}bk1{Form 6.Suary ofScheduls}bk{

United States Bankruptcy Court

Eastern District of Virginia

In re

,

Debtors

Case No.

Chapter

15-34395

13

Martin D. Crosby,

Patricia F. Crosby

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

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

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

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

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

SUMMARY OF SCHEDULES

ATTACHED NO. OF NAME OF SCHEDULE ASSETS LIABILITIES OTHER

(YES/NO) SHEETS

A - Real Property

B - Personal Property

C - Property Claimed as Exempt

D - Creditors Holding Secured Claims

E - Creditors Holding Unsecured

Priority Claims

F - Creditors Holding Unsecured

Nonpriority Claims

G - Executory Contracts and

Unexpired Leases

H - Codebtors

I - Current Income of Individual

Debtor(s)

J - Current Expenditures of Individual

Debtor(s)

Total Number of Sheets of ALL Schedules

Total Assets

Total Liabilities

(Total of Claims on Schedule E)

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

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

1 105,004.50

4 354,064.72

2

6 173,627.94

2 1,461.00

13 47,569.00

1

1

2 4,829.33

2 4,329.33

34

459,069.22

222,657.94

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 1 of 63
}bk1{Form 6.Staiscl Sumaryof CetainLbles andRlte Da}bk{

United States Bankruptcy Court

Eastern District of Virginia

In re

,

Debtors

Case No.

Chapter

15-34395

13

Martin D. Crosby,

Patricia F. Crosby

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

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

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

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

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

report any information here.

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

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

Type of Liability Amount

Domestic Support Obligations (from Schedule E)

Taxes and Certain Other Debts Owed to Governmental Units 

(from Schedule E)

Claims for Death or Personal Injury While Debtor Was Intoxicated

(from Schedule E) (whether disputed or undisputed)

Student Loan Obligations (from Schedule F)

Domestic Support, Separation Agreement, and Divorce Decree

Obligations Not Reported on Schedule E

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

(from Schedule F)

TOTAL

State the following:

Average Income (from Schedule I, Line 12)

Average Expenses (from Schedule J, Line 22)

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

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

State the following:

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

column

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

column

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

PRIORITY, IF ANY" column

4. Total from Schedule F

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

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

0.00

1,461.00

0.00

3,208.00

0.00

0.00

4,669.00

4,829.33

4,329.33

6,367.85

45,002.94

1,461.00

0.00

47,569.00

92,571.94

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 2 of 63
}bk1{Schedul A-ReaPropty}bk{

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

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

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

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

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

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

"Description and Location of Property."

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

Unexpired Leases.

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

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

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

Description and Location of Property Nature of Debtor's

Interest in Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in

Property, without

Deducting any Secured

Claim or Exemption

Amount of

Secured Claim

continuation sheets attached to the Schedule of Real Property

SCHEDULE A - REAL PROPERTY

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

0

Location: 10222 Sauna Drive, North Chesterfield VA

23236

Current Market Analysis - $105,000 August 2015

Tax Assessment - $143,200

Zillow Range - $139,000 - $154,000

Tenants by the Entireities - 105,000.00 134,860.00

Location: Lake Lucerine St, Clint, TX

El Paso County Co-wner: JoEllen Rohman

(Husband's sister)

Property inherited from parents. Owned jointly with

Husband's sister.

Tax Assessment - $9

This land has bee described as "Junk" land. This

land has no access to water, or electricity.

Joint H 4.50 0.00

Sub-Total > 105,004.50 (Total of this page)

Total >

(Report also on Summary of Schedules)

105,004.50

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 3 of 63
}bk1{Schedul B-Personal Prpety}bk{

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

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

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

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

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

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

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

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

Unexpired Leases.

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

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

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

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

continuation sheets attached to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

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

3

1. Cash on hand Cash - Approx. - 25.00

2. Checking, savings or other financial

accounts, certificates of deposit, or

shares in banks, savings and loan,

thrift, building and loan, and

homestead associations, or credit

unions, brokerage houses, or

cooperatives.

(H) Virginia State Checking Account - $241.17

Approx.

(H) Virginia State Savings Account - $182.03

Approx.

(H) Virginia State Club Savings Account - $51

Approx.

(J) Virginia Credit Union Checking Account - $6

(J) Virginia Credit Union Savings Account- $7

(W) Union First Market Checking - $38 Approx.

- 525.20

3. Security deposits with public

utilities, telephone companies,

landlords, and others.

X

4. Household goods and furnishings,

including audio, video, and

computer equipment.

Household Goods - 2,000.00

5. Books, pictures and other art

objects, antiques, stamp, coin,

record, tape, compact disc, and

other collections or collectibles.

Books H 300.00

6. Wearing apparel. Clothes - 500.00

7. Furs and jewelry. Wedding and Engagement Rings $1,100

Misc. Jewelry $600

- 1,700.00

8. Firearms and sports, photographic,

and other hobby equipment.

39 Firearms - Value based on purchase price, some

firearms were purchased new and some were

purchased used.

- 11,520.00

Camcorder - 50.00

Sub-Total >

(Total of this page)

16,620.20

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 4 of 63
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

9. Interests in insurance policies.

Name insurance company of each

policy and itemize surrender or

refund value of each.

Prudential Term Life Insurance policy NO Cash

Value

H 0.00

Woodman Term Life Insurance policy NO Cash

Value

H 0.00

Farm Bureau Term Life Insurance policy NO Cash

Value

H 0.00

10. Annuities. Itemize and name each

issuer.

X

11. Interests in an education IRA as

defined in 26 U.S.C. § 530(b)(1) or

under a qualified State tuition plan

as defined in 26 U.S.C. § 529(b)(1).

Give particulars. (File separately the

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

11 U.S.C. § 521(c).)

X

12. Interests in IRA, ERISA, Keogh, or

other pension or profit sharing

plans. Give particulars.

Virginia Retirement System 403B June 30, 2015 H 166,196.63

Virginia State University 403B June 30, 2015 H 51,745.88

Fidelity Retirement Plan March 31, 2015 H 94,390.01

13. Stock and interests in incorporated

and unincorporated businesses.

Itemize.

Publisher's Rep established in 1995. Debtor is an

Independant Contractor / 1099 employee

The Debtor's business, an advertising business

has an inconsequential as it is a service business

and its only value is in the Debtor's services.

W Unknown

14. Interests in partnerships or joint

ventures. Itemize.

X

15. Government and corporate bonds

and other negotiable and

nonnegotiable instruments.

X

16. Accounts receivable. X

17. Alimony, maintenance, support, and

property settlements to which the

debtor is or may be entitled. Give

particulars.

X

18. Other liquidated debts owed to debtor

including tax refunds. Give particulars.

X

Sub-Total >

(Total of this page)

312,332.52

1 3

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 5 of 63
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

19. Equitable or future interests, life

estates, and rights or powers

exercisable for the benefit of the

debtor other than those listed in

Schedule A - Real Property.

X

20. Contingent and noncontingent

interests in estate of a decedent,

death benefit plan, life insurance

policy, or trust.

X

21. Other contingent and unliquidated

claims of every nature, including

tax refunds, counterclaims of the

debtor, and rights to setoff claims.

Give estimated value of each.

NO Potential claims or lawsuits - 0.00

22. Patents, copyrights, and other

intellectual property. Give

particulars.

X

23. Licenses, franchises, and other

general intangibles. Give

particulars.

X

24. Customer lists or other compilations

containing personally identifiable

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

§ 101(41A)) provided to the debtor

by individuals in connection with

obtaining a product or service from

the debtor primarily for personal,

family, or household purposes.

X

25. Automobiles, trucks, trailers, and

other vehicles and accessories.

2012 Nissan Versa 54,138 Miles - CCC (Husband

drives this vehicle)

Adequate protection $98/month

J 9,950.00

2012 Honda Civic 48,141 Miles - Cross Collateral

Clause SURRENDER

J 13,675.00

1998 Ford Explorer 220,000 Miles NO LIENS Poor

condition

H 737.00

26. Boats, motors, and accessories. X

27. Aircraft and accessories. X

28. Office equipment, furnishings, and

supplies.

X

Sub-Total >

(Total of this page)

24,362.00

2 3

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 6 of 63
B6B (Official Form 6B) (12/07) - Cont.

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B - PERSONAL PROPERTY

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

29. Machinery, fixtures, equipment, and

supplies used in business.

X

30. Inventory. X

31. Animals. 1 Dog & 6 Chickens J 100.00

32. Crops - growing or harvested. Give

particulars.

X

33. Farming equipment and

implements.

X

34. Farm supplies, chemicals, and feed. X

35. Other personal property of any kind

not already listed. Itemize.

Wood chipper H 400.00

Generator J 250.00

Sub-Total >

(Total of this page)

750.00

3 3

Total >

(Report also on Summary of Schedules)

354,064.72

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 7 of 63
}bk1{Schedul C-Propety Claimed sExpt}bk{

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

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

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

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

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

11 U.S.C. §522(b)(3)

Description of Property Specify Law Providing

Each Exemption

Value of

Claimed

Exemption

Current Value of

Property Without

Deducting Exemption

continuation sheets attached to Schedule of Property Claimed as Exempt

SCHEDULE C - PROPERTY CLAIMED AS EXEMPT

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

1

Husband's Exemptions

Household Goods and Furnishings

Household Goods Va. Code Ann. § 34-26(4a) 1,000.00 2,000.00

Wearing Apparel

Clothes Va. Code Ann. § 34-26(4) 250.00 500.00

Furs and Jewelry

Wedding and Engagement Rings $1,100

Misc. Jewelry $600

Va. Code Ann. § 34-26(1a) 100.00 1,700.00

Firearms and Sports, Photographic and Other Hobby Equipment

39 Firearms - Value based on purchase price,

some firearms were purchased new and some

were purchased used.

Va. Code Ann. § 34-26(4b) 3,000.00 11,520.00

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

Virginia Retirement System 403B June 30,

2015

Va. Code Ann. § 34-34 166,196.63 166,196.63

Virginia State University 403B June 30, 2015 Va. Code Ann. § 34-34 51,745.88 51,745.88

Automobiles, Trucks, Trailers, and Other Vehicles

2012 Nissan Versa 54,138 Miles - CCC

(Husband drives this vehicle)

Adequate protection $98/month

Va. Code Ann. § 34-26(8) 1.00 9,950.00

2012 Honda Civic 48,141 Miles - Cross

Collateral Clause SURRENDER

Va. Code Ann. § 34-26(8) 1.00 13,675.00

1998 Ford Explorer 220,000 Miles NO LIENS

Poor condition

Va. Code Ann. § 34-26(8) 737.00 737.00

Animals

1 Dog & 6 Chickens Va. Code Ann. § 34-26(5) 50.00 100.00

Total: 223,081.51 258,124.51

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 8 of 63
B6C (Official Form 6C) (4/13) -- Cont.

Description of Property Specify Law Providing

Each Exemption

Value of

Claimed

Exemption

Current Value of

Property Without

Deducting Exemption

Sheet of continuation sheets attached to the Schedule of Property Claimed as Exempt

SCHEDULE C - PROPERTY CLAIMED AS EXEMPT

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Wife's Exemptions

Household Goods and Furnishings

Household Goods Va. Code Ann. § 34-26(4a) 1,000.00 2,000.00

Wearing Apparel

Clothes Va. Code Ann. § 34-26(4) 250.00 500.00

Furs and Jewelry

Wedding and Engagement Rings $1,100

Misc. Jewelry $600

Va. Code Ann. § 34-26(1a) 1,000.00 1,700.00

Animals

1 Dog & 6 Chickens Va. Code Ann. § 34-26(5) 50.00 100.00

1 1

Total: 2,300.00 4,300.00

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 9 of 63
}bk1{Schedul D-Creditos HldingSecurd Claims}bk{

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal

_____ continuation sheets attached (Total of this page)

UNSECURED

PORTION, IF

ANY

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

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

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

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

other security interests.

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

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

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

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

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

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

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

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

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

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

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

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

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

5

xxxxx8759 Opened 8/01/09 Last Active 7/01/15

Deed of Trust

Location: 10222 Sauna Drive, North

Chesterfield VA 23236

Bank of America

450 American St

Simi Valley, CA 93065 J

105,000.00 107,545.00 2,545.00

Collection agency:

Bank of America Notice Only

Bank of America

Attn: Correspondence Unit/CA6-919-

02-41

Po Box 5170

Simi Valley, CA 93062

xxxxx6553 Opened 2/01/07 Last Active 6/01/15

2nd Deed of Trust

Location: 10222 Sauna Drive, North

Chesterfield VA 23236

Nationstar Mortgage LLC

Po Box 199111

Dallas, TX 75235 J

105,000.00 27,315.00 27,315.00

Collection agency:

Nationstar Mortgage LLC Notice Only

Corporation Service Co. RegAg

Bank of America Center, 16 Fl

1111 East Main Street

Richmond, VA 23219

134,860.00 29,860.00

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 10 of 63
B6D (Official Form 6D) (12/07) - Cont.

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Secured Claims (Total of this page)

UNSECURED

PORTION, IF

ANY

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Nationstar Mortgage LLC Notice Only

Nationstar Mortgage LLC

Attn: Bankruptcy

350 Highland Dr

Lewisville, TX 75067

xxxxxxxx8940 Opened 11/01/11 Last Active 7/16/15

Title POC

2012 Nissan Versa 54,138 Miles

Va Credit Union

7500 Boulders View Drive

Richmond, VA 23225 H

9,950.00 4,850.25 0.00

Collection agency:

Va Credit Union Notice Only

Va Credit Union

Po Box 90010

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union -- VP

Vice President

7500 Boulders View Drive

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union Reg. Agt

Jane G. Watkins

P.O. Box 90010

Richmond, VA 23225-9010

4,850.25 0.00 1 5

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 11 of 63
B6D (Official Form 6D) (12/07) - Cont.

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Secured Claims (Total of this page)

UNSECURED

PORTION, IF

ANY

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxx0202 Opened 4/01/13 Last Active 7/01/15

Title

2012 Honda Civic 48,141 Miles

Va Credit Union

P O Box 90010

Richmond, VA 23225 J

13,675.00 13,836.64 161.64

Collection agency:

Va Credit Union Notice Only

Va Credit Union

Po Box 90010

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union -- VP

Vice President

7500 Boulders View Drive

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union Reg. Agt

Jane G. Watkins

P.O. Box 90010

Richmond, VA 23225-9010

xxxxxxxx8154 Opened 12/01/12 Last Active 7/01/15

CCC Jt Personal Loan (Daughter co on

POC)

2012 Nissan Versa 54,138 Miles

Va Credit Union

P O Box 90010

Richmond, VA 23225 X J

9,950.00 2,428.22 2,428.22

16,264.86 2,589.86 2 5

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 12 of 63
B6D (Official Form 6D) (12/07) - Cont.

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Secured Claims (Total of this page)

UNSECURED

PORTION, IF

ANY

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Va Credit Union Notice Only

Va Credit Union

Po Box 90010

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union -- VP

Vice President

7500 Boulders View Drive

Richmond, VA 23225

Collection agency:

Va Credit Union Notice Only

Virginia Credit Union Reg. Agt

Jane G. Watkins

P.O. Box 90010

Richmond, VA 23225-9010

xxxxxxxx0247 Opened 6/01/07 Last Active 6/01/15

CCC Personal Loan -- Codebtor:

Daughter

2012 Honda Civic 48,141 Miles (POC)

Va Credit Union

7500 Boulders View Drive

Richmond, VA 23225 X W

13,675.00 2,000.00 2,000.00

Collection agency:

Va Credit Union Notice Only

Va Credit Union

Po Box 90010

Richmond, VA 23225

2,000.00 2,000.00 3 5

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 13 of 63
B6D (Official Form 6D) (12/07) - Cont.

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Secured Claims (Total of this page)

UNSECURED

PORTION, IF

ANY

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxxxxxx1205 Opened 8/01/06 Last Active 6/26/15

CCC Jt Credit Card

2012 Nissan Versa 54,138 Miles

Virginiacredit Union

Po Box 6713

Richmond, VA 23230 J

9,950.00 10,802.58 5,702.83

Collection agency:

Virginiacredit Union Notice Only

Virginia Credit Union -- VP

Vice President

7500 Boulders View Drive

Richmond, VA 23225

Collection agency:

Virginiacredit Union Notice Only

Virginia Credit Union Reg. Agt

Jane G. Watkins

P.O. Box 90010

Richmond, VA 23225-9010

xxxxxxxxxxxx7713 Opened 3/01/04 Last Active 6/26/15

CCC Jt Credit Card

2012 Nissan Versa 54,138 Miles

Virginiacredit Union

Po Box 6713

Richmond, VA 23230 J

9,950.00 4,850.25 4,850.25

Collection agency:

Virginiacredit Union Notice Only

Virginia Credit Union

Jane G. Watkins, Rgstered Agt

P.O. Box 90010

Richmond, VA 23225-9010

15,652.83 10,553.08 4 5

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 14 of 63
B6D (Official Form 6D) (12/07) - Cont.

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME 

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal Sheet _____ of _____ continuation sheets attached to

Schedule of Creditors Holding Secured Claims (Total of this page)

UNSECURED

PORTION, IF

ANY

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Virginiacredit Union Notice Only

Virginia Credit Union

Jane Watkins, President

7500 Boulders View Drive

Richmond, VA 23225

0.00 0.00 5 5

Total 173,627.94 45,002.94

(Report on Summary of Schedules)

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 15 of 63
}bk1{Schedul E-Creditos HldingUsecurd PiotyClams}bk{

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Domestic support obligations

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

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

Extensions of credit in an involuntary case

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

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

Wages, salaries, and commissions

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

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

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

Contributions to employee benefit plans

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

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

Certain farmers and fishermen

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

Deposits by individuals

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

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

Taxes and certain other debts owed to governmental units

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

Commitments to maintain the capital of an insured depository institution

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

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

Claims for death or personal injury while debtor was intoxicated

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

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

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

continuation sheets attached

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

1

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 16 of 63
B6E (Official Form 6E) (4/13) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

DATE CLAIM WAS INCURRED AMOUNT

AND CONSIDERATION FOR CLAIM OF CLAIM

Account No.

Account No.

Account No.

Account No.

Account No.

Subtotal Sheet _____ of _____ continuation sheets attached to

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

TYPE OF PRIORITY

AMOUNT NOT

ENTITLED TO

PRIORITY, IF ANY

AMOUNT

ENTITLED TO

PRIORITY

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Taxes and Certain Other Debts

Owed to Governmental Units

2015

Chesterfield County Personal property taxes - PP Taxes

Richard A. Cordle, Treasurer

Post Office Box 26585

Richmond, VA 23285-0088 J

248.00 248.00

0.00

0507 2015

Commonwealth of VA-Tax Tax year 2014

P.O. Box 2156

Richmond, VA 23218-2156

-

13.00 13.00

0.00

0507 2015

Tax year 2014 Internal Revenue Service

Centralized Insolvency Unit

P O Box 7346

Philadelphia, PA 19101-7346 -

1,200.00 1,200.00

0.00

1,461.00 1,461.00

1 1 0.00

1,461.00 1,461.00

Total 0.00

(Report on Summary of Schedules)

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 17 of 63
}bk1{Schedul F-Creditos HldingUsecurd Nonpirty Claims}bk{

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Subtotal

_____ continuation sheets attached (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

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

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

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

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

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

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

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

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

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

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

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

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

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

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

S/N:26367-150826

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

12

xxxxxxxxxxxx6615 Opened 6/01/05 Last Active 7/01/08

Bank Of America Credit Card

Po Box 982235

El Paso, TX 79998

W

0.00

xxxxxxxxxxxx6904 Opened 5/01/07 Last Active 2/01/15

Best Buy/cbna Charge Account

701 East 60th Street

Sioux Falls, SD 57104

W

0.00

xxxxxxxxxxxx2667 Opened 12/01/05 Last Active 7/01/15

Cabela's Club Credit Card

Po Box 82608

Lincoln, NE 68521

J

2,339.00

xxxxxxxx5530 Opened 9/01/08 Last Active 9/16/13

Capital One Na Unsecured

Po Box 30273

Salt Lake City, UT 84130

H

0.00

2,339.00

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 18 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Capital One Na Notice Only

Capital One Na

Attn: General Correspondence

Po Box 30285

Salt Lake City, UT 84130

xxxxxxxxxxxx5928 Opened 11/01/94 Last Active 8/01/15

Capital One Credit Card

Po Box 85015

Richmond, VA 23285-5075

J

2,778.00

Collection agency:

Capital One Notice Only

Capital One

Attn: Bankruptcy

Po Box 30285

Salt Lake City, UT 84130

xxxxxxxxxxxx1135 Opened 2/01/04 Last Active 7/01/15

Capital One Credit Card

15000 Capital One Dr

Richmond, VA 23238

H

5,117.00

Collection agency:

Capital One Notice Only

Capital One

Attn: Bankruptcy

Po Box 30285

Salt Lake City, UT 84130

7,895.00

1 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 19 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxxxxxx4523 Opened 10/01/02 Last Active 2/01/15

Capital One Credit Card

15000 Capital One Dr

Richmond, VA 23238

W

4,625.00

Collection agency:

Capital One Notice Only

Capital One

Attn: Bankruptcy

Po Box 30285

Salt Lake City, UT 84130

xxxxxxxxxxxx6904 Opened 5/01/07 Last Active 8/01/12

Capital One Charge Account / Best B

Po Box 5253

Carol Stream, IL 60197

W

0.00

xxxxxxxxxxxx3705 Opened 2/01/04 Last Active 7/19/15

Chase Bank Usa, Na Credit Card

Po Box 15298

Wilmington, DE 19850

H

5,070.00

xxxxxxxxxxxx3001 Opened 8/01/08 Last Active 8/06/15

Chase Bank Usa, Na Credit Card

Po Box 15298

Wilmington, DE 19850

H

2,341.00

12,036.00

2 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 20 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxx2660 Opened 4/01/76 Last Active 6/21/15

Citibank/Citgo Oil Credit Card

Po Box 6497

Sioux Falls, SD 57117

H

0.00

Collection agency:

Citibank/Citgo Oil Notice Only

Citibank/Citgo Oil

Citicorp Credit

Services/Attn:Centralize

Po Box 790040

St Louis, MO 63179

xxxxxxxxxxxx4379 Opened 7/01/12 Last Active 7/01/15

Citibank/The Home Depot Charge Account

Po Box 6497

Sioux Falls, SD 57117-6497

J

2,921.00

Collection agency:

Citibank/The Home Depot Notice Only

Citibank/The Home Depot

Citicorp Credit Srvs/Centralized

Bankrup

Po Box 790040

Saint Louis, MO 63179

xxxxxxxxxxxxx5218 Opened 9/01/14

Comcast Service ???????

5401 Staples Mill Road

Richmond, VA 23228

W

0.00

2,921.00

3 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 21 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Comcast Notice Only

Eastern Account System INC.

Attn: Bankruptcy Dept.

Po Box 837

Newtown, CT 06470

xxxxxxxxxxxx0686 Opened 12/01/06 Last Active 8/31/12

Comenity Bank/gndrmtmc Credit Card

Po Box 182789

Columbus, OH 43218

H

0.00

xxxxxxxxxxxx6791 Opened 12/01/11 Last Active 4/04/12

Comenity Bank/lnbryant Charge Account

4590 E Broad St

Columbus, OH 43213

W

0.00

xxxxxxxxxxxx9445 Opened 2/27/13 Last Active 7/01/15

Comenity Bank/talbot Charge Account

Po Box 182789

Columbus, OH 43218

W

366.00

Collection agency:

Comenity Bank/talbot Notice Only

Talbots

175 Beal Street

Hingham, MA 02043-1583

366.00

4 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 22 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxx1041 Opened 2/01/13 Last Active 6/15/15

Comenitybank/talbots Charge Account

Po Box 182789

Columbus, OH 43218

W

366.00

xxxxxxx3920 Opened 1/01/12 Last Active 7/02/15

Discover Bank Educational - No Chapter 13 payment - Student loan

Po Box 30948

Salt Lake City, UT 84130

X H

3,208.00

xxxxxxxxxxxx1051 Opened 5/01/07 Last Active 7/01/15

Discover Fin Svcs Llc Credit Card

Po Box 15316

Wilmington, DE 19850

W

686.00

xxxxxxxxxxxx0000 Opened 5/16/13 Last Active 8/01/15

DSRM National Bank/Diamond Charge Account

Shamrock/Vale

Pob 631

Amarillo, TX 79101

H

31.00

Collection agency:

DSRM National Bank/Diamond Shamrock/Vale Notice Only

DSRM National Bank/Diamond

Shamrock/Vale

Po Box 631

Amarillo, TX 79105

4,291.00

5 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 23 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxxxxxx1403 Opened 8/07/08 Last Active 9/01/08

First Premier Bank Credit Card

3820 N Louise Ave

Sioux Falls, SD 57107

W

0.00

xxxxxxxx5306 Opened 11/01/04 Last Active 11/01/12

Gemb/walmart Charge Account

4125 Windward Plaza

Alpharetta, GA 30005

W

0.00

Collection agency:

Gemb/walmart Notice Only

Gemb/walmart

Attn: Bankruptcy

Po Box 103104

Roswell, GA 30076

xxx4269 Opened 11/01/12 Last Active 7/02/13

Horizon Fin Medical Debt Medical

8585 Broadway #88

Merrillville, IN 46410

W

0.00

xxxxxxxx1749 Opened 10/01/03 Last Active 7/01/05

Lenscrafters/GECRB Charge Account

C/o P.o. Box 965036

Orlando, FL 32896-5036

W

0.00

0.00

6 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 24 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Lenscrafters/GECRB Notice Only

Lenscrafters/GECRB

Attn: Bankruptcy

Po Box 182686

Columbus, OH 43218

xxxxxxxxx7920 Opened 7/01/95 Last Active 2/01/15

Macy's/dsnb Charge Account

911 Duke Blvd

Mason, OH 45040

J

1,882.00

xxxxxxxxx2020 Opened 12/01/05 Last Active 6/03/09

Macy's/dsnb Charge Account

9111 Duke Blvd

Mason, OH 45040

W

0.00

xxxxxx1831 Opened 8/01/12 Last Active 4/14/15

Nordstrom FSB Charge Account

Po Box 6555

Englewood, CO 80155

W

1,827.00

Collection agency:

Nordstrom FSB Notice Only

Nordstrom FSB

Attention: Account Services

Po Box 6566

Englewood, CO 80155

3,709.00

7 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 25 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Paypal Buyer Credit

PO Box 960080

Orlando, FL 32896

J

900.00

xxxxxxxxxxxx1044 Opened 11/01/07 Last Active 10/01/10

Rbs Nb Cc Credit Card

1000 Lafayette Blvd

Bridgeport, CT 06604

W

0.00

Collection agency:

Rbs Nb Cc Notice Only

Rbs Nb Cc

480 Jefferson Blvd.

Mail Drop: RJE135

Warwick, RI 02886

xxxxxxxxxxxx0456 Opened 9/01/06 Last Active 10/10/08

Sams Club Charge Account / GEMB

Po Box 965005

Orlando, FL 32896

W

0.00

Collection agency:

Sams Club / GEMB Notice Only

Sams Club / GEMB

Attention: Bankruptcy Department

Po Box 103104

Roswell, GA 30076

900.00

8 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 26 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxxxxxx3756 Opened 2/01/15 Last Active 7/01/15

Syncb/dicks Charge Account

Po Box 965005

Orlando, FL 32896

H

5.00

xxxxxxxxxxxx7215 Opened 1/01/08 Last Active 7/23/15

Syncb/dicks Dc Credit Card

Po Box 965005

Orlando, FL 32896

H

4,682.00

xxxxxxxxxxxx5079 Opened 6/01/14 Last Active 2/01/15

Synchrony Bank/ Old Navy Charge Account

Po Box 965005

Orlando, FL 32896

W

449.00

Collection agency:

Synchrony Bank/ Old Navy Notice Only

Synchrony Bank/ Old Navy

Attention: GEMB

Po Box 103104

Roswell, GA 30076

xxxxxxxxxxxx3943 Opened 8/01/12 Last Active 6/01/15

Synchrony Bank/Banana Republic Credit Card

Po Box 965005

Orlando, FL 32896

W

1,890.00

7,026.00

9 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 27 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

Collection agency:

Synchrony Bank/Banana Republic Notice Only

Synchrony Bank/Banana Republic

Attention: Bankruptcy

Po Box 103104

Roswell, GA 30076

xxxxxxxxxxxx8401 Opened 7/08/08 Last Active 8/26/10

Synchrony Bank/Chevron Charge Account

P.o Box 965015

Orlando, FL 32896

H

0.00

Collection agency:

Synchrony Bank/Chevron Notice Only

Synchrony Bank/Chevron

Attention: Bankruptcy

Po Box 103104

Roswell, GA 30076

xxxxxxxxxxxx0586 Opened 2/01/13 Last Active 7/01/15

Synchrony Bank/Lowes Charge Account

Po Box 965005

Orlando, FL 32896

W

497.00

Collection agency:

Synchrony Bank/Lowes Notice Only

Synchrony Bank/Lowes

Attention: Bankruptcy Department

Po Box 103104

Roswell, GA 30076

497.00

10 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 28 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxxxxxxxx0591 Opened 10/01/12 Last Active 6/01/15

Synchrony Bank/Walmart Credit Card

Po Box 965024

Orlando, FL 32896

W

1,856.00

Collection agency:

Synchrony Bank/Walmart Notice Only

Synchrony Bank/Walmart

Attn: Bankruptcy

Po Box 103104

Roswell, GA 30076

xxxxx8798 Opened 8/01/12 Last Active 8/01/15

Target Credit Card (TC) Credit Card

Po Box 673

Minneapolis, MN 55440

H

778.00

Collection agency:

Target Credit Card (TC) Notice Only

Target Credit Card (TC)

C/O Financial & Retail Services

Mailstop BT P.O. Box 9475

Minneapolis, MN 55440

Collection agency:

Target Credit Card (TC) Notice Only

Target National Bank

Po Box 673

Minneapolis, MN 55440

2,634.00

11 12

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 29 of 63
B6F (Official Form 6F) (12/07) - Cont.

C

O

D

E

B

T

O

R

C

O

N

T

I

N

G

E

N

T

U

N

L

I

Q

U

I

D

A

T

E

D

D

I

S

P

U

T

E

D

Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

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

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

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

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

xxxxxx9102 Opened 2/01/78 Last Active 8/02/15

Texaco / Citibank Credit Card

Po Box 6497

Sioux Falls, SD 57117

H

202.00

Collection agency:

Texaco / Citibank Notice Only

Texaco / Citibank

Citicorp Credit Services/Attn:

Centraliz

Po Box 20507

Kansas City, MO 64195

xxxxxxxxxxxx1390 Opened 11/15/07 Last Active 6/01/15

Us Bank Credit Card

Cb Disputes

Saint Louis, MO 63166

J

2,753.00

xxxxxxxxxxxx2546 Opened 12/31/05 Last Active 6/01/12

Visa Dept. Stores Credit Card

Po Box 8218

Mason, OH 45040

W

0.00

Collection agency:

Visa Dept. Stores Notice Only

Visa Dept. Stores

Attn: Bankruptcy

Po Box 8053

Mason, OH 45040

2,955.00

12 12

47,569.00

Total

(Report on Summary of Schedules)

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 30 of 63
}bk1{Schedul G-Executory Cnactsd Unexpird Leas}bk{

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

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

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

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

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

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

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

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

Name and Mailing Address, Including Zip Code,

of Other Parties to Lease or Contract

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

State whether lease is for nonresidential real property.

State contract number of any government contract.

continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases

SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASES

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

0

ACAC

Re: Bankruptcy

500 Albemarle Square

Charlottesville, VA 22901

Gym membership ASSUME - Daughter pays

monthly membership fee

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 31 of 63
}bk1{Schedul H-Codebtrs}k{

In re

,

Debtors

Martin D. Crosby, Case No. 15-34395

Patricia F. Crosby

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

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

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

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

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

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

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

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

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

Check this box if debtor has no codebtors.

NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR

continuation sheets attached to Schedule of Codebtors

SCHEDULE H - CODEBTORS

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

0

Martha Crosby, Daughter

10222 Sauna Drive

Richmond, VA 23236

Va Credit Union

7500 Boulders View Drive

Richmond, VA 23225

Martha Crosby, Daughter Discover Bank - Student loan

Po Box 30948

Salt Lake City, UT 84130

Patricia Crosby, daughter Va Credit Union

P O Box 90010

Richmond, VA 23225

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 32 of 63
Fill in this information to identify your case:

Debtor 1 Martin D. Crosby

Debtor 2 Patricia F. Crosby

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 15-34395 Check if this is:

(If known)  An amended filing

 A supplement showing post-petition chapter

13 income as of the following date:

Official Form B 6I MM / DD/ YYYY

Schedule I: Your Income 12/13

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

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

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

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

Part 1: Describe Employment

1. Fill in your employment

information. Debtor 1 Debtor 2 or non-filing spouse

If you have more than one job,

attach a separate page with

information about additional

employers.

Include part-time, seasonal, or

self-employed work.

Occupation may include student

or homemaker, if it applies.

Employment status

 Employed

 Not employed

 Employed

 Not employed

Occupation Extension Specialist Self-Employed

Employer's name Commonwealth of Virginia Publishers Rep

Employer's address VSU-Coop Ext & Agr Research

Virginia Hall, Room 212

Virginia State University, VA

23806

10222 Sauna Drive

North Chesterfield, VA 23236

How long employed there? 1993 1995

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. $ 5,282.74 $ 0.00

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

4. Calculate gross Income. Add line 2 + line 3. 4. $ 5,282.74 $ 0.00

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 33 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 5,282.74 $ 0.00

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 1,128.64 $ 0.00

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. $ 0.00 $ 0.00

5e. Insurance 5e. $ 349.00 $ 0.00

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

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

5h. Other deductions. Specify: AFLAC 5h.+ $ 57.60 + $ 0.00

Misc. AFLAC Insurance Fee $ 0.30 $ 0.00

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 1,535.54 $ 0.00

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 3,747.20 $ 0.00

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 $ 1,082.12

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:

NO Amortized tax refund - Owes

Fed & State 8h.+ $ 0.01 + $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 0.01 $ 1,082.12

10. Calculate monthly income. Add line 7 + line 9. 10. $ 3,747.21 + $ 1,082.12 = $ 4,829.33

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. $ 4,829.33

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: See Schedule J

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 34 of 63
Fill in this information to identify your case:

Debtor 1 Martin D. Crosby Check if this is:

 An amended filing

Debtor 2 Patricia F. Crosby  A supplement showing post-petition chapter

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

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

Case number 15-34395  A separate filing for Debtor 2 because Debtor

(If known) 2 maintains a separate household

Official Form B 6J

Schedule J: Your Expenses 12/13

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

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

number (if known). Answer every question.

Part 1: Describe Your Household

1. Is this a joint case?

 No. Go to line 2.

 Yes. Does Debtor 2 live in a separate household?

 No

 Yes. Debtor 2 must file a separate Schedule J.

2. Do you have dependents?  No

Do not list Debtor 1

and Debtor 2.

 Yes. Fill out this information for

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

Dependent’s relationship to

Debtor 1 or Debtor 2

Dependent’s

age

Does dependent

live with you?

Do not state the

dependents' names.

 No

 Yes

 No

 Yes

 No

 Yes

 No

 Yes

3. Do your expenses include

expenses of people other than

yourself and your dependents?

 No

 Yes

Part 2: Estimate Your Ongoing Monthly Expenses

Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report

expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the

applicable date.

Include expenses paid for with non-cash government assistance if you know

the value of such assistance and have included it on Schedule I: Your Income

(Official Form 6I.) Your expenses

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

payments and any rent for the ground or lot. 4. $ 843.10

If not included in line 4:

4a. Real estate taxes 4a. $ 0.00

4b. Property, homeowner’s, or renter’s insurance 4b. $ 0.00

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

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

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

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 35 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

6. Utilities:

6a. Electricity, heat, natural gas 6a. $ 324.00

6b. Water, sewer, garbage collection 6b. $ 50.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 273.31

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

7. Food and housekeeping supplies 7. $ 660.00

8. Childcare and children’s education costs 8. $ 0.00

9. Clothing, laundry, and dry cleaning 9. $ 162.53

10. Personal care products and services 10. $ 100.00

11. Medical and dental expenses 11. $ 362.51

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

Do not include car payments. 12. $ 352.84

13. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $ 100.00

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. $ 86.10

15b. Health insurance 15b. $ 0.00

15c. Vehicle insurance 15c. $ 360.78

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

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

Specify: Personal Property Tax $398/year 16. $ 33.16

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: Misc. Expenses 17c. $ 86.00

17d. Other. Specify: Tolls - EZ Pass 17d. $ 35.00

Vehicle upkeep 2012 & 2013 $ 50.00

Anticipated Vehicle Payment for Wife $ 350.00

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

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

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

Specify: 19.

20. Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income.

20a. Mortgages on other property 20a. $ 0.00

20b. Real estate taxes 20b. $ 0.00

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

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

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

21. Other: Specify: 21. +$ 0.00

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

The result is your monthly expenses.

22. $ 4,329.33

23. Calculate your monthly net income.

23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 4,829.33

23b. Copy your monthly expenses from line 22 above. 23b. -$ 4,329.33

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

The result is your monthly net income. 23c. $ 500.00

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:

Debtors do not anticipate any changes to income or expenses.

Household size of three; 25 year old daughter lives with them.

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 36 of 63
B6 Declaration (Official Form 6 - Declaration). (12/07)

United States Bankruptcy Court

Eastern District of Virginia

In re

Martin D. Crosby

Patricia F. Crosby Case No. 15-34395

Debtor(s) Chapter 13

DECLARATION CONCERNING DEBTOR'S SCHEDULES

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of 36 

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

Date August 21, 2015 Signature /s/ Martin D. Crosby

Martin D. Crosby

Debtor

Date August 21, 2015 Signature /s/ Patricia F. Crosby

Patricia F. Crosby

Joint Debtor

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

18 U.S.C. §§ 152 and 3571.

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 37 of 63
B7 (Official Form 7) (04/13)

United States Bankruptcy Court

Eastern District of Virginia

In re

Martin D. Crosby

Patricia F. Crosby Case No. 15-34395

Debtor(s) Chapter 13

STATEMENT OF FINANCIAL AFFAIRS

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

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

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

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

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

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

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

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

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

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

DEFINITIONS

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

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

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

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

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

debtor's primary employment.

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

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

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

None



1. Income from employment or operation of business

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

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

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

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

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

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

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

AMOUNT SOURCE

$39,668.13 (H) 2015 YTD: Commonwealth of Virginia Aug. 14, 2015

$8,029.22 (W) 2015 YTD: Publisher's Rep self-employment income

$67,349.00 2014: 1040 Income Tax Return

$63,500.00 2013: 1040 Income Tax Return

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 38 of 63
B7 (Official Form 7) (04/13)

2

None



2. Income other than from employment or operation of business

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

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

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

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

AMOUNT SOURCE

None



3. Payments to creditors

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

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

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

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

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

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

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

not filed.)

NAME AND ADDRESS

OF CREDITOR

DATES OF

PAYMENTS AMOUNT PAID

AMOUNT STILL

OWING

Bank of America

450 American St

Simi Valley, CA 93065

June - August 2015

Monthly mortgage payment

$843.10 x 3

$2,529.30 $107,545.00

Nationstar Mortgage LLC

Po Box 199111

Dallas, TX 75235

June - August 2015

Monthly mortgage payment

$218.97 x 3

$656.91 $27,315.00

Va Credit Union

P O Box 90010

Richmond, VA 23225

June - July 2015

Monthly car payment

$316.12 x 2

$632.24 $13,836.00

None



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

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

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

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

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

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

filed.)

NAME AND ADDRESS OF CREDITOR

DATES OF

PAYMENTS/

TRANSFERS

AMOUNT

PAID OR

VALUE OF

TRANSFERS

AMOUNT STILL

OWING

None



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

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

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

NAME AND ADDRESS OF CREDITOR AND

RELATIONSHIP TO DEBTOR DATE OF PAYMENT AMOUNT PAID

AMOUNT STILL

OWING

None



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

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

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

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

CAPTION OF SUIT

AND CASE NUMBER

NATURE OF

PROCEEDING

COURT OR AGENCY

AND LOCATION

STATUS OR

DISPOSITION

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

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 39 of 63
B7 (Official Form 7) (04/13)

3

CAPTION OF SUIT

AND CASE NUMBER

NATURE OF

PROCEEDING

COURT OR AGENCY

AND LOCATION

STATUS OR

DISPOSITION

Virginia Credit Union, Inc. v. Martin & Gail

Crosby

Warrant in Debt City of Richmond General District

Court

Pending

9/3/2015

None



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

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

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

filed.)

NAME AND ADDRESS OF PERSON FOR WHOSE

BENEFIT PROPERTY WAS SEIZED DATE OF SEIZURE

DESCRIPTION AND VALUE OF

PROPERTY

None



5. Repossessions, foreclosures and returns

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

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

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

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

NAME AND ADDRESS OF

CREDITOR OR SELLER

DATE OF REPOSSESSION,

FORECLOSURE SALE,

TRANSFER OR RETURN

DESCRIPTION AND VALUE OF

PROPERTY

None



6. Assignments and receiverships

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

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

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

NAME AND ADDRESS OF ASSIGNEE

DATE OF

ASSIGNMENT TERMS OF ASSIGNMENT OR SETTLEMENT

None



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

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

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

filed.)

NAME AND ADDRESS

OF CUSTODIAN

NAME AND LOCATION

OF COURT

CASE TITLE & NUMBER

DATE OF

ORDER

DESCRIPTION AND VALUE OF

PROPERTY

None



7. Gifts

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

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

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

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

NAME AND ADDRESS OF

PERSON OR ORGANIZATION

RELATIONSHIP TO

DEBTOR, IF ANY DATE OF GIFT

DESCRIPTION AND

VALUE OF GIFT

None



8. Losses

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

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

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

DESCRIPTION AND VALUE

OF PROPERTY

DESCRIPTION OF CIRCUMSTANCES AND, IF

LOSS WAS COVERED IN WHOLE OR IN PART

BY INSURANCE, GIVE PARTICULARS DATE OF LOSS

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 40 of 63
B7 (Official Form 7) (04/13)

4

None



9. Payments related to debt counseling or bankruptcy

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

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

preceding the commencement of this case.

NAME AND ADDRESS

OF PAYEE

DATE OF PAYMENT,

NAME OF PAYER IF OTHER

THAN DEBTOR

AMOUNT OF MONEY

OR DESCRIPTION AND VALUE

OF PROPERTY

North Law Bar# 29672

5913 Harbour Park Drive

Midlothian, VA 23112

July - August 2015 $900 = $373 costs + $527

applied to atty fee

Total: $373 = USB Filing fee

$310// Abacus Credit

Counseling $25/ CIN Credit

Report $38

None



10. Other transfers

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

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

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

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

NAME AND ADDRESS OF TRANSFEREE,

RELATIONSHIP TO DEBTOR DATE

DESCRIBE PROPERTY TRANSFERRED

AND VALUE RECEIVED

None

None



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

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

NAME OF TRUST OR OTHER

DEVICE DATE(S) OF

TRANSFER(S)

AMOUNT OF MONEY OR DESCRIPTION AND

VALUE OF PROPERTY OR DEBTOR'S INTEREST

IN PROPERTY

None



11. Closed financial accounts

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

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

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

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

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

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

NAME AND ADDRESS OF INSTITUTION

TYPE OF ACCOUNT, LAST FOUR

DIGITS OF ACCOUNT NUMBER,

AND AMOUNT OF FINAL BALANCE

AMOUNT AND DATE OF SALE

OR CLOSING

None



12. Safe deposit boxes

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

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

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

filed.)

NAME AND ADDRESS OF BANK

OR OTHER DEPOSITORY

NAMES AND ADDRESSES

OF THOSE WITH ACCESS

TO BOX OR DEPOSITORY

DESCRIPTION

OF CONTENTS

DATE OF TRANSFER OR

SURRENDER, IF ANY

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 41 of 63
B7 (Official Form 7) (04/13)

5

None



13. Setoffs

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

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

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

NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF

None



14. Property held for another person

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

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

None



15. Prior address of debtor

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

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

address of either spouse.

ADDRESS NAME USED DATES OF OCCUPANCY

None



16. Spouses and Former Spouses

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

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

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

the community property state.

NAME

17. Environmental Information.

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

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

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

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

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

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

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

pollutant, or contaminant or similar term under an Environmental Law

None



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

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

the Environmental Law:

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

None



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

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

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

None



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

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

docket number.

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 42 of 63
B7 (Official Form 7) (04/13)

6

NAME AND ADDRESS OF

GOVERNMENTAL UNIT DOCKET NUMBER STATUS OR DISPOSITION

None



18 . Nature, location and name of business

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

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

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

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

within six years immediately preceding the commencement of this case.

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

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

years immediately preceding the commencement of this case.

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

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

years immediately preceding the commencement of this case.

NAME

LAST FOUR DIGITS OF

SOCIAL-SECURITY OR

OTHER INDIVIDUAL

TAXPAYER-I.D. NO.

(ITIN)/ COMPLETE EIN ADDRESS NATURE OF BUSINESS

BEGINNING AND

ENDING DATES

Publishers Rep 6605 10222 Sauna Drive

North Chesterfield, VA

23236

Advertising 1995 - present

None



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

NAME ADDRESS

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

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

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

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

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

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

directly to the signature page.)

None



19. Books, records and financial statements

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

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

NAME AND ADDRESS DATES SERVICES RENDERED

None



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

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

NAME ADDRESS DATES SERVICES RENDERED

None



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

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

NAME ADDRESS

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 43 of 63
B7 (Official Form 7) (04/13)

7

None



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

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

NAME AND ADDRESS DATE ISSUED

None



20. Inventories

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

and the dollar amount and basis of each inventory.

DATE OF INVENTORY INVENTORY SUPERVISOR

DOLLAR AMOUNT OF INVENTORY

(Specify cost, market or other basis)

None



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

DATE OF INVENTORY

NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY

RECORDS

None



21 . Current Partners, Officers, Directors and Shareholders

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

NAME AND ADDRESS NATURE OF INTEREST PERCENTAGE OF INTEREST

None



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

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

NAME AND ADDRESS TITLE

NATURE AND PERCENTAGE

OF STOCK OWNERSHIP

None



22 . Former partners, officers, directors and shareholders

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

commencement of this case.

NAME ADDRESS DATE OF WITHDRAWAL

None



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

immediately preceding the commencement of this case.

NAME AND ADDRESS TITLE DATE OF TERMINATION

None



23 . Withdrawals from a partnership or distributions by a corporation

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

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

commencement of this case.

NAME & ADDRESS

OF RECIPIENT,

RELATIONSHIP TO DEBTOR

DATE AND PURPOSE

OF WITHDRAWAL

AMOUNT OF MONEY

OR DESCRIPTION AND

VALUE OF PROPERTY

None



24. Tax Consolidation Group.

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

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

of the case.

NAME OF PARENT CORPORATION TAXPAYER IDENTIFICATION NUMBER (EIN)

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 44 of 63
B7 (Official Form 7) (04/13)

8

None



25. Pension Funds.

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

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

NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER (EIN)

* * * * * *

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

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

and that they are true and correct.

Date August 21, 2015 Signature /s/ Martin D. Crosby

Martin D. Crosby

Debtor

Date August 21, 2015 Signature /s/ Patricia F. Crosby

Patricia F. Crosby

Joint Debtor

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

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 45 of 63
Form B203 2014 USBC, Eastern District of Virginia

United States Bankruptcy Court

Eastern District of Virginia

In re

Martin D. Crosby

Patricia F. Crosby Case No. 15-34395

Debtor(s) Chapter 13

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR

IN A CHAPTER 13 CASE

(for use in the Richmond Division only)

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

compensation paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the

bankruptcy case is as follows:

For legal services, I have agreed to accept $ 5,050.00

Prior to the filing of this statement I have received $ 527.00

Balance Due $ 4,523.00

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, as required by Local

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

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

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

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

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

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

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

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 46 of 63
Form B203 2014 USBC, Eastern District of Virginia

CERTIFICATION

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

this bankruptcy proceeding.

August 21, 2015 /s/ Pia J. North

Date Pia J. North 29672

Signature of Attorney

North Law Bar# 29672

Name of Law Firm

5913 Harbour Park Drive

Midlothian, VA 23112

(804) 739-3700 Fax: (804) 739-2550

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).

August 21, 2015 /s/ Pia J. North

Date Pia J. North 29672

Signature of Attorney

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 47 of 63
}bk1{Credito AresMatix}bk{

Bank Of America

Po Box 982235

El Paso, TX 79998

Bank of America

450 American St

Simi Valley, CA 93065

Bank of America

Attn: Correspondence Unit/CA6-919-02-41

Po Box 5170

Simi Valley, CA 93062

Best Buy/cbna

701 East 60th Street

Sioux Falls, SD 57104

Cabela's Club

Po Box 82608

Lincoln, NE 68521

Capital One Na

Po Box 30273

Salt Lake City, UT 84130

Capital One Na

Attn: General Correspondence

Po Box 30285

Salt Lake City, UT 84130

Capital One

Po Box 85015

Richmond, VA 23285-5075

Capital One

15000 Capital One Dr

Richmond, VA 23238

Capital One

Attn: Bankruptcy

Po Box 30285

Salt Lake City, UT 84130

Capital One / Best B

Po Box 5253

Carol Stream, IL 60197

Chase Bank Usa, Na

Po Box 15298

Wilmington, DE 19850

Chesterfield County - PP Taxes

Richard A. Cordle, Treasurer

Post Office Box 26585

Richmond, VA 23285-0088

Citibank/Citgo Oil

Po Box 6497

Sioux Falls, SD 57117

Citibank/Citgo Oil

Citicorp Credit Services/Attn:Centralize

Po Box 790040

St Louis, MO 63179

Citibank/The Home Depot

Po Box 6497

Sioux Falls, SD 57117-6497

Citibank/The Home Depot

Citicorp Credit Srvs/Centralized Bankrup

Po Box 790040

Saint Louis, MO 63179

Comcast

5401 Staples Mill Road

Richmond, VA 23228

Comenity Bank/gndrmtmc

Po Box 182789

Columbus, OH 43218

Comenity Bank/lnbryant

4590 E Broad St

Columbus, OH 43213

Comenity Bank/talbot

Po Box 182789

Columbus, OH 43218

Comenitybank/talbots

Po Box 182789

Columbus, OH 43218

Commonwealth of VA-Tax

P.O. Box 2156

Richmond, VA 23218-2156

Corporation Service Co. RegAg

Bank of America Center, 16 Fl

1111 East Main Street

Richmond, VA 23219

Discover Bank - Student loan

Po Box 30948

Salt Lake City, UT 84130

Discover Fin Svcs Llc

Po Box 15316

Wilmington, DE 19850

DSRM National Bank/Diamond Sha

Pob 631

Amarillo, TX 79101

DSRM National Bank/Diamond Sha

Po Box 631

Amarillo, TX 79105

Eastern Account System INC.

Attn: Bankruptcy Dept.

Po Box 837

Newtown, CT 06470

First Premier Bank

3820 N Louise Ave

Sioux Falls, SD 57107

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 48 of 63
Gemb/walmart

4125 Windward Plaza

Alpharetta, GA 30005

Gemb/walmart

Attn: Bankruptcy

Po Box 103104

Roswell, GA 30076

Horizon Fin

8585 Broadway #88

Merrillville, IN 46410

Internal Revenue Service

Centralized Insolvency Unit

P O Box 7346

Philadelphia, PA 19101-7346

Lenscrafters/GECRB

C/o P.o. Box 965036

Orlando, FL 32896-5036

Lenscrafters/GECRB

Attn: Bankruptcy

Po Box 182686

Columbus, OH 43218

Macy's/dsnb

911 Duke Blvd

Mason, OH 45040

Macy's/dsnb

9111 Duke Blvd

Mason, OH 45040

Nationstar Mortgage LLC

Po Box 199111

Dallas, TX 75235

Nationstar Mortgage LLC

Attn: Bankruptcy

350 Highland Dr

Lewisville, TX 75067

Nordstrom FSB

Po Box 6555

Englewood, CO 80155

Nordstrom FSB

Attention: Account Services

Po Box 6566

Englewood, CO 80155

Paypal Buyer Credit

PO Box 960080

Orlando, FL 32896

Rbs Nb Cc

1000 Lafayette Blvd

Bridgeport, CT 06604

Rbs Nb Cc

480 Jefferson Blvd.

Mail Drop: RJE135

Warwick, RI 02886

Sams Club / GEMB

Po Box 965005

Orlando, FL 32896

Sams Club / GEMB

Attention: Bankruptcy Department

Po Box 103104

Roswell, GA 30076

Syncb/dicks

Po Box 965005

Orlando, FL 32896

Syncb/dicks Dc

Po Box 965005

Orlando, FL 32896

Synchrony Bank/ Old Navy

Po Box 965005

Orlando, FL 32896

Synchrony Bank/ Old Navy

Attention: GEMB

Po Box 103104

Roswell, GA 30076

Synchrony Bank/Banana Republic

Po Box 965005

Orlando, FL 32896

Synchrony Bank/Banana Republic

Attention: Bankruptcy

Po Box 103104

Roswell, GA 30076

Synchrony Bank/Chevron

P.o Box 965015

Orlando, FL 32896

Synchrony Bank/Chevron

Attention: Bankruptcy

Po Box 103104

Roswell, GA 30076

Synchrony Bank/Lowes

Po Box 965005

Orlando, FL 32896

Synchrony Bank/Lowes

Attention: Bankruptcy Department

Po Box 103104

Roswell, GA 30076

Synchrony Bank/Walmart

Po Box 965024

Orlando, FL 32896

Synchrony Bank/Walmart

Attn: Bankruptcy

Po Box 103104

Roswell, GA 30076

Talbots

175 Beal Street

Hingham, MA 02043-1583

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 49 of 63
Target Credit Card (TC)

Po Box 673

Minneapolis, MN 55440

Target Credit Card (TC)

C/O Financial & Retail Services

Mailstop BT P.O. Box 9475

Minneapolis, MN 55440

Target National Bank

Po Box 673

Minneapolis, MN 55440

Texaco / Citibank

Po Box 6497

Sioux Falls, SD 57117

Texaco / Citibank

Citicorp Credit Services/Attn: Centraliz

Po Box 20507

Kansas City, MO 64195

Us Bank

Cb Disputes

Saint Louis, MO 63166

Va Credit Union

7500 Boulders View Drive

Richmond, VA 23225

Va Credit Union

P O Box 90010

Richmond, VA 23225

Va Credit Union

Po Box 90010

Richmond, VA 23225

Virginia Credit Union

Jane G. Watkins, Rgstered Agt

P.O. Box 90010

Richmond, VA 23225-9010

Virginia Credit Union

Jane Watkins, President

7500 Boulders View Drive

Richmond, VA 23225

Virginia Credit Union -- VP

Vice President

7500 Boulders View Drive

Richmond, VA 23225

Virginia Credit Union Reg. Agt

Jane G. Watkins

P.O. Box 90010

Richmond, VA 23225-9010

Virginiacredit Union

Po Box 6713

Richmond, VA 23230

Visa Dept. Stores

Po Box 8218

Mason, OH 45040

Visa Dept. Stores

Attn: Bankruptcy

Po Box 8053

Mason, OH 45040

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 50 of 63
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 Martin D. Crosby

Debtor 2 Patricia F. Crosby

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number 15-34395

(if known)

 Check if this is an amended filing

Official Form 22C-1

Chapter 13 Statement of Your Current Monthly Income

and Calculation of Commitment Period 12/14

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

space is needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any

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

Part 1: Calculate Your Average Monthly Income

1. What is your marital and filing status? Check one only.

 Not married. Fill out Column A, lines 2-11.

 Married. Fill out both Columns A and B, lines 2-11.

Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy

case. 11 U.S.C. § 101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount

of your monthly income varied during the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any

income amount more than once. For example, if both spouses own the same rental property, put the income from that property in one column only.

If you have nothing to report for any line, write $0 in the space.

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

2. Your gross wages, salary, tips, bonuses, overtime, and commissions (before

all payroll deductions). $ 5,285.74 $ 0.00

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

Gross receipts (before all

deductions) $ 0.00 $ 1,190.45

Ordinary and necessary

operating expenses -$ 0.00 -$ 108.33

Net monthly income from a

business, profession, or farm $ 0.00 $ 1,082.11

Copy

here -> $ 0.00 $ 1,082.11

6. Net income from rental and other real property

Gross receipts (before all deductions) $ 0.00

Ordinary and necessary operating expenses -$ 0.00

Net monthly income from rental or other real property $ 0.00 Copy here -> $ 0.00 $ 0.00

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 51 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

7. Interest, dividends, and royalties $ 0.00 $ 0.00

8. Unemployment compensation $ 0.00 $ 0.00

Do not enter the amount if you contend that the amount received was a benefit

under the Social Security Act. Instead, list it here:

For you $ 0.00

For your spouse $ 0.00

9. Pension or retirement income. Do not include any amount received that was a

benefit under the Social Security Act. $ 0.00 $ 0.00

10. Income from all other sources not listed above. Specify the source and amount.

Do not include any benefits received under the Social Security Act or payments

received as a victim of a war crime, a crime against humanity, or international or

domestic terrorism. If necessary, list other sources on a separate page and put the

total on line 10c.

10a. $ 0.00 $ 0.00

10b. $ 0.00 $ 0.00

10c. Total amounts from separate pages, if any. + $ 0.00 $ 0.00

11. Calculate your total average monthly income. Add lines 2 through 10 for

each column. Then add the total for Column A to the total for Column B. $ 5,285.74 + $ 1,082.11 = $ 6,367.85

Total average

monthly income

Part 2: Determine How to Measure Your Deductions from Income

12. Copy your total average monthly income from line 11. $ 6,367.85

13. Calculate the marital adjustment. Check one:

 You are not married. Fill in 0 on line 3d.

 You are married and your spouse is filing with you. Fill in 0 in line 13d.

 You are married and your spouse is not filing with you.

Fill in the amount of the income listed in line 11, Column B, that was NOT regularly paid for the household expenses of you or your

dependents, such as payment of the spouse's tax liability or the spouse's support of someone other than you or your dependents.

In lines 13a-c, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list additional

adjustments on a separate page.

If this adjustment does not apply, enter 0 on line 13d.

13a. $

13b. $

13c. +$

13d. Total $ 0.00 Copy here=> 13d. - 0.00

14. Your current monthly income. Subtract line 13d from line 12. 14. $ 6,367.85

15. Calculate your current monthly income for the year. Follow these steps:

15a. Copy line 14 here=> 15a. $

6,367.85

Multiply line 15a by 12 (the number of months in a year). x 12

15b. The result is your current monthly income for the year for this part of the form. 15b. $ 76,414.20

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 52 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

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. 3

16c. Fill in the median family income for your state and size of household. 16c. $

76,261.00

To find a list of applicable median income amounts, go online using the link specified in the separate

instructions for this form. This list may also be available at the bankruptcy clerk's office.

17. How do the lines compare?

17a.  Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under

11 U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Disposable Income (Official Form 22C-2).

17b.  Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under 11 U.S.C. §

1325(b)(3). Go to Part 3 and fill out Calculation of Disposable Income (Official Form 22C-2). On line 39 of that form, copy your

current monthly income from line 14 above.

Part 3: Calculate Your Commitment Period Under 11 U.S.C. §1325(b)(4)

18. Copy your total average monthly income from line 11 . 18. $ 6,367.85

19. Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you

contend that calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your

spouse's income, copy the amount from line 13d.

If the marital adjustment does not apply, fill in 0 on line 19a. 19a.-$ 0.00

Subtract line 19a from line 18. 19b. $ 6,367.85

20. Calculate your current monthly income for the year. Follow these steps:

20a. Copy line 19b 20a. $

6,367.85

Multiply by 12 (the number of months in a year). x 12

20b. The result is your current monthly income for the year for this part of the form 20b. $ 76,414.20

20c. Copy the median family income for your state and size of household from line 16c $ 76,261.00

21. How do the lines compare?

 Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3, The commitment

period is 3 years. Go to Part 4.

 Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 4, The

commitment period is 5 years. Go to Part 4.

Part 4: Sign Below

By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.

X /s/ Martin D. Crosby X /s/ Patricia F. Crosby

Martin D. Crosby Patricia F. Crosby

Signature of Debtor 1 Signature of Debtor 2

Date August 21, 2015 Date August 21, 2015

MM / DD / YYYY MM / DD / YYYY

If you checked 17a, do NOT fill out or file Form 22C-2.

If you checked 17b, fill out Form 22C-2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form 22C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 53 of 63
Fill in this information to identify your case:

Debtor 1 Martin D. Crosby

 Check if this is an amended filing

Debtor 2 Patricia F. Crosby

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number 15-34395

(if known)

Official Form 22C-2

Chapter 13 Calculation of Your Disposable Income 12/14

To fill out this form, you will need your completed copy of Chapter 13 Statement of Your Current Monthly income and Calculation of

Commitment Period (Official Form 22C-1).

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

space is needed, attach a separate sheet to this form, Include the line number to which additional information applies. On the top any

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

Part 1: Calculate Your Deductions from Your Income

The Internal Revenue Service (IRS) issues National and Local Standards for certain expense amounts. Use these amounts to answer the

the questions in lines 6-15. To find the IRS standards, go online using the link specified in the separate instructions for this form. This

information may also be available at the bankruptcy clerk’s office.

Deduct the expense amounts set out in lines 6-15 regardless of your actual expense. In later parts of the form, you will use some of your actual

expenses if they are higher than the standards. Do not include any operating expenses that you subtracted from income in lines 5 and 6 of Form

22C–1, and do not deduct any amounts that you subtracted from your spouse’s income in line 13 of Form 22C–1.

If your expenses differ from month to month, enter the average expense.

Note: Line numbers 1-4 are not used in this form. These numbers apply to information required by a similar form used in chapter 7 cases.

5. The number of people used in determining your deductions from income

Fill in the number of people who could be claimed as exemptions on your federal income tax return,

plus the number of any additional dependents whom you support. This number may be different from

the number of people in your household.

3

National Standards You must use the IRS National Standards to answer the questions in lines 6-7.

6. Food, clothing, and other items: Using the number of people you entered in line 5 and the IRS National

Standards, fill in the dollar amount for food, clothing, and other items. $ 1,249.00

7. Out-of-pocket health care allowance: Using the number of people you entered in line 5 and the IRS National Standards, fill in

the dollar amount for out-of-pocket health care. The number of people is split into two categories--people who are under 65 and

people who are 65 or older--because older people have a higher IRS allowance for health car costs. If your actual expenses are

higher than this IRS amount, you may deduct the additional amount on line 22.

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 1

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 54 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

People who are under 65 years of age

7a. Out-of-pocket health care allowance per person $ 60

7b. Number of people who are under 65 X 3

7c. Subtotal. Multiply line 7a by line 7b. $ 180.00 Copy line 7c here=> $ 180.00

People who are 65 years of age or older

7d. Out-of-pocket health care allowance per person $ 144

7e. Number of people who are 65 or older X 0

7f. Subtotal. Multiply line 7d by line 7e. $ 0.00 Copy line 7f here=> $ 0.00

7g. Total. Add line 7c and line 7f $ 180.00 Copy total here=> 7g. $ 180.00

Local Standards You must use the IRS Local Standards to answer the questions in lines 8-15.

Based on information from the IRS, the U.S. Trustee Program has divided the IRS Local Standard for housing for

bankruptcy purposes into two parts:

Housing and utilities - Insurance and operating expenses

housing and utilities - Mortgage or rent expenses

To answer the questions in lines 8-9, use the U.S. Trustee Program chart. To find the chart, go online using the link specified in the

separate instructions for this form. This chart may also be available at the bankruptcy clerk's office.

8. Housing and utilities - Insurance and operating expenses: Using the number of people you entered in line 5,

fill in the dollar amount listed for your county for insurance and operating expenses. $ 538.00

9. Housing and utilities - Mortgage or rent expenses:

9a. Using the number of people you entered in line 5, fill in the dollar amount

listed for your county for mortgage or rent expenses. $ 1,452.00

9b. Total average monthly payment for all mortgages and other debts secured by your home.

To calculate the total average monthly payment, add all amounts that are

contractually due to each secured creditor in the 60 months after you file

for bankruptcy. Next divide by 60.

Name of the creditor Average monthly

payment

Bank of America $ 843.10

9b. Total average monthly payment $ 843.10

Copy line

9b here=> -$ 843.10

Repeat this amount

on line 33a.

9c. Net mortgage or rent expense.

Subtract line 9b (total average monthly payment) from line 9a (mortgage

or rent expense). If this number is less than $0, enter $0. 9c. $ 608.90

Copy

line 9c

here=> $ 608.90

10. If you claim that the U.S. Trustee Program's division of the IRS Local Standard for housing is incorrect and

affects the calculation of your monthly expenses, fill in any additional amount you claim. $ 0.00

Explain why:

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 2

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 55 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

11. Local transportation expenses: Check the number of vehicles for which you claim an ownership or operating expense.

 0. Go to line 14.

 1. Go to line 12.

 2 or more. Go to line 12.

12. Vehicle operation expense: Using the IRS Local Standards and the number of vehicles for which you claim the

operating expenses, fill in the Operating Costs that apply for your Census region or metropolitan statistical area. $ 713.62

13. Vehicle ownership or lease expense: Using the IRS Local Standards, calculate the net ownership or lease expense for each vehicle below.

You may not claim the expense if you do not make any loan or lease payments on the vehicle. In addition, you may not claim the expense for

more than two vehicles.

Vehicle 1 Describe Vehicle 1: 2012 Nissan Versa 54,138 Miles

13a. Ownership or leasing costs using IRS Local Standard 13a. $ 496.00

13b. Average monthly payment for all debts secured by Vehicle 1.

Do not include costs for leased vehicles.

To calculate the average monthly payment here and on line 13e, add all amounts that

are contractually due to each secured creditor in the 60 months after you file for

bankruptcy. Then dived by 60.

Name of each creditor for Vehicle 1 Average monthly

payment

Va Credit Union $ 85.18

Va Credit Union $ 41.65

Virginiacredit Union $ 180.03

Virginiacredit Union $ 72.63

Copy 13b

here => -$ 379.49 Repeat this amount

on line 33b.

13c. Net Vehicle 1 ownership or lease expense

Subtract line 13b from line 13a. if this amount is less than $0, enter $0.

13c. $ 314.87

Copy net

Vehicle 1

expense

here => $

314.87

Vehicle 2 Describe Vehicle 2:

13d. Ownership or leasing costs using IRS Local Standard 13d. $ 0.00

13e. Average monthly payment for all debts secured by Vehicle 2. Do not include costs for

leased vehicles.

Name of each creditor for Vehicle 2 Average monthly

payment

-NONE- $

Copy 13e

here => -$ 0.00

13f. Net Vehicle 2 ownership or lease expense

Subtract line 13e from line 13d. if this number is less than $0, enter $0.

13f. $ 0.00

Copy net

Vehicle 2

expense

here => $

0.00

14. Public transportation expense: If you claimed 0 vehicles in line 11, using the IRS Local Standards, fill in the Public

Transportation expense allowance regardless of whether you use public transportation. $ 0.00

15. Additional public transportation expense: If you claimed 1 or more vehicles in line 11 and if you claim that you may

also deduct a public transportation expense, you may fill in what you believe is the appropriate expense, but you may

not claim more than the IRS Local Standard for Public Transportation. $ 0.00

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 3

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 56 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Other Necessary Expenses In addition to the expense deductions listed above, you are allowed your monthly expenses for

the following IRS categories.

16. Taxes: The total monthly amount that you will actually pay for federal, state and local taxes, such as income taxes,

self-employment taxes, social security taxes, and Medicare taxes. You may include the monthly amount withheld

from your pay for these taxes. However, if you expect to receive a tax refund, you must divide the expected refund by

12 and subtract that number from the total monthly amount that is withheld to pay for taxes.

Do not include real estate, sales, or use taxes. $ 1,128.64

17. Involuntary deductions: The total monthly payroll deductions that your job requires, such as retirement

contributions, union dues, and uniform costs.

Do not include amounts that are not required by your job, such as voluntary 401(k) contributions or payroll savings. $ 0.30

18. Life Insurance: The total monthly premiums that you pay for your own term life insurance. If two married people are

filing together, include payments that you make for your spouse's term life insurance.

Do not include premiums for life insurance on your dependents, for a non-filing spouse's life insurance, or for any form

of life insurance other than term. $ 86.10

19. Court-ordered payments: The total monthly amount that you pay as required by the order of a court or

administrative agency, such as spousal or child support payments.

Do not include payments on past due obligations for spousal or child support. You will list these obligations in line 35. $ 0.00

20. Education: The total monthly amount that you pay for education that is either required:

as a condition for your job, or

for your physically or mentally challenged dependent child if no public education is available for similar services. $ 0.00

21. Childcare: The total monthly amount that you pay for childcare, such as babysitting, daycare, nursery, and

preschool.

Do not include payments for any elementary or secondary school education. $ 0.00

22. Additional health care expenses, excluding insurance costs: The monthly amount that you pay for health care

that is required for the health and welfare of you or your dependents and that is not reimbursed by insurance or paid

by a health savings account. Include only the amount that is more than the total entered in line 7.

Payments for health insurance or health savings accounts should be listed only in line 25. $ 182.51

23. Optional telephone and telephone services: The total monthly amount that you pay for telecommunication

services for you and your dependents, such as pagers, call waiting, caller identification, special long distance, or

business cell phone service, to the extent necessary for your health and welfare or that of your dependents or for the

production of income, if it is not reimbursed by your employer.

Do not include payments for basic home telephone, internet and cell phone service. Do not include self-employment

expenses, such as those reported on line 5 of Official Form 22C-1, or any amount you previously deducted. +$ 60.00

24. Add all of the expenses allowed under the IRS expense allowances. $ 5,061.94

Add lines 6 through 23.

Additional Expense Deductions These are additional deductions allowed by the Means Test.

Note: Do not include any expense allowances listed in lines 6-24.

25. Health insurance, disability insurance, and health savings account expenses. The monthly expenses for health

insurance, disability insurance, and health savings accounts that are reasonably necessary for yourself, your spouse, or

your dependents.

Health insurance $ 337.00

Disability insurance $ 57.60

Health savings account + $ 0.00

Total $ 394.60 Copy total here=> $ 394.60

Do you actually spend this total amount?

 No. How much do you actually spend?

 Yes $

26. Continued contributions to the care of household or family members. The actual monthly expenses that you will

continue to pay for the reasonable and necessary care and support of an elderly, chronically ill, or disabled member

of your household or member of your immediate family who is unable to pay for such expenses. $ 0.00

27. Protection against family violence. The reasonably necessary monthly expenses that you incur to maintain the

safety of you and your family under the Family Violence Prevention and Services Act or other federal laws that apply.

By law, the court must keep the nature of these expenses confidential. $ 0.00

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 4

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 57 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

28. Additional home energy costs. Your home energy costs are included in your non-mortgage housing and utilities

allowance on line 8.

If you believe that you have home energy costs that are more than the home energy costs included in the

non-mortgage housing and utilities allowance, then fill in the excess amount of home energy costs.

You must give your case trustee documentation of your actual expenses, and you must show that the additional

amount claimed is reasonable and necessary. $ 0.00

29. Education expenses for dependent children who are younger than 18. The monthly expenses (not more than

$156.25* per child) that you pay for your dependent children who are younger than 18 years old to attend a private or

public elementary or secondary school.

You must give your case trustee documentation of your actual expenses, and you must explain why the amount

claimed is reasonable and necessary and not already accounted for in lines 6-23.

* Subject to adjustment on 4/01/16, and every 3 years after that for cases begun on or after the date of adjustment. $ 0.00

30. Additional food and clothing expense. The monthly amount by which your actual food and clothing expenses are

higher than the combined food and clothing allowances in the IRS National Standards. That amount cannot be more

than 5% of the food and clothing allowances in the IRS National Standards.

To find a chart showing the maximum additional allowance, go online using the link specified in the separate

instructions for this form. This chart may also be available at the bankruptcy clerk's office.

You must show that the additional amount claimed is reasonable and necessary. $ 0.00

31. Continuing charitable contributions. The amount that you will continue to contribute in the form of cash or financial

instruments to a religious or charitable organization. 11 U.S.C. § 548(d)3 and (4). $ 0.00

32. Add all of the additional expense deductions $ 394.60

Add lines 25 through 31.

Deductions for Debt Payment

33. For debts that are secured by an interest in property that you own, including home mortgages, vehicle

loans, and other secured debt, fill in lines 33a through 33g.

To calculate the total average monthly payment, add all amounts that are contractually due to each secured

creditor in the 60 months after you file for bankruptcy. Then divide by 60.

Mortgages on your home Average monthly

payment

33a. Copy line 9b here => $ 843.10

Loans on your first two vehicles

33b. Copy line 13b here => $ 379.49

33c. Copy line 13e here => $ 0.00

Name of each creditor for other secured debt Identify property that secures the debt Does payment

include taxes

or insurance?

33d. -NONE-

 No

 Yes $

33e.

 No

 Yes $

33f.

 No

 Yes + $

33g. Total average monthly payment. Add lines 33a through 33f $ 1,222.59

Copy

total

here=> $ 1,222.59

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 5

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 58 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

34. Are any debts that you listed in line 33 secured by your primary residence, a vehicle,

or other property necessary for your support or the support of your dependents?

 No. Go to line 35.

 Yes. State any amount that you must pay to a creditor, in addition to the payments

listed in line 33, to keep possession of your property (called the cure amount).

Next, divide by 60 and fill in the information below.

Name of the creditor Identify property that secures the debt Total cure amount Monthly cure

amount

-NONE- $ ÷ 60 = $

Total $ 0.00

Copy

total

here=> $ 0.00

35. Do you owe any priority claims - such as a priority tax, child support, or alimony -

that are past due as of the filing date of your bankruptcy case? 11 U.S.C. § 507.

 No. Go to line 36.

 Yes. Fill in the total amount of all of these priority claims. Do not include current or

ongoing priority claims, such as those you listed in line 19.

Total amount of all past-due priority claims $ 1,461.00 ÷ 60 $ 24.35

36. Projected monthly Chapter 13 plan payment $ 500.00

Current multiplier for your district as stated on the list issued by the Administrative

Office of the United States Courts (for districts in Alabama and North Carolina) or by

the Executive Office for United States Trustees (for all other districts). X 10.00

To find a list of district multipliers that includes your district, go online using the link specified in the

separate instructions for this form. This list may also be available at the bankruptcy clerk's office.

Average monthly administrative expense $

50.00

Copy total

here=> $ 50.00

37. Add all of the deductions for debt payment. $ 1,296.94

Add lines 33g through 36.

Total Deductions from Income

38. Add all of the allowed deductions.

Copy line 24, All of the expenses allowed under IRS

expense allowances $ 5,061.94

Copy line 32, All of the additional expense deductions $ 394.60

Copy line 37, All of the deductions for debt payment +$ 1,296.94

Total deductions $ 6,753.48 Copy total here=> $ 6,753.48

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 6

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 59 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Part 2: Determine Your Disposable Income Under 11 U.S.C. § 1325(b)(2)

39. Copy your total current monthly income from line 14 of Form 22C-1, Chapter 13

Statement of Your Current Monthly Income and Calculation of Commitment Period $ 6,367.85

40. Fill in any reasonably necessary income you receive for support for dependent

children. The monthly average of any child support payments, foster care payments, or

disability payments for a dependent child, reported in Part I of Form 22C-1, that you

received in accordance with applicable nonbankruptcy law to the extent reasonably

necessary to be expended for such child. $ 0.00

41. Fill in all qualified retirement deductions. The monthly total of all amounts that your

employer withheld from wages as contributions for qualified retirement plans, as specified

in 11 U.S.C. § 541(b)(7) plus all required repayments of loans from retirement plans, as

specified in 11 U.S.C. § 362(b)(19). $ 150.00

42. Total of all deductions allowed under 11 U.S.C. § 707(b)(2)(A). Copy line 38 here. => $ 6,753.48

43. Deduction for special circumstances. If special circumstances justify additional

expenses and you have no reasonable alternative, describe the special circumstances and

their expenses. You must give your case trustee a detailed explanation of the special

circumstances and documentation for the expenses.

Describe the special circumstances Amount of expense

43a. Wife Expected Car Purchase $350 $

350.00

43b. $

43c. $

43d. Total. Add lines 43a through 43c. $ 350.00

Copy 43d

here=> $ 350.00

44. Total adjustments. Add lines 40 through 43d. => $ 7,253.48

Copy total

here=> -$ 7,253.48

45. Calculate your monthly disposable income under § 1325(b)(2). Subtract line 44 from line 39. $

-885.63

Part 3: Change in Income or Expenses

46. Change in income or expenses. If the income in Form 22C-1 or the expenses you

reported in this form have changed or are virtually certain to change after the date you

filed your bankruptcy petition and during the time your case will be open, fill in the

information below. For example, if the wages reported increased after you filed your

petition, check 22C-1 in the first column, enter line 2 in the second column, explain why

the wages increased, fill in when the increase occurred, and fill in the amount of the

increase.

Form Line Reason for change Date of change Increase or

decrease?

Amount of change

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

 22C-1

 22C-2

 Increase

 Decrease $

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 7

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 60 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Part 4: Sign Below

By signing here, under penalty of perjury you declare that the information on this statement and in any attachments is true and correct.

X /s/ Martin D. Crosby X /s/ Patricia F. Crosby

Martin D. Crosby Patricia F. Crosby

Signature of Debtor 1 Signature of Debtor 2

Date August 21, 2015 Date August 21, 2015

MM / DD / YYYY MM / DD / YYYY

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 8

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 61 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Current Monthly Income Details for the Debtor

Debtor Income Details:

Income for the Period 02/01/2015 to 07/31/2015.

Line 2 - Gross wages, salary, tips, bonuses, overtime, commissions

Source of Income: Commonwealth of VA

Year-to-Date Income:

Starting Year-to-Date Income: $5,285.74 from check dated 1/31/2015 .

Ending Year-to-Date Income: $37,000.18 from check dated 7/31/2015 .

Income for six-month period (Ending-Starting): $31,714.44 .

Average Monthly Income: $5,285.74 .

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 9

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 62 of 63
Debtor 1

Debtor 2

Martin D. Crosby

Patricia F. Crosby Case number (if known) 15-34395

Current Monthly Income Details for the Debtor's Spouse

Spouse Income Details:

Income for the Period 02/01/2015 to 07/31/2015.

Line 5 - Income from operation of a business, profession, or farm

Source of Income: Publisher's Rep Self-employment income

Income/Expense/Net by Month:

Date Income Expense Net

6 Months Ago: 02/2015 $1,282.36 $47.00 $1,235.36

5 Months Ago: 03/2015 $1,356.01 $22.00 $1,334.01

4 Months Ago: 04/2015 $1,228.13 $520.00 $708.13

3 Months Ago: 05/2015 $1,079.57 $25.00 $1,054.57

2 Months Ago: 06/2015 $947.34 $6.00 $941.34

Last Month: 07/2015 $1,249.26 $30.00 $1,219.26

Average per month: $1,190.45 $108.33

Average Monthly NET Income: $1,082.11

Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 10

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

Case 15-34395-KRH Doc 11 Filed 09/04/15 Entered 09/04/15 12:10:13 Desc Main

 Document Page 63 of 63