enter into a Reaffirmation Agreement. Retain the property and [explain]: No Surrender the property. No Statement of Intention for Individuals Filing Under Chapter 7 Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Yes Yes Yes page 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 47 of 59 Debtor 1 Case number (if known) Viridiana Garcia Martinez name: Retain the property and redeem it. Retain the property and enter into a Reaffirmation Agreement. Retain the property and [explain]: Description of property securing debt: Yes Part 2: List Your Unexpired Personal Property Leases For any unexpired personal property lease that you listed in Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G), fill in the information below. Do not list real estate leases. Unexpired leases are leases that are still in effect; the lease period has not yet ended. You may assume an unexpired personal property lease if the trustee does not assume it. 11 U.S.C. § 365(p)(2). Describe your unexpired personal property leases Will the lease be assumed? Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Lessor's name: Description of leased Property: No Part 3: Yes Yes Yes Yes Yes Yes Yes Sign Below Under penalty of perjury, I declare that I have indicated my intention about any property of my estate that secures a debt and any personal property that is subject to an unexpired lease. X /s/ Viridiana Garcia Martinez Viridiana Garcia Martinez X Signature of Debtor 2 Signature of Debtor 1 Date Date May 23, 2018 Official Form 108 Statement of Intention for Individuals Filing Under Chapter 7 Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 48 of 59 Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Chapter 7: Liquidation This notice is for you if: $245 You are an individual filing for bankruptcy, and Your debts are primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101(8) as “incurred by an individual primarily for a personal, family, or household purpose.” The types of bankruptcy that are available to individuals Individuals who meet the qualifications may file under one of four different chapters of Bankruptcy Code: Chapter 7 - Liquidation Chapter 11 - Reorganization Chapter 12 - Voluntary repayment plan for family farmers or fishermen Chapter 13 - Voluntary repayment plan for individuals with regular income You should have an attorney review your decision to file for bankruptcy and the choice of chapter. + filing fee $75 administrative fee $15 trustee surcharge $335 total fee Chapter 7 is for individuals who have financial difficulty preventing them from paying their debts and who are willing to allow their nonexempt property to be used to pay their creditors. The primary purpose of filing under chapter 7 is to have your debts discharged. The bankruptcy discharge relieves you after bankruptcy from having to pay many of your pre-bankruptcy debts. Exceptions exist for particular debts, and liens on property may still be enforced after discharge. For example, a creditor may have the right to foreclose a home mortgage or repossess an automobile. However, if the court finds that you have committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny your discharge. You should know that even if you file chapter 7 and you receive a discharge, some debts are not discharged under the law. Therefore, you may still be responsible to pay: most taxes; most student loans; domestic support and property settlement obligations; Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 1 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 49 of 59 most fines, penalties, forfeitures, and criminal restitution obligations; and certain debts that are not listed in your bankruptcy papers. You may also be required to pay debts arising from: fraud or theft; fraud or defalcation while acting in breach of fiduciary capacity; intentional injuries that you inflicted; and death or personal injury caused by operating a motor vehicle, vessel, or aircraft while intoxicated from alcohol or drugs. If your debts are primarily consumer debts, the court can dismiss your chapter 7 case if it finds that you have enough income to repay creditors a certain amount. You must file Chapter 7 Statement of Your Current Monthly Income (Official Form 122A–1) if you are an individual filing for bankruptcy under chapter 7. This form will determine your current monthly income and compare whether your income is more than the median income that applies in your state. If your income is not above the median for your state, you will not have to complete the other chapter 7 form, the Chapter 7 Means Test Calculation (Official Form 122A–2). your income is more than the median income for your state of residence and family size, depending on the results of the Means Test, the U.S. trustee, bankruptcy administrator, or creditors can file a motion to dismiss your case under § 707(b) of the Bankruptcy Code. If a motion is filed, the court will decide if your case should be dismissed. To avoid dismissal, you may choose to proceed under another chapter of the Bankruptcy Code. If you are an individual filing for chapter 7 bankruptcy, the trustee may sell your property to pay your debts, subject to your right to exempt the property or a portion of the proceeds from the sale of the property. The property, and the proceeds from property that your bankruptcy trustee sells or liquidates that you are entitled to, is called exempt property. Exemptions may enable you to keep your home, a car, clothing, and household items or to receive some of the proceeds if the property is sold. Exemptions are not automatic. To exempt property, you must list it on Schedule C: The Property You Claim as Exempt (Official Form 106C). If you do not list the property, the trustee may sell it and pay all of the proceeds to your creditors. Chapter 11: Reorganization $1,167 If your income is above the median for your state, you must file a second form —the Chapter 7 Means Test Calculation (Official Form 122A–2). The calculations on the form— sometimes called the Means Test—deduct from your income living expenses and payments on certain debts to determine any amount available to pay unsecured creditors. If Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com + $550 $1,717 filing fee administrative fee total fee Chapter 11 is often used for reorganizing a business, but is also available to individuals. The provisions of chapter 11 are too complicated to summarize briefly. page 2 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 50 of 59 Read These Important Warnings Because bankruptcy can have serious long-term financial and legal consequences, including loss of your property, you should hire an attorney and carefully consider all of your options before you file. Only an attorney can give you legal advice about what can happen as a result of filing for bankruptcy and what your options are. If you do file for bankruptcy, an attorney can help you fill out the forms properly and protect you, your family, your home, and your possessions. Although the law allows you to represent yourself in bankruptcy court, you should understand that many people find it difficult to represent themselves successfully. The rules are technical, and a mistake or inaction may harm you. If you file without an attorney, you are still responsible for knowing and following all of the legal requirements. You should not file for bankruptcy if you are not eligible to file or if you do not intend to file the necessary documents. Bankruptcy fraud is a serious crime; you could be fined and imprisoned if you commit fraud in your bankruptcy case. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Chapter 12: Repayment plan for family farmers or fishermen + $200 $75 $275 filing fee administrative fee total fee Similar to chapter 13, chapter 12 permits family farmers and fishermen to repay their debts over a period of time using future earnings and to discharge some debts that are not paid. Under chapter 13, you must file with the court a plan to repay your creditors all or part of the money that you owe them, usually using your future earnings. If the court approves your plan, the court will allow you to repay your debts, as adjusted by the plan, within 3 years or 5 years, depending on your income and other factors. After you make all the payments under your plan, many of your debts are discharged. The debts that are not discharged and that you may still be responsible to pay include: domestic support obligations, most student loans, Chapter 13: Repayment plan for individuals with regular income + $235 $75 $310 filing fee administrative fee total fee Chapter 13 is for individuals who have regular income and would like to pay all or part of their debts in installments over a period of time and to discharge some debts that are not paid. You are eligible for chapter 13 only if your debts are not more than certain dollar amounts set forth in 11 U.S.C. § 109. certain taxes, debts for fraud or theft, debts for fraud or defalcation while acting in a fiduciary capacity, most criminal fines and restitution obligations, certain debts that are not listed in your bankruptcy papers, certain debts for acts that caused death or personal injury, and certain long-term secured debts. Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com page 3 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 51 of 59 Warning: File Your Forms on Time Section 521(a)(1) of the Bankruptcy Code requires that you promptly file detailed information about your creditors, assets, liabilities, income, expenses and general financial condition. The court may dismiss your bankruptcy case if you do not file this information within the deadlines set by the Bankruptcy Code, the Bankruptcy Rules, and the local rules of the court. For more information about the documents and their deadlines, go to: http://www.uscourts.gov/bkforms/bankruptcy_form s.html#procedure. Bankruptcy crimes have serious consequences If you knowingly and fraudulently conceal assets or make a false oath or statement under penalty of perjury—either orally or in writing—in connection with a bankruptcy case, you may be fined, imprisoned, or both. All information you supply in connection with a bankruptcy case is subject to examination by the Attorney General acting through the Office of the U.S. Trustee, the Office of the U.S. Attorney, and other offices and employees of the U.S. Department of Justice. Make sure the court has your mailing address The bankruptcy court sends notices to the mailing address you list on Voluntary Petition for Individuals Filing for Bankruptcy (Official Form 101). To ensure that you receive information about your case, Bankruptcy Rule 4002 requires that you notify the court of any changes in your address. Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com A married couple may file a bankruptcy case together—called a joint case. If you file a joint case and each spouse lists the same mailing address on the bankruptcy petition, the bankruptcy court generally will mail you and your spouse one copy of each notice, unless you file a statement with the court asking that each spouse receive separate copies. Understand which services you could receive from credit counseling agencies The law generally requires that you receive a credit counseling briefing from an approved credit counseling agency. 11 U.S.C. § 109(h). If you are filing a joint case, both spouses must receive the briefing. With limited exceptions, you must receive it within the 180 days before you file your bankruptcy petition. This briefing is usually conducted by telephone or on the Internet. In addition, after filing a bankruptcy case, you generally must complete a financial management instructional course before you can receive a discharge. If you are filing a joint case, both spouses must complete the course. You can obtain the list of agencies approved to provide both the briefing and the instructional course from: http://justice.gov/ust/eo/hapcpa/ccde/cc_approved.html . In Alabama and North Carolina, go to: http://www.uscourts.gov/FederalCourts/Bankruptcy/ BankruptcyResources/ApprovedCredit AndDebtCounselors.aspx. If you do not have access to a computer, the clerk of the bankruptcy court may be able to help you obtain the list. page 4 Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 52 of 59 B2030 (Form 2030) (12/15) United States Bankruptcy Court Southern District of Texas Viridiana Garcia Martinez In re Case No. Chapter Debtor(s) 7 DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S) 1. 2. 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 follows: For legal services, I have agreed to accept $ 1,500.00 Prior to the filing of this statement I have received $ 1,500.00 Balance Due $ 0.00 The source of the compensation paid to me was: Debtor 3. Other (specify): Husband The source of compensation to be paid to me is: Debtor 4. Other (specify): 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 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. 6. 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, statement 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] Negotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 USC 522(f)(2)(A) for avoidance of liens on household goods. By agreement with the debtor(s), the above-disclosed fee does not include the following service: Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or any other adversary proceeding. 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 this bankruptcy proceeding. May 23, 2018 Date Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com /s/ Jessica Lee Hoff Jessica Lee Hoff 24093963 Signature of Attorney Hoff Law Offices, P.C. 14 Inverness Drive East, Suite 236 Englewood, CO 80112 3038034438 Fax: 3036486648 jhoff@hofflawoffices.com Name of law firm Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 53 of 59 United States Bankruptcy Court Southern District of Texas In re Viridiana Garcia Martinez Debtor(s) Case No. Chapter 7 VERIFICATION OF CREDITOR MATRIX The above-named Debtor hereby verifies that the attached list of creditors is true and correct to the best of his/her knowledge. Date: May 23, 2018 /s/ Viridiana Garcia Martinez Viridiana Garcia Martinez Signature of Debtor Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 54 of 59 } b k 1 { C r e d i t o A s M a x Ad Astra Recovery 7330 W 33rd Street N Ste 118 Wichita, KS 67205 Ally Financial Attn: Bankruptcy Po Box 380901 Bloomington, MN 55438 Angel Flores c/o Melissa Moore, Morre and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 Capital One Attn: Bankruptcy Po Box 30285 Salt Lake City, UT 84130 cash net usa 175 West Jackson Suite 1000 Chicago, IL 60604 cash net usa 175 West Jackson Suite 1000 Chicago, IL 60604 Cesar Hernandez c/o Melissa Moore, Moore & Associates 440 Louisanna St, Suite 675 Houston, TX 77002 Chase 340 S Clevland Ave Building 370 Westerville, OH 43081 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 55 of 59 City of Houston PO Box 368 Houston, TX 77001 city of houston fire dept p.o. box 4945 houston, TX 77210 Comenity Bank/Victoria Secret Attn: Bankruptcy Dept Po Box 182125 Columbus, OH 45318 Conn's HomePlus Attn: Bankruptcy Po Box 2358 Beaumont, TX 77704 Deborah Rivera c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 digitech computer inc 480 bedford road bldg 600, 2nd floor chappaqua, NY 10514 Famsa Inc 2727 Lyndon B Johnson Fwy Dallas, TX 75234 financial corporation of america 12515 research blvd bldg 2 suite 100 austin, TX 78759 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 56 of 59 financial corporation of america 12515 research blvd bldg 2 suite 100 austin, TX 78759 Fingerhut Bankruptcy Dept 6250 Ridgewood Rd Saint Cloud, MN 56303 Genesis Bankcard Services Po Box 4477 Beaverton, OR 97076 Harvard Collection Attn: Bankruptcy 4839 N Elston Ave. Chicago, IL 60630 Harvard Collection Attn: Bankruptcy 4839 N Elston Ave. Chicago, IL 60630 HC Processing Center Attention Bankruptcy 203 E Emma Ave Ste A Springdale, AR 72764 Internal Revenue Service PO Box 7346 Philadelphia, PA 19101 Laura Lozoya c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 57 of 59 Lincoln Automotive Financial Service Attn: Bankruptcy Po Box 542000 Omaha, NE 68154 Medicredit Inc. Po Box 1629 Maryland Heights, MO 63043 Medicredit Inc. Po Box 1629 Maryland Heights, MO 63043 Medicredit Inc. Po Box 1629 Maryland Heights, MO 63043 montgomery ward 1112 7th avenue monroe, WI 53566 Peoples Trust Federal 413 Bastrop St Houston, TX 77003 Regional Fin 7118 Maynardville Pike Houston, TX 77022 Rozlin Financial Group 1628 Dekalb Ave Sycamore, IL 60178 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 58 of 59 Sally A Martinez c/o Melissa Moore, Moore and Associates 440 Louisanna St, Suite 675 Houston, TX 77002 special financing company llc 2504 BuildingAmerica drive hampton, VA 23666 Synchrony Bank Attn: Bankruptcy Dept Po Box 965060 Orlando, FL 32896 Synchrony Bank/Care Credit Attn: Bankruptcy Dept Po Box 965061 Orlando, FL 32896 Synchrony Bank/Sams Attn: Bankruptcy Po Box 965060 Orlando, FL 32896 Synchrony Bank/Walmart Attn: Bankruptcy Dept Po Box 965060 Orlando, FL 32896 texas children hospital p.o. box 4494 HOUSTON, TX 77210 texas children hospital p.o. box 4494 HOUSTON, TX 77210 Case 18-32682 Document 1 Filed in TXSB on 05/23/18 Page 59 of 59 Texas Workforce Commission 101 E 15th St Austin, TX 78778 Transworld Sys Inc/33 Attn: Compliance Dept Po Box 15630 Wilmington, DE 19850 Transworld Sys Inc/33 Attn: Compliance Dept Po Box 15630 Wilmington, DE 19850 Vernon Capital Grp LLC c/o Law Office of Nosson T. Abrams 30 Wallstreet 8th Floor New York, NY 10005 wellsfargo po box 5058 portland, OR 97208 Westlake Financial Services Customer Care Po Box 76809 Los Angeles, CA 90054