}bk1{Form .Vluntary Peiton}bk{

B1 (Official Form 1)(04/13)

United States Bankruptcy Court Voluntary Petition

Name of Debtor (if individual, enter Last, First, Middle):

All Other Names used by the Debtor in the last 8 years

(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN)/Complete EIN

(if more than one, state all)

Street Address of Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Debtor (if different from street address):

Location of Principal Assets of Business Debtor

(if different from street address above):

Name of Joint Debtor (Spouse) (Last, First, Middle):

All Other Names used by the Joint Debtor in the last 8 years

(include married, maiden, and trade names):

Last four digits of Soc. Sec. or Individual-Taxpayer I.D. (ITIN) No./Complete EIN

(if more than one, state all)

Street Address of Joint Debtor (No. and Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Joint Debtor (if different from street address):

ZIP Code ZIP Code

ZIP Code ZIP Code

Type of Debtor

(Form of Organization) (Check one box)

Individual (includes Joint Debtors)

See Exhibit D on page 2 of this form.

Corporation (includes LLC and LLP)

Partnership

Other (If debtor is not one of the above entities,

check this box and state type of entity below.)

Chapter 15 Debtors

Country of debtor's center of main interests:

Each country in which a foreign proceeding

by, regarding, or against debtor is pending:

Filing Fee (Check one box)

Full Filing Fee attached

Filing Fee to be paid in installments (applicable to individuals only). Must

attach signed application for the court's consideration certifying that the

debtor is unable to pay fee except in installments. Rule 1006(b). See Official

Form 3A.

Filing Fee waiver requested (applicable to chapter 7 individuals only). Must

attach signed application for the court's consideration. See Official Form 3B.

Nature of Business

(Check one box)

Health Care Business

Single Asset Real Estate as defined

in 11 U.S.C. § 101 (51B)

Railroad

Stockbroker

Commodity Broker

Clearing Bank

Other

Tax-Exempt Entity

(Check box, if applicable)

Debtor is a tax-exempt organization

under Title 26 of the United States

Code (the Internal Revenue Code).

Chapter of Bankruptcy Code Under Which

the Petition is Filed (Check one box)

Chapter 7

Chapter 9

Chapter 11

Chapter 12

Chapter 13

Chapter 15 Petition for Recognition

of a Foreign Main Proceeding

Chapter 15 Petition for Recognition

of a Foreign Nonmain Proceeding

Nature of Debts

(Check one box)

Debts are primarily consumer debts, Debts are primarily

defined in 11 U.S.C. § 101(8) as business debts.

"incurred by an individual primarily for

a personal, family, or household purpose."

Check Chapter 11 Debtors one box:

Debtor is a small business debtor as defined in 11 U.S.C. § 101(51D).

Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).

Check if:

Debtor’s aggregate noncontingent liquidated debts (excluding debts owed to insiders or affiliates)

are less than $2,490,925 (amount subject to adjustment on 4/01/16 and every three years thereafter).

Check all applicable boxes:

A plan is being filed with this petition.

Acceptances of the plan were solicited prepetition from one or more classes of creditors,

in accordance with 11 U.S.C. § 1126(b).

Statistical/Administrative Information THIS SPACE IS FOR COURT USE ONLY

Debtor estimates that funds will be available for distribution to unsecured creditors.

Debtor estimates that, after any exempt property is excluded and administrative expenses paid, 

there will be no funds available for distribution to unsecured creditors.

Estimated Number of Creditors

1- 50- 100- 200- 1,000- 5,001- 10,001- 25,001- 50,001- OVER

49 99 199 999 5,000 10,000 25,000 50,000 100,000 100,000

Estimated Assets

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than

$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

Estimated Liabilities

$0 to $50,001 to $100,001 to $500,001 $1,000,001 $10,000,001 $50,000,001 $100,000,001 $500,000,001 More than

$50,000 $100,000 $500,000 to $1 to $10 to $50 to $100 to $500 to $1 billion $1 billion

million million million million million

Eastern District of Virginia

Jackson, Brett Travis Jackson, Maria Charina

xxx-xx-4268

7320 Hunterbrook Dr.

Mechanicsville, VA

Hanover

xxx-xx-0231

7320 Hunterbrook Dr.

Mechanicsville, VA

Hanover

23111 23111

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 1 of 64
B1 (Official Form 1)(04/13) Page 2

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

All Prior Bankruptcy Cases Filed Within Last 8 Years (If more than two, attach additional sheet)

Location Case Number: Date Filed:

Where Filed:

Location Case Number: Date Filed:

Where Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)

Name of Debtor: Case Number: Date Filed:

District: Relationship: Judge:

Exhibit A

(To be completed if debtor is required to file periodic reports (e.g.,

forms 10K and 10Q) with the Securities and Exchange Commission

pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

and is requesting relief under chapter 11.)

Exhibit A is attached and made a part of this petition.

Exhibit C

Does the debtor own or have possession of any property that poses or is alleged to pose a threat of imminent and identifiable harm to public health or safety?

Yes, and Exhibit C is attached and made a part of this petition.

No.

Exhibit D

(To be completed by every individual debtor. If a joint petition is filed, each spouse must complete and attach a separate Exhibit D.)

Exhibit D completed and signed by the debtor is attached and made a part of this petition.

If this is a joint petition:

Exhibit D also completed and signed by the joint debtor is attached and made a part of this petition.

Information Regarding the Debtor - Venue

(Check any applicable box)

Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180

days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.

There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.

Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in

this District, or has no principal place of business or assets in the United States but is a defendant in an action or

proceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the relief

sought in this District.

Certification by a Debtor Who Resides as a Tenant of Residential Property

(Check all applicable boxes)

Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)

(Name of landlord that obtained judgment)

(Address of landlord)

Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be permitted to cure

the entire monetary default that gave rise to the judgment for possession, after the judgment for possession was entered, and 

Debtor has included with this petition the deposit with the court of any rent that would become due during the 30-day period

after the filing of the petition.

Debtor certifies that he/she has served the Landlord with this certification. (11 U.S.C. § 362(l)).

Exhibit B

(To be completed if debtor is an individual whose debts are primarily consumer debts.)

I, the attorney for the petitioner named in the foregoing petition, declare that I

have informed the petitioner that [he or she] may proceed under chapter 7, 11,

12, or 13 of title 11, United States Code, and have explained the relief available

under each such chapter. I further certify that I delivered to the debtor the notice

required by 11 U.S.C. §342(b).

X

Signature of Attorney for Debtor(s) (Date)

Jackson, Brett Travis

Jackson, Maria Charina

- None -

- None -

/s/ Richard J. Oulton for America September Law Group 9, 2015

Richard J. Oulton for America Law Group

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 2 of 64
B1 (Official Form 1)(04/13) Page 3

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

Signatures

Signature(s) of Debtor(s) (Individual/Joint)

I declare under penalty of perjury that the information provided in this

petition is true and correct.

[If petitioner is an individual whose debts are primarily consumer debts and

has chosen to file under chapter 7] I am aware that I may proceed under

chapter 7, 11, 12, or 13 of title 11, United States Code, understand the relief

available under each such chapter, and choose to proceed under chapter 7.

[If no attorney represents me and no bankruptcy petition preparer signs the

petition] 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.

X

Signature of Debtor

X

Signature of Joint Debtor

Telephone Number (If not represented by attorney)

Date

Signature of Attorney*

X

Signature of Attorney for Debtor(s)

Printed Name of Attorney for Debtor(s)

Firm Name

Address

Telephone Number

Date

*In a case in which § 707(b)(4)(D) applies, this signature also constitutes a

certification that the attorney has no knowledge after an inquiry that the

information in the schedules is incorrect.

Signature of Debtor (Corporation/Partnership)

I declare under penalty of perjury that the information provided in this

petition is true and correct, and that I have been authorized to file this petition

on behalf of the debtor.

The debtor requests relief in accordance with the chapter of title 11, United

States Code, specified in this petition.

X

Signature of Authorized Individual

Printed Name of Authorized Individual

Title of Authorized Individual

Date

Signature of a Foreign Representative

I declare under penalty of perjury that the information provided in this petition

is true and correct, that I am the foreign representative of a debtor in a foreign

proceeding, and that I am authorized to file this petition.

(Check only one box.)

I request relief in accordance with chapter 15 of title 11. United States Code.

Certified copies of the documents required by 11 U.S.C. §1515 are attached.

Pursuant to 11 U.S.C. §1511, I request relief in accordance with the chapter

of title 11 specified in this petition. A certified copy of the order granting

recognition of the foreign main proceeding is attached.

X

Signature of Foreign Representative

Printed Name of Foreign Representative

Date

Signature of Non-Attorney Bankruptcy Petition Preparer

I declare under penalty of perjury that: (1) I am a bankruptcy petition

preparer as defined in 11 U.S.C. § 110; (2) I prepared this document for

compensation and have provided the debtor with a copy of this document

and the notices and information required under 11 U.S.C. §§ 110(b),

110(h), and 342(b); and, (3) if rules or guidelines have been promulgated

pursuant to 11 U.S.C. § 110(h) setting a maximum fee for services

chargeable by bankruptcy petition preparers, I have given the debtor notice

of the maximum amount before preparing any document for filing for a

debtor or accepting any fee from the debtor, as required in that section.

Official Form 19 is attached.

Printed Name and title, if any, of Bankruptcy Petition Preparer

Social-Security number (If the bankrutpcy petition preparer is not

an individual, state the Social Security number of the officer,

principal, responsible person or partner of the bankruptcy petition

preparer.)(Required by 11 U.S.C. § 110.)

Address

X

Date

Signature of bankruptcy petition preparer or officer, principal, responsible

person,or partner whose Social Security number is provided above.

Names and Social-Security numbers of all other individuals who prepared or

assisted in preparing this document unless the bankruptcy petition preparer is

not an individual:

If more than one person prepared this document, attach additional sheets

conforming to the appropriate official form for each person.

A bankruptcy petition preparer’s failure to comply with the provisions of

title 11 and the Federal Rules of Bankruptcy Procedure may result in

fines or imprisonment or both. 11 U.S.C. §110; 18 U.S.C. §156.

Jackson, Brett Travis

Jackson, Maria Charina

/s/ Brett Travis Jackson

Brett Travis Jackson

/s/ Maria Charina Jackson

Maria Charina Jackson

September 9, 2015

/s/ Richard J. Oulton for America Law Group

Richard J. Oulton for America Law Group 29640

America Law Group, Inc. dba Debt Law Group

America Law Group, Inc. dba Debt Law Group

8501 Mayland Dr., Ste 106

Henrico, VA 23294

scgattorney@gmail.com, 2debtlawgroup@gmail.com

804-308-0051 Fax: 804-308-0053

September 9, 2015

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 3 of 64
B 1D (Official Form 1, Exhibit D) (12/09)

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

EXHIBIT D - INDIVIDUAL DEBTOR'S STATEMENT OF COMPLIANCE WITH

CREDIT COUNSELING REQUIREMENT

Warning: You must be able to check truthfully one of the five statements regarding credit

counseling listed below. If you cannot do so, you are not eligible to file a bankruptcy case, and the court

can dismiss any case you do file. If that happens, you will lose whatever filing fee you paid, and your

creditors will be able to resume collection activities against you. If your case is dismissed and you file

another bankruptcy case later, you may be required to pay a second filing fee and you may have to take

extra steps to stop creditors' collection activities.

Every individual debtor must file this Exhibit D. If a joint petition is filed, each spouse must complete

and file a separate Exhibit D. Check one of the five statements below and attach any documents as directed.

 1. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit

counseling agency approved by the United States trustee or bankruptcy administrator that outlined the

opportunities for available credit counseling and assisted me in performing a related budget analysis, and I have

a certificate from the agency describing the services provided to me. Attach a copy of the certificate and a copy

of any debt repayment plan developed through the agency.

 2. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit

counseling agency approved by the United States trustee or bankruptcy administrator that outlined the

opportunities for available credit counseling and assisted me in performing a related budget analysis, but I do

not have a certificate from the agency describing the services provided to me. You must file a copy of a

certificate from the agency describing the services provided to you and a copy of any debt repayment plan

developed through the agency no later than 14 days after your bankruptcy case is filed.

 3. I certify that I requested credit counseling services from an approved agency but was unable to

obtain the services during the seven days from the time I made my request, and the following exigent

circumstances merit a temporary waiver of the credit counseling requirement so I can file my bankruptcy case

now. [Summarize exigent circumstances here.]

If your certification is satisfactory to the court, you must still obtain the credit counseling briefing

within the first 30 days after you file your bankruptcy petition and promptly file a certificate from the

agency that provided the counseling, together with a copy of any debt management plan developed

through the agency. Failure to fulfill these requirements may result in dismissal of your case. Any

extension of the 30-day deadline can be granted only for cause and is limited to a maximum of 15 days.

Your case may also be dismissed if the court is not satisfied with your reasons for filing your bankruptcy

case without first receiving a credit counseling briefing.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 4 of 64
B 1D (Official Form 1, Exhibit D) (12/09) - Cont. Page 2

 4. I am not required to receive a credit counseling briefing because of: [Check the applicable

statement.] [Must be accompanied by a motion for determination by the court.]

 Incapacity. (Defined in 11 U.S.C. § 109(h)(4) as impaired by reason of mental illness or mental

deficiency so as to be incapable of realizing and making rational decisions with respect to financial

responsibilities.);

 Disability. (Defined in 11 U.S.C. § 109(h)(4) as physically impaired to the extent of being

unable, after reasonable effort, to participate in a credit counseling briefing in person, by telephone, or

through the Internet.);

 Active military duty in a military combat zone.

 5. The United States trustee or bankruptcy administrator has determined that the credit counseling

requirement of 11 U.S.C. § 109(h) does not apply in this district.

I certify under penalty of perjury that the information provided above is true and correct.

Signature of Debtor: /s/ Brett Travis Jackson

Brett Travis Jackson

Date: September 9, 2015

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 5 of 64
B 1D (Official Form 1, Exhibit D) (12/09)

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

EXHIBIT D - INDIVIDUAL DEBTOR'S STATEMENT OF COMPLIANCE WITH

CREDIT COUNSELING REQUIREMENT

Warning: You must be able to check truthfully one of the five statements regarding credit

counseling listed below. If you cannot do so, you are not eligible to file a bankruptcy case, and the court

can dismiss any case you do file. If that happens, you will lose whatever filing fee you paid, and your

creditors will be able to resume collection activities against you. If your case is dismissed and you file

another bankruptcy case later, you may be required to pay a second filing fee and you may have to take

extra steps to stop creditors' collection activities.

Every individual debtor must file this Exhibit D. If a joint petition is filed, each spouse must complete

and file a separate Exhibit D. Check one of the five statements below and attach any documents as directed.

 1. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit

counseling agency approved by the United States trustee or bankruptcy administrator that outlined the

opportunities for available credit counseling and assisted me in performing a related budget analysis, and I have

a certificate from the agency describing the services provided to me. Attach a copy of the certificate and a copy

of any debt repayment plan developed through the agency.

 2. Within the 180 days before the filing of my bankruptcy case, I received a briefing from a credit

counseling agency approved by the United States trustee or bankruptcy administrator that outlined the

opportunities for available credit counseling and assisted me in performing a related budget analysis, but I do

not have a certificate from the agency describing the services provided to me. You must file a copy of a

certificate from the agency describing the services provided to you and a copy of any debt repayment plan

developed through the agency no later than 14 days after your bankruptcy case is filed.

 3. I certify that I requested credit counseling services from an approved agency but was unable to

obtain the services during the seven days from the time I made my request, and the following exigent

circumstances merit a temporary waiver of the credit counseling requirement so I can file my bankruptcy case

now. [Summarize exigent circumstances here.]

If your certification is satisfactory to the court, you must still obtain the credit counseling briefing

within the first 30 days after you file your bankruptcy petition and promptly file a certificate from the

agency that provided the counseling, together with a copy of any debt management plan developed

through the agency. Failure to fulfill these requirements may result in dismissal of your case. Any

extension of the 30-day deadline can be granted only for cause and is limited to a maximum of 15 days.

Your case may also be dismissed if the court is not satisfied with your reasons for filing your bankruptcy

case without first receiving a credit counseling briefing.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 6 of 64
B 1D (Official Form 1, Exhibit D) (12/09) - Cont. Page 2

 4. I am not required to receive a credit counseling briefing because of: [Check the applicable

statement.] [Must be accompanied by a motion for determination by the court.]

 Incapacity. (Defined in 11 U.S.C. § 109(h)(4) as impaired by reason of mental illness or mental

deficiency so as to be incapable of realizing and making rational decisions with respect to financial

responsibilities.);

 Disability. (Defined in 11 U.S.C. § 109(h)(4) as physically impaired to the extent of being

unable, after reasonable effort, to participate in a credit counseling briefing in person, by telephone, or

through the Internet.);

 Active military duty in a military combat zone.

 5. The United States trustee or bankruptcy administrator has determined that the credit counseling

requirement of 11 U.S.C. § 109(h) does not apply in this district.

I certify under penalty of perjury that the information provided above is true and correct.

Signature of Debtor: /s/ Maria Charina Jackson

Maria Charina Jackson

Date: September 9, 2015

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 7 of 64
}bk1{Form 6.Suary ofScheduls}bk{

United States Bankruptcy Court

Eastern District of Virginia

In re

,

Debtors

Case No.

Chapter 13

Brett Travis Jackson,

Maria Charina Jackson

B6 Summary (Official Form 6 - Summary) (12/14)

Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A,

B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor’s assets.

Add the amounts of all claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors must

also complete the "Statistical Summary of Certain Liabilities and Related Data" if they file a case under chapter 7, 11, or 13.

SUMMARY OF SCHEDULES

ATTACHED NO. OF NAME OF SCHEDULE ASSETS LIABILITIES OTHER

(YES/NO) SHEETS

A - Real Property

B - Personal Property

C - Property Claimed as Exempt

D - Creditors Holding Secured Claims

E - Creditors Holding Unsecured

Priority Claims

F - Creditors Holding Unsecured

Nonpriority Claims

G - Executory Contracts and

Unexpired Leases

H - Codebtors

I - Current Income of Individual

Debtor(s)

J - Current Expenditures of Individual

Debtor(s)

Total Number of Sheets of ALL Schedules

Total Assets

Total Liabilities

(Total of Claims on Schedule E)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

1 168,300.00

4 68,931.60

1

1 182,636.46

2 704.60

11 132,141.24

1

1

3 7,493.00

2 7,019.00

27

237,231.60

315,482.30

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 8 of 64
}bk1{Form 6.Staiscl Sumaryof CetainLbles andRlte Da}bk{

United States Bankruptcy Court

Eastern District of Virginia

In re

,

Debtors

Case No.

Chapter 13

Brett Travis Jackson,

Maria Charina Jackson

B 6 Summary (Official Form 6 - Summary) (12/14)

STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C. § 159)

If you are an individual debtor whose debts are primarily consumer debts, as defined in § 101(8) of the Bankruptcy Code (11 U.S.C.§ 101(8)), filing

a case under chapter 7, 11 or 13, you must report all information requested below.

Check this box if you are an individual debtor whose debts are NOT primarily consumer debts. You are not required to 

report any information here.

This information is for statistical purposes only under 28 U.S.C. § 159.

Summarize the following types of liabilities, as reported in the Schedules, and total them.

Type of Liability Amount

Domestic Support Obligations (from Schedule E)

Taxes and Certain Other Debts Owed to Governmental Units 

(from Schedule E)

Claims for Death or Personal Injury While Debtor Was Intoxicated

(from Schedule E) (whether disputed or undisputed)

Student Loan Obligations (from Schedule F)

Domestic Support, Separation Agreement, and Divorce Decree

Obligations Not Reported on Schedule E

Obligations to Pension or Profit-Sharing, and Other Similar Obligations

(from Schedule F)

TOTAL

State the following:

Average Income (from Schedule I, Line 12)

Average Expenses (from Schedule J, Line 22)

Current Monthly Income (from Form 22A-1 Line 11; OR,

Form 22B Line 14; OR, Form 22C-1 Line 14 )

State the following:

1. Total from Schedule D, "UNSECURED PORTION, IF ANY"

column

2. Total from Schedule E, "AMOUNT ENTITLED TO PRIORITY"

column

3. Total from Schedule E, "AMOUNT NOT ENTITLED TO

PRIORITY, IF ANY" column

4. Total from Schedule F

5. Total of non-priority unsecured debt (sum of 1, 3, and 4)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

0.00

704.60

0.00

65,696.00

0.00

0.00

66,400.60

7,493.00

7,019.00

11,027.28

1,668.12

704.60

0.00

132,141.24

133,809.36

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 9 of 64
}bk1{Schedul A-ReaPropty}bk{

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

B6A (Official Form 6A) (12/07)

Except as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a

cotenant, community property, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for

the debtor's own benefit. If the debtor is married, state whether husband, wife, both, or the marital community own the property by placing an "H," "W,"

"J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, write "None" under

"Description and Location of Property."

Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and

Unexpired Leases.

If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity

claims to hold a secured interest in the property, write "None" in the column labeled "Amount of Secured Claim." If the debtor is an individual or

if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property Claimed as Exempt.

Description and Location of Property Nature of Debtor's

Interest in Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in

Property, without

Deducting any Secured

Claim or Exemption

Amount of

Secured Claim

continuation sheets attached to the Schedule of Real Property

SCHEDULE A - REAL PROPERTY

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

0

7320 Hunterbrook Dr.

Mechanicsville, VA 23111

single family dwelling in Hanover County

RE Tax Assessment: $168,300

Fee Simple W 168,300.00 178,696.12

Sub-Total > 168,300.00 (Total of this page)

Total >

(Report also on Summary of Schedules)

168,300.00

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 10 of 64
}bk1{Schedul B-Personal Prpety}bk{

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

B6B (Official Form 6B) (12/07)

Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place

an "x" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified

with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, both, or the marital community

own the property by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint

petition is filed, state the amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt.

Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and

Unexpired Leases.

If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."

If the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as

"A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

continuation sheets attached to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

3

1. Cash on hand X

2. Checking, savings or other financial

accounts, certificates of deposit, or

shares in banks, savings and loan,

thrift, building and loan, and

homestead associations, or credit

unions, brokerage houses, or

cooperatives.

Checking and Savings Accounts with Union First

Market Bank

J 500.00

3. Security deposits with public

utilities, telephone companies,

landlords, and others.

X

4. Household goods and furnishings,

including audio, video, and

computer equipment.

Living room set, 4 Bedroom sets, 4 TVs, 2 DVD

players, Kitchen table & chairs, Laptop

J 2,000.00

5. Books, pictures and other art

objects, antiques, stamp, coin,

record, tape, compact disc, and

other collections or collectibles.

Assorted DVDs, CDs, Books, Family photos, Wall

hangings, and decorative plates

J 200.00

6. Wearing apparel. Woman's, man's, and three children's personal

wardrobes

J 500.00

7. Furs and jewelry. Assorted costume jewelry W 25.00

Assorted wedding bands J 500.00

8. Firearms and sports, photographic,

and other hobby equipment.

Digital Nikkon camera, Basketball, Football, Boxing

gloves, Baseball bat, Bats

J 200.00

9. Interests in insurance policies.

Name insurance company of each

policy and itemize surrender or

refund value of each.

Term life insurance through employer -- no cash

value

J 0.00

10. Annuities. Itemize and name each

issuer.

X

Sub-Total >

(Total of this page)

3,925.00

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 11 of 64
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

11. Interests in an education IRA as

defined in 26 U.S.C. § 530(b)(1) or

under a qualified State tuition plan

as defined in 26 U.S.C. § 529(b)(1).

Give particulars. (File separately the

record(s) of any such interest(s).

11 U.S.C. § 521(c).)

X

12. Interests in IRA, ERISA, Keogh, or

other pension or profit sharing

plans. Give particulars.

Retirement Plan with VCUHS W 25,776.09

VRS H 17,455.51

13. Stock and interests in incorporated

and unincorporated businesses.

Itemize.

X

14. Interests in partnerships or joint

ventures. Itemize.

X

15. Government and corporate bonds

and other negotiable and

nonnegotiable instruments.

X

16. Accounts receivable. X

17. Alimony, maintenance, support, and

property settlements to which the

debtor is or may be entitled. Give

particulars.

X

18. Other liquidated debts owed to debtor

including tax refunds. Give particulars.

X

19. Equitable or future interests, life

estates, and rights or powers

exercisable for the benefit of the

debtor other than those listed in

Schedule A - Real Property.

X

20. Contingent and noncontingent

interests in estate of a decedent,

death benefit plan, life insurance

policy, or trust.

X

21. Other contingent and unliquidated

claims of every nature, including

tax refunds, counterclaims of the

debtor, and rights to setoff claims.

Give estimated value of each.

X

Sub-Total >

(Total of this page)

43,231.60

1 3

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 12 of 64
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

22. Patents, copyrights, and other

intellectual property. Give

particulars.

X

23. Licenses, franchises, and other

general intangibles. Give

particulars.

X

24. Customer lists or other compilations

containing personally identifiable

information (as defined in 11 U.S.C.

§ 101(41A)) provided to the debtor

by individuals in connection with

obtaining a product or service from

the debtor primarily for personal,

family, or household purposes.

X

25. Automobiles, trucks, trailers, and

other vehicles and accessories.

2004 Ford Explorer Sport Trak 215,000 mi

Valuation: NADA Clean Retail

H 7,375.00

2003 Honda Odessey 205,000 mi

Valuation: NADA Clear Retail

H 4,575.00

1999 Dodge Durango 170,000 mi

Valuation: NADA Clean Retail

H 2,800.00

1998 Ford Mustang 180,000 mi

Valuation: NADA Clean Retail

H 3,175.00

2000 Mitsubishi Eclips

Valuation: NADA Clean Retail

H 2,500.00

26. Boats, motors, and accessories. X

27. Aircraft and accessories. X

28. Office equipment, furnishings, and

supplies.

X

29. Machinery, fixtures, equipment, and

supplies used in business.

X

30. Inventory. X

31. Animals. 3 dogs, 2 cats J 150.00

32. Crops - growing or harvested. Give

particulars.

X

Sub-Total >

(Total of this page)

20,575.00

2 3

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 13 of 64
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

33. Farming equipment and

implements.

X

34. Farm supplies, chemicals, and feed. X

35. Other personal property of any kind

not already listed. Itemize.

Riding Lawn Mower H 1,200.00

Sub-Total >

(Total of this page)

1,200.00

3 3

Total >

(Report also on Summary of Schedules)

68,931.60

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 14 of 64
}bk1{Schedul C-Propety Claimed sExpt}bk{

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

B6C (Official Form 6C) (4/13)

Debtor claims the exemptions to which debtor is entitled under: Check if debtor claims a homestead exemption that exceeds

(Check one box) $155,675. (Amount subject to adjustment on 4/1/16, and every three years thereafter

with respect to cases commenced on or after the date of adjustment.) 11 U.S.C. §522(b)(2)

11 U.S.C. §522(b)(3)

Description of Property Specify Law Providing

Each Exemption

Value of

Claimed

Exemption

Current Value of

Property Without

Deducting Exemption

continuation sheets attached to Schedule of Property Claimed as Exempt

SCHEDULE C - PROPERTY CLAIMED AS EXEMPT

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

0

Checking, Savings, or Other Financial Accounts, Certificates of Deposit

Checking and Savings Accounts with Union

First Market Bank

Va. Code Ann. § 34-4 250.00 500.00

Household Goods and Furnishings

Living room set, 4 Bedroom sets, 4 TVs, 2 DVD

players, Kitchen table & chairs, Laptop

Va. Code Ann. § 34-26(4a) 2,000.00 2,000.00

Books, Pictures and Other Art Objects; Collectibles

Assorted DVDs, CDs, Books, Family photos,

Wall hangings, and decorative plates

Va. Code Ann. § 34-4 100.00 200.00

Wearing Apparel

Woman's, man's, and three children's personal

wardrobes

Va. Code Ann. § 34-26(4) 500.00 500.00

Furs and Jewelry

Assorted costume jewelry Va. Code Ann. § 34-4 25.00 25.00

Assorted wedding bands Va. Code Ann. § 34-26(1a) 500.00 500.00

Firearms and Sports, Photographic and Other Hobby Equipment

Digital Nikkon camera, Basketball, Football,

Boxing gloves, Baseball bat, Bats

Va. Code Ann. § 34-4 100.00 200.00

Interests in IRA, ERISA, Keogh, or Other Pension or Profit Sharing Plans

Retirement Plan with VCUHS Va. Code Ann. § 34-34 25,776.09 25,776.09

VRS Va. Code Ann. § 34-34 17,455.51 17,455.51

Automobiles, Trucks, Trailers, and Other Vehicles

2004 Ford Explorer Sport Trak 215,000 mi

Valuation: NADA Clean Retail

Va. Code Ann. § 34-26(8) 6,000.00 7,375.00

2003 Honda Odessey 205,000 mi

Valuation: NADA Clear Retail

Va. Code Ann. § 34-4 4,117.50 4,575.00

1998 Ford Mustang 180,000 mi

Valuation: NADA Clean Retail

Va. Code Ann. § 34-4 882.50 3,175.00

Animals

3 dogs, 2 cats Va. Code Ann. § 34-26(5) 150.00 150.00

Total: 57,856.60 62,431.60

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 15 of 64
}bk1{Schedul D-Creditos HldingSecurd Claims}bk{

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal

_____ continuation sheets attached (Total of this page)

UNSECURED

PORTION, IF

ANY

B6D (Official Form 6D) (12/07)

State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property of the debtor as of

the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided

if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens, mortgages, deeds of trust, and

other security interests.

List creditors in alphabetical order to the extent practicable. If a minor child is a creditor, the child's initials and the name and address of the child's parent or 

guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). If all secured 

creditors will not fit on this page, use the continuation sheet provided. 

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor" ,include the entity on the appropriate

schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be

liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community".

If the claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column labeled "Unliquidated". If the

claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one of these three columns.)

Total the columns labeled "Amount of Claim Without Deducting Value of Collateral" and "Unsecured Portion, if Any" in the boxes labeled "Total(s)" on the last

sheet of the completed schedule. Report the total from the column labeled "Amount of Claim" also on the Summary of Schedules and, if the debtor is an individual with

primarily consumer debts, report the total from the column labeled "Unsecured Portion" on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding secured claims to report on this Schedule D.

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

0

xxx-xx-0231 8/25/2014

Non purchase money security

2004 Ford Explorer Sport Trak 215,000

mi

Valuation: NADA Clean Retail

Advance America

6493 Mechanicsville Tnpk

Suite B

Mechanicsville, VA 23111 J

7,375.00 941.34 0.00

xxxxxxxx23-01 12/29/14

Judgment Lien

7320 Hunterbrook Dr.

Judgment in Hanover Co. GDC

GV14003323-00

Capital One

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130-0285 W

168,300.00 1,668.12 1,668.12

xxx-xx-0231 5/14/2015

Purchase Money Security

Riding Lawn Mower

IAM Ventures LLC

2241 State Street #358

New Albany, IN 47150 H

1,200.00 2,999.00 0.00

xxxxxxxxx9227 Opened 3/01/13 Last Active 5/17/15

Deed of Trust

7320 Hunterbrook Dr.

Mechanicsville, VA 23111

single family dwelling in Hanover County

RE Tax Assessment: $168,300

Wells Fargo Hm Mortgag

8480 Stagecoach Cir

Frederick, MD 21701 W

168,300.00 177,028.00 0.00

182,636.46 1,668.12

Total 182,636.46 1,668.12

(Report on Summary of Schedules)

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 16 of 64
}bk1{Schedul E-Creditos HldingUsecurd PiotyClams}bk{

B6E (Official Form 6E) (4/13)

A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitled

to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of the

account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separate

continuation sheet for each type of priority and label each with the type of priority.

The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do

so. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." 

Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). 

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate

schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be

liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in the

column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled

"Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule E in the box labeled

"Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.

Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to priority

listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this total 

also on the Statistical Summary of Certain Liabilities and Related Data.

Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled to

priority listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this 

total also on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.

TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)

Domestic support obligations

Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, or responsible relative 

of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. § 507(a)(1).

Extensions of credit in an involuntary case

Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a 

trustee or the order for relief. 11 U.S.C. § 507(a)(3).

Wages, salaries, and commissions

Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales

representatives up to $12,475* per person earned within 180 days immediately preceding the filing of the original petition, or the cessation of business, whichever

occurred first, to the extent provided in 11 U.S.C. § 507(a)(4).

Contributions to employee benefit plans

Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business,

whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(5).

Certain farmers and fishermen

Claims of certain farmers and fishermen, up to $6,150* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. § 507(a)(6).

Deposits by individuals

Claims of individuals up to $2,775* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, that were not 

delivered or provided. 11 U.S.C. § 507(a)(7).

Taxes and certain other debts owed to governmental units

Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. § 507(a)(8).

Commitments to maintain the capital of an insured depository institution

Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors of the Federal

Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. § 507 (a)(9).

Claims for death or personal injury while debtor was intoxicated

Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or 

another substance. 11 U.S.C. § 507(a)(10).

* Amount subject to adjustment on 4/01/16, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

continuation sheets attached

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

1

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 17 of 64
B6E (Official Form 6E) (4/13) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

DATE CLAIM WAS INCURRED AMOUNT

AND CONSIDERATION FOR CLAIM OF CLAIM

Account No.

Account No.

Account No.

Account No.

Account No.

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Unsecured Priority Claims (Total of this page)

TYPE OF PRIORITY

AMOUNT NOT

ENTITLED TO

PRIORITY, IF ANY

AMOUNT

ENTITLED TO

PRIORITY

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

Taxes and Certain Other Debts

Owed to Governmental Units

0231 2014

Hanover County Treasurer Personal property tax

PO Box 430

Hanover, VA 23069 H

253.38 253.38

0.00

xx3709 2015

Hanover County Treasurer Personal Property Tax

PO Box 430

Hanover, VA 23069 H

75.77 75.77

0.00

xx3708 2015

Hanover County Treasurer Personal Property Tax

PO Box 430

Hanover, VA 23069 H

142.18 142.18

0.00

xx4918 2015

Hanover County Treasurer Personal Property Tax

PO Box 430

Hanover, VA 23069 H

233.27 233.27

0.00

704.60 704.60

1 1 0.00

704.60 704.60

Total 0.00

(Report on Summary of Schedules)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 18 of 64
}bk1{Schedul F-Creditos HldingUsecurd Nonpirty Claims}bk{

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Subtotal

_____ continuation sheets attached (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

B6F (Official Form 6F) (12/07)

State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against the

debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the

trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child's 

parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Do not 

include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided. 

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriate

schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may be

liable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."

If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the

claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of

Schedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

S/N:26896-150901

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

10

xxxxxxxxxxxx5549 Opened 4/27/15 Last Active 4/27/15

American General Financial Personal loan

Springleaf Fin. / Bankruptcy

PO Box 3251

Evansville, IN 47731

H

7,199.00

xxxxxxxxxxx3235 Opened 12/01/10 Last Active 11/08/13

Barclays Bank Delaware Credit Card

Attn: Bankruptcy

P.O. Box 8801

Wilmington, DE 19899

W

6,535.00

xxxxxxxxxxxx6751 Opened 5/01/03 Last Active 6/06/15

Capital One Credit Card

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130

H

1,137.48

xxxxxxxxxxxx1864 Opened 12/01/03 Last Active 5/19/15

Capital One Credit Card

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130

H

469.00

15,340.48

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 19 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxx-xx-0231 unknown

CashnetUSA Payday Loan

200 West Jackson, Suite 1400

Chicago, IL 60606-6941

H

747.24

xx2537 10/13/14

Children's Hosp Kings Daughter Medical

Children's Surg. Spec. Grp

601 Children's Ln

Norfolk, VA 23507

H

99.01

xxxxx1668 9/2/14

Children's Hosp Kings Daughter Medical

Children's Surg. Spec. Grp

601 Children's Ln

Norfolk, VA 23507

H

Unknown

1378 unknown

Citi Credit Card

11500 NW Ambassador Dr.

Suite 400, 4th Floor

Kansas City, MO 64153

W

Unknown

xxxxxxx582c 3/13/15

Commonwealth Lab Consultants Medical debt in minor's name

PO Box 36559

Richmond, VA 23235

J

161.70

1,007.95

1 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 20 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxx0973 Opened 6/01/13

Credit Control Corp re: Csg Anesthesia

re: CSG Anesthesia

11821 Rock Landing Dr

Newport News, VA 23606

W

217.00

xxxxxxxxxxxx1451 Opened 9/01/14

Debt Recovery Solution re: Verizon West Virginia Inc.

900 Merchants Concourse

Westbury, NY 11590

H

667.00

xxxxxxxxxxx6132 Opened 5/01/14 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

16,000.00

xxxxxxxxxxx3736 Opened 5/01/11 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

11,040.00

xxxxxxxxxxx4049 Opened 7/01/09 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

6,317.00

34,241.00

2 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 21 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxxxxx3949 Opened 7/01/09 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

5,726.00

xxxxxxxxxxx6649 Opened 1/01/11 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

5,623.00

xxxxxxxxxxx6549 Opened 1/01/11 Last Active 4/30/15

Dept Of Education/neln Student Loan

121 S 13th St

Lincoln, NE 68508

H

4,149.00

xxxxxxxxxxxx1424 Opened 10/16/87 Last Active 4/06/07

Discoverbank Credit Card

PO Box 15316

Wilmington, DE 19850

J

Unknown

3235 2015

Enhanced Recovery Company re: Barclays Bank Delaware

PO Box 23870

Jacksonville, FL 32241

W

6,195.92

21,693.92

3 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 22 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

1931 2015

Enhanced Recovery Company re: Synchrony Bank / Walmart

PO Box 23870

Jacksonville, FL 32241

W

1,539.77

xxxxx*******2557 unknown

Enhanced Recovery Company re: GE Capital Retail Bank / Lowe's

PO Box 23870

Jacksonville, FL 32241

W

445.52

xxxxxxxxxxx0001 2014

EOS CCA re: Verizon Wireless

PO Box 207

700 Longwater Drive

Norwell, MA 02061-0207

W

85.16

xxxxxxxx77-00 7/13/15

Gastrointestinal Specialists Judgment pending in Hanover Co. GDC

2369 Staples Mill Road

Suite 200

Richmond, VA 23230-2918

J

505.00

xxxxxxxxxxxx3919 Opened 4/01/13 Last Active 6/02/15

GECRB/Care Credit Charge Account

Attn: Bankruptcy

PO Box 103104

Roswell, GA 30076

H

3,456.00

6,031.45

4 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 23 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxxxxxx8879 Opened 4/01/13 Last Active 5/18/15

GECRB/Care Credit Charge Account

Attn: Bankruptcy

PO Box 103104

Roswell, GA 30076

W

905.00

xxx-xx-0231 unknown

Green Gate Services Payday loan

600 F Street, Ste 3 #721

Arcata, CA 95521

H

900.00

xxxxxxxxxxxx2812 Opened 4/01/11 Last Active 5/31/15

Kohls/capone Charge Account

N56 W 17000 Ridgewood Dr

Menomonee Falls, WI 53051

W

223.00

xxxx4832 1/17/15

LabCorp Medical debt in minor's name

PO Box 2240

Burlington, NC 27216-2240

W

20.64

xxxx7487 1/17/15

LabCorp Medical Debt in minor's name

PO Box 2240

Burlington, NC 27216-2240

W

8.02

2,056.66

5 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 24 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxx-xx-0231 2014

MaxLend Payday Loan

MakesCents, Inc.

217 3rd Ave NE

Parshall, ND 58770

H

1,100.00

xxxx-xxxx-xxxx-3053 unknown

Midland Credit Management re: Citibank

8875 Aero Dr, Ste 200

San Diego, CA 92123

H

954.74

xxxxxx2467 Opened 8/01/14

re: Citibank N.A.

Pending Judgment in Hanover Co GDC

GV152400

Midland Funding

8875 Aero Dr Ste 200

San Diego, CA 92123

W

766.00

xxx6367 2015

North Shore Agency re: Disney Movie Club

270 Spagnoli Rd

Suite 110

Melville, NY 11747

H

34.90

xxx1490 Opened 2/01/05 Last Active 6/09/06

Pioneer Military Loans Unsecured

4000 S Eastern Ave Ste 3

Las Vegas, NV 89119

H

Unknown

2,855.64

6 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 25 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxxxxxx5500 Opened 1/01/15

Portfolio Recovery re: Citibank N.A.

Attn: Bankruptcy

PO Box 41067

Norfolk, VA 23541

W

1,131.00

xxxxxxxxxxxx2449 Opened 5/01/14 Last Active 4/30/15

Portfolio Recovery re: GE Capital Retail Bank / Walmart

Attn: Bankruptcy

PO Box 41067

Norfolk, VA 23541

H

241.00

xxxxxxxxxxxxx1419 Opened 9/01/13

Receivable Management re: Patient First

7206 Hull Street Rd Ste

North Chesterfield, VA 23235

W

413.00

xxx-xx-0231 2015

Rushmore Financial Payday Loan

FSST Financial Services LLC

PO Box 283

Flandreau, SD 57028

H

0.00

xxxxxxxx7005 re: Childrens Hosp Kings Daughte

SCA

P O Box 910

Edenton, NC 27932

H

1,228.00

3,013.00

7 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 26 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxx7004 re: Childrens Hosp Kings Daughte

SCA

P O Box 910

Edenton, NC 27932

H

394.00

xxxx5549 unknown

Springleaf Personal loan

7344 Bell Creek Rd

Mechanicsville, VA 23111

H

7,199.14

xxxxx2937 Opened 6/01/08 Last Active 5/19/15

Target Credit Card (TC) Credit Card

C/O Financial & Retail Svcs

Mailstop BT P.O. Box 9475

Minneapolis, MN 55440

W

440.00

xxxxx3123 Opened 8/01/07 Last Active 5/23/15

Target Credit Card (TC) Credit Card

C/O Financial & Retail Svcs

Mailstop BT P.O. Box 9475

Minneapolis, MN 55440

H

424.00

xxxxxxxxxxxx8581 Opened 2/01/11 Last Active 5/31/15

Us Dept Of Ed/glelsi Student Loan

PO Box 7860

Madison, WI 53707

W

16,841.00

25,298.14

8 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 27 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxx7942 Opened 2/01/15 Last Active 5/21/15

Va Credit Union Unsecured

PO Box 90010

Richmond, VA 23225

H

143.00

xxxxxxxxxx0001 Opened 2/01/10 Last Active 9/30/13

Verizon Utility

500 Technology Dr

Ste 550

Weldon Spring, MO 63304

W

72.00

xx0633 1/7/14

Virginia Physicians Medical

Cold Harbor Family Medicine

PO Box 487

Mechanicsville, VA 23111

H

50.00

xxxxxxxxxxxx2708 Opened 12/01/14 Last Active 6/01/15

Webbank/fingerhut Charge Account

6250 Ridgewood Rd

Saint Cloud, MN 56303

H

320.00

xxxxxxxxxxxx2917 Opened 1/01/15 Last Active 6/03/15

Webbank/fingerhut Fres Loan

6250 Ridgewood Road

St Cloud, MN 56303

W

111.00

696.00

9 10

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 28 of 64
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

xxxxxxxx5414 Opened 3/01/13 Last Active 4/15/15

WFS Wachovia Dealer Svcs Deficiency Balance

PO Box 3569

Rancho Cucamonga, CA 91729

W

19,907.00

19,907.00

10 10

132,141.24

Total

(Report on Summary of Schedules)

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 29 of 64
}bk1{Schedul G-Executory Cnactsd Unexpird Leas}bk{

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

B6G (Official Form 6G) (12/07)

Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests. State nature

of debtor's interest in contract, i.e., "Purchaser", "Agent", etc. State whether debtor is the lessor or lessee of a lease. Provide the names and

complete mailing addresses of all other parties to each lease or contract described. If a minor child is a party to one of the leases or contracts, 

state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not 

disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). 

Check this box if debtor has no executory contracts or unexpired leases.

Name and Mailing Address, Including Zip Code,

of Other Parties to Lease or Contract

Description of Contract or Lease and Nature of Debtor's Interest.

State whether lease is for nonresidential real property.

State contract number of any government contract.

continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases

SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

0

ADT Security Services

re: Bankruptcy Dept

14200 E Exposition Ave

Aurora, CO 80012

Security system. Debtors intend to honor current

contract.

Combat Sports Center

3957 Deep Rock Rd

Henrico, VA 23233

Gym membership. Debtors intend to honor

current contract.

Verizon Wireless

PO Box 25505

Lehigh Valley, PA 18002-5505

Cell phones. Debtors intend to honor current

contract.

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 30 of 64
}bk1{Schedul H-Codebtrs}k{

In re

,

Debtors

Brett Travis Jackson, Case No.

Maria Charina Jackson

B6H (Official Form 6H) (12/07)

Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed

by debtor in the schedules of creditors. Include all guarantors and co-signers. If the debtor resides or resided in a community property state,

commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or

Wisconsin) within the eight year period immediately preceding the commencement of the case, identify the name of the debtor's spouse and of

any former spouse who resides or resided with the debtor in the community property state, commonwealth, or territory. Include all names used

by the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or a creditor, 

state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not 

disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). 

Check this box if debtor has no codebtors.

NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR

continuation sheets attached to Schedule of Codebtors

SCHEDULE H - CODEBTORS

Software Copyright (c) 1996-2014 - Best Case, LLC - www.bestcase.com Best Case Bankruptcy

0

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 31 of 64
Fill in this information to identify your case:

Debtor 1 Brett Travis Jackson

Debtor 2 Maria Charina Jackson

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number Check if this is:

(If known)  An amended filing

 A supplement showing post-petition chapter

13 income as of the following date:

Official Form B 6I MM / DD/ YYYY

Schedule I: Your Income 12/13

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: Describe Employment

1. Fill in your employment

information. Debtor 1 Debtor 2 or non-filing spouse

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.

Employment status

 Employed

 Not employed

 Employed

 Not employed

Occupation Contract Specialist Radiology Technician

Employer's name DLA Aviation VCU Health System

Employer's address MCV Hospital

701 N 5th Street

Richmond, VA 23298

How long employed there? 3 months 6 years

Part 2: 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. $ 4,963.00 $ 4,853.00

3. Estimate and list monthly overtime pay. 3. +$ 0.00 +$ 133.00

4. Calculate gross Income. Add line 2 + line 3. 4. $ 4,963.00 $ 4,986.00

Official Form B 6I Schedule I: Your Income page 1

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 32 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 4,963.00 $ 4,986.00

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 1,166.00 $ 867.00

5b. Mandatory contributions for retirement plans 5b. $ 0.00 $ 0.00

5c. Voluntary contributions for retirement plans 5c. $ 218.00 $ 132.00

5d. Required repayments of retirement fund loans 5d. $ 0.00 $ 0.00

5e. Insurance 5e. $ 0.00 $ 463.00

5f. Domestic support obligations 5f. $ 0.00 $ 0.00

5g. Union dues 5g. $ 0.00 $ 0.00

5h. Other deductions. Specify: Dent 5h.+ $ 0.00 + $ 47.00

Grp Life $ 0.00 $ 6.00

Med FSA $ 0.00 $ 83.00

Parking $ 0.00 $ 54.00

LTD $ 0.00 $ 22.00

TSP $ 149.00 $ 0.00

Opt FEGLI $ 16.00 $ 0.00

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 1,549.00 $ 1,674.00

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 3,414.00 $ 3,312.00

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. 8a. $ 0.00 $ 0.00

8b. Interest and dividends 8b. $ 0.00 $ 0.00

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. 8c. $ 0.00 $ 0.00

8d. Unemployment compensation 8d. $ 0.00 $ 0.00

8e. Social Security 8e. $ 0.00 $ 0.00

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: 8f. $ 0.00 $ 0.00

8g. Pension or retirement income 8g. $ 0.00 $ 0.00

8h. Other monthly income. Specify: Prorated tax refund 8h.+ $ 36.00 + $ 0.00

Military disability $ 731.00 $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 767.00 $ 0.00

10. Calculate monthly income. Add line 7 + line 9. 10. $ 4,181.00 + $ 3,312.00 = $ 7,493.00

Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse.

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.

12. $ 7,493.00

Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it

applies

Combined

monthly income

Official Form B 6I Schedule I: Your Income page 2

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 33 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

13. Do you expect an increase or decrease within the year after you file this form?

 No.

 Yes. Explain:

Official Form B 6I Schedule I: Your Income page 3

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 34 of 64
Fill in this information to identify your case:

Debtor 1 Brett Travis Jackson Check if this is:

 An amended filing

Debtor 2 Maria Charina Jackson  A supplement showing post-petition chapter

(Spouse, if filing) 13 expenses as of the following date:

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA MM / DD / YYYY

Case number  A separate filing for Debtor 2 because Debtor

(If known) 2 maintains a separate household

Official Form B 6J

Schedule J: Your Expenses 12/13

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 a separate Schedule J.

2. Do you have dependents?  No

Do not list Debtor 1

and Debtor 2.

 Yes. Fill out this information for

each dependent..............

Dependent’s relationship to

Debtor 1 or Debtor 2

Dependent’s

age

Does dependent

live with you?

Do not state the

dependents' names. Son 6

 No

 Yes

Son 18

 No

 Yes

Daughter 19

 No

 Yes

 No

 Yes

3. Do your expenses include

expenses of people other than

yourself and your dependents?

 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 6I.) Your expenses

4. The rental or home ownership expenses for your residence. Include first mortgage

payments and any rent for the ground or lot. 4. $ 989.00

If not included in line 4:

4a. Real estate taxes 4a. $ 0.00

4b. Property, homeowner’s, or renter’s insurance 4b. $ 45.00

4c. Home maintenance, repair, and upkeep expenses 4c. $ 100.00

4d. Homeowner’s association or condominium dues 4d. $ 0.00

5. Additional mortgage payments for your residence, such as home equity loans 5. $ 0.00

Official Form B 6J Schedule J: Your Expenses page 1

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 35 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

6. Utilities:

6a. Electricity, heat, natural gas 6a. $ 400.00

6b. Water, sewer, garbage collection 6b. $ 300.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 960.00

6d. Other. Specify: Heating oil 6d. $ 200.00

Firewood $ 100.00

7. Food and housekeeping supplies 7. $ 1,000.00

8. Childcare and children’s education costs 8. $ 100.00

9. Clothing, laundry, and dry cleaning 9. $ 200.00

10. Personal care products and services 10. $ 200.00

11. Medical and dental expenses 11. $ 300.00

12. Transportation. Include gas, maintenance, bus or train fare.

Do not include car payments. 12. $ 500.00

13. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $ 200.00

14. Charitable contributions and religious donations 14. $ 0.00

15. Insurance.

Do not include insurance deducted from your pay or included in lines 4 or 20.

15a. Life insurance 15a. $ 0.00

15b. Health insurance 15b. $ 0.00

15c. Vehicle insurance 15c. $ 233.00

15d. Other insurance. Specify: 15d. $ 0.00

16. Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20.

Specify: Personal property tax 16. $ 45.00

17. Installment or lease payments:

17a. Car payments for Vehicle 1 17a. $ 0.00

17b. Car payments for Vehicle 2 17b. $ 0.00

17c. Other. Specify: Gym membership 17c. $ 97.00

17d. Other. Specify: 17d. $ 0.00

18. Your payments of alimony, maintenance, and support that you did not report as

deducted from your pay on line 5, Schedule I, Your Income (Official Form 6I). 18. $ 0.00

19. Other payments you make to support others who do not live with you. $ 0.00

Specify: 19.

20. 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. $ 0.00

20b. Real estate taxes 20b. $ 0.00

20c. Property, homeowner’s, or renter’s insurance 20c. $ 0.00

20d. Maintenance, repair, and upkeep expenses 20d. $ 0.00

20e. Homeowner’s association or condominium dues 20e. $ 0.00

21. Other: Specify: Pet care & food (incl. wellness plan) 21. +$ 250.00

Assistance to college-bound dependent +$ 700.00

Emergency funds +$ 100.00

22. Your monthly expenses. Add lines 4 through 21.

The result is your monthly expenses.

22. $ 7,019.00

23. Calculate your monthly net income.

23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 7,493.00

23b. Copy your monthly expenses from line 22 above. 23b. -$ 7,019.00

23c. Subtract your monthly expenses from your monthly income.

The result is your monthly net income. 23c. $ 474.00

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.

Explain:

Official Form B 6J Schedule J: Your Expenses page 2

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 36 of 64
B6 Declaration (Official Form 6 - Declaration). (12/07)

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

DECLARATION CONCERNING DEBTOR'S SCHEDULES

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of 29 

sheets, and that they are true and correct to the best of my knowledge, information, and belief.

Date September 9, 2015 Signature /s/ Brett Travis Jackson

Brett Travis Jackson

Debtor

Date September 9, 2015 Signature /s/ Maria Charina Jackson

Maria Charina Jackson

Joint Debtor

Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.

18 U.S.C. §§ 152 and 3571.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 37 of 64
B7 (Official Form 7) (04/13)

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

STATEMENT OF FINANCIAL AFFAIRS

This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for

both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or

not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole

proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such

activities as well as the individual's personal affairs. To indicate payments, transfers and the like to minor children, state the child's initials and the

name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11

U.S.C. § 112; Fed. R. Bankr. P. 1007(m).

Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete

Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer

to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.

DEFINITIONS

"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in

business" for the purpose of this form if the debtor is or has been, within six years immediately preceding the filing of this bankruptcy case, any of

the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner,

other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor also may be "in business"

for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement income from the

debtor's primary employment.

"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;

corporations of which the debtor is an officer, director, or person in control; officers, directors, and any persons in control of a corporate debtor and

their relatives; affiliates of the debtor and insiders of such affiliates; and any managing agent of the debtor. 11 U.S.C. § 101(2), (31).

None



1. Income from employment or operation of business

State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's

business, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendar

year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this

calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may

report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income for

each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint

petition is filed, unless the spouses are separated and a joint petition is not filed.)

AMOUNT SOURCE

$68,227.02 2015 Income YTD (husband)

$33,286.39 2015 Income YTD (wife)

$119,458.00 2014 Income from 1040

$106,691.00 2013 Income from 1040

None



2. Income other than from employment or operation of business

State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business

during the two years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income for

each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint

petition is filed, unless the spouses are separated and a joint petition is not filed.)

AMOUNT SOURCE

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 38 of 64
B7 (Official Form 7) (04/13)

2

AMOUNT SOURCE

$4,386.00 2015 Military Disability YTD

$8,772.00 2014 Military Disability

$8,772.00 2013 Military Disability

None



3. Payments to creditors

Complete a. or b., as appropriate, and c.

a. Individual or joint debtor(s) with primarily consumer debts: List all payments on loans, installment purchases of goods or

services, and other debts to any creditor made within 90 days immediately preceding the commencement of this case unless the

aggregate value of all property that constitutes or is affected by such transfer is less than $600. Indicate with an asterisk (*) any

payments that were made to a creditor on account of a domestic support obligation or as part of an alternative repayment schedule under

a plan by an approved nonprofit budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must

include payments by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is

not filed.)

NAME AND ADDRESS

OF CREDITOR

DATES OF

PAYMENTS AMOUNT PAID

AMOUNT STILL

OWING

Capital One

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130

March 27, 2015 $1,600.00 $0.00

Wfs Financial/Wachovia Dealer Srvs

Po Box 3569

Rancho Cucamonga, CA 91729

May 2015 $1,120.00 $19,907.00

None



b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days

immediately preceding the commencement of the case unless the aggregate value of all property that constitutes or is affected by such

transfer is less than $6,225*. If the debtor is an individual, indicate with an asterisk (*) any payments that were made to a creditor on

account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved nonprofit

budgeting and credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and other

transfers by either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS OF CREDITOR

DATES OF

PAYMENTS/

TRANSFERS

AMOUNT

PAID OR

VALUE OF

TRANSFERS

AMOUNT STILL

OWING

None



c. All debtors: List all payments made within one year immediately preceding the commencement of this case to or for the benefit of

creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR AND

RELATIONSHIP TO DEBTOR DATE OF PAYMENT AMOUNT PAID

AMOUNT STILL

OWING

None



4. Suits and administrative proceedings, executions, garnishments and attachments

a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of

this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses

whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

CAPTION OF SUIT

AND CASE NUMBER

NATURE OF

PROCEEDING

COURT OR AGENCY

AND LOCATION

STATUS OR

DISPOSITION

 * Amount subject to adjustment on 4/01/16, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 39 of 64
B7 (Official Form 7) (04/13)

3

CAPTION OF SUIT

AND CASE NUMBER

NATURE OF

PROCEEDING

COURT OR AGENCY

AND LOCATION

STATUS OR

DISPOSITION

Capital One Bank v. Maria Jackson

GV14003323-00

Warrant in Debt Hanover County GDC

P.O. Box 176

Hanover, VA 23069

Hearing held:

12/29/14

Judgment

Principal:

$1,534.12

Capital One Bank v. Maria Jackson

GV14003323-01

Garnishment

Summons

Hanover County GDC

P.O. Box 176

Hanover, VA 23069

Hearing held:

5/4/2015

Gastrointestinal Specialists Inc. v. Brett Jackson

& Maria Jackson GV15001277-00

Warrant in Debt Hanover County GDC

P.O. Box 176

Hanover, VA 23069

Hearing to be

held:

7/13/2015

Midland Funding LLC assignee of Citibank v.

Maria Jackson GV152400-00

Warrant in Debt Hanover County GDC

P.O. Box 176

Hanover, VA 23069

Hearing to be

held:

10/5/2015 @

9:00 am

None



b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately

preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning

property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS OF PERSON FOR WHOSE

BENEFIT PROPERTY WAS SEIZED DATE OF SEIZURE

DESCRIPTION AND VALUE OF

PROPERTY

None



5. Repossessions, foreclosures and returns

List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or

returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12

or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the

spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF

CREDITOR OR SELLER

DATE OF REPOSSESSION,

FORECLOSURE SALE,

TRANSFER OR RETURN

DESCRIPTION AND VALUE OF

PROPERTY

Wfs Financial/Wachovia Dealer Srvs

Po Box 3569

Rancho Cucamonga, CA 91729

June 2015 2011 Hyundai Sonata

None



6. Assignments and receiverships

a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of

this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a

joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF ASSIGNEE

DATE OF

ASSIGNMENT TERMS OF ASSIGNMENT OR SETTLEMENT

None



b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately

preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning

property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS

OF CUSTODIAN

NAME AND LOCATION

OF COURT

CASE TITLE & NUMBER

DATE OF

ORDER

DESCRIPTION AND VALUE OF

PROPERTY

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 40 of 64
B7 (Official Form 7) (04/13)

4

None



7. Gifts

List all gifts or charitable contributions made within one year immediately preceding the commencement of this case except ordinary

and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions

aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by

either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF

PERSON OR ORGANIZATION

RELATIONSHIP TO

DEBTOR, IF ANY DATE OF GIFT

DESCRIPTION AND

VALUE OF GIFT

None



8. Losses

List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or

since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

DESCRIPTION AND VALUE

OF PROPERTY

DESCRIPTION OF CIRCUMSTANCES AND, IF

LOSS WAS COVERED IN WHOLE OR IN PART

BY INSURANCE, GIVE PARTICULARS DATE OF LOSS

None



9. Payments related to debt counseling or bankruptcy

List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation

concerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy within one year immediately

preceding the commencement of this case.

NAME AND ADDRESS

OF PAYEE

DATE OF PAYMENT,

NAME OF PAYER IF OTHER

THAN DEBTOR

AMOUNT OF MONEY

OR DESCRIPTION AND VALUE

OF PROPERTY

America Law Group, Inc.

8501 Mayland Dr.

Suite 106

Henrico, VA 23294

6/6/2015 $437 paid to pre-filing

expenses: $310 filing fee,

$127 pre-filing expenses.

$5,050 promised toward

overall attorney's fees.

CIN Group

4540 Honeywell Ct.

Dayton, OH 45424

6/15/2015 $53 for credit counseling

Access Counseling

633 W 5th Street

Suite 26001

Los Angeles, CA 90071

6/9/2015 $15 for credit counseling

None



10. Other transfers

a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,

transferred either absolutely or as security within two years immediately preceding the commencement of this case. (Married debtors

filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the

spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF TRANSFEREE,

RELATIONSHIP TO DEBTOR DATE

DESCRIBE PROPERTY TRANSFERRED

AND VALUE RECEIVED

USAA

9800 Fredericksburg Road

San Antonio, TX 78288

 None

November 2014 2008 Chevy Aveo

Totalled in accident

Received: $1600

Money used to pay bills

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 41 of 64
B7 (Official Form 7) (04/13)

5

None



b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled

trust or similar device of which the debtor is a beneficiary.

NAME OF TRUST OR OTHER

DEVICE DATE(S) OF

TRANSFER(S)

AMOUNT OF MONEY OR DESCRIPTION AND

VALUE OF PROPERTY OR DEBTOR'S INTEREST

IN PROPERTY

None



11. Closed financial accounts

List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or

otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other

financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,

cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must

include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed,

unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF INSTITUTION

TYPE OF ACCOUNT, LAST FOUR

DIGITS OF ACCOUNT NUMBER,

AND AMOUNT OF FINAL BALANCE

AMOUNT AND DATE OF SALE

OR CLOSING

None



12. Safe deposit boxes

List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year

immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or

depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS OF BANK

OR OTHER DEPOSITORY

NAMES AND ADDRESSES

OF THOSE WITH ACCESS

TO BOX OR DEPOSITORY

DESCRIPTION

OF CONTENTS

DATE OF TRANSFER OR

SURRENDER, IF ANY

None



13. Setoffs

List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the

commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF

None



14. Property held for another person

List all property owned by another person that the debtor holds or controls.

NAME AND ADDRESS OF OWNER DESCRIPTION AND VALUE OF PROPERTY LOCATION OF PROPERTY

None



15. Prior address of debtor

If the debtor has moved within three years immediately preceding the commencement of this case, list all premises which the debtor

occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate

address of either spouse.

ADDRESS NAME USED DATES OF OCCUPANCY

158 Pirate's Bluff

Lane View VA 22504

same August 2006 - February 2013

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 42 of 64
B7 (Official Form 7) (04/13)

6

None



16. Spouses and Former Spouses

If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho,

Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within eight years immediately preceding the

commencement of the case, identify the name of the debtor’s spouse and of any former spouse who resides or resided with the debtor in

the community property state.

NAME

17. Environmental Information.

For the purpose of this question, the following definitions apply:

"Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous

or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to,

statutes or regulations regulating the cleanup of these substances, wastes, or material.

"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly owned or

operated by the debtor, including, but not limited to, disposal sites.

"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material,

pollutant, or contaminant or similar term under an Environmental Law

None



a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable

or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known,

the Environmental Law:

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

None



b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous

Material. Indicate the governmental unit to which the notice was sent and the date of the notice.

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

None



c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which

the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the

docket number.

NAME AND ADDRESS OF

GOVERNMENTAL UNIT DOCKET NUMBER STATUS OR DISPOSITION

None



18 . Nature, location and name of business

a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partner in a

partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time within six years

immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities

within six years immediately preceding the commencement of this case.

If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, within six

years immediately preceding the commencement of this case.

If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within six

years immediately preceding the commencement of this case.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 43 of 64
B7 (Official Form 7) (04/13)

7

NAME

LAST FOUR DIGITS OF

SOCIAL-SECURITY OR

OTHER INDIVIDUAL

TAXPAYER-I.D. NO.

(ITIN)/ COMPLETE EIN ADDRESS NATURE OF BUSINESS

BEGINNING AND

ENDING DATES

None



b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. § 101.

NAME ADDRESS

The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has

been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or

owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership, a sole

proprietor, or self-employed in a trade, profession, or other activity, either full- or part-time.

(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,

within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go

directly to the signature page.)

None



19. Books, records and financial statements

a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or

supervised the keeping of books of account and records of the debtor.

NAME AND ADDRESS DATES SERVICES RENDERED

None



b. List all firms or individuals who within the two years immediately preceding the filing of this bankruptcy case have audited the books

of account and records, or prepared a financial statement of the debtor.

NAME ADDRESS DATES SERVICES RENDERED

None



c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records

of the debtor. If any of the books of account and records are not available, explain.

NAME ADDRESS

None



d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was

issued by the debtor within two years immediately preceding the commencement of this case.

NAME AND ADDRESS DATE ISSUED

None



20. Inventories

a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory,

and the dollar amount and basis of each inventory.

DATE OF INVENTORY INVENTORY SUPERVISOR

DOLLAR AMOUNT OF INVENTORY

(Specify cost, market or other basis)

None



b. List the name and address of the person having possession of the records of each of the inventories reported in a., above.

DATE OF INVENTORY

NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY

RECORDS

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 44 of 64
B7 (Official Form 7) (04/13)

8

None



21 . Current Partners, Officers, Directors and Shareholders

a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.

NAME AND ADDRESS NATURE OF INTEREST PERCENTAGE OF INTEREST

None



b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns,

controls, or holds 5 percent or more of the voting or equity securities of the corporation.

NAME AND ADDRESS TITLE

NATURE AND PERCENTAGE

OF STOCK OWNERSHIP

None



22 . Former partners, officers, directors and shareholders

a. If the debtor is a partnership, list each member who withdrew from the partnership within one year immediately preceding the

commencement of this case.

NAME ADDRESS DATE OF WITHDRAWAL

None



b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated within one year

immediately preceding the commencement of this case.

NAME AND ADDRESS TITLE DATE OF TERMINATION

None



23 . Withdrawals from a partnership or distributions by a corporation

If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation

in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite during one year immediately preceding the

commencement of this case.

NAME & ADDRESS

OF RECIPIENT,

RELATIONSHIP TO DEBTOR

DATE AND PURPOSE

OF WITHDRAWAL

AMOUNT OF MONEY

OR DESCRIPTION AND

VALUE OF PROPERTY

None



24. Tax Consolidation Group.

If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated

group for tax purposes of which the debtor has been a member at any time within six years immediately preceding the commencement

of the case.

NAME OF PARENT CORPORATION TAXPAYER IDENTIFICATION NUMBER (EIN)

None



25. Pension Funds.

If the debtor is not an individual, list the name and federal taxpayer-identification number of any pension fund to which the debtor, as an

employer, has been responsible for contributing at any time within six years immediately preceding the commencement of the case.

NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER (EIN)

* * * * * *

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 45 of 64
B7 (Official Form 7) (04/13)

9

I declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto

and that they are true and correct.

Date September 9, 2015 Signature /s/ Brett Travis Jackson

Brett Travis Jackson

Debtor

Date September 9, 2015 Signature /s/ Maria Charina Jackson

Maria Charina Jackson

Joint Debtor

Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. §§ 152 and 3571

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 46 of 64
Form B203 2014 USBC, Eastern District of Virginia

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR

IN A CHAPTER 13 CASE

(for use in the Richmond Division only)

1. Pursuant to 11 U.S.C. § 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor(s) and that

compensation 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 $ 5,050.00

Prior to the filing of this statement I have received $ 127.00

Balance Due $ 4,923.00

2. $ 310.00 of the filing fee has been paid.

3. The source of the compensation paid to me was:

 Debtor  Other (specify)

4. The source of compensation to be paid to me is:

 Debtor  Other (specify)

5.  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.

6. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, as required by Local

Bankruptcy Rule 2016-1(C)(3).

7. I am electing to request compensation and reimbursement of expenses in this case:

a.  In accordance with the “no-look” fee set forth in Local Bankruptcy Rule 2016-1(C)(1)(a) and (C)(3)(a).

b.  By submitting applications for compensation in the manner set forth in Local Bankruptcy Rule 2016-1(C)(1)(c)(ii).

An attorney for the debtor that fails to make the election to request compensation pursuant to Local Bankruptcy Rule 2016-1(C)(1)(a) and

(C)(3)(a) at the commencement of the case will be deemed to have elected to request compensation in the manner set forth within Local

Bankruptcy Rule 2016-1(C)(1)(c)(ii).

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 47 of 64
Form B203 2014 USBC, Eastern District of Virginia

CERTIFICATION

I certify that the foregoing is an accurate statement of any agreement or arrangement for payment to me for representation of the debtor(s) in

this bankruptcy proceeding.

September 9, 2015 /s/ Richard J. Oulton for America Law Group

Date Richard J. Oulton for America Law Group

Signature of Attorney

America Law Group, Inc. dba Debt Law Group

Name of Law Firm

America Law Group, Inc. dba Debt Law Group

8501 Mayland Dr., Ste 106

Henrico, VA 23294

804-308-0051 Fax: 804-308-0053

NOTICE TO DEBTOR(S), STANDING CHAPTER 13 TRUSTEE AND UNITED

STATES TRUSTEE

PURSUANT TO LOCAL BANKRUPTCY RULE 2016-1(C) AND

CLERK’S CM/ECF POLICY 9

Notice is hereby given that pursuant to Local Bankruptcy Rule 2016-1(C), you must file an objection with the court to the fees requested

in this disclosure of compensation opposing said fees in their entirety, or in a specific amount, no later than the last day for filing objections to

confirmation of the chapter 13 plan.

PROOF OF SERVICE

The undersigned hereby certifies that on this date the foregoing Notice was served upon the debtor(s), the standing Chapter 13 trustee,

and U. S. trustee pursuant to Local Bankruptcy Rule 2016-1(C) and the Clerk’s CM/ECF Policy 9, either electronically or in paper form (first class

mail).

September 9, 2015 /s/ Richard J. Oulton for America Law Group

Date Richard J. Oulton for America Law Group

Signature of Attorney

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 48 of 64
B 201A (Form 201A) (6/14)

UNITED STATES BANKRUPTCY COURT

EASTERN DISTRICT OF VIRGINIA

NOTICE TO CONSUMER DEBTOR(S) UNDER § 342(b)

OF THE BANKRUPTCY CODE

In accordance with § 342(b) of the Bankruptcy Code, this notice to individuals with primarily consumer debts: (1) Describes

briefly the services available from credit counseling services; (2) Describes briefly the purposes, benefits and costs of the four types of

bankruptcy proceedings you may commence; and (3) Informs you about bankruptcy crimes and notifies you that the Attorney General

may examine all information you supply in connection with a bankruptcy case.

You are cautioned that bankruptcy law is complicated and not easily described. Thus, you may wish to seek the advice of an

attorney to learn of your rights and responsibilities should you decide to file a petition. Court employees cannot give you legal advice.

Notices from the bankruptcy court are sent to the mailing address you list on your bankruptcy petition. In order to ensure that

you receive information about events concerning your case, Bankruptcy Rule 4002 requires that you notify the court of any changes in

your address. If you are filing a joint case (a single bankruptcy case for two individuals married to each other), and each spouse lists

the same mailing address on the bankruptcy petition, you and your spouse will generally receive a single copy of each notice mailed

from the bankruptcy court in a jointly-addressed envelope, unless you file a statement with the court requesting that each spouse

receive a separate copy of all notices.

1. Services Available from Credit Counseling Agencies

With limited exceptions, § 109(h) of the Bankruptcy Code requires that all individual debtors who file for bankruptcy

relief on or after October 17, 2005, receive a briefing that outlines the available opportunities for credit counseling and

provides assistance in performing a budget analysis. The briefing must be given within 180 days before the bankruptcy filing. The

briefing may be provided individually or in a group (including briefings conducted by telephone or on the Internet) and must be

provided by a nonprofit budget and credit counseling agency approved by the United States trustee or bankruptcy administrator. The

clerk of the bankruptcy court has a list that you may consult of the approved budget and credit counseling agencies. Each debtor in a

joint case must complete the briefing.

In addition, after filing a bankruptcy case, an individual debtor generally must complete a financial management

instructional course before he or she can receive a discharge. The clerk also has a list of approved financial management

instructional courses. Each debtor in a joint case must complete the course.

2. The Four Chapters of the Bankruptcy Code Available to Individual Consumer Debtors

Chapter 7: Liquidation ($245 filing fee, $75 administrative fee, $15 trustee surcharge: Total Fee $335)

Chapter 7 is designed for debtors in financial difficulty who do not have the ability to pay their existing debts. Debtors whose

debts are primarily consumer debts are subject to a "means test" designed to determine whether the case should be permitted to

proceed under chapter 7. If your income is greater than the median income for your state of residence and family size, in some cases,

the United States trustee (or bankruptcy administrator), the trustee, or creditors have the right to file a motion requesting that the court

dismiss your case under § 707(b) of the Code. It is up to the court to decide whether the case should be dismissed.

Under chapter 7, you may claim certain of your property as exempt under governing law. A trustee may have the right to take

possession of and sell the remaining property that is not exempt and use the sale proceeds to pay your creditors.

The purpose of filing a chapter 7 case is to obtain a discharge of your existing debts. If, however, you are found to have

committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny your discharge and, if it does, the

purpose for which you filed the bankruptcy petition will be defeated.

Even if you receive a general discharge, some particular debts are not discharged under the law. Therefore, you may still be

responsible for most taxes and student loans; debts incurred to pay nondischargeable taxes; domestic support and property settlement

obligations; most fines, penalties, forfeitures, and criminal restitution obligations; certain debts which are not properly listed in your

bankruptcy papers; and debts for death or personal injury caused by operating a motor vehicle, vessel, or aircraft while intoxicated

from alcohol or drugs. Also, if a creditor can prove that a debt arose from fraud, breach of fiduciary duty, or theft, or from a willful and

malicious injury, the bankruptcy court may determine that the debt is not discharged.

Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($235 filing fee,

$75 administrative fee: Total Fee $310)

Chapter 13 is designed for individuals with regular income who would like to pay all or part of their debts in installments over

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 49 of 64
Form B 201A, Notice to Consumer Debtor(s) Page 2

a period of time. You are only eligible for chapter 13 if your debts do not exceed certain dollar amounts set forth in the Bankruptcy

Code.

Under chapter 13, you must file with the court a plan to repay your creditors all or part of the money that you owe them, using

your future earnings. The period allowed by the court to repay your debts may be three years or five years, depending upon your

income and other factors. The court must approve your plan before it can take effect.

After completing the payments under your plan, your debts are generally discharged except for domestic support obligations;

most student loans; certain taxes; most criminal fines and restitution obligations; certain debts which are not properly listed in your

bankruptcy papers; certain debts for acts that caused death or personal injury; and certain long term secured obligations.

Chapter 11: Reorganization ($1,167 filing fee, $550 administrative fee: Total Fee $1,717)

Chapter 11 is designed for the reorganization of a business but is also available to consumer debtors. Its provisions are quite

complicated, and any decision by an individual to file a chapter 11 petition should be reviewed with an attorney.

Chapter 12: Family Farmer or Fisherman ($200 filing fee, $75 administrative fee: Total Fee $275)

Chapter 12 is designed to permit family farmers and fishermen to repay their debts over a period of time from future earnings

and is similar to chapter 13. The eligibility requirements are restrictive, limiting its use to those whose income arises primarily from a

family-owned farm or commercial fishing operation.

3. Bankruptcy Crimes and Availability of Bankruptcy Papers to Law Enforcement Officials

A person who knowingly and fraudulently conceals assets or makes a false oath or statement under penalty of perjury, either

orally or in writing, in connection with a bankruptcy case is subject to a fine, imprisonment, or both. All information supplied by a

debtor in connection with a bankruptcy case is subject to examination by the Attorney General acting through the Office of the United

States Trustee, the Office of the United States Attorney, and other components and employees of the Department of Justice.

WARNING: Section 521(a)(1) of the Bankruptcy Code requires that you promptly file detailed information regarding your creditors,

assets, liabilities, income, expenses and general financial condition. Your bankruptcy case may be dismissed if this information is not

filed with the court within the time deadlines set by the Bankruptcy Code, the Bankruptcy Rules, and the local rules of the court. The

documents and the deadlines for filing them are listed on Form B200, which is posted at

http://www.uscourts.gov/bkforms/bankruptcy_forms.html#procedure.

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 50 of 64
B 201B (Form 201B) (12/09)

United States Bankruptcy Court

Eastern District of Virginia

In re

Brett Travis Jackson

Maria Charina Jackson Case No.

Debtor(s) Chapter 13

CERTIFICATION OF NOTICE TO CONSUMER DEBTOR(S)

UNDER § 342(b) OF THE BANKRUPTCY CODE

Certification of Debtor

I (We), the debtor(s), affirm that I (we) have received and read the attached notice, as required by § 342(b) of the Bankruptcy

Code.

Brett Travis Jackson

Maria Charina Jackson X /s/ Brett Travis Jackson September 9, 2015

Printed Name(s) of Debtor(s) Signature of Debtor Date

Case No. (if known) X /s/ Maria Charina Jackson September 9, 2015

Signature of Joint Debtor (if any) Date

Instructions: Attach a copy of Form B 201 A, Notice to Consumer Debtor(s) Under § 342(b) of the Bankruptcy Code.

Use this form to certify that the debtor has received the notice required by 11 U.S.C. § 342(b) only if the certification has NOT been made on the

Voluntary Petition, Official Form B1. Exhibit B on page 2 of Form B1 contains a certification by the debtor's attorney that the attorney has given the

notice to the debtor. The Declarations made by debtors and bankruptcy petition preparers on page 3 of Form B1 also include this certification.

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 51 of 64
}bk1{Credito AresMatix}bk{

Advance America

6493 Mechanicsville Tnpk

Suite B

Mechanicsville, VA 23111

American General Financial

Springleaf Fin. / Bankruptcy

PO Box 3251

Evansville, IN 47731

Barclays Bank Delaware

Attn: Bankruptcy

P.O. Box 8801

Wilmington, DE 19899

Barclays Bank Delaware

attn: Bankruptcy

PO Box 8802

Wilmington, DE 19899-8802

Capital Management Svcs

698 1/2 South Ogden St.

Buffalo, NY 14206

Capital One

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130

Capital One

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130-0285

CashnetUSA

200 West Jackson, Suite 1400

Chicago, IL 60606-6941

Children's Hosp Kings Daughter

Children's Surg. Spec. Grp

601 Children's Ln

Norfolk, VA 23507

Children's Hospital Kings Daug

601 Children's Lane

Norfolk, VA 23507

Citi

11500 NW Ambassador Dr.

Suite 400, 4th Floor

Kansas City, MO 64153

Citibank Customer Service

P.O. Box 6500

Sioux Falls, SD 57117

Commonwealth Lab Consultants

PO Box 36559

Richmond, VA 23235

Credit Control Corp

re: CSG Anesthesia

11821 Rock Landing Dr

Newport News, VA 23606

Debt Recovery Solution

900 Merchants Concourse

Westbury, NY 11590

Dept Of Education/neln

121 S 13th St

Lincoln, NE 68508

Discoverbank

PO Box 15316

Wilmington, DE 19850

Disney Movie Club

PO Box 758

Neenah, WI 54957

Enhanced Recovery Company

PO Box 23870

Jacksonville, FL 32241

EOS CCA

PO Box 207

700 Longwater Drive

Norwell, MA 02061-0207

Firstsource Advantage

205 Bryant Woods South

Amherst, NY 14228

Gastrointestinal Specialists

2369 Staples Mill Road

Suite 200

Richmond, VA 23230-2918

GE Capital Retail Bank

attn: Bankruptcy Dep't

P.O. Box 1950

Morristown, NJ 07962-1950

GECRB/Care Credit

Attn: Bankruptcy

PO Box 103104

Roswell, GA 30076

Great Lakes Educational Loans

2401 International Lane

Madison, WI 53704

Green Gate Services

600 F Street, Ste 3 #721

Arcata, CA 95521

Hanover County Treasurer

PO Box 430

Hanover, VA 23069

Home Depot Credit Svcs

PO Box 182676

Columbus, OH 43218

IAM Ventures LLC

2241 State Street #358

New Albany, IN 47150

Kohls/capone

N56 W 17000 Ridgewood Dr

Menomonee Falls, WI 53051

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 52 of 64
LabCorp

PO Box 2240

Burlington, NC 27216-2240

Lowe's/GECRB

PO Box 530914

Atlanta, GA 30353-0914

MaxLend

MakesCents, Inc.

217 3rd Ave NE

Parshall, ND 58770

Midland Credit Management

8875 Aero Dr, Ste 200

San Diego, CA 92123

Midland Funding

8875 Aero Dr Ste 200

San Diego, CA 92123

North Shore Agency

270 Spagnoli Rd

Suite 110

Melville, NY 11747

Patient First

PO Box 758941

Baltimore, MD 21275

Pioneer Military Loans

4000 S Eastern Ave Ste 3

Las Vegas, NV 89119

Portfolio Recovery

Attn: Bankruptcy

PO Box 41067

Norfolk, VA 23541

Receivable Management

7206 Hull Street Rd Ste

North Chesterfield, VA 23235

Reiss Wilks

6802 Paragon Place, Suite 410

Richmond, VA 23230

Rushmore Financial

FSST Financial Services LLC

PO Box 283

Flandreau, SD 57028

SCA

P O Box 910

Edenton, NC 27932

Solodar and Solodar

11504 Allecingie Pkwy

Richmond, VA 23235-4317

Springleaf

7344 Bell Creek Rd

Mechanicsville, VA 23111

Synchrony Bank

P.O. Box 5937

Bridgewater, NJ 08807

Synchrony Bank

PO Box 965064

Orlando, FL 32896

Target Credit Card (TC)

C/O Financial & Retail Svcs

Mailstop BT P.O. Box 9475

Minneapolis, MN 55440

Us Dept Of Ed/glelsi

PO Box 7860

Madison, WI 53707

Va Credit Union

PO Box 90010

Richmond, VA 23225

Verizon

500 Technology Dr

Ste 550

Weldon Spring, MO 63304

Verizon West Virginia

attn: Wireless Correspondence

PO Box 5029

Wallingford, CT 06492

Verizon Wireless

PO Box 25505

Lehigh Valley, PA 18002-5505

Virginia Physicians

Cold Harbor Family Medicine

PO Box 487

Mechanicsville, VA 23111

Walmart

PO Box 981064

El Paso, TX 79998-1064

Webbank/fingerhut

6250 Ridgewood Rd

Saint Cloud, MN 56303

Webbank/fingerhut Fres

6250 Ridgewood Road

St Cloud, MN 56303

Wells Fargo Hm Mortgag

8480 Stagecoach Cir

Frederick, MD 21701

WFS Wachovia Dealer Svcs

PO Box 3569

Rancho Cucamonga, CA 91729

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 53 of 64
Fill in this information to identify your case: Check as directed in lines 17 and 21:

According to the calculations required by this

Statement:

 1. Disposable income is not determined under

11 U.S.C. § 1325(b)(3).

 2. Disposable income is determined under 11

U.S.C. § 1325(b)(3).

 3. The commitment period is 3 years.

 4. The commitment period is 5 years.

Debtor 1 Brett Travis Jackson

Debtor 2 Maria Charina Jackson

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number

(if known)

 Check if this is an amended filing

Official Form 22C-1

Chapter 13 Statement of Your Current Monthly Income

and Calculation of Commitment Period 12/14

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more

space is needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any

additional pages, write your name and case number (if known).

Part 1: Calculate Your Average Monthly Income

1. What is your marital and filing status? Check one only.

 Not married. Fill out Column A, lines 2-11.

 Married. Fill out both Columns A and B, lines 2-11.

Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy

case. 11 U.S.C. § 101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount

of your monthly income varied during the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any

income amount more than once. For example, if both spouses own the same rental property, put the income from that property in one column only.

If you have nothing to report for any line, write $0 in the space.

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

2. Your gross wages, salary, tips, bonuses, overtime, and commissions (before

all payroll deductions). $ 5,346.09 $ 4,914.44

3. Alimony and maintenance payments. Do not include payments from a spouse if

Column B is filled in. $ 0.00 $ 0.00

4. All amounts from any source which are regularly paid for household expenses

of you or your dependents, including child support. Include regular contributions

from an unmarried partner, members of your household, your dependents, parents,

and roommates. Include regular contributions from a spouse only if Column B is not

filled in. Do not include payments you listed on line 3. $ 0.00 $ 0.00

5. Net income from operating a business, profession, or farm

Gross receipts (before all deductions) $ 0.00

Ordinary and necessary operating expenses -$ 0.00

Net monthly income from a business, profession, or farm $ 0.00 Copy here -> $ 0.00 $ 0.00

6. Net income from rental and other real property

Gross receipts (before all deductions) $ 0.00

Ordinary and necessary operating expenses -$ 0.00

Net monthly income from rental or other real property $ 0.00 Copy here -> $ 0.00 $ 0.00

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 54 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

7. Interest, dividends, and royalties $ 0.00 $ 0.00

8. Unemployment compensation $ 0.00 $ 0.00

Do not enter the amount if you contend that the amount received was a benefit

under the Social Security Act. Instead, list it here:

For you $ 0.00

For your spouse $ 0.00

9. Pension or retirement income. Do not include any amount received that was a

benefit under the Social Security Act. $ 0.00 $ 0.00

10. Income from all other sources not listed above. Specify the source and amount.

Do not include any benefits received under the Social Security Act or payments

received as a victim of a war crime, a crime against humanity, or international or

domestic terrorism. If necessary, list other sources on a separate page and put the

total on line 10c.

10a. Military disability $ 731.00 $ 0.00

10b. Prorated tax refund $ 35.75 $ 0.00

10c. Total amounts from separate pages, if any. + $ 0.00 $ 0.00

11. Calculate your total average monthly income. Add lines 2 through 10 for

each column. Then add the total for Column A to the total for Column B. $ 6,112.84 + $ 4,914.44 = $ 11,027.28

Total average

monthly income

Part 2: Determine How to Measure Your Deductions from Income

12. Copy your total average monthly income from line 11. $ 11,027.28

13. Calculate the marital adjustment. Check one:

 You are not married. Fill in 0 on line 3d.

 You are married and your spouse is filing with you. Fill in 0 in line 13d.

 You are married and your spouse is not filing with you.

Fill in the amount of the income listed in line 11, Column B, that was NOT regularly paid for the household expenses of you or your

dependents, such as payment of the spouse's tax liability or the spouse's support of someone other than you or your dependents.

In lines 13a-c, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list additional

adjustments on a separate page.

If this adjustment does not apply, enter 0 on line 13d.

13a. $

13b. $

13c. +$

13d. Total $ 0.00 Copy here=> 13d. - 0.00

14. Your current monthly income. Subtract line 13d from line 12. 14. $ 11,027.28

15. Calculate your current monthly income for the year. Follow these steps:

15a. Copy line 14 here=> 15a. $

11,027.28

Multiply line 15a by 12 (the number of months in a year). x 12

15b. The result is your current monthly income for the year for this part of the form. 15b. $ 132,327.36

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 55 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

16. Calculate the median family income that applies to you. Follow these steps:

16a. Fill in the state in which you live. VA

16b. Fill in the number of people in your household. 5

16c. Fill in the median family income for your state and size of household. 16c. $

101,449.00

To find a list of applicable median income amounts, go online using the link specified in the separate

instructions for this form. This list may also be available at the bankruptcy clerk's office.

17. How do the lines compare?

17a.  Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under

11 U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Disposable Income (Official Form 22C-2).

17b.  Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under 11 U.S.C. §

1325(b)(3). Go to Part 3 and fill out Calculation of Disposable Income (Official Form 22C-2). On line 39 of that form, copy your

current monthly income from line 14 above.

Part 3: Calculate Your Commitment Period Under 11 U.S.C. §1325(b)(4)

18. Copy your total average monthly income from line 11 . 18. $ 11,027.28

19. Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you

contend that calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your

spouse's income, copy the amount from line 13d.

If the marital adjustment does not apply, fill in 0 on line 19a. 19a.-$ 0.00

Subtract line 19a from line 18. 19b. $ 11,027.28

20. Calculate your current monthly income for the year. Follow these steps:

20a. Copy line 19b 20a. $

11,027.28

Multiply by 12 (the number of months in a year). x 12

20b. The result is your current monthly income for the year for this part of the form 20b. $ 132,327.36

20c. Copy the median family income for your state and size of household from line 16c $ 101,449.00

21. How do the lines compare?

 Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3, The commitment

period is 3 years. Go to Part 4.

 Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 4, The

commitment period is 5 years. Go to Part 4.

Part 4: Sign Below

By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.

X /s/ Brett Travis Jackson X /s/ Maria Charina Jackson

Brett Travis Jackson Maria Charina Jackson

Signature of Debtor 1 Signature of Debtor 2

Date September 9, 2015 Date September 9, 2015

MM / DD / YYYY MM / DD / YYYY

If you checked 17a, do NOT fill out or file Form 22C-2.

If you checked 17b, fill out Form 22C-2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 56 of 64
Fill in this information to identify your case:

Debtor 1 Brett Travis Jackson

 Check if this is an amended filing

Debtor 2 Maria Charina Jackson

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number

(if known)

Official Form 22C-2

Chapter 13 Calculation of Your Disposable Income 12/14

To fill out this form, you will need your completed copy of Chapter 13 Statement of Your Current Monthly income and Calculation of

Commitment Period (Official Form 22C-1).

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more

space is needed, attach a separate sheet to this form, Include the line number to which additional information applies. On the top any

additional pages, write your name and case number (if known).

Part 1: Calculate Your Deductions from Your Income

The Internal Revenue Service (IRS) issues National and Local Standards for certain expense amounts. Use these amounts to answer the

the questions in lines 6-15. To find the IRS standards, go online using the link specified in the separate instructions for this form. This

information may also be available at the bankruptcy clerk’s office.

Deduct the expense amounts set out in lines 6-15 regardless of your actual expense. In later parts of the form, you will use some of your actual

expenses if they are higher than the standards. Do not include any operating expenses that you subtracted from income in lines 5 and 6 of Form

22C–1, and do not deduct any amounts that you subtracted from your spouse’s income in line 13 of Form 22C–1.

If your expenses differ from month to month, enter the average expense.

Note: Line numbers 1-4 are not used in this form. These numbers apply to information required by a similar form used in chapter 7 cases.

5. The number of people used in determining your deductions from income

Fill in the number of people who could be claimed as exemptions on your federal income tax return,

plus the number of any additional dependents whom you support. This number may be different from

the number of people in your household.

5

National Standards You must use the IRS National Standards to answer the questions in lines 6-7.

6. Food, clothing, and other items: Using the number of people you entered in line 5 and the IRS National

Standards, fill in the dollar amount for food, clothing, and other items. $ 1,891.00

7. Out-of-pocket health care allowance: Using the number of people you entered in line 5 and the IRS National Standards, fill in

the dollar amount for out-of-pocket health care. The number of people is split into two categories--people who are under 65 and

people who are 65 or older--because older people have a higher IRS allowance for health car costs. If your actual expenses are

higher than this IRS amount, you may deduct the additional amount on line 22.

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 1

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 57 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

People who are under 65 years of age

7a. Out-of-pocket health care allowance per person $ 60

7b. Number of people who are under 65 X 5

7c. Subtotal. Multiply line 7a by line 7b. $ 300.00 Copy line 7c here=> $ 300.00

People who are 65 years of age or older

7d. Out-of-pocket health care allowance per person $ 144

7e. Number of people who are 65 or older X 0

7f. Subtotal. Multiply line 7d by line 7e. $ 0.00 Copy line 7f here=> $ 0.00

7g. Total. Add line 7c and line 7f $ 300.00 Copy total here=> 7g. $ 300.00

Local Standards You must use the IRS Local Standards to answer the questions in lines 8-15.

Based on information from the IRS, the U.S. Trustee Program has divided the IRS Local Standard for housing for

bankruptcy purposes into two parts:

Housing and utilities - Insurance and operating expenses

housing and utilities - Mortgage or rent expenses

To answer the questions in lines 8-9, use the U.S. Trustee Program chart. To find the chart, go online using the link specified in the

separate instructions for this form. This chart may also be available at the bankruptcy clerk's office.

8. Housing and utilities - Insurance and operating expenses: Using the number of people you entered in line 5,

fill in the dollar amount listed for your county for insurance and operating expenses. $ 622.00

9. Housing and utilities - Mortgage or rent expenses:

9a. Using the number of people you entered in line 5, fill in the dollar amount

listed for your county for mortgage or rent expenses. $ 1,743.00

9b. Total average monthly payment for all mortgages and other debts secured by your home.

To calculate the total average monthly payment, add all amounts that are

contractually due to each secured creditor in the 60 months after you file

for bankruptcy. Next divide by 60.

Name of the creditor Average monthly

payment

Wells Fargo Hm Mortgag $ 989.00

9b. Total average monthly payment $ 989.00

Copy line

9b here=> -$ 989.00

Repeat this amount

on line 33a.

9c. Net mortgage or rent expense.

Subtract line 9b (total average monthly payment) from line 9a (mortgage

or rent expense). If this number is less than $0, enter $0. 9c. $ 754.00

Copy

line 9c

here=> $ 754.00

10. If you claim that the U.S. Trustee Program's division of the IRS Local Standard for housing is incorrect and

affects the calculation of your monthly expenses, fill in any additional amount you claim. $ 0.00

Explain why:

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 2

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 58 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

11. Local transportation expenses: Check the number of vehicles for which you claim an ownership or operating expense.

 0. Go to line 14.

 1. Go to line 12.

 2 or more. Go to line 12.

12. Vehicle operation expense: Using the IRS Local Standards and the number of vehicles for which you claim the

operating expenses, fill in the Operating Costs that apply for your Census region or metropolitan statistical area. $ 488.00

13. Vehicle ownership or lease expense: Using the IRS Local Standards, calculate the net ownership or lease expense for each vehicle below.

You may not claim the expense if you do not make any loan or lease payments on the vehicle. In addition, you may not claim the expense for

more than two vehicles.

Vehicle 1 Describe Vehicle 1: 2004 Ford Explorer Sport Trak 215,000 mi Valuation: NADA

Clean Retail

13a. Ownership or leasing costs using IRS Local Standard 13a. $ 517.00

13b. Average monthly payment for all debts secured by Vehicle 1.

Do not include costs for leased vehicles.

To calculate the average monthly payment here and on line 13e, add all amounts that

are contractually due to each secured creditor in the 60 months after you file for

bankruptcy. Then dived by 60.

Name of each creditor for Vehicle 1 Average monthly

payment

Advance America $ 17.87

Copy 13b

here => -$ 17.87 Repeat this amount

on line 33b.

13c. Net Vehicle 1 ownership or lease expense

Subtract line 13b from line 13a. if this amount is less than $0, enter $0.

13c. $ 499.13

Copy net

Vehicle 1

expense

here => $

499.13

Vehicle 2 Describe Vehicle 2:

13d. Ownership or leasing costs using IRS Local Standard 13d. $ 0.00

13e. Average monthly payment for all debts secured by Vehicle 2. Do not include costs for

leased vehicles.

Name of each creditor for Vehicle 2 Average monthly

payment

-NONE- $

Copy 13e

here => -$ 0.00

13f. Net Vehicle 2 ownership or lease expense

Subtract line 13e from line 13d. if this number is less than $0, enter $0.

13f. $ 0.00

Copy net

Vehicle 2

expense

here => $

0.00

14. Public transportation expense: If you claimed 0 vehicles in line 11, using the IRS Local Standards, fill in the Public

Transportation expense allowance regardless of whether you use public transportation. $ 0.00

15. Additional public transportation expense: If you claimed 1 or more vehicles in line 11 and if you claim that you may

also deduct a public transportation expense, you may fill in what you believe is the appropriate expense, but you may

not claim more than the IRS Local Standard for Public Transportation. $ 0.00

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 3

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 59 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

Other Necessary Expenses In addition to the expense deductions listed above, you are allowed your monthly expenses for

the following IRS categories.

16. Taxes: The total monthly amount that you will actually pay for federal, state and local taxes, such as income taxes,

self-employment taxes, social security taxes, and Medicare taxes. You may include the monthly amount withheld

from your pay for these taxes. However, if you expect to receive a tax refund, you must divide the expected refund by

12 and subtract that number from the total monthly amount that is withheld to pay for taxes.

Do not include real estate, sales, or use taxes. $ 2,033.00

17. Involuntary deductions: The total monthly payroll deductions that your job requires, such as retirement

contributions, union dues, and uniform costs.

Do not include amounts that are not required by your job, such as voluntary 401(k) contributions or payroll savings. $ 0.00

18. Life Insurance: The total monthly premiums that you pay for your own term life insurance. If two married people are

filing together, include payments that you make for your spouse's term life insurance.

Do not include premiums for life insurance on your dependents, for a non-filing spouse's life insurance, or for any form

of life insurance other than term. $ 16.00

19. Court-ordered payments: The total monthly amount that you pay as required by the order of a court or

administrative agency, such as spousal or child support payments.

Do not include payments on past due obligations for spousal or child support. You will list these obligations in line 35. $ 0.00

20. Education: The total monthly amount that you pay for education that is either required:

as a condition for your job, or

for your physically or mentally challenged dependent child if no public education is available for similar services. $ 0.00

21. Childcare: The total monthly amount that you pay for childcare, such as babysitting, daycare, nursery, and

preschool.

Do not include payments for any elementary or secondary school education. $ 60.00

22. Additional health care expenses, excluding insurance costs: The monthly amount that you pay for health care

that is required for the health and welfare of you or your dependents and that is not reimbursed by insurance or paid

by a health savings account. Include only the amount that is more than the total entered in line 7.

Payments for health insurance or health savings accounts should be listed only in line 25. $ 0.00

23. Optional telephone and telephone services: The total monthly amount that you pay for telecommunication

services for you and your dependents, such as pagers, call waiting, caller identification, special long distance, or

business cell phone service, to the extent necessary for your health and welfare or that of your dependents or for the

production of income, if it is not reimbursed by your employer.

Do not include payments for basic home telephone, internet and cell phone service. Do not include self-employment

expenses, such as those reported on line 5 of Official Form 22C-1, or any amount you previously deducted. +$ 0.00

24. Add all of the expenses allowed under the IRS expense allowances. $ 6,663.13

Add lines 6 through 23.

Additional Expense Deductions These are additional deductions allowed by the Means Test.

Note: Do not include any expense allowances listed in lines 6-24.

25. Health insurance, disability insurance, and health savings account expenses. The monthly expenses for health

insurance, disability insurance, and health savings accounts that are reasonably necessary for yourself, your spouse, or

your dependents.

Health insurance $ 510.00

Disability insurance $ 22.00

Health savings account + $ 83.00

Total $ 615.00 Copy total here=> $ 615.00

Do you actually spend this total amount?

 No. How much do you actually spend?

 Yes $

26. Continued contributions to the care of household or family members. The actual monthly expenses that you will

continue to pay for the reasonable and necessary care and support of an elderly, chronically ill, or disabled member

of your household or member of your immediate family who is unable to pay for such expenses. $ 0.00

27. Protection against family violence. The reasonably necessary monthly expenses that you incur to maintain the

safety of you and your family under the Family Violence Prevention and Services Act or other federal laws that apply.

By law, the court must keep the nature of these expenses confidential. $ 0.00

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 4

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 60 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

28. Additional home energy costs. Your home energy costs are included in your non-mortgage housing and utilities

allowance on line 8.

If you believe that you have home energy costs that are more than the home energy costs included in the

non-mortgage housing and utilities allowance, then fill in the excess amount of home energy costs.

You must give your case trustee documentation of your actual expenses, and you must show that the additional

amount claimed is reasonable and necessary. $ 0.00

29. Education expenses for dependent children who are younger than 18. The monthly expenses (not more than

$156.25* per child) that you pay for your dependent children who are younger than 18 years old to attend a private or

public elementary or secondary school.

You must give your case trustee documentation of your actual expenses, and you must explain why the amount

claimed is reasonable and necessary and not already accounted for in lines 6-23.

* Subject to adjustment on 4/01/16, and every 3 years after that for cases begun on or after the date of adjustment. $ 0.00

30. Additional food and clothing expense. The monthly amount by which your actual food and clothing expenses are

higher than the combined food and clothing allowances in the IRS National Standards. That amount cannot be more

than 5% of the food and clothing allowances in the IRS National Standards.

To find a chart showing the maximum additional allowance, go online using the link specified in the separate

instructions for this form. This chart may also be available at the bankruptcy clerk's office.

You must show that the additional amount claimed is reasonable and necessary. $ 67.00

31. Continuing charitable contributions. The amount that you will continue to contribute in the form of cash or financial

instruments to a religious or charitable organization. 11 U.S.C. § 548(d)3 and (4). $ 0.00

32. Add all of the additional expense deductions $ 682.00

Add lines 25 through 31.

Deductions for Debt Payment

33. For debts that are secured by an interest in property that you own, including home mortgages, vehicle

loans, and other secured debt, fill in lines 33a through 33g.

To calculate the total average monthly payment, add all amounts that are contractually due to each secured

creditor in the 60 months after you file for bankruptcy. Then divide by 60.

Mortgages on your home Average monthly

payment

33a. Copy line 9b here => $ 989.00

Loans on your first two vehicles

33b. Copy line 13b here => $ 17.87

33c. Copy line 13e here => $ 0.00

Name of each creditor for other secured debt Identify property that secures the debt Does payment

include taxes

or insurance?

33d. IAM Ventures LLC Riding Lawn Mower

 No

 Yes $

56.94

33e.

 No

 Yes $

33f.

 No

 Yes +$

33g. Total average monthly payment. Add lines 33a through 33f $ 1,063.81

Copy

total

here=> $ 1,063.81

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 5

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 61 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

34. Are any debts that you listed in line 33 secured by your primary residence, a vehicle,

or other property necessary for your support or the support of your dependents?

 No. Go to line 35.

 Yes. State any amount that you must pay to a creditor, in addition to the payments

listed in line 33, to keep possession of your property (called the cure amount).

Next, divide by 60 and fill in the information below.

Name of the creditor Identify property that secures the debt Total cure amount Monthly cure

amount

Wells Fargo Hm Mortgag

7320 Hunterbrook Dr.

Mechanicsville, VA 23111

single family dwelling in Hanover

County

RE Tax Assessment: $168,300 $ 3,200.00 ÷ 60 = $ 53.33

$ ÷ 60 = $

$ ÷ 60 = +$

Total $ 53.33

Copy

total

here=> $ 53.33

35. Do you owe any priority claims - such as a priority tax, child support, or alimony -

that are past due as of the filing date of your bankruptcy case? 11 U.S.C. § 507.

 No. Go to line 36.

 Yes. Fill in the total amount of all of these priority claims. Do not include current or

ongoing priority claims, such as those you listed in line 19.

Total amount of all past-due priority claims $ 704.60 ÷ 60 $ 11.74

36. Projected monthly Chapter 13 plan payment $ 655.00

Current multiplier for your district as stated on the list issued by the Administrative

Office of the United States Courts (for districts in Alabama and North Carolina) or by

the Executive Office for United States Trustees (for all other districts). X 6.70

To find a list of district multipliers that includes your district, go online using the link specified in the

separate instructions for this form. This list may also be available at the bankruptcy clerk's office.

Average monthly administrative expense $

43.89

Copy total

here=> $ 43.89

37. Add all of the deductions for debt payment. $ 1,172.77

Add lines 33g through 36.

Total Deductions from Income

38. Add all of the allowed deductions.

Copy line 24, All of the expenses allowed under IRS

expense allowances $ 6,663.13

Copy line 32, All of the additional expense deductions $ 682.00

Copy line 37, All of the deductions for debt payment +$ 1,172.77

Total deductions $ 8,517.90 Copy total here=> $ 8,517.90

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 6

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 62 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

Part 2: Determine Your Disposable Income Under 11 U.S.C. § 1325(b)(2)

39. Copy your total current monthly income from line 14 of Form 22C-1, Chapter 13

Statement of Your Current Monthly Income and Calculation of Commitment Period $ 11,027.28

40. Fill in any reasonably necessary income you receive for support for dependent

children. The monthly average of any child support payments, foster care payments, or

disability payments for a dependent child, reported in Part I of Form 22C-1, that you

received in accordance with applicable nonbankruptcy law to the extent reasonably

necessary to be expended for such child. $ 0.00

41. Fill in all qualified retirement deductions. The monthly total of all amounts that your

employer withheld from wages as contributions for qualified retirement plans, as specified

in 11 U.S.C. § 541(b)(7) plus all required repayments of loans from retirement plans, as

specified in 11 U.S.C. § 362(b)(19). $ 350.00

42. Total of all deductions allowed under 11 U.S.C. § 707(b)(2)(A). Copy line 38 here. => $ 8,517.90

43. Deduction for special circumstances. If special circumstances justify additional

expenses and you have no reasonable alternative, describe the special circumstances and

their expenses. You must give your case trustee a detailed explanation of the special

circumstances and documentation for the expenses.

Describe the special circumstances Amount of expense

43a.

Debtor received a steep pay cut. Amt. shown here

represents the difference btwn current monthly

income & 6 month history $

1,132.00

43b.

Anticipted deductions from current job (for life ins,

retirement, prior svc pymnt) $

200.00

43c.

Assistance to college-bound dependent for basic

living expenses, inc. allowance, food, housing, etc. $

700.00

43d. Total. Add lines 43a through 43c. $ 2,032.00

Copy 43d

here=> $ 2,032.00

44. Total adjustments. Add lines 40 through 43d. => $ 10,899.90

Copy total

here=> -$ 10,899.90

45. Calculate your monthly disposable income under § 1325(b)(2). Subtract line 44 from line 39. $

127.38

Part 3: Change in Income or Expenses

46. Change in income or expenses. If the income in Form 22C-1 or the expenses you

reported in this form have changed or are virtually certain to change after the date you

filed your bankruptcy petition and during the time your case will be open, fill in the

information below. For example, if the wages reported increased after you filed your

petition, check 22C-1 in the first column, enter line 2 in the second column, explain why

the wages increased, fill in when the increase occurred, and fill in the amount of the

increase.

Form Line Reason for change Date of change Increase or

decrease?

Amount of change

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 7

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 63 of 64
Debtor 1

Debtor 2

Brett Travis Jackson

Maria Charina Jackson Case number (if known)

Part 4: Sign Below

By signing here, under penalty of perjury you declare that the information on this statement and in any attachments is true and correct.

X /s/ Brett Travis Jackson X /s/ Maria Charina Jackson

Brett Travis Jackson Maria Charina Jackson

Signature of Debtor 1 Signature of Debtor 2

Date September 9, 2015 Date September 9, 2015

MM / DD / YYYY MM / DD / YYYY

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 8

Software Copyright (c) 1996-2014 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 15-34684-KRH Doc 1 Filed 09/09/15 Entered 09/09/15 17:30:40 Desc Main

 Document Page 64 of 64