Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106Sum

Summary of Your Assets and Liabilities and Certain Statistical Information 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file

your original forms, you must fill out a new Summary and check the box at the top of this page.

Part 1: Summarize Your Assets

Your assets

Value of what you own

1. Schedule A/B: Property (Official Form 106A/B)

1a. Copy line 55, Total real estate, from Schedule A/B................................................................................................ $ 97,200.00

1b. Copy line 62, Total personal property, from Schedule A/B..................................................................................... $ 23,666.00

1c. Copy line 63, Total of all property on Schedule A/B............................................................................................... $ 120,866.00

Part 2: Summarize Your Liabilities

Your liabilities

Amount you owe

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)

2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D... $ 127,761.00

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)

3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F................................. $ 119.00

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................ $ 50,574.00

Your total liabilities $ 178,454.00

Part 3: Summarize Your Income and Expenses

4. Schedule I: Your Income (Official Form 106I)

Copy your combined monthly income from line 12 of Schedule I................................................................................ $ 4,451.00

5. Schedule J: Your Expenses (Official Form 106J)

Copy your monthly expenses from line 22c of Schedule J.......................................................................... $ 3,980.00

Part 4: Answer These Questions for Administrative and Statistical Records

6. Are you filing for bankruptcy under Chapters 7, 11, or 13?

 No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules.

 Yes

7. What kind of debt do you have?

 Your debts are primarily consumer debts. Consumer debts are those “incurred by an individual primarily for a personal, family, or

household purpose.” 11 U.S.C. § 101(8). Fill out lines 8-9g for statistical purposes. 28 U.S.C. § 159.

 Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit this form to

the court with your other schedules.

Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 1 of 2

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 1 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

8. From the Statement of Your Current Monthly Income: Copy your total current monthly income from Official Form

122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $ 5,634.00

9. Copy the following special categories of claims from Part 4, line 6 of Schedule E/F:

Total claim

From Part 4 on Schedule E/F, copy the following:

9a. Domestic support obligations (Copy line 6a.) $ 0.00

9b. Taxes and certain other debts you owe the government. (Copy line 6b.) $ 119.00

9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.) $ 0.00

9d. Student loans. (Copy line 6f.) $ 12,744.00

9e. Obligations arising out of a separation agreement or divorce that you did not report as

priority claims. (Copy line 6g.) $ 0.00

9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) +$ 0.00

9g. Total. Add lines 9a through 9f. $ 12,863.00

Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 2 of 2

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 2 of 59
Fill in this information to identify your case and this filing:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284  Check if this is an

amended filing

Official Form 106A/B

Schedule A/B: Property 12/15

In each category, separately list and describe items. List an asset only once. If an asset fits in more than one category, list the asset in the category where you

think it fits best. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known).

Answer every question.

Part 1: Describe Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest In

1. Do you own or have any legal or equitable interest in any residence, building, land, or similar property?

 No. Go to Part 2.

 Yes. Where is the property?

1.1 What is the property? Check all that apply

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

104 Chancellor Drive 





Single-family home

Duplex or multi-unit building

Condominium or cooperative

Street address, if available, or other description

Virginia Beach VA 23452-0000





Manufactured or mobile home

Land

Current value of the

entire property?

Current value of the

portion you own?

City State ZIP Code  Investment property $194,400.00 $97,200.00

 Timeshare

Describe the nature of your ownership interest

(such as fee simple, tenancy by the entireties, or

a life estate), if known.

 Other

Who has an interest in the property? Check one

 Debtor 1 only Tenants in Common

Virginia Beach Cit  Debtor 2 only

County  Debtor 1 and Debtor 2 only

 Check if this is community property  At least one of the debtors and another (see instructions)

Other information you wish to add about this item, such as local

property identification number:

This property is deeded to the debtor's late mother. The debtor and his

sister are heirs under Yvonne Lynne Escalante.

2. Add the dollar value of the portion you own for all of your entries from Part 1, including any entries for

pages you have attached for Part 1. Write that number here...........................................................................=> $97,200.00

Part 2: Describe Your Vehicles

Do you own, lease, or have legal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles you own that

someone else drives. If you lease a vehicle, also report it on Schedule G: Executory Contracts and Unexpired Leases.

Official Form 106A/B Schedule A/B: Property page 1

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 3 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

3. Cars, vans, trucks, tractors, sport utility vehicles, motorcycles

 No

 Yes

3.1 Make: Nissan Who has an interest in the property? Check one Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Model: Versa  Debtor 1 only Creditors Who Have Claims Secured by Property.

Year: 2012  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 32,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

 Check if this is community property $9,000.00 $9,000.00

 (see instructions)

3.2 Make: Kia Who has an interest in the property? Check one Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Model: Sorento  Creditors Who Have Claims Secured by Property.

 Debtor 1 only

Year: 2004  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 104,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

 Check if this is community property $5,200.00 $5,200.00

 (see instructions)

4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, other vehicles, and accessories

Examples: Boats, trailers, motors, personal watercraft, fishing vessels, snowmobiles, motorcycle accessories

 No

 Yes

5

.

Add the dollar value of the portion you own for all of your entries from Part 2, including any entries for

pages you have attached for Part 2. Write that number here.............................................................................=> $14,200.00

Part 3: Describe Your Personal and Household Items

Do you own or have any legal or equitable interest in any of the following items? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

6. Household goods and furnishings

Examples: Major appliances, furniture, linens, china, kitchenware

 No

 Yes. Describe.....

Miscellaneous household goods, furnishings and other items

located at debtor's residence.

Value listed is based on debtor's estimate of replacement value of

the property.

2 chairs $200, 2 sofas $200, 1 bookcase $50, 1 desk $50, 1 coffee

table $50, 2 end tables $50, 3 beds $200, 3 chests of drawers $200,

1 dining table $200, 6 dining chairs $200, 1 buffet $200, 1 washing

machine $150, 1 dryer $150, 2 fans $20, 1 vacuum cleaner $30, 1

refrigerator $150, 1 stove $150, 1 microwave oven $25, 1

dishwasher $150, 6 other appliance $100, 10 lamps $40, 48 pieces

of silverware $25, 20 dishes $25, 10 pots and pans $50, 15 pictures

$25, 50 books $25, 1 air conditioner $150 $2,865.00

Official Form 106A/B Schedule A/B: Property page 2

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 4 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

7. Electronics

Examples: Televisions and radios; audio, video, stereo, and digital equipment; computers, printers, scanners; music collections; electronic devices

including cell phones, cameras, media players, games

 No

 Yes. Describe.....

ELectronic items located at debtor's residence.

Value listed is based on debtor's estimate of replacement value of

the property.

4 computers $300, 5 televisions $800, 2 DVD players $90, 1

telephone $5 $1,195.00

8. Collectibles of value

Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects; stamp, coin, or baseball card collections;

other collections, memorabilia, collectibles

 No

 Yes. Describe.....

9. Equipment for sports and hobbies

Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, golf clubs, skis; canoes and kayaks; carpentry tools;

musical instruments

 No

 Yes. Describe.....

1 camera $80, 1 piano $400, 3 guitars $225 $705.00

10. Firearms

Examples: Pistols, rifles, shotguns, ammunition, and related equipment

 No

 Yes. Describe.....

11. Clothes

Examples: Everyday clothes, furs, leather coats, designer wear, shoes, accessories

 No

 Yes. Describe.....

Miscellaneous wearing apparel listed at debtor's residence. Value

listed is based on debtor's estimate of replacement value of the

property. $1,000.00

12. Jewelry

Examples: Everyday jewelry, costume jewelry, engagement rings, wedding rings, heirloom jewelry, watches, gems, gold, silver

 No

 Yes. Describe.....

Miscellaneous jewelry located at debtor's residence. Value listed is

based on debtor's estimate of replacement value of the property.

4 pieces of jewelry $100, 5 pieces of costume jewelry $100 $200.00

Wedding band/engagement rings located at debtor's residence.

Value listed is based on debtor's estimate of replacement value of

the property. $600.00

13. Non-farm animals

Examples: Dogs, cats, birds, horses

 No

Official Form 106A/B Schedule A/B: Property page 3

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 5 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

 Yes. Describe.....

14. Any other personal and household items you did not already list, including any health aids you did not list

 No

 Yes. Give specific information.....

15. Add the dollar value of all of your entries from Part 3, including any entries for pages you have attached

for Part 3. Write that number here .............................................................................. $6,565.00

Part 4: Describe Your Financial Assets

Do you own or have any legal or equitable interest in any of the following? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

16. Cash

Examples: Money you have in your wallet, in your home, in a safe deposit box, and on hand when you file your petition

 No

 Yes................................................................................................................

Cash on hand $2.00

17. Deposits of money

Examples: Checking, savings, or other financial accounts; certificates of deposit; shares in credit unions, brokerage houses, and other similar

institutions. If you have multiple accounts with the same institution, list each.

 No

 Yes........................ Institution name:

17.1. Checking Account *0975 with USAA $160.00

17.2. Savings Account *3228 with USAA $2.00

17.3. Checking

Account *9598 with Chartway Federal Credit

Union $93.00

17.4. Savings Account with Chartway Federal Credit Union $5.00

18. Bonds, mutual funds, or publicly traded stocks

Examples: Bond funds, investment accounts with brokerage firms, money market accounts

 No

 Yes.................. Institution or issuer name:

19. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including an interest in an LLC, partnership, and

joint venture

 No

 Yes. Give specific information about them...................

Name of entity: % of ownership:

20. Government and corporate bonds and other negotiable and non-negotiable instruments

Negotiable instruments include personal checks, cashiers’ checks, promissory notes, and money orders.

Non-negotiable instruments are those you cannot transfer to someone by signing or delivering them.

 No

 Yes. Give specific information about them

Issuer name:

Official Form 106A/B Schedule A/B: Property page 4

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 6 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

21. Retirement or pension accounts

Examples: Interests in IRA, ERISA, Keogh, 401(k), 403(b), thrift savings accounts, or other pension or profit-sharing plans

 No

 Yes. List each account separately.

Type of account: Institution name:

401(k) Retirement plan with Nest Egg $1,609.00

Profit-Sharing Plan Retirement plan through Principal $1,022.00

22. Security deposits and prepayments

Your share of all unused deposits you have made so that you may continue service or use from a company

Examples: Agreements with landlords, prepaid rent, public utilities (electric, gas, water), telecommunications companies, or others

 No

 Yes. ..................... Institution name or individual:

23. Annuities (A contract for a periodic payment of money to you, either for life or for a number of years)

 No

 Yes............. Issuer name and description.

24. Interests in an education IRA, in an account in a qualified ABLE program, or under a qualified state tuition program.

26 U.S.C. §§ 530(b)(1), 529A(b), and 529(b)(1).

 No

 Yes............. Institution name and description. Separately file the records of any interests.11 U.S.C. § 521(c):

25. Trusts, equitable or future interests in property (other than anything listed in line 1), and rights or powers exercisable for your benefit

 No

 Yes. Give specific information about them...

26. Patents, copyrights, trademarks, trade secrets, and other intellectual property

Examples: Internet domain names, websites, proceeds from royalties and licensing agreements

 No

 Yes. Give specific information about them...

27. Licenses, franchises, and other general intangibles

Examples: Building permits, exclusive licenses, cooperative association holdings, liquor licenses, professional licenses

 No

 Yes. Give specific information about them...

Money or property owed to you? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

28. Tax refunds owed to you

 No

 Yes. Give specific information about them, including whether you already filed the returns and the tax years.......

Anticipated 2016 tax refund

See schedule I for breakdown Federal $2.00

Anticipated 2016 tax refund

See Schedule I for breakdown State $2.00

29. Family support

Examples: Past due or lump sum alimony, spousal support, child support, maintenance, divorce settlement, property settlement

 No

 Yes. Give specific information......

Official Form 106A/B Schedule A/B: Property page 5

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 7 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

30. Other amounts someone owes you

Examples: Unpaid wages, disability insurance payments, disability benefits, sick pay, vacation pay, workers’ compensation, Social Security

benefits; unpaid loans you made to someone else

 No

 Yes. Give specific information..

31. Interests in insurance policies

Examples: Health, disability, or life insurance; health savings account (HSA); credit, homeowner’s, or renter’s insurance

 No

 Yes. Name the insurance company of each policy and list its value.

Company name: Beneficiary: Surrender or refund

value:

Term life insurance policy. No cash

surrender value.

Farmers Life Insurance Co

Danielle Escalante,

Olivia Escalante $1.00

Whole life insurance policy . No cash

surrender value

Farmers Life Insurance Co,

Insured - Alexander Sewell David Escalante $2.00

Term life insurance through employer. Danielle Escalante $1.00

32. Any interest in property that is due you from someone who has died

If you are the beneficiary of a living trust, expect proceeds from a life insurance policy, or are currently entitled to receive property because

someone has died.

 No

 Yes. Give specific information..

33. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment

Examples: Accidents, employment disputes, insurance claims, or rights to sue

 No

 Yes. Describe each claim.........

34. Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and rights to set off claims

 No

 Yes. Describe each claim.........

35. Any financial assets you did not already list

 No

 Yes. Give specific information..

Future wages $0.00

36. Add the dollar value of all of your entries from Part 4, including any entries for pages you have attached

for Part 4. Write that number here..................................................................................................................... $2,901.00

Part 5: Describe Any Business-Related Property You Own or Have an Interest In. List any real estate in Part 1.

37. Do you own or have any legal or equitable interest in any business-related property?

 No. Go to Part 6.

 Yes. Go to line 38.

Official Form 106A/B Schedule A/B: Property page 6

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 8 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

Part 6: Describe Any Farm- and Commercial Fishing-Related Property You Own or Have an Interest In.

If you own or have an interest in farmland, list it in Part 1.

46. Do you own or have any legal or equitable interest in any farm- or commercial fishing-related property?

 No. Go to Part 7.

 Yes. Go to line 47.

Part 7: Describe All Property You Own or Have an Interest in That You Did Not List Above

53. Do you have other property of any kind you did not already list?

Examples: Season tickets, country club membership

 No

 Yes. Give specific information.........

54. Add the dollar value of all of your entries from Part 7. Write that number here .................................... $0.00

Part 8: List the Totals of Each Part of this Form

55. Part 1: Total real estate, line 2 ...................................................................................................................... $97,200.00

56. Part 2: Total vehicles, line 5 $14,200.00

57. Part 3: Total personal and household items, line 15 $6,565.00

58. Part 4: Total financial assets, line 36 $2,901.00

59. Part 5: Total business-related property, line 45 $0.00

60. Part 6: Total farm- and fishing-related property, line 52 $0.00

61. Part 7: Total other property not listed, line 54 + $0.00

62. Total personal property. Add lines 56 through 61... $23,666.00 Copy personal property total $23,666.00

63. Total of all property on Schedule A/B. Add line 55 + line 62 $120,866.00

Official Form 106A/B Schedule A/B: Property page 7

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 9 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106C

Schedule C: The Property You Claim as Exempt 4/16

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Using

the property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more space is

needed, fill out and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write your name and

case number (if known).

For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a

specific dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount of

any applicable statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt retirement

funds—may be unlimited in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that limits the

exemption to a particular dollar amount and the value of the property is determined to exceed that amount, your exemption would be limited

to the applicable statutory amount.

Part 1: Identify the Property You Claim as Exempt

1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you.

 You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3)

 You are claiming federal exemptions. 11 U.S.C. § 522(b)(2)

2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below.

Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Debtor 1 Exemptions

104 Chancellor Drive Virginia Beach,

VA 23452 Virginia Beach Cit County

This property is deeded to the

debtor's late mother. The debtor and

his sister are heirs under Yvonne

Lynne Escalante.

Line from Schedule A/B: 1.1

$97,200.00  $3,922.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

104 Chancellor Drive Virginia Beach,

VA 23452 Virginia Beach Cit County

This property is deeded to the

debtor's late mother. The debtor and

his sister are heirs under Yvonne

Lynne Escalante.

Line from Schedule A/B: 1.1

$97,200.00  $500.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

104 Chancellor Drive Virginia Beach,

VA 23452 Virginia Beach Cit County

This property is deeded to the

debtor's late mother. The debtor and

his sister are heirs under Yvonne

Lynne Escalante.

Line from Schedule A/B: 1.1

$97,200.00  $500.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 7

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Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

104 Chancellor Drive Virginia Beach,

VA 23452 Virginia Beach Cit County

This property is deeded to the

debtor's late mother. The debtor and

his sister are heirs under Yvonne

Lynne Escalante.

Line from Schedule A/B: 1.1

$97,200.00  $500.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

2004 Kia Sorento 104,000 miles

Line from Schedule A/B: 3.2

$5,200.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous household goods,

furnishings and other items located

at debtor's residence.

Value listed is based on debtor's

estimate of replacement value of the

property.

2 chairs $200, 2 sofas $200, 1

bookcase $50, 1 desk $50, 1 coffee

table $50, 2 en

Line from Schedule A/B: 6.1

$2,865.00  $1,432.50 Va. Code Ann. § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

ELectronic items located at debtor's

residence.

Value listed is based on debtor's

estimate of replacement value of the

property.

4 computers $300, 5 televisions $800,

2 DVD players $90, 1 telephone $5

Line from Schedule A/B: 7.1

$1,195.00  $597.50 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

1 camera $80, 1 piano $400, 3 guitars

$225

Line from Schedule A/B: 9.1

$705.00  $352.50 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous wearing apparel listed

at debtor's residence. Value listed is

based on debtor's estimate of

replacement value of the property.

Line from Schedule A/B: 11.1

$1,000.00  $500.00 Va. Code Ann. § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous jewelry located at

debtor's residence. Value listed is

based on debtor's estimate of

replacement value of the property.

4 pieces of jewelry $100, 5 pieces of

costume jewelry $100

Line from Schedule A/B: 12.1

$200.00  $25.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 2 of 7

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Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Wedding band/engagement rings

located at debtor's residence. Value

listed is based on debtor's estimate

of replacement value of the property.

Line from Schedule A/B: 12.2

$600.00  $300.00 Va. Code Ann. § 34-26(1a)

 100% of fair market value, up to

any applicable statutory limit

Cash on hand

Line from Schedule A/B: 16.1

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Checking: Account *9598 with

Chartway Federal Credit Union

Line from Schedule A/B: 17.3

$93.00  $93.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Savings: Account with Chartway

Federal Credit Union

Line from Schedule A/B: 17.4

$5.00  $5.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

401(k): Retirement plan with Nest

Egg

Line from Schedule A/B: 21.1

$1,609.00  $1,609.00 Va. Code Ann. § 34-34

 100% of fair market value, up to

any applicable statutory limit

Federal: Anticipated 2016 tax refund

See schedule I for breakdown

Line from Schedule A/B: 28.1

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

State: Anticipated 2016 tax refund

See Schedule I for breakdown

Line from Schedule A/B: 28.2

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Term life insurance policy. No cash

surrender value.

Farmers Life Insurance Co

Beneficiary: Danielle Escalante,

Olivia Escalante

Line from Schedule A/B: 31.1

$1.00  $1.00 Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

Whole life insurance policy . No

cash surrender value

Farmers Life Insurance Co,

Insured - Alexander Sewell

Beneficiary: David Escalante

Line from Schedule A/B: 31.2

$2.00  $1.00 Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

Term life insurance through

employer.

Beneficiary: Danielle Escalante

Line from Schedule A/B: 31.3

$1.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Future wages

Line from Schedule A/B: 35.1

$0.00  $0.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 3 of 7

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Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

3. Are you claiming a homestead exemption of more than $160,375?

(Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment.)

 No

 Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case?

 No

 Yes

Official Form 106C Schedule C: The Property You Claim as Exempt page 4 of 7

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Fill in this information to identify your case:

Debtor 1

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106C

Schedule C: The Property You Claim as Exempt 4/16

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Using

the property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more space is

needed, fill out and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write your name and

case number (if known).

For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a

specific dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount of

any applicable statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt retirement

funds—may be unlimited in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that limits the

exemption to a particular dollar amount and the value of the property is determined to exceed that amount, your exemption would be limited

to the applicable statutory amount.

Part 1: Identify the Property You Claim as Exempt

1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you.

 You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3)

 You are claiming federal exemptions. 11 U.S.C. § 522(b)(2)

2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below.

Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Debtor 2 Exemptions

2012 Nissan Versa 32,000 miles

Line from Schedule A/B: 3.1

$9,000.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous household goods,

furnishings and other items located

at debtor's residence.

Value listed is based on debtor's

estimate of replacement value of the

property.

2 chairs $200, 2 sofas $200, 1

bookcase $50, 1 desk $50, 1 coffee

table $50, 2 en

Line from Schedule A/B: 6.1

$2,865.00  $1,432.50 Va. Code Ann. § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 5 of 7

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Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

ELectronic items located at debtor's

residence.

Value listed is based on debtor's

estimate of replacement value of the

property.

4 computers $300, 5 televisions $800,

2 DVD players $90, 1 telephone $5

Line from Schedule A/B: 7.1

$1,195.00  $597.50 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

1 camera $80, 1 piano $400, 3 guitars

$225

Line from Schedule A/B: 9.1

$705.00  $352.50 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous wearing apparel listed

at debtor's residence. Value listed is

based on debtor's estimate of

replacement value of the property.

Line from Schedule A/B: 11.1

$1,000.00  $500.00 Va. Code Ann. § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous jewelry located at

debtor's residence. Value listed is

based on debtor's estimate of

replacement value of the property.

4 pieces of jewelry $100, 5 pieces of

costume jewelry $100

Line from Schedule A/B: 12.1

$200.00  $175.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Wedding band/engagement rings

located at debtor's residence. Value

listed is based on debtor's estimate

of replacement value of the property.

Line from Schedule A/B: 12.2

$600.00  $300.00 Va. Code Ann. § 34-26(1a)

 100% of fair market value, up to

any applicable statutory limit

Cash on hand

Line from Schedule A/B: 16.1

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Checking: Account *0975 with USAA

Line from Schedule A/B: 17.1

$160.00  $160.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Savings: Account *3228 with USAA

Line from Schedule A/B: 17.2

$2.00  $2.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Profit-Sharing Plan: Retirement plan

through Principal

Line from Schedule A/B: 21.2

$1,022.00  $1,022.00 Va. Code Ann. § 34-34

 100% of fair market value, up to

any applicable statutory limit

Federal: Anticipated 2016 tax refund

See schedule I for breakdown

Line from Schedule A/B: 28.1

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 6 of 7

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Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

State: Anticipated 2016 tax refund

See Schedule I for breakdown

Line from Schedule A/B: 28.2

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Whole life insurance policy . No

cash surrender value

Farmers Life Insurance Co,

Insured - Alexander Sewell

Beneficiary: David Escalante

Line from Schedule A/B: 31.2

$2.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Future wages

Line from Schedule A/B: 35.1

$0.00  $0.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

3. Are you claiming a homestead exemption of more than $160,375?

(Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment.)

 No

 Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case?

 No

 Yes

Official Form 106C Schedule C: The Property You Claim as Exempt page 7 of 7

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Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106D

Schedule D: Creditors Who Have Claims Secured by Property 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space

is needed, copy the Additional Page, fill it out, number the entries, and attach it to this form. On the top of any additional pages, write your name and case

number (if known).

1. Do any creditors have claims secured by your property?

 No. Check this box and submit this form to the court with your other schedules. You have nothing else to report on this form.

 Yes. Fill in all of the information below.

Part 1: List All Secured Claims

2. List all secured claims. If a creditor has more than one secured claim, list the creditor separately

for each claim. If more than one creditor has a particular claim, list the other creditors in Part 2. As

much as possible, list the claims in alphabetical order according to the creditor’s name.

Column A

Amount of claim

Do not deduct the

value of collateral.

Column B

Value of collateral

that supports this

claim

Column C

Unsecured

portion

If any

2.1 Carfinance Capital LLC* Describe the property that secures the claim: $11,021.00 $9,000.00 $2,021.00

Creditor's Name 2012 Nissan Versa 32,000 miles

c/o Corp. Servc. Co.

1111 E. Main St., 16th

Floor

Richmond, VA 23219

As of the date you file, the claim is: Check all that

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset) Automobile Loan

Date debt was incurred 11/2013 Last 4 digits of account number 0414

2.2 Chase Home Finance * Describe the property that secures the claim: $30,000.00 $194,400.00 $0.00

Creditor's Name 104 Chancellor Drive Virginia

Beach, VA 23452 Virginia Beach Cit

County

This property is deeded to the

debtor's late mother. The debtor

and his sister are heirs under

Yvonne Lynne Escalante.

c/o Glenn J. Mouridy,

Pres.

343 Thornall Street

Edison, NJ 08837

As of the date you file, the claim is: Check all that

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 3

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Debtor 1 David Manuel Escalante Case number (if know) 16-73284

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

First Name Middle Name Last Name

 Check if this claim relates to a

community debt

 Other (including a right to offset) Equity Line of Credit

Date debt was incurred 08/2007 Last 4 digits of account number

2.3 Seterus* Describe the property that secures the claim: $80,000.00 $194,400.00 $0.00

Creditor's Name 104 Chancellor Drive Virginia

Beach, VA 23452 Virginia Beach Cit

County

This property is deeded to the

debtor's late mother. The debtor

and his sister are heirs under

Yvonne Lynne Escalante.

CT CORPORATION

SYSTEM

4701 COX ROAD, SUITE

285

Glen Allen, VA 23060

As of the date you file, the claim is: Check all that

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset) Mortgage

Date debt was incurred 04/2007 Last 4 digits of account number 9650

2.4

Springleaf Financial

Service Describe the property that secures the claim: $6,740.00 $5,200.00 $1,540.00

Creditor's Name 2004 Kia Sorento 104,000 miles

601 NW 2nd Street

Evansville, IN 47708

As of the date you file, the claim is: Check all that

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset) Automobile Loan

Date debt was incurred 08/2015 Last 4 digits of account number 2955

Add the dollar value of your entries in Column A on this page. Write that number here: $127,761.00

If this is the last page of your form, add the dollar value totals from all pages.

Write that number here: $127,761.00

Part 2: List Others to Be Notified for a Debt That You Already Listed

Use this page only if you have others to be notified about your bankruptcy for a debt that you already listed in Part 1. For example, if a collection agency is

trying to collect from you for a debt you owe to someone else, list the creditor in Part 1, and then list the collection agency here. Similarly, if you have more

than one creditor for any of the debts that you listed in Part 1, list the additional creditors here. If you do not have additional persons to be notified for any

debts in Part 1, do not fill out or submit this page.

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 3

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Debtor 1 David Manuel Escalante Case number (if know) 16-73284

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

First Name Middle Name Last Name

Name, Number, Street, City, State & Zip Code

Peter S. Lake, Esq.

192 Ballard Court

Virginia Beach, VA 23462

On which line in Part 1 did you enter the creditor? 2.4 

Last 4 digits of account number 

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 3 of 3

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Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106E/F

Schedule E/F: Creditors Who Have Unsecured Claims 12/15

Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY claims and Part 2 for creditors with NONPRIORITY claims. List the other party to

any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Property (Official Form 106A/B) and on

Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not include any creditors with partially secured claims that are listed in

Schedule D: Creditors Who Have Claims Secured by Property. If more space is needed, copy the Part you need, fill it out, number the entries in the boxes on the

left. Attach the Continuation Page to this page. If you have no information to report in a Part, do not file that Part. On the top of any additional pages, write your

name and case number (if known).

Part 1: List All of Your PRIORITY Unsecured Claims

1. Do any creditors have priority unsecured claims against you?

 No. Go to Part 2.

 Yes.

2. List all of your priority unsecured claims. If a creditor has more than one priority unsecured claim, list the creditor separately for each claim. For each claim listed,

identify what type of claim it is. If a claim has both priority and nonpriority amounts, list that claim here and show both priority and nonpriority amounts. As much as

possible, list the claims in alphabetical order according to the creditor’s name. If you have more than two priority unsecured claims, fill out the Continuation Page of

Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3.

(For an explanation of each type of claim, see the instructions for this form in the instruction booklet.)

Total claim Priority

amount

Nonpriority

amount

2.1 John T. Atkinson, Treasurer Last 4 digits of account number 7860 $119.00 $119.00 $0.00

Priority Creditor's Name

City of Virginia Beach

2401 Courthouse Drive

Virginia Beach, VA 23456

When was the debt incurred? 2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

Personal property taxes

Part 2: List All of Your NONPRIORITY Unsecured Claims

3. Do any creditors have nonpriority unsecured claims against you?

 No. You have nothing to report in this part. Submit this form to the court with your other schedules.

 Yes.

4. List all of your nonpriority unsecured claims in the alphabetical order of the creditor who holds each claim. If a creditor has more than one nonpriority

unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. Do not list claims already included in Part 1. If more

than one creditor holds a particular claim, list the other creditors in Part 3.If you have more than three nonpriority unsecured claims fill out the Continuation Page of

Part 2.

Total claim

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 1 of 19

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.1 Barclays Bank Delaware Last 4 digits of account number 4700 $1,840.00

Nonpriority Creditor's Name

PO BOx 8803

Wilmington, DE 19899

When was the debt incurred? 12/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Judgment

4.2 Capital One Last 4 digits of account number 3254 $435.00

Nonpriority Creditor's Name

PO Box 30281

Salt Lake City, UT 84130

When was the debt incurred? 03/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.3 Capital One Last 4 digits of account number 4400 $4,177.00

Nonpriority Creditor's Name

PO Box 30281

Salt Lake City, UT 84130

When was the debt incurred? 10/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Judgment

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 19

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.4 Capital One Last 4 digits of account number 7500 $1,180.00

Nonpriority Creditor's Name

P.O. Box 30281

Salt Lake City, UT 84130

When was the debt incurred? 11/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Judgment

4.5 Cashnet USA Last 4 digits of account number $1,000.00

Nonpriority Creditor's Name

200 West Jackson Ste 1400

Chicago, IL 60606

When was the debt incurred? 10/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.6 CHKD Last 4 digits of account number 1603 $530.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 03/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 19

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.7 CHKD Last 4 digits of account number 5914 $643.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 05/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.8 CHKD Last 4 digits of account number 1567 $1,145.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.9 Citicards CBNA Last 4 digits of account number 2457 $656.00

Nonpriority Creditor's Name

PO Box 6241

Sioux Falls, SD 57117

When was the debt incurred? 11/2012

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 4 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 23 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.1

0 Comenity Bank/New York & Co. Last 4 digits of account number 2023 $322.00

Nonpriority Creditor's Name

P.O. Box 182789

Columbus, OH 43218

When was the debt incurred? 11/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.1

1 Comenity Bank/Pier 1 Last 4 digits of account number 5580 $391.00

Nonpriority Creditor's Name

PO Box 182789

Columbus, OH 43218-2789

When was the debt incurred? 01/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.1

2 CSG Cardiology Last 4 digits of account number 5063 $35.00

Nonpriority Creditor's Name

601 Childrens Lane

Norfolk, VA 23507

When was the debt incurred? 09/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 24 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.1

3 CSG Emergency Medicine Last 4 digits of account number 6158 $154.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 01/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.1

4 CSG Emergency Medicine Last 4 digits of account number 5335 $106.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 04/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.1

5 CSG Neonatology Last 4 digits of account number 5335 $5,185.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 10/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 25 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.1

6 CSG Neonatology Last 4 digits of account number 5063 $4,079.00

Nonpriority Creditor's Name

601 Children's Lane

Norfolk, VA 23507

When was the debt incurred? 10/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.1

7 DirecTV Last 4 digits of account number 5341 $947.00

Nonpriority Creditor's Name

P.O. Box 78626

Phoenix, AZ 85062

When was the debt incurred? 03/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.1

8 Disney Movie Club Last 4 digits of account number 1936 $109.00

Nonpriority Creditor's Name

P.O. Box 758

Neenah, WI 54957

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 7 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 26 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.1

9 Earl R Crouch III MD Last 4 digits of account number 4892 $25.00

Nonpriority Creditor's Name

880 Kempsville Road, Ste 2500

Norfolk, VA 23502

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.2

0 Earl R Crouch III MD Last 4 digits of account number 4892 $504.00

Nonpriority Creditor's Name

880 Kempsville Road, Ste 2500

Norfolk, VA 23502

When was the debt incurred? 10/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify MedicaL Services

4.2

1 Elizabeth River Tunnels Last 4 digits of account number 2817 $198.00

Nonpriority Creditor's Name

700 Port Centre Pkwy Ste 2B

Portsmouth, VA 23704

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 8 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 27 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.2

2 EVMS Academic Physicians Last 4 digits of account number 0894 $1.00

Nonpriority Creditor's Name

721 Fairfax Ave

Norfolk, VA 23507

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Judgment

4.2

3 Firestone Last 4 digits of account number 1827 $777.00

Nonpriority Creditor's Name

PO Box 81307

Cleveland, OH 44181

When was the debt incurred? 05/2008

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.2

4 Firestone Last 4 digits of account number 3443 $1,166.00

Nonpriority Creditor's Name

PO Box 81307

Cleveland, OH 44181

When was the debt incurred? 03/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 9 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 28 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.2

5 First Savings Credit Card Last 4 digits of account number 5060 $434.00

Nonpriority Creditor's Name

500 E. 60th Street

Sioux Falls, SD 57104

When was the debt incurred? 02/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.2

6 First Virginia Financial Servi Last 4 digits of account number 4786 $603.00

Nonpriority Creditor's Name

4356 Holland Road

Suite 102

Virginia Beach, VA 23452

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.2

7 Golden Valley Leading Last 4 digits of account number $1,000.00

Nonpriority Creditor's Name

635 E Hwy 20E

Upper Lake, CA 95485

When was the debt incurred? 10/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 10 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 29 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.2

8 Hampton Roads Radiology Last 4 digits of account number 0455 $348.00

Nonpriority Creditor's Name

P.O. Box 15539

Richmond, VA 23227

When was the debt incurred? 02/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.2

9 Kohls/Capital One Last 4 digits of account number 8694 $992.00

Nonpriority Creditor's Name

PO Box 3115

Milwaukee, WI 53201

When was the debt incurred? 09/2012

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.3

0 Kohls/Capital One Last 4 digits of account number 3462 $526.00

Nonpriority Creditor's Name

PO Box 3115

Milwaukee, WI 53201

When was the debt incurred? 12/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 11 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 30 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.3

1 Medical Center Radiologist Last 4 digits of account number 5117 $130.00

Nonpriority Creditor's Name

P.O. Box 37

Indianapolis, IN 46206

When was the debt incurred? 10/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.3

2 Medical Center Radiologist Last 4 digits of account number 4015 $278.00

Nonpriority Creditor's Name

P.O. Box 37

Indianapolis, IN 46206

When was the debt incurred? 09/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.3

3 Medical Center Radiologists, I Last 4 digits of account number 6057 $53.00

Nonpriority Creditor's Name

PO Box 41115

Norfolk, VA 23502

When was the debt incurred? 10/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 12 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 31 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.3

4 Medical Transport Last 4 digits of account number 2700 $309.00

Nonpriority Creditor's Name

P.O. Box 79865

Baltimore, MD 21279

When was the debt incurred? 12/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Judgment

4.3

5 Navient Last 4 digits of account number 0110 $12,744.00

Nonpriority Creditor's Name

PO Box 9500

Wilkes Barre, PA 18773

When was the debt incurred? 05/2005

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify

Student Loan

4.3

6 North Cash Last 4 digits of account number $1,000.00

Nonpriority Creditor's Name

c/o North Star Finance, LLC

PO Box 498

Hays, MT 59527

When was the debt incurred? 2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 13 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 32 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.3

7 Pathology Science Medical Grou Last 4 digits of account number 0466 $39.00

Nonpriority Creditor's Name

P.O. Box 79671

Baltimore, MD 21279

When was the debt incurred? 09/2014

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.3

8 Pathology Sciences Medial Grou Last 4 digits of account number 8898 $6.00

Nonpriority Creditor's Name

P.O. Box 79671

Baltimore, MD 21279

When was the debt incurred? 10/2015

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.3

9 Sentara Last 4 digits of account number 6101 $85.00

Nonpriority Creditor's Name

PO Box 791168

Baltimore, MD 21279-1168

When was the debt incurred? 04/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 14 of 19

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 Document Page 33 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.4

0 Sentara Last 4 digits of account number 6127 $19.00

Nonpriority Creditor's Name

P O Box 791168

Baltimore, MD 21279

When was the debt incurred? 05/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.4

1 Sentara Collections Last 4 digits of account number 6016 $28.00

Nonpriority Creditor's Name

P.O. Box 79698

Baltimore, MD 21279

When was the debt incurred? 01/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Medical Services

4.4

2 Spot Loan Last 4 digits of account number $513.00

Nonpriority Creditor's Name

P.O. Box 927

Palatine, IL 60078

When was the debt incurred? 2/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 15 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 34 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

4.4

3 Spot Loan Last 4 digits of account number $800.00

Nonpriority Creditor's Name

P.O. Box 927

Palatine, IL 60078

When was the debt incurred? 1/2016

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.4

4 SYNCB/JC Penneys Last 4 digits of account number 1039 $208.00

Nonpriority Creditor's Name

P.O. Box 965036

Orlando, FL 32896

When was the debt incurred? 04/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

4.4

5 USAA Mastercard Last 4 digits of account number 6887 $4,854.00

Nonpriority Creditor's Name

10750 McDermott Freeway

San Antonio, TX 78288

When was the debt incurred? 07/2013

Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

 Obligations arising out of a separation agreement or divorce that you did not

report as priority claims

 Debts to pension or profit-sharing plans, and other similar debts

 Yes  Other. Specify Consumer Debt

Part 3: List Others to Be Notified About a Debt That You Already Listed

5. Use this page only if you have others to be notified about your bankruptcy, for a debt that you already listed in Parts 1 or 2. For example, if a collection agency

is trying to collect from you for a debt you owe to someone else, list the original creditor in Parts 1 or 2, then list the collection agency here. Similarly, if you

have more than one creditor for any of the debts that you listed in Parts 1 or 2, list the additional creditors here. If you do not have additional persons to be

notified for any debts in Parts 1 or 2, do not fill out or submit this page.

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 16 of 19

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 Document Page 35 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

AFNI, Inc

PO Box 3427

Bloomington, IL 61702

Line 4.17 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.13 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.33 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.15 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.14 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.31 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.12 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.16 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Credit Control Corp

11821 Rock Landing Drive

Newport News, VA 23606

Line 4.32 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Dominion Law Associates

P.O. Box 62719

Virginia Beach, VA 23466

Line 4.22 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Equidata

P.O. Box 6610

Newport News, VA 23606-0610

Line 4.28 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Equidata

P.O. Box 6610

Line 4.37 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 17 of 19

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 36 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

Newport News, VA 23606-0610

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Glasser & Glasser

PO Box 3400

Norfolk, VA 23514

Line 4.1 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Glasser & Glasser

PO Box 3400

Norfolk, VA 23514

Line 4.3 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Glasser & Glasser

PO Box 3400

Norfolk, VA 23514

Line 4.4 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Linebarger Goggan Blair & Samp

4828 Loop Central Drive

Suite 600

Houston, TX 77081

Line 4.21 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

North Shore Agency

270 Spagnoli Road

Suite 110

Melville, NY 11747

Line 4.18 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Northland Group Inc

PO Box 390846

Minneapolis, MN 55439

Line 4.29 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Portfolio Recovery Associates

120 Corporate Blvd

Ste 100

Norfolk, VA 23502-4962

Line 4.10 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Portfolio Recovery Associates

120 Corporate Blvd

Ste 100

Norfolk, VA 23502-4962

Line 4.11 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Security Collection Agency

P.O. Box 910

Edenton, NC 27932

Line 4.6 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

Line 4.1 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Virginia Beach Gen. Dist. Ct Line 4.3 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 18 of 19

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 37 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if know) 16-73284

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

Line 4.4 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

Line 4.22 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Name and Address On which entry in Part 1 or Part 2 did you list the original creditor?

Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

Line 4.34 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Part 4: Add the Amounts for Each Type of Unsecured Claim

6. Total the amounts of certain types of unsecured claims. This information is for statistical reporting purposes only. 28 U.S.C. §159. Add the amounts for each

type of unsecured claim.

Total Claim

6a. Domestic support obligations 6a. $ 0.00

Total

claims

from Part 1 6b. Taxes and certain other debts you owe the government 6b. $ 119.00

6c. Claims for death or personal injury while you were intoxicated 6c. $ 0.00

6d. Other. Add all other priority unsecured claims. Write that amount here. 6d. $ 0.00

6e. Total Priority. Add lines 6a through 6d. 6e. $ 119.00

Total Claim

6f. Student loans 6f. $ 12,744.00

Total

claims

from Part 2 6g. Obligations arising out of a separation agreement or divorce that

you did not report as priority claims 6g. $ 0.00

6h. Debts to pension or profit-sharing plans, and other similar debts 6h. $ 0.00

6i. Other. Add all other nonpriority unsecured claims. Write that amount

here.

6i.

$ 37,830.00

6j. Total Nonpriority. Add lines 6f through 6i. 6j. $ 50,574.00

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 19 of 19

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 38 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106G

Schedule G: Executory Contracts and Unexpired Leases 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, copy the additional page, fill it out, number the entries, and attach it to this page. On the top of any

additional pages, write your name and case number (if known).

1. Do you have any executory contracts or unexpired leases?

 No. Check this box and file this form with the court with your other schedules. You have nothing else to report on this form.

 Yes. Fill in all of the information below even if the contacts of leases are listed on Schedule A/B:Property (Official Form 106 A/B).

2. List separately each person or company with whom you have the contract or lease. Then state what each contract or lease is for (for

example, rent, vehicle lease, cell phone). See the instructions for this form in the instruction booklet for more examples of executory contracts

and unexpired leases.

Person or company with whom you have the contract or lease

Name, Number, Street, City, State and ZIP Code

State what the contract or lease is for

2.1

Name

Number Street

City State ZIP Code

2.2

Name

Number Street

City State ZIP Code

2.3

Name

Number Street

City State ZIP Code

2.4

Name

Number Street

City State ZIP Code

2.5

Name

Number Street

City State ZIP Code

Official Form 106G Schedule G: Executory Contracts and Unexpired Leases Page 1 of 1

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 39 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106H

Schedule H: Your Codebtors 12/15

Codebtors are people or entities who are also liable for any debts you may have. Be as complete and accurate as possible. If two married

people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page,

fill it out, and number the entries in the boxes on the left. Attach the Additional Page to this page. On the top of any Additional Pages, write

your name and case number (if known). Answer every question.

1. Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor.

 No

 Yes

2. Within the last 8 years, have you lived in a community property state or territory? (Community property states and territories include

Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.)

 No. Go to line 3.

 Yes. Did your spouse, former spouse, or legal equivalent live with you at the time?

3. In Column 1, list all of your codebtors. Do not include your spouse as a codebtor if your spouse is filing with you. List the person shown

in line 2 again as a codebtor only if that person is a guarantor or cosigner. Make sure you have listed the creditor on Schedule D (Official

Form 106D), Schedule E/F (Official Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D, Schedule E/F, or Schedule G to fill

out Column 2.

Column 1: Your codebtor

Name, Number, Street, City, State and ZIP Code

Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.1  Schedule D, line

Name  Schedule E/F, line

 Schedule G, line

Number Street

City State ZIP Code

3.2  Schedule D, line

Name  Schedule E/F, line

 Schedule G, line

Number Street

City State ZIP Code

Official Form 106H Schedule H: Your Codebtors Page 1 of 1

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 40 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

Debtor 2 Danielle Maria Escalante

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284 Check if this is:

(If known)  An amended filing

 A supplement showing postpetition chapter

13 income as of the following date:

Official Form 106I MM / DD/ YYYY

Schedule I: Your Income 12/15

Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for

supplying correct information. If you are married and not filing jointly, and your spouse is living with you, include information about your

spouse. If you are separated and your spouse is not filing with you, do not include information about your spouse. If more space is needed,

attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.

Part 1: 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 Assistant Manager Finance Manager

Employer's name Rent A Center Konikoff Dental Assc, Inc.

Employer's address 5501 Headquarters Drive

Plano, TX 75024

2100 Lynnhaven Parkway

Virginia Beach, VA 23456

How long employed there? 14 years 2 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. $ 3,351.00 $ 2,856.00

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

4. Calculate gross Income. Add line 2 + line 3. 4. $ 3,351.00 $ 2,856.00

Official Form 106I Schedule I: Your Income page 1

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 41 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 3,351.00 $ 2,856.00

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 609.00 $ 525.00

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

5c. Voluntary contributions for retirement plans 5c. $ 0.00 $ 0.00

5d. Required repayments of retirement fund loans 5d. $ 111.00 $ 0.00

5e. Insurance 5e. $ 375.00 $ 327.00

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

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

5h. Other deductions. Specify: Employee Purchase 5h.+ $ 46.00 + $ 0.00

Idenity $ 13.00 $ 0.00

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 1,154.00 $ 852.00

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 2,197.00 $ 2,004.00

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: Tax over payment 8h.+ $ 250.00 + $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 250.00 $ 0.00

10. Calculate monthly income. Add line 7 + line 9. 10. $ 2,447.00 + $ 2,004.00 = $ 4,451.00

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. $ 4,451.00

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

applies

Combined

monthly income

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

 No.

 Yes. Explain: Income from tax overpayment =

((last year's tax refund) - 1,000) / 12

Official Form 106I Schedule I: Your Income page 2

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

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Fill in this information to identify your case:

Debtor 1 David Manuel Escalante Check if this is:

 An amended filing

Debtor 2 Danielle Maria Escalante  A supplement showing postpetition 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 16-73284

(If known)

Official Form 106J

Schedule J: Your Expenses 12/15

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case

number (if known). Answer every question.

Part 1: Describe Your Household

1. Is this a joint case?

 No. Go to line 2.

 Yes. Does Debtor 2 live in a separate household?

 No

 Yes. Debtor 2 must file Official Form 106J-2, Expenses for Separate Household of Debtor 2.

2. Do you have dependents?  No

Do not list Debtor 1 and

Debtor 2.

 Yes. Fill out this information for

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

Dependent’s relationship to

Debtor 1 or Debtor 2

Dependent’s

age

Does dependent

live with you?

Do not state the

dependents names. Son 4 months

 No

 Yes

Daughter 2

 No

 Yes

Son 15

 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 106I.) 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. $ 520.00

If not included in line 4:

4a. Real estate taxes 4a. $ 0.00

4b. Property, homeowner’s, or renter’s insurance 4b. $ 183.00

4c. Home maintenance, repair, and upkeep expenses 4c. $ 0.00

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

5. Additional mortgage payments for your residence, such as home equity loans 5. $ 113.00

Official Form 106J Schedule J: Your Expenses page 1

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 43 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

6. Utilities:

6a. Electricity, heat, natural gas 6a. $ 212.00

6b. Water, sewer, garbage collection 6b. $ 100.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 451.00

6d. Other. Specify: 6d. $ 0.00

7. Food and housekeeping supplies 7. $ 600.00

8. Childcare and children’s education costs 8. $ 1,191.00

9. Clothing, laundry, and dry cleaning 9. $ 10.00

10. Personal care products and services 10. $ 60.00

11. Medical and dental expenses 11. $ 35.00

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

Do not include car payments. 12. $ 120.00

13. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $ 0.00

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. $ 141.00

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 taxes, tags, etc. 16. $ 18.00

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: 17c. $ 0.00

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 106I). 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: Student Loan 21. +$ 75.00

Formula, diapers, baby supplies +$ 151.00

22. Calculate your monthly expenses

22a. Add lines 4 through 21. $ 3,980.00

22b. Copy line 22 (monthly expenses for Debtor 2), if any, from Official Form 106J-2 $

22c. Add line 22a and 22b. The result is your monthly expenses. $ 3,980.00

23. Calculate your monthly net income.

23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 4,451.00

23b. Copy your monthly expenses from line 22c above. 23b. -$ 3,980.00

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

The result is your monthly net income. 23c. $ 471.00

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 here:

Official Form 106J Schedule J: Your Expenses page 2

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 44 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 106Dec

Declaration About an Individual Debtor's Schedules 12/15

If two married people are filing together, both are equally responsible for supplying correct information.

You must file this form whenever you file bankruptcy schedules or amended schedules. Making a false statement, concealing property, or

obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20

years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

Sign Below

Did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms?

 No

 Yes. Name of person Attach Bankruptcy Petition Preparer’s Notice,

Declaration, and Signature (Official Form 119)

Under penalty of perjury, I declare that I have read the summary and schedules filed with this declaration and

that they are true and correct.

X /s/ David Manuel Escalante X /s/ Danielle Maria Escalante

David Manuel Escalante Danielle Maria Escalante

Signature of Debtor 1 Signature of Debtor 2

Date September 21, 2016 Date September 21, 2016

Official Form 106Dec Declaration About an Individual Debtor's Schedules

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 45 of 59
Fill in this information to identify your case:

Debtor 1 David Manuel Escalante

First Name Middle Name Last Name

Debtor 2 Danielle Maria Escalante

(Spouse if, filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 16-73284

(if known)  Check if this is an

amended filing

Official Form 107

Statement of Financial Affairs for Individuals Filing for Bankruptcy 4/16

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct

information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case

number (if known). Answer every question.

Part 1: Give Details About Your Marital Status and Where You Lived Before

1. What is your current marital status?

 Married

 Not married

2. During the last 3 years, have you lived anywhere other than where you live now?

 No

 Yes. List all of the places you lived in the last 3 years. Do not include where you live now.

Debtor 1 Prior Address: Dates Debtor 1

lived there

Debtor 2 Prior Address: Dates Debtor 2

lived there

3. Within the last 8 years, did you ever live with a spouse or legal equivalent in a community property state or territory? (Community property

states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington and Wisconsin.)

 No

 Yes. Make sure you fill out Schedule H: Your Codebtors (Official Form 106H).

Part 2 Explain the Sources of Your Income

4. Did you have any income from employment or from operating a business during this year or the two previous calendar years?

Fill in the total amount of income you received from all jobs and all businesses, including part-time activities.

If you are filing a joint case and you have income that you receive together, list it only once under Debtor 1.

 No

 Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Check all that apply.

Gross income

(before deductions and

exclusions)

Sources of income

Check all that apply.

Gross income

(before deductions

and exclusions)

From January 1 of current year until

the date you filed for bankruptcy:

 Wages, commissions,

bonuses, tips

 Operating a business

$25,725.00  Wages, commissions,

bonuses, tips

 Operating a business

$17,343.00

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 1

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 46 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

Debtor 1 Debtor 2

Sources of income

Check all that apply.

Gross income

(before deductions and

exclusions)

Sources of income

Check all that apply.

Gross income

(before deductions

and exclusions)

For last calendar year:

(January 1 to December 31, 2015 )

 Wages, commissions,

bonuses, tips

 Operating a business

$31,856.00  Wages, commissions,

bonuses, tips

 Operating a business

$29,693.00

For the calendar year before that:

(January 1 to December 31, 2014 )

 Wages, commissions,

bonuses, tips

 Operating a business

$38,047.00  Wages, commissions,

bonuses, tips

 Operating a business

$24,218.00

5. Did you receive any other income during this year or the two previous calendar years?

Include income regardless of whether that income is taxable. Examples of other income are alimony; child support; Social Security, unemployment,

and other public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and gambling and lottery

winnings. If you are filing a joint case and you have income that you received together, list it only once under Debtor 1.

List each source and the gross income from each source separately. Do not include income that you listed in line 4.

 No

 Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Describe below.

Gross income from

each source

(before deductions and

exclusions)

Sources of income

Describe below.

Gross income

(before deductions

and exclusions)

Part 3: List Certain Payments You Made Before You Filed for Bankruptcy

6. Are either Debtor 1’s or Debtor 2’s debts primarily consumer debts?

 No. Neither Debtor 1 nor Debtor 2 has primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101(8) as “incurred by an

individual primarily for a personal, family, or household purpose.”

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $6,425* or more?

 No. Go to line 7.

 Yes List below each creditor to whom you paid a total of $6,425* or more in one or more payments and the total amount you

paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do

not include payments to an attorney for this bankruptcy case.

* Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment.

 Yes. Debtor 1 or Debtor 2 or both have primarily consumer debts.

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $600 or more?

 No. Go to line 7.

 Yes List below each creditor to whom you paid a total of $600 or more and the total amount you paid that creditor. Do not

include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to an

attorney for this bankruptcy case.

Creditor's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Was this payment for ...

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 2

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 47 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

7. Within 1 year before you filed for bankruptcy, did you make a payment on a debt you owed anyone who was an insider?

Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; corporations

of which you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing agent, including one for

a business you operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, such as child support and

alimony.

 No

 Yes. List all payments to an insider.

Insider's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Reason for this payment

8. Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited an

insider?

Include payments on debts guaranteed or cosigned by an insider.

 No

 Yes. List all payments to an insider

Insider's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Reason for this payment

Include creditor's name

Part 4: Identify Legal Actions, Repossessions, and Foreclosures

9. Within 1 year before you filed for bankruptcy, were you a party in any lawsuit, court action, or administrative proceeding?

List all such matters, including personal injury cases, small claims actions, divorces, collection suits, paternity actions, support or custody

modifications, and contract disputes.

 No

 Yes. Fill in the details.

Case title

Case number

Nature of the case Court or agency Status of the case

EVMS Academic Physicians &

Surgeons

v.

Danielle M Escalante

GV15030894

Warrant In Debt Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Pending

 On appeal

 Concluded

Capital One Bank

v.

Danielle M Escalante

GV15047744

Warrant In Debt Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Pending

 On appeal

 Concluded

Barclays Bank Delaware

v.

Danielle M Escalante

GV160164547

Warrant In Debt Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Pending

 On appeal

 Concluded

Capital One Bank

v.

Danielle M Escalante

GV16019678

Warrant In Debt Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Pending

 On appeal

 Concluded

Springleaf Financial Services

v.

David M Escalante

GV16028736

Warrant In Debt Virginia Beach Gen. Dist. Ct

2425 Nimmo Pkwy

Virginia Beach, VA 23456

 Pending

 On appeal

 Concluded

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 3

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 48 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

10. Within 1 year before you filed for bankruptcy, was any of your property repossessed, foreclosed, garnished, attached, seized, or levied?

Check all that apply and fill in the details below.

 No. Go to line 11.

 Yes. Fill in the information below.

Creditor Name and Address Describe the Property

Explain what happened

Date Value of the

property

11. Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your

accounts or refuse to make a payment because you owed a debt?

 No

 Yes. Fill in the details.

Creditor Name and Address Describe the action the creditor took Date action was

taken

Amount

12. Within 1 year before you filed for bankruptcy, was any of your property in the possession of an assignee for the benefit of creditors, a

court-appointed receiver, a custodian, or another official?

 No

 Yes

Part 5: List Certain Gifts and Contributions

13. Within 2 years before you filed for bankruptcy, did you give any gifts with a total value of more than $600 per person?

 No

 Yes. Fill in the details for each gift.

Gifts with a total value of more than $600

per person

Person to Whom You Gave the Gift and

Address:

Describe the gifts Dates you gave

the gifts

Value

14. Within 2 years before you filed for bankruptcy, did you give any gifts or contributions with a total value of more than $600 to any charity?

 No

 Yes. Fill in the details for each gift or contribution.

Gifts or contributions to charities that total

more than $600

Charity's Name

Address (Number, Street, City, State and ZIP Code)

Describe what you contributed Dates you

contributed

Value

Part 6: List Certain Losses

15. Within 1 year before you filed for bankruptcy or since you filed for bankruptcy, did you lose anything because of theft, fire, other disaster,

or gambling?

 No

 Yes. Fill in the details.

Describe the property you lost and

how the loss occurred

Describe any insurance coverage for the loss

Include the amount that insurance has paid. List pending

insurance claims on line 33 of Schedule A/B: Property.

Date of your

loss

Value of property

lost

Part 7: List Certain Payments or Transfers

16. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone you

consulted about seeking bankruptcy or preparing a bankruptcy petition?

Include any attorneys, bankruptcy petition preparers, or credit counseling agencies for services required in your bankruptcy.

 No

 Yes. Fill in the details.

Person Who Was Paid

Address

Email or website address

Person Who Made the Payment, if Not You

Description and value of any property

transferred

Date payment

or transfer was

made

Amount of

payment

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 4

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 49 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

Person Who Was Paid

Address

Email or website address

Person Who Made the Payment, if Not You

Description and value of any property

transferred

Date payment

or transfer was

made

Amount of

payment

The Merna Law Group, P.C.

3419 Virginia Beach Blvd., #236

Virginia Beach, VA 23452

$250.00 for attorney fees and $310.00

for filing fee

April 2016 $560.00

Access Counseling Inc $16 for credit counseling September

2016

$16.00

17. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone who

promised to help you deal with your creditors or to make payments to your creditors?

Do not include any payment or transfer that you listed on line 16.

 No

 Yes. Fill in the details.

Person Who Was Paid

Address

Description and value of any property

transferred

Date payment

or transfer was

made

Amount of

payment

18. Within 2 years before you filed for bankruptcy, did you sell, trade, or otherwise transfer any property to anyone, other than property

transferred in the ordinary course of your business or financial affairs?

Include both outright transfers and transfers made as security (such as the granting of a security interest or mortgage on your property). Do not

include gifts and transfers that you have already listed on this statement.

 No

 Yes. Fill in the details.

Person Who Received Transfer

Address

Person's relationship to you

Description and value of

property transferred

Describe any property or

payments received or debts

paid in exchange

Date transfer was

made

Jack's 24 Hour Towing

185 Mac Street

Virginia Beach, VA 23462

N/A

The debtor sold a 1989

Chevrolet Beretta worth

$200

The debtor sold a 1989

Chevrolet Beretta for

$80.

June 2016

Once Upon a Child

N/A

The debtor sold baby

clothes worth $80

The sold baby clothes

for $50

June 2016

19. Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you are a

beneficiary? (These are often called asset-protection devices.)

 No

 Yes. Fill in the details.

Name of trust Description and value of the property transferred Date Transfer was

made

Part 8: List of Certain Financial Accounts, Instruments, Safe Deposit Boxes, and Storage Units

20. Within 1 year before you filed for bankruptcy, were any financial accounts or instruments held in your name, or for your benefit, closed,

sold, moved, or transferred?

Include checking, savings, money market, or other financial accounts; certificates of deposit; shares in banks, credit unions, brokerage

houses, pension funds, cooperatives, associations, and other financial institutions.

 No

 Yes. Fill in the details.

Name of Financial Institution and

Address (Number, Street, City, State and ZIP

Code)

Last 4 digits of

account number

Type of account or

instrument

Date account was

closed, sold,

moved, or

transferred

Last balance

before closing or

transfer

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 5

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 50 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

Name of Financial Institution and

Address (Number, Street, City, State and ZIP

Code)

Last 4 digits of

account number

Type of account or

instrument

Date account was

closed, sold,

moved, or

transferred

Last balance

before closing or

transfer

USAA

9800 Fredericksburg Rd.

San Antonio, TX 78288

XXXX-  Checking

 Savings

 Money Market

 Brokerage

 Other

Checking $200.00

21. Do you now have, or did you have within 1 year before you filed for bankruptcy, any safe deposit box or other depository for securities,

cash, or other valuables?

 No

 Yes. Fill in the details.

Name of Financial Institution

Address (Number, Street, City, State and ZIP Code)

Who else had access to it?

Address (Number, Street, City,

State and ZIP Code)

Describe the contents Do you still

have it?

22. Have you stored property in a storage unit or place other than your home within 1 year before you filed for bankruptcy?

 No

 Yes. Fill in the details.

Name of Storage Facility

Address (Number, Street, City, State and ZIP Code)

Who else has or had access

to it?

Address (Number, Street, City,

State and ZIP Code)

Describe the contents Do you still

have it?

Part 9: Identify Property You Hold or Control for Someone Else

23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, or hold in trust

for someone.

 No

 Yes. Fill in the details.

Owner's Name

Address (Number, Street, City, State and ZIP Code)

Where is the property?

(Number, Street, City, State and ZIP

Code)

Describe the property Value

Part 10: Give Details About Environmental Information

For the purpose of Part 10, the following definitions apply:

 Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of hazardous or

toxic substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, including statutes or

regulations controlling the cleanup of these substances, wastes, or material.

 Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize it or used

to own, operate, or utilize it, including disposal sites.

 Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic substance,

hazardous material, pollutant, contaminant, or similar term.

Report all notices, releases, and proceedings that you know about, regardless of when they occurred.

24. Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law?

 No

 Yes. Fill in the details.

Name of site

Address (Number, Street, City, State and ZIP Code)

Governmental unit

Address (Number, Street, City, State and

ZIP Code)

Environmental law, if you

know it

Date of notice

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6

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Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 51 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

25. Have you notified any governmental unit of any release of hazardous material?

 No

 Yes. Fill in the details.

Name of site

Address (Number, Street, City, State and ZIP Code)

Governmental unit

Address (Number, Street, City, State and

ZIP Code)

Environmental law, if you

know it

Date of notice

26. Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.

 No

 Yes. Fill in the details.

Case Title

Case Number

Court or agency

Name

Address (Number, Street, City,

State and ZIP Code)

Nature of the case Status of the

case

Part 11: Give Details About Your Business or Connections to Any Business

27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business?

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

 A member of a limited liability company (LLC) or limited liability partnership (LLP)

 A partner in a partnership

 An officer, director, or managing executive of a corporation

 An owner of at least 5% of the voting or equity securities of a corporation

 No. None of the above applies. Go to Part 12.

 Yes. Check all that apply above and fill in the details below for each business.

Business Name

Address

(Number, Street, City, State and ZIP Code)

Describe the nature of the business

Name of accountant or bookkeeper

Employer Identification number

Do not include Social Security number or ITIN.

Dates business existed

Avon

c/o Allied Data Corporation

13111 Westheimer, 4th Floor

Houston, TX 77077

Direct Sales EIN:

From-To August to Present

28. Within 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial

institutions, creditors, or other parties.

 No

 Yes. Fill in the details below.

Name

Address

(Number, Street, City, State and ZIP Code)

Date Issued

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7

Software Copyright (c) 1996-2016 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 16-73284-SCS Doc 12 Filed 10/03/16 Entered 10/03/16 13:35:22 Desc Main

 Document Page 52 of 59
Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

Part 12: Sign Below

I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the answers

are true and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud in connection

with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both.

18 U.S.C. §§ 152, 1341, 1519, and 3571.

/s/ David Manuel Escalante /s/ Danielle Maria Escalante

David Manuel Escalante Danielle Maria Escalante

Signature of Debtor 1 Signature of Debtor 2

Date September 21, 2016 Date September 21, 2016

Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)?

 No

 Yes

Did you pay or agree to pay someone who is not an attorney to help you fill out bankruptcy forms?

 No

 Yes. Name of Person . Attach the Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 8

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United States Bankruptcy Court

Eastern District of Virginia

In re

David Manuel Escalante

Danielle Maria Escalante Case No. 16-73284

Debtor(s) Chapter 13

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR

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 $ 5,100.00

Prior to the filing of this statement I have received $ 250.00

Balance Due $ 4,850.00

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

 Debtor  Other (specify)

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

 Debtor  Other (specify)

4.  I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.

 I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A

copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached.

5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:

a. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy;

b. Preparation and filing of any petition, schedules, statement of affairs and plan which may be required;

c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;

d. Other provisions as needed:

6. By agreement with the debtor(s), the above-disclosed fee does not include the following services:

Adversary proceedings & appeals.

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CERTIFICATION

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

this bankruptcy proceeding.

September 21, 2016 /s/ Genene E. Gardner

Date Genene E. Gardner 72258

Signature of Attorney

The Merna Law Group, P.C.

Name of Law Firm

3419 Virginia Beach Blvd., #236

Virginia Beach, VA 23452

(757)340-4895 Fax: (757)340-4894

For use in Chapter 13 Cases where Fees Requested Not in Excess of $5,050

(For all Cases Filed on or after 1/01/2015)

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 21, 2016 /s/ Genene E. Gardner

Date Genene E. Gardner 72258

Signature of Attorney

[2030edva ver. 12/15]

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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 David Manuel Escalante

Debtor 2 Danielle Maria Escalante

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number 16-73284

(if known)

 Check if this is an amended filing

Official Form 122C-1

Chapter 13 Statement of Your Current Monthly Income

and Calculation of Commitment Period 12/15

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). $ 3,206.00 $ 2,428.00

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 Debtor 1

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 Debtor 1

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 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

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 below.

$ 0.00 $ 0.00

$ 0.00 $ 0.00

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. $ 3,206.00 + $ 2,428.00 = $ 5,634.00

Total average

monthly income

Part 2: Determine How to Measure Your Deductions from Income

12. Copy your total average monthly income from line 11. $ 5,634.00

13. Calculate the marital adjustment. Check one:

 You are not married. Fill in 0 below.

 You are married and your spouse is filing with you. Fill in 0 below.

 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.

Below, 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 below.

$

$

+$

Total $ 0.00 Copy here=> - 0.00

14. Your current monthly income. Subtract line 13 from line 12. $ 5,634.00

15. Calculate your current monthly income for the year. Follow these steps:

15a. Copy line 14 here=> $

5,634.00

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. ........................................... $ 67,608.00

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

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. $

101,133.00

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 Your Disposable Income (Official Form 122C-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 Your Disposable Income (Official Form 122C-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 . $ 5,634.00

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 13.

19a. If the marital adjustment does not apply, fill in 0 on line 19a. -$ 0.00

19b. Subtract line 19a from line 18. $ 5,634.00

20. Calculate your current monthly income for the year. Follow these steps:

20a. Copy line 19b $

5,634.00

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 $ 67,608.00

20c. Copy the median family income for your state and size of household from line 16c $ 101,133.00

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.

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3

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Debtor 1

Debtor 2

David Manuel Escalante

Danielle Maria Escalante Case number (if known) 16-73284

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/ David Manuel Escalante X /s/ Danielle Maria Escalante

David Manuel Escalante Danielle Maria Escalante

Signature of Debtor 1 Signature of Debtor 2

Date September 21, 2016 Date September 21, 2016

MM / DD / YYYY MM / DD / YYYY

If you checked 17a, do NOT fill out or file Form 122C-2.

If you checked 17b, fill out Form 122C-2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 4

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