4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106Sum

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

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

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

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

Part 1: Summarize Your Assets

Your assets

Value of what you own

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

1a. Copy line 55, Total real estate, from Schedule A/B................................................................................................ $ 0.00

1b. Copy line 62, Total personal property, from Schedule A/B..................................................................................... $ 59,224.54

1c. Copy line 63, Total of all property on Schedule A/B............................................................................................... $ 59,224.54

Part 2: Summarize Your Liabilities

Your liabilities

Amount you owe

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

2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D... $ 27,479.00

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

3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F................................. $ 328,658.73

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................ $ 55,484.17

Your total liabilities $ 411,621.90

Part 3: Summarize Your Income and Expenses

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

Copy your combined monthly income from line 12 of Schedule I................................................................................ $ 4,382.18

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

Copy your monthly expenses from line 22c of Schedule J.......................................................................... $ 4,112.00

Part 4: Answer These Questions for Administrative and Statistical Records

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

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

 Yes

7. What kind of debt do you have?

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

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

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

the court with your other schedules.

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 1 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $ 5,908.66

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

Total claim

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

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

9b. Taxes and certain other debts you owe the government. (Copy line 6b.) $ 327,728.83

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

9d. Student loans. (Copy line 6f.) $ 19,319.00

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

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

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

9g. Total. Add lines 9a through 9f. $ 347,047.83

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 2 of 72
 4/18/18 1:08PM

Fill in this information to identify your case and this filing:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228  Check if this is an

amended filing

Official Form 106A/B

Schedule A/B: Property 12/15

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

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

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

Answer every question.

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

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

 No. Go to Part 2.

 Yes. Where is the property?

Part 2: Describe Your Vehicles

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

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

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

 No

 Yes

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

the amount of any secured claims on Schedule D:

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

Year: 2011  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 160,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116  Check if this is community property $15,700.00 $15,700.00

 (see instructions)

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

the amount of any secured claims on Schedule D:

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

Year: 2005  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 130,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116  Check if this is community property $4,500.00 $4,500.00

 (see instructions)

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 3 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

the amount of any secured claims on Schedule D:

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

Year: 2014  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 30,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116  Check if this is community property $16,150.00 $16,150.00

 (see instructions)

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

the amount of any secured claims on Schedule D:

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

Year: 2006  Debtor 2 only Current value of the

entire property?

Current value of the

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

Other information:  At least one of the debtors and another

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116  Check if this is community property $6,675.00 $6,675.00

 (see instructions)

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

the amount of any secured claims on Schedule D:

Model: F250  Creditors Who Have Claims Secured by Property.

 Debtor 1 only

Year: 2002  Debtor 2 only Current value of the

entire property?

Current value of the

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

Other information:  At least one of the debtors and another

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116  Check if this is community property $2,975.00 $2,975.00

 (see instructions)

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

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

 No

 Yes

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

the amount of any secured claims on Schedule D:

Model:  Creditors Who Have Claims Secured by Property.

 Debtor 1 only

Year:  Debtor 2 only Current value of the

entire property?

Current value of the

 Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

Utility Trailer

Location: 10227 Atlee Station

Road, Mechanicsville VA 23116

 Check if this is community property $500.00 $500.00

 (see instructions)

5

.

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

pages you have attached for Part 2. Write that number here.............................................................................=> $46,500.00

Part 3: Describe Your Personal and Household Items

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

portion you own?

Do not deduct secured

claims or exemptions.

6. Household goods and furnishings

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

 No

 Yes. Describe.....

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 4 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Misc. household goods, furniture, appliances, dishware, flatware,

decorations, pictures, knick knacks, yard care equipment, hand

held tools including dining room furniture; living room furniture;

bedroom suite's; Washer/Dryer

Location: 10227 Atlee Station Road, Mechanicsville VA 23116 $10,000.00

7. Electronics

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

including cell phones, cameras, media players, games

 No

 Yes. Describe.....

Misc. electronics: TV's, DVD Players, Stereo, small appliances

Location: 10227 Atlee Station Road, Mechanicsville VA 23116 $1,000.00

8. Collectibles of value

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

other collections, memorabilia, collectibles

 No

 Yes. Describe.....

9. Equipment for sports and hobbies

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

musical instruments

 No

 Yes. Describe.....

10. Firearms

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

 No

 Yes. Describe.....

Firearms: shotgun, black powder

Location: 10227 Atlee Station Road, Mechanicsville VA 23116 $450.00

11. Clothes

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

 No

 Yes. Describe.....

Misc. Men's and Women's Clothing

Location: 10227 Atlee Station Road, Mechanicsville VA 23116 $600.00

12. Jewelry

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

 No

 Yes. Describe.....

Wedding/Engagement Rings

-Location: on their person $500.00

13. Non-farm animals

Examples: Dogs, cats, birds, horses

 No

 Yes. Describe.....

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 5 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

 No

 Yes. Give specific information.....

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

for Part 3. Write that number here .............................................................................. $12,550.00

Part 4: Describe Your Financial Assets

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

portion you own?

Do not deduct secured

claims or exemptions.

16. Cash

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

 No

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

17. Deposits of money

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

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

 No

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

17.1. Checking

Account located at Bank of America

Account ending in 8413 $71.54

17.2. Checking

Account located at SunTrust

Account ending in 9727

*debtor is payee for father's social

security/pension $3.00

18. Bonds, mutual funds, or publicly traded stocks

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

 No

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

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

joint venture

 No

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

Name of entity: % of ownership:

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

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

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

 No

 Yes. Give specific information about them

Issuer name:

21. Retirement or pension accounts

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

 No

 Yes. List each account separately.

Type of account: Institution name:

22. Security deposits and prepayments

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

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

 No

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

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 6 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

 No

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

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

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

 No

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

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

 No

 Yes. Give specific information about them...

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

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

 No

 Yes. Give specific information about them...

27. Licenses, franchises, and other general intangibles

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

 No

 Yes. Give specific information about them...

Money or property owed to you? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

28. Tax refunds owed to you

 No

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

29. Family support

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

 No

 Yes. Give specific information......

30. Other amounts someone owes you

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

benefits; unpaid loans you made to someone else

 No

 Yes. Give specific information..

31. Interests in insurance policies

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

 No

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

Company name: Beneficiary: Surrender or refund

value:

Group Term Life Insurance

Employer Provided

no cash value Debtor 2 $0.00

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

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

someone has died.

 No

 Yes. Give specific information..

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 7 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

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

 No

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

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

 No

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

35. Any financial assets you did not already list

 No

 Yes. Give specific information..

Any other interest in property, (including but not limited to

tax refunds, lottery winnings, garnished wages, garnished

financial accounts, preferences, personal injury proceeds,

class action lawsuits of any kind including Mesh devices,

Equifax breaches, etc) that the Debtor(s) acquiares or

becomes entitled to acquire within 180 days of the filing of

his/her petition in bankruptcy by bequest, devise or

inheritance; as a result of a property settlement agreement;

or of a divorce decree; or as a beneficiary of a life insurance

policy or of a death benefit plan. $100.00

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

for Part 4. Write that number here..................................................................................................................... $174.54

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

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

 No. Go to Part 6.

 Yes. Go to line 38.

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

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

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

 No. Go to Part 7.

 Yes. Go to line 47.

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

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

Examples: Season tickets, country club membership

 No

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

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

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 8 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

55. Part 1: Total real estate, line 2 ...................................................................................................................... $0.00

56. Part 2: Total vehicles, line 5 $46,500.00

57. Part 3: Total personal and household items, line 15 $12,550.00

58. Part 4: Total financial assets, line 36 $174.54

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

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

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

62. Total personal property. Add lines 56 through 61... $59,224.54 Copy personal property total $59,224.54

63. Total of all property on Schedule A/B. Add line 55 + line 62 $59,224.54

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 9 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106C

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

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

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

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

case number (if known).

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

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

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

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

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

to the applicable statutory amount.

Part 1: Identify the Property You Claim as Exempt

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

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

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

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

Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

2011 Cadillac Esclade 160,000 miles

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 3.1

$15,700.00  $6,000.00 Va. Code Ann. § 34-26(8)

 100% of fair market value, up to

any applicable statutory limit

2002 Ford F250

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 3.5

$2,975.00  $1,500.00 Va. Code Ann. § 34-26(8)

 100% of fair market value, up to

any applicable statutory limit

Utility Trailer

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 4.1

$500.00  $500.00 Va. Code Ann. § 34-26(8)

 100% of fair market value, up to

any applicable statutory limit

Misc. household goods, furniture,

appliances, dishware, flatware,

decorations, pictures, knick knacks,

yard care equipment, hand held tools

including dining room furniture;

living room furniture; bedroom

suite's; Washer/Dryer

Location: 10227 Atlee Station

Line from Schedule A/B: 6.1

$10,000.00  $10,000.00 Va. Code Ann. § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 2

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 10 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Brief description of the property and line on

Schedule A/B that lists this property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Misc. electronics: TV's, DVD Players,

Stereo, small appliances

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 7.1

$1,000.00  $1,000.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Firearms: shotgun, black powder

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 10.1

$450.00  $450.00 Va. Code Ann. § 34-26(4b)

 100% of fair market value, up to

any applicable statutory limit

Misc. Men's and Women's Clothing

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

Line from Schedule A/B: 11.1

$600.00  $600.00 Va. Code Ann. § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Wedding/Engagement Rings

-Location: on their person

Line from Schedule A/B: 12.1

$500.00  $500.00 Va. Code Ann. § 34-26(1a)

 100% of fair market value, up to

any applicable statutory limit

Checking: Account located at Bank

of America

Account ending in 8413

Line from Schedule A/B: 17.1

$71.54  $71.54 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Checking: Account located at

SunTrust

Account ending in 9727

*debtor is payee for father's social

security/pension

Line from Schedule A/B: 17.2

$3.00  $3.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Any other interest in property,

(including but not limited to tax

refunds, lottery winnings, garnished

wages, garnished financial accounts,

preferences, personal injury

proceeds, class action lawsuits of

any kind including Mesh devices,

Equifax breaches, e

Line from Schedule A/B: 35.1

$100.00  $100.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

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

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

 No

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

 No

 Yes

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 11 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106D

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

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

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

number (if known).

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

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

 Yes. Fill in all of the information below.

Part 1: List All Secured Claims

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

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

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

Column A

Amount of claim

Do not deduct the

value of collateral.

Column B

Value of collateral

that supports this

claim

Column C

Unsecured

portion

If any

2.1 DT Credit Company, LLC Describe the property that secures the claim: $22,579.00 $16,150.00 $0.00

Creditor's Name 2014 Jeep Grand Cherokee 30,000

miles

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116 Attn: Bankruptcy

Po Box 29018

Phoenix, AZ 85038

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred

Opened

02/18 Last

Active

2/20/18 Last 4 digits of account number 5701

2.2 Title Max Describe the property that secures the claim: $4,900.00 $15,700.00 $0.00

Creditor's Name 2011 Cadillac Esclade 160,000 miles

Location: 10227 Atlee Station Road,

Mechanicsville VA 23116

20 East Belt Blvd.

Richmond, VA 23224

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 2

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 12 of 72
 4/18/18 1:08PM

Debtor 1 George E. Weaver Case number (if know) 18-31228

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

First Name Middle Name Last Name

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred Last 4 digits of account number

Add the dollar value of your entries in Column A on this page. Write that number here: $27,479.00

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

Write that number here: $27,479.00

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

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

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

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

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

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

Bridgecrest Credit Co.

P.O. Box 29018

Phoenix, AZ 85038

On which line in Part 1 did you enter the creditor? 2.1 

Last 4 digits of account number 

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 13 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106E/F

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

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

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

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

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

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

name and case number (if known).

Part 1: List All of Your PRIORITY Unsecured Claims

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

 No. Go to Part 2.

 Yes.

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

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

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

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

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

Total claim Priority

amount

Nonpriority

amount

2.1 Internal Revenue Service Last 4 digits of account number 2965 $45,918.46 $45,918.46 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2014

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2014 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 1 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com 32455 Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 14 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.2 Internal Revenue Service Last 4 digits of account number 2965 $10,000.00 $10,000.00 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2015

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2015 Income Taxes

2.3 Internal Revenue Service Last 4 digits of account number 2965 $59,841.68 $59,841.68 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2016

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2016 Income Taxes

2.4 Internal Revenue Service Last 4 digits of account number 2965 $100.00 $100.00 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2017 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 15 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.5 Internal Revenue Service Last 4 digits of account number 5543 $100.00 $100.00 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2017 Income Taxes

2.6 Internal Revenue Service Last 4 digits of account number 5543 $100.00 $100.00 $0.00

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2016

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2016 Income Taxes

2.7 Internal Revenue Service Last 4 digits of account number 2965 $6,569.28 $0.00 $6,569.28

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2010

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2010 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 16 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.8 Internal Revenue Service Last 4 digits of account number 2965 $16,665.43 $0.00 $16,665.43

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2011

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2011 Income Taxes

2.9 Internal Revenue Service Last 4 digits of account number 2965 $23,686.03 $0.00 $23,686.03

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2012

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2012 Income Taxes

2.1

0

Internal Revenue Service Last 4 digits of account number 2965 $45,068.69 $0.00 $45,068.69

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? 2013

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2013 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 4 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 17 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.1

1

Internal Revenue Service Last 4 digits of account number 2965 $26,332.67 $0.00 $26,332.67

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? Penalty

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

Tax Penalty on Priority Claims

2.1

2

Internal Revenue Service Last 4 digits of account number 2965 $47,671.66 $0.00 $47,671.66

Priority Creditor's Name

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

When was the debt incurred? Penalty

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

Tax Penalty on Unsecured Claims

2.1

3 Virginia Department of Taxatio Last 4 digits of account number 9160 $10,419.62 $0.00 $10,419.62

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2013

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2013 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 18 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.1

4 Virginia Department of Taxatio Last 4 digits of account number 9160 $10,654.21 $10,654.21 $0.00

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2014

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2014 Income Taxes

2.1

5 Virginia Department of Taxatio Last 4 digits of account number 9160 $6,313.87 $0.00 $6,313.87

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2012

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2012 Income Taxes

2.1

6 Virginia Department of Taxatio Last 4 digits of account number 9160 $11,988.08 $11,988.08 $0.00

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2016

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2016 Income Taxes

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 19 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.1

7 Virginia Department of Taxatio Last 4 digits of account number 9160 $4,509.83 $0.00 $4,509.83

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2011

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2011 Income Taxes

2.1

8 Virginia Department of Taxatio Last 4 digits of account number 9160 $1,789.32 $0.00 $1,789.32

Priority Creditor's Name

PO Box 2156

Richmond, VA 23218

When was the debt incurred? 12/31/2010

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify

2010 Income Taxes

2.1

9 Virginia Employment Comm. Last 4 digits of account number 2973 $754.37 $754.37 $0.00

Priority Creditor's Name

POB 27592

Richmond, VA 23261

When was the debt incurred? 06/30/2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify Wages, salaries, and commissions

Employer's Quarterly Tax Report

03/30/2017

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 7 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 20 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

2.2

0 Virginia Employment Comm. Last 4 digits of account number 2973 $75.00 $75.00 $0.00

Priority Creditor's Name

POB 27592

Richmond, VA 23261

When was the debt incurred? 12/31/2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify Wages, salaries, and commissions

Employer's Quarterly Tax Report

12/31/2017

2.2

1 Virginia Employment Comm. Last 4 digits of account number 2973 $100.53 $100.53 $0.00

Priority Creditor's Name

POB 27592

Richmond, VA 23261

When was the debt incurred? 09/30/2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community debt

Is the claim subject to offset?

 No

 Yes

 Contingent

 Unliquidated

 Disputed

Type of PRIORITY unsecured claim:

 Domestic support obligations

 Taxes and certain other debts you owe the government

 Claims for death or personal injury while you were intoxicated

 Other. Specify Wages, salaries, and commissions

Employer's Quarterly Tax Report

09/30/2017

Part 2: List All of Your NONPRIORITY Unsecured Claims

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

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

 Yes.

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

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

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

Part 2.

Total claim

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 8 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 21 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.1 Allstate Last 4 digits of account number 8491 $2,463.32

Nonpriority Creditor's Name

POB 40047

Roanoke, VA 24022-0047

When was the debt incurred? 2018

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Insurance Premium

4.2 Anthem Healthkeeps Last 4 digits of account number 3462 $3,152.80

Nonpriority Creditor's Name

PO Box 11792

Newark, NJ 07101

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Insurance

4.3 Argent Federal Credit Union Last 4 digits of account number 2400 $1,627.81

Nonpriority Creditor's Name

11651 Alliance Circle

Chester, VA 23831

When was the debt incurred? 02/08/2018

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Judgment

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 9 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 22 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.4 AT&T Universal Last 4 digits of account number 9657 $430.45

Nonpriority Creditor's Name

8787 Bay Pine Road

Jacksonville, FL 32256

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Consumer

4.5 Bank of America Last 4 digits of account number Unknown $500.00

Nonpriority Creditor's Name

PO 85350

Louisville, KY 40285

When was the debt incurred? Unknown

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Overdrawn Account

4.6 Caine & Weiner Last 4 digits of account number 9275 $1,129.00

Nonpriority Creditor's Name

Po Box 5010

Woodland Hills, CA 91365

When was the debt incurred? Opened 7/12/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify 01 Progressive Insurance

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 10 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 23 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.7 Cbe Group Last 4 digits of account number 0692 $319.00

Nonpriority Creditor's Name

Attn: Bankruptcy Department

Po Box 900

Waterloo, IA 50704

When was the debt incurred? Opened 12/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Dominion Energy

Virginia

4.8 Cbs Collection Division Last 4 digits of account number 0001 $1,335.00

Nonpriority Creditor's Name

Po Box 3227

Tuscaloosa, AL 35403

When was the debt incurred? Opened 08/14

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Blue And Gray Self

Storage

4.9 Central Credit Service Last 4 digits of account number 6563 $104.00

Nonpriority Creditor's Name

9550 Regency Square

Jacksonville, FL 32225

When was the debt incurred? Opened 07/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Laboratory Corporation

Of Amer

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 11 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 24 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.1

0 Central Credit Service Last 4 digits of account number 4799 $75.00

Nonpriority Creditor's Name

9550 Regency Square

Jacksonville, FL 32225

When was the debt incurred? Opened 09/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Laboratory Corporation

Of Amer

4.1

1 Central Credit Service Last 4 digits of account number 6380 $75.00

Nonpriority Creditor's Name

9550 Regency Square

Jacksonville, FL 32225

When was the debt incurred? Opened 09/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Laboratory Corporation

Of Amer

4.1

2 Checks Unlimited Last 4 digits of account number 9775 $32.89

Nonpriority Creditor's Name

P.O. Box 17400

Colorado Springs, CO 80935

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Consumer

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 12 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 25 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.1

3 Checks Unlimited Last 4 digits of account number 9775 $32.89

Nonpriority Creditor's Name

P.O. Box 17400

Colorado Springs, CO 80935

When was the debt incurred? Unknown

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Return Check

4.1

4 Credit Control Corp Last 4 digits of account number 4517 $260.00

Nonpriority Creditor's Name

Po Box 120568

Newport News, VA 23612

When was the debt incurred? Opened 07/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Charlottesville

Radiology Ltd.

4.1

5 Dept Of Ed/582/nelnet Last 4 digits of account number 2545 $5,100.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 10/13 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 13 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 26 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.1

6 Dept Of Ed/582/nelnet Last 4 digits of account number 5949 $3,909.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 03/13 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

4.1

7 Dept Of Ed/582/nelnet Last 4 digits of account number 6049 $3,877.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 03/13 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

4.1

8 Dept Of Ed/582/nelnet Last 4 digits of account number 2445 $2,393.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 10/13 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 14 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 27 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.1

9 Dept Of Ed/582/nelnet Last 4 digits of account number 0745 $2,337.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 09/14 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

4.2

0 Dept Of Ed/582/nelnet Last 4 digits of account number 0645 $1,703.00

Nonpriority Creditor's Name

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

When was the debt incurred?

Opened 09/14 Last Active

2/28/18

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Educational

4.2

1 Diversified Consultants, Inc. Last 4 digits of account number 0867 $549.00

Nonpriority Creditor's Name

Diversified Consultants, Inc.

Po Box 551268

Jacksonville, FL 32255

When was the debt incurred? Opened 04/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Dish Network

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 15 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 28 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.2

2 Diversified Consultants, Inc. Last 4 digits of account number 0837 $0.00

Nonpriority Creditor's Name

Diversified Consultants, Inc.

Po Box 551268

Jacksonville, FL 32255

When was the debt incurred? Opened 10/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Att - Notice Purposes

4.2

3 Division of Vital Records Last 4 digits of account number Unknown $62.00

Nonpriority Creditor's Name

2001 Maywill Street

P.O. Box 1000

Richmond, VA 23218

When was the debt incurred? 2016

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Consumer Debt

4.2

4 Focused Recovery Solutions Last 4 digits of account number 0260 $218.00

Nonpriority Creditor's Name

9701-Metropolitan Ct

Ste B

Richmond, VA 23236

When was the debt incurred? Opened 06/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Pediatric Center Inc.

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 16 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 29 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.2

5 Focused Recovery Solutions Last 4 digits of account number 3475 $102.00

Nonpriority Creditor's Name

9701-Metropolitan Ct

Ste B

Richmond, VA 23236

When was the debt incurred? Opened 09/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Richmond

Gastroenterology Asso

4.2

6 Focused Recovery Solutions Last 4 digits of account number 475A $69.00

Nonpriority Creditor's Name

9701-Metropolitan Ct

Ste B

Richmond, VA 23236

When was the debt incurred? Opened 06/13

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Richmond

Gastroenterology Asso

4.2

7 Focused Recovery Solutions Last 4 digits of account number 6660 $31.00

Nonpriority Creditor's Name

9701 Metropolitan Ct Ste

North Chesterfield, VA 23236

When was the debt incurred? Opened 05/16

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney Radiology Associates

Of Richmo

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 17 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 30 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.2

8 Gold's Gym Last 4 digits of account number Unknown $1,000.00

Nonpriority Creditor's Name

8904 West Broad

Richmond, VA 23294

When was the debt incurred? Unknown

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Gym Membership

4.2

9 Hanover Family Phys Last 4 digits of account number 2340 $305.00

Nonpriority Creditor's Name

9376 Atlee Station Rd

Mechanicsville, VA 23116

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical Services

4.3

0 Hanover Family Phys Last 4 digits of account number 2250 $85.00

Nonpriority Creditor's Name

9376 Atlee Station Rd

Mechanicsville, VA 23116

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 18 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 31 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.3

1 Henrico Doctor's Hospital Last 4 digits of account number Various $2,500.00

Nonpriority Creditor's Name

PO Box 1021

Louisville, KY 40201

When was the debt incurred? Various

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical

4.3

2 James River Emergency Group Last 4 digits of account number Various $1,700.00

Nonpriority Creditor's Name

Mailstop 43809623

PO Box 660827

Dallas, TX 75266-0827

When was the debt incurred? Various

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical

4.3

3 Jefferson Capital Systems, LLC Last 4 digits of account number 3003 $129.00

Nonpriority Creditor's Name

Po Box 7999

Saint Cloud, MN 56302

When was the debt incurred? Opened 12/15

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Factoring Company Account Verizon

Wireless

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 19 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 32 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.3

4 JL Walston & Associates Last 4 digits of account number 9588 $382.00

Nonpriority Creditor's Name

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

When was the debt incurred? Opened 01/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Uva Physicians Group

4.3

5 JL Walston & Associates Last 4 digits of account number 9413 $279.00

Nonpriority Creditor's Name

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

When was the debt incurred? Opened 01/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Uva Physicians Group

4.3

6 JL Walston & Associates Last 4 digits of account number 9523 $218.00

Nonpriority Creditor's Name

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

When was the debt incurred? Opened 01/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Uva Physicians Group

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 20 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 33 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.3

7 JL Walston & Associates Last 4 digits of account number 9522 $156.00

Nonpriority Creditor's Name

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

When was the debt incurred? Opened 01/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Uva Physicians Group

4.3

8 JL Walston & Associates Last 4 digits of account number 9416 $146.00

Nonpriority Creditor's Name

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

When was the debt incurred? Opened 01/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Uva Physicians Group

4.3

9 Jn Portfolio Debt Equities, LLC Last 4 digits of account number 9444 $476.00

Nonpriority Creditor's Name

Attn: Bankruptcy

5757 Phantom Dr. Ste 225

Hazelwood, MO 63042

When was the debt incurred?

Opened 06/16 Last Active

10/09/16

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Factoring Company Account Comenity

Bank

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 21 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 34 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.4

0 Loon Emergency Physicians Last 4 digits of account number 8855 $1,227.00

Nonpriority Creditor's Name

PO Box 38001

Philadelphia, PA 19101-8001

When was the debt incurred? 06/03/2015

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical

4.4

1 Martha Jefferson Hospital Last 4 digits of account number 4800 $1,448.00

Nonpriority Creditor's Name

PO Box 2556

Charlottesville, VA 22902-2556

When was the debt incurred? 09/24/2013

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Judgment

4.4

2 MCV Physicians Last 4 digits of account number 8100 $2,600.00

Nonpriority Creditor's Name

1601 Willow Lawn Drive

Suite 275

Richmond, VA 23230-3422

When was the debt incurred? 11/22/2016

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical Services

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 22 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 35 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.4

3 Orkin Last 4 digits of account number 1991 $212.00

Nonpriority Creditor's Name

PO 13230

Atlanta, GA 30324

When was the debt incurred? Various

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Pest Control

4.4

4 Pediatric Neurology Associates Last 4 digits of account number 1000 $100.00

Nonpriority Creditor's Name

5875 Bremo Road

Suite 310

Richmond, VA 23230

When was the debt incurred? 2017

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical Services

4.4

5 Radiology Assoc of Richmond Last 4 digits of account number Various $449.01

Nonpriority Creditor's Name

P.O. Box 13343

Richmond, VA 23225

When was the debt incurred? Various

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Medical

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 23 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 36 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.4

6 Receivable Management Inc Last 4 digits of account number 8973 $718.00

Nonpriority Creditor's Name

7206 Hull Rd

Ste 211

Richmond, VA 23235

When was the debt incurred? Opened 08/12

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Patient First

4.4

7 Receivable Management Inc Last 4 digits of account number 7010 $544.00

Nonpriority Creditor's Name

7206 Hull Rd

Ste 211

Richmond, VA 23235

When was the debt incurred? Opened 09/16

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Patient First

4.4

8 Receivable Management Inc Last 4 digits of account number 2085 $493.00

Nonpriority Creditor's Name

7206 Hull Rd

Ste 211

Richmond, VA 23235

When was the debt incurred? Opened 01/13

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Patient First

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 24 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 37 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.4

9 Southwest Credit Systems Last 4 digits of account number 6216 $535.00

Nonpriority Creditor's Name

4120 International Parkway

Suite 1100

Carrollton, TX 75007

When was the debt incurred? Opened 11/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Collection Attorney Comcast

4.5

0 Sunrise Credit Service Last 4 digits of account number 7713 $0.00

Nonpriority Creditor's Name

260 Airport Plaza

Farmingdale, NY 11735

When was the debt incurred? Opened 10/17

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify

Collection Attorney At T Mobility - Notice

Purposes

4.5

1 Suntrust Last 4 digits of account number $300.00

Nonpriority Creditor's Name

PO Box 4418

Atlanta, GA 30302-4418

When was the debt incurred?

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify NSF

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 25 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 38 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

4.5

2 University of Virginia Last 4 digits of account number 2402 $6,793.00

Nonpriority Creditor's Name

Medical Center

P.O. Box 85031

Richmond, VA 23261

When was the debt incurred? 06/28/2012

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Judgment

4.5

3 VCU Dept of Oral & Maxillofaci Last 4 digits of account number 1000 $802.00

Nonpriority Creditor's Name

521 North 11th Street

Richmond, VA 23298

When was the debt incurred? 09/05/2014

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Dental

4.5

4 Verizon Last 4 digits of account number 6303 $0.00

Nonpriority Creditor's Name

Verizon Wireless Bk Admin

500 Technology Dr Ste 550

Weldon Springs, MO 63304

When was the debt incurred?

Opened 10/15 Last Active

9/02/16

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

Who incurred the debt? Check one.

 Debtor 1 only

 Debtor 2 only

 Debtor 1 and Debtor 2 only

 At least one of the debtors and another

 Check if this claim is for a community

debt

Is the claim subject to offset?

 No

 Contingent

 Unliquidated

 Disputed

Type of NONPRIORITY unsecured claim:

 Student loans

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

report as priority claims

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

 Yes  Other. Specify Agriculture - Notice Purposes

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

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

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

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 26 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 39 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

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

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

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

Albemarle GD Court

501 E. Jefferson St.

Attn: Civil Div.

Charlottesville, VA 22902

Line 4.52 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Blue & Gray Self Storage

3801 Williamsburg Road

Richmond, VA 23231

Line 4.8 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Charlottesville Radiology

PO Box 2546

Virginia Beach, VA 23450

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Credence Resource Management

17000 Dallas Parkway

Suite 204

Dallas, TX 75248

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Credit Adjustment Board

306 East Grace Street

Richmond, VA 23219

Line 4.45 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Dish Network

Dept 0063

Palatine, IL 60055

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Dominion Energy

PO Box 26543

Richmond, VA 23290

Line 4.7 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Dupont Fibers Credit Union

5403 Jefferson Davis HWY

Richmond, VA 23234-7040

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Focused Recovery Solutions

7206 Hull Street Road

Suite 211

Richmond, VA 23235

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Gastroenterology Assoc

1031 Care Way

Fredericksburg, VA 22401

Line 4.25 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Hanover GDC

7515 Library Drive, PO Box 176

Re: GV-032918

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 27 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 40 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

Hanover, VA 23069

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.1 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.2 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.3 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.4 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.5 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.6 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.7 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.8 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.9 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.10 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.11 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 28 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 41 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

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

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

Line 2.12 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Joseph, Mann & Creed

PO Box 22253

Beachwood, OH 44122-0253

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Labcorp

1447 York Court

Burlington, NC 27215

Line 4.9 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Lafayette, Ayers & Whitlock

10160 Staples Mill Road

Ste 105

Glen Allen, VA 23060

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

NPAS Solutions LLC

PO Box 2248

Maryland Heights, MO 63043

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Pediatric Center

10571 Telegraph Road

Glen Allen, VA 23059

Line 4.24 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Line 2.13 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Line 2.14 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Line 2.15 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Line 2.16 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Line 2.17 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 29 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 42 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

Harrisburg, PA 17108-0988

Last 4 digits of account number

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

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Line 2.18 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Phoenix Financial Services

PO Box 361450

Indianapolis, IN 46236

Line 4.40 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Powhatan GDC

3880-D Old Buckingham Road

Powhatan, VA 23139

Line 4.53 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Progressive Insurance

P.O. Box 6807

Cleveland, OH 44101-1807

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Richmond City GDC

400 N. 9th Street, 2nd Floor

Suite 203

Richmond, VA 23219

Line 4.42 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Rollins Service Bureau

PO Box 13230

Atlanta, GA 30324-9847

Line 4.43 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.13 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.14 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.15 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.16 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.17 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 30 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 43 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if know) 18-31228

Last 4 digits of account number

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

TACS

P.O. Box 31800

Henrico, VA 23294

Line 2.18 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

The Rahman Group

8002 Discovery Dr.

Ste. 306

Henrico, VA 23229

Line 4.45 of (Check one):  Part 1: Creditors with Priority Unsecured Claims

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

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

type of unsecured claim.

Total Claim

6a. Domestic support obligations 6a. $ 0.00

Total

claims

from Part 1 6b. Taxes and certain other debts you owe the government 6b. $ 327,728.83

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

6d. Other. Add all other priority unsecured claims. Write that amount here. 6d. $ 929.90

6e. Total Priority. Add lines 6a through 6d. 6e. $ 328,658.73

Total Claim

6f. Student loans 6f. $ 19,319.00

Total

claims

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

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

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

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

here.

6i.

$ 36,165.17

6j. Total Nonpriority. Add lines 6f through 6i. 6j. $ 55,484.17

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 31 of 31

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 44 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106G

Schedule G: Executory Contracts and Unexpired Leases 12/15

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

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

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

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

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

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

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

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

and unexpired leases.

Person or company with whom you have the contract or lease

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

State what the contract or lease is for

2.1 Mr. & Mrs. Tuthill Rental Agreement

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 45 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106H

Schedule H: Your Codebtors 12/15

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

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

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

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

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

 No

 Yes

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

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

 No. Go to line 3.

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

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

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

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

out Column 2.

Column 1: Your codebtor

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

Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.1  Schedule D, line

Name  Schedule E/F, line

 Schedule G, line

Number Street

City State ZIP Code

3.2  Schedule D, line

Name  Schedule E/F, line

 Schedule G, line

Number Street

City State ZIP Code

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 46 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

Debtor 2 Kacy L. Weaver

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228 Check if this is:

(If known)  An amended filing

 A supplement showing postpetition chapter

13 income as of the following date:

Official Form 106I MM / DD/ YYYY

Schedule I: Your Income 12/15

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

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

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

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

Part 1: Describe Employment

1. Fill in your employment

information. Debtor 1 Debtor 2 or non-filing spouse

If you have more than one job,

attach a separate page with

information about additional

employers.

Include part-time, seasonal, or

self-employed work.

Occupation may include student

or homemaker, if it applies.

Employment status

 Employed

 Not employed

 Employed

 Not employed

Occupation Salesman Unemployed

Employer's name Touch of Color Flooring, Inc.

Employer's address 6303 Allentown Boulevard

Harrisburg, PA 17112

How long employed there? 1 year

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. $ 5,416.66 $ 0.00

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

4. Calculate gross Income. Add line 2 + line 3. 4. $ 5,416.66 $ 0.00

Official Form 106I Schedule I: Your Income page 1

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 47 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 5,416.66 $ 0.00

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 306.35 $ 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. $ 619.07 $ 0.00

5f. Domestic support obligations 5f. $ 601.06 $ 0.00

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

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

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 1,526.48 $ 0.00

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 3,890.18 $ 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 $ 0.00

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

8c. Family support payments that you, a non-filing spouse, or a dependent

regularly receive

Include alimony, spousal support, child support, maintenance, divorce

settlement, and property settlement. 8c. $ 0.00 $ 0.00

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

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

8f. Other government assistance that you regularly receive

Include cash assistance and the value (if known) of any non-cash assistance

that you receive, such as food stamps (benefits under the Supplemental

Nutrition Assistance Program) or housing subsidies.

Specify: 8f. $ 0.00 $ 0.00

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

8h. Other monthly income. Specify:

Child's Contribution (for car

payment) 8h.+ $ 492.00 + $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 492.00 $ 0.00

10. Calculate monthly income. Add line 7 + line 9. 10. $ 4,382.18 + $ 0.00 = $ 4,382.18

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. $ 4,382.18

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:

Official Form 106I Schedule I: Your Income page 2

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 48 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver Check if this is:

 An amended filing

Debtor 2 Kacy L. Weaver  A supplement showing postpetition chapter

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

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

Case number 18-31228

(If known)

Official Form 106J

Schedule J: Your Expenses 12/15

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

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

number (if known). Answer every question.

Part 1: Describe Your Household

1. Is this a joint case?

 No. Go to line 2.

 Yes. Does Debtor 2 live in a separate household?

 No

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

2. Do you have dependents?  No

Do not list Debtor 1 and

Debtor 2.

 Yes. Fill out this information for

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

Dependent’s relationship to

Debtor 1 or Debtor 2

Dependent’s

age

Does dependent

live with you?

Do not state the

dependents names. Daughter 14 Months

 No

 Yes

Son 7 years

 No

 Yes

Son 7 years

 No

 Yes

Daughter 11 years

 No

 Yes

Daughter 17 years

 No

 Yes

3. Do your expenses include

expenses of people other than

yourself and your dependents?

 No

 Yes

Part 2: Estimate Your Ongoing Monthly Expenses

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

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

applicable date.

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

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

(Official Form 106I.) Your expenses

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

payments and any rent for the ground or lot. 4. $ 1,500.00

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. $ 0.00

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

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

Official Form 106J Schedule J: Your Expenses page 1

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 49 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Official Form 106J Schedule J: Your Expenses page 2

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 50 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

6. Utilities:

6a. Electricity, heat, natural gas 6a. $ 225.00

6b. Water, sewer, garbage collection 6b. $ 0.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 450.00

6d. Other. Specify: Trash Removal 6d. $ 20.00

7. Food and housekeeping supplies 7. $ 600.00

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

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

10. Personal care products and services 10. $ 75.00

11. Medical and dental expenses 11. $ 70.00

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

Do not include car payments. 12. $ 150.00

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

14. Charitable contributions and religious donations 14. $ 0.00

15. Insurance.

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

15a. Life insurance 15a. $ 0.00

15b. Health insurance 15b. $ 0.00

15c. Vehicle insurance 15c. $ 313.00

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

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

Specify: Personal Property Taxes (amortized) 16. $ 20.00

17. Installment or lease payments:

17a. Car payments for Vehicle 1 17a. $ 489.00

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

17c. Other. Specify: 17c. $ 0.00

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

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

deducted from your pay on line 5, Schedule I, Your Income (Official Form 106I). 18. $ 0.00

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

Specify: 19.

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

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

20b. Real estate taxes 20b. $ 0.00

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

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

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

21. Other: Specify: 21. +$ 0.00

22. Calculate your monthly expenses

22a. Add lines 4 through 21. $ 4,112.00

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

22c. Add line 22a and 22b. The result is your monthly expenses. $ 4,112.00

23. Calculate your monthly net income.

23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 4,382.18

23b. Copy your monthly expenses from line 22c above. 23b. -$ 4,112.00

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

The result is your monthly net income. 23c. $ 270.18

24. Do you expect an increase or decrease in your expenses within the year after you file this form?

For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a

modification to the terms of your mortgage?

 No.

 Yes. Explain here:

Official Form 106J Schedule J: Your Expenses page 3

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 51 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 106Dec

Declaration About an Individual Debtor's Schedules 12/15

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

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

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

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

Sign Below

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

 No

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

Declaration, and Signature (Official Form 119)

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

that they are true and correct.

X /s/ George E. Weaver X /s/ Kacy L. Weaver

George E. Weaver Kacy L. Weaver

Signature of Debtor 1 Signature of Debtor 2

Date April 18, 2018 Date April 18, 2018

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 52 of 72
 4/18/18 1:08PM

Fill in this information to identify your case:

Debtor 1 George E. Weaver

First Name Middle Name Last Name

Debtor 2 Kacy L. Weaver

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-31228

(if known)  Check if this is an

amended filing

Official Form 107

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

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

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

number (if known). Answer every question.

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

1. What is your current marital status?

 Married

 Not married

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

 No

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

Debtor 1 Prior Address: Dates Debtor 1

lived there

Debtor 2 Prior Address: Dates Debtor 2

lived there

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

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

 No

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

Part 2 Explain the Sources of Your Income

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

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

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

 No

 Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Check all that apply.

Gross income

(before deductions and

exclusions)

Sources of income

Check all that apply.

Gross income

(before deductions

and exclusions)

From January 1 of current year until

the date you filed for bankruptcy:

 Wages, commissions,

bonuses, tips

 Operating a business

$16,250.00  Wages, commissions,

bonuses, tips

 Operating a business

$0.00

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 53 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Debtor 1 Debtor 2

Sources of income

Check all that apply.

Gross income

(before deductions and

exclusions)

Sources of income

Check all that apply.

Gross income

(before deductions

and exclusions)

For last calendar year:

(January 1 to December 31, 2017 )

 Wages, commissions,

bonuses, tips

 Operating a business

$51,250.00  Wages, commissions,

bonuses, tips

 Operating a business

$0.00

 Wages, commissions,

bonuses, tips

 Operating a business

$0.00  Wages, commissions,

bonuses, tips

 Operating a business

$0.00

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

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

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

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

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

 No

 Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Describe below.

Gross income from

each source

(before deductions and

exclusions)

Sources of income

Describe below.

Gross income

(before deductions

and exclusions)

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

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

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

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

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

 No. Go to line 7.

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

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

not include payments to an attorney for this bankruptcy case.

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

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

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

 No. Go to line 7.

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

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

attorney for this bankruptcy case.

Creditor's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Was this payment for ...

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 54 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

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

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

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

alimony.

 No

 Yes. List all payments to an insider.

Insider's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Reason for this payment

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

insider?

Include payments on debts guaranteed or cosigned by an insider.

 No

 Yes. List all payments to an insider

Insider's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Reason for this payment

Include creditor's name

Part 4: Identify Legal Actions, Repossessions, and Foreclosures

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

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

modifications, and contract disputes.

 No

 Yes. Fill in the details.

Case title

Case number

Nature of the case Court or agency Status of the case

Atlee Family and Cosmetic Dentist

v. George Weaver & Kacy Weaver

85GV1700264100

Judgment Hanover GDC

7515 Library Drive, PO Box

176

Re: GV-032918

Hanover, VA 23069

 Pending

 On appeal

 Concluded

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

Check all that apply and fill in the details below.

 No. Go to line 11.

 Yes. Fill in the information below.

Creditor Name and Address Describe the Property

Explain what happened

Date Value of the

property

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

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

 No

 Yes. Fill in the details.

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

taken

Amount

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

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

 No

 Yes

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 55 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Part 5: List Certain Gifts and Contributions

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

 No

 Yes. Fill in the details for each gift.

Gifts with a total value of more than $600

per person

Person to Whom You Gave the Gift and

Address:

Describe the gifts Dates you gave

the gifts

Value

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

 No

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

Gifts or contributions to charities that total

more than $600

Charity's Name

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

Describe what you contributed Dates you

contributed

Value

Part 6: List Certain Losses

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

or gambling?

 No

 Yes. Fill in the details.

Describe the property you lost and

how the loss occurred

Describe any insurance coverage for the loss

Include the amount that insurance has paid. List pending

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

Date of your

loss

Value of property

lost

Part 7: List Certain Payments or Transfers

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

consulted about seeking bankruptcy or preparing a bankruptcy petition?

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

 No

 Yes. Fill in the details.

Person Who Was Paid

Address

Email or website address

Person Who Made the Payment, if Not You

Description and value of any property

transferred

Date payment

or transfer was

made

Amount of

payment

Pagano & Marks, P.C.

4510 S. Laburnum Ave.

Richmond, VA 23231

$157.00 Attorney Fee, $310.00 Court

Filing Fee $33.00 credit report

3/12/2018 $500.00

Cricket Debt Couseling

www.cricketdebt.com

$24.00 paid by debtor directly to

agency

3/12/2018 $24.00

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

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

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

 No

 Yes. Fill in the details.

Person Who Was Paid

Address

Description and value of any property

transferred

Date payment

or transfer was

made

Amount of

payment

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

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

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

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 56 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

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

 No

 Yes. Fill in the details.

Person Who Received Transfer

Address

Person's relationship to you

Description and value of

property transferred

Describe any property or

payments received or debts

paid in exchange

Date transfer was

made

Dealership

None

Nissan Altima Vehicle traded as part of

purchase of Ford

Sportrac

Dealership

None

2002 Ford Explorer Sport

Trac 160,000 miles

Vehicle traded as part of

purchase of 2014 Jeep

Grand Cherokee

9/2017

Individual

None

Honda - sold $1200

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

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

 No

 Yes. Fill in the details.

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

made

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

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

sold, moved, or transferred?

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

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

 No

 Yes. Fill in the details.

Name of Financial Institution and

Address (Number, Street, City, State and ZIP

Code)

Last 4 digits of

account number

Type of account or

instrument

Date account was

closed, sold,

moved, or

transferred

Last balance

before closing or

transfer

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

cash, or other valuables?

 No

 Yes. Fill in the details.

Name of Financial Institution

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

Who else had access to it?

Address (Number, Street, City,

State and ZIP Code)

Describe the contents Do you still

have it?

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

 No

 Yes. Fill in the details.

Name of Storage Facility

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

Who else has or had access

to it?

Address (Number, Street, City,

State and ZIP Code)

Describe the contents Do you still

have it?

Part 9: Identify Property You Hold or Control for Someone Else

23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, or hold in trust

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 57 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

for someone.

 No

 Yes. Fill in the details.

Owner's Name

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

Where is the property?

(Number, Street, City, State and ZIP

Code)

Describe the property Value

Part 10: Give Details About Environmental Information

For the purpose of Part 10, the following definitions apply:

 Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of hazardous or

toxic substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, including statutes or

regulations controlling the cleanup of these substances, wastes, or material.

 Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize it or used

to own, operate, or utilize it, including disposal sites.

 Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic substance,

hazardous material, pollutant, contaminant, or similar term.

Report all notices, releases, and proceedings that you know about, regardless of when they occurred.

24. Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law?

 No

 Yes. Fill in the details.

Name of site

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

Governmental unit

Address (Number, Street, City, State and

ZIP Code)

Environmental law, if you

know it

Date of notice

25. Have you notified any governmental unit of any release of hazardous material?

 No

 Yes. Fill in the details.

Name of site

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

Governmental unit

Address (Number, Street, City, State and

ZIP Code)

Environmental law, if you

know it

Date of notice

26. Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders.

 No

 Yes. Fill in the details.

Case Title

Case Number

Court or agency

Name

Address (Number, Street, City,

State and ZIP Code)

Nature of the case Status of the

case

Part 11: Give Details About Your Business or Connections to Any Business

27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business?

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

 A member of a limited liability company (LLC) or limited liability partnership (LLP)

 A partner in a partnership

 An officer, director, or managing executive of a corporation

 An owner of at least 5% of the voting or equity securities of a corporation

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 58 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

 No. None of the above applies. Go to Part 12.

 Yes. Check all that apply above and fill in the details below for each business.

Business Name

Address

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

Describe the nature of the business

Name of accountant or bookkeeper

Employer Identification number

Do not include Social Security number or ITIN.

Dates business existed

Weaver Flooring, LLC

10227 Atlee Station Road

Mechanicsville, VA 23116

Flooring installation EIN:

From-To

814644107

2016-12/17/2017

28. Within 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial

institutions, creditors, or other parties.

 No

 Yes. Fill in the details below.

Name

Address

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

Date Issued

Part 12: Sign Below

I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the answers

are true and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud in connection

with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both.

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

/s/ George E. Weaver /s/ Kacy L. Weaver

George E. Weaver Kacy L. Weaver

Signature of Debtor 1 Signature of Debtor 2

Date April 18, 2018 Date April 18, 2018

Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)?

 No

 Yes

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

 No

 Yes. Name of Person . Attach the Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 59 of 72
 4/18/18 1:08PM

United States Bankruptcy Court

Eastern District of Virginia

In re

George E. Weaver

Kacy L. Weaver Case No. 18-31228

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 $ 5,223.00

Prior to the filing of this statement I have received $ 157.00

Balance Due $ 5,066.00

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

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

 Debtor  Other (specify)

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

 Debtor  Other (specify)

5.  I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm.

 I have agreed to share the above-disclosed compensation with a person or persons who are not members or associates of my law firm. A

copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached.

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

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

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

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

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

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

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

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

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 60 of 72
 4/18/18 1:08PM

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.

April 18, 2018 /s/ Keith A. Pagano, Esq.

Date Keith A. Pagano, Esq. 47845

Signature of Attorney

Pagano & Marks, P.C.

Name of Law Firm

4510 S. Laburnum Ave

Richmond, VA 23231

(804) 447-1002 Fax: (804) 562-5924

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).

April 18, 2018 /s/ Keith A. Pagano, Esq.

Date Keith A. Pagano, Esq. 47845

Signature of Attorney

[2030edva ver. 01/18]

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 61 of 72
 4/18/18 1:08PM

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 George E. Weaver

Debtor 2 Kacy L. Weaver

(Spouse, if filing)

United States Bankruptcy Court for the: Eastern District of Virginia

Case number 18-31228

(if known)

 Check if this is an amended filing

Official Form 122C-1

Chapter 13 Statement of Your Current Monthly Income

and Calculation of Commitment Period 12/15

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

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

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

Part 1: Calculate Your Average Monthly Income

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

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

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

Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy case. 11 U.S.C. §

101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount of your monthly income varied during

the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any income amount more than once. For example, if both

spouses own the same rental property, put the income from that property in one column only. If you have nothing to report for any line, write $0 in the space.

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

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

payroll deductions). $ 5,416.66 $ 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. Do not include payments from a spouse. Do not include payments

you listed on line 3. $ 0.00 $ 0.00

5. Net income from operating a business,

profession, or farm Debtor 1

Gross receipts (before all deductions) $ 0.00

Ordinary and necessary operating expenses -$ 0.00

Net monthly income from a business, profession, or farm $ 0.00 Copy here -> $ 0.00 $ 0.00

6. Net income from rental and other real property Debtor 1

Gross receipts (before all deductions) $ 0.00

Ordinary and necessary operating expenses -$ 0.00

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

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 62 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

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

8. Unemployment compensation $ 0.00 $ 0.00

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

the Social Security Act. Instead, list it here:

For you $ 0.00

For your spouse $ 0.00

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

benefit under the Social Security Act. $ 0.00 $ 0.00

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

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

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

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

total below.

Child's Contribution (for car payment) $ 492.00 $ 0.00

$ 0.00 $ 0.00

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

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

each column. Then add the total for Column A to the total for Column B. $ 5,908.66 + $ 0.00 = $ 5,908.66

Total average

monthly income

Part 2: Determine How to Measure Your Deductions from Income

12. Copy your total average monthly income from line 11. $ 5,908.66

13. Calculate the marital adjustment. Check one:

 You are not married. Fill in 0 below.

 You are married and your spouse is filing with you. Fill in 0 below.

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

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

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

Below, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list additional

adjustments on a separate page.

If this adjustment does not apply, enter 0 below.

$

$

+$

Total $ 0.00 Copy here=> - 0.00

14. Your current monthly income. Subtract line 13 from line 12. $ 5,908.66

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

15a. Copy line 14 here=> $

5,908.66

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. ........................................... $ 70,903.92

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 63 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

16. Calculate the median family income that applies to you. Follow these steps:

16a. Fill in the state in which you live. VA

16b. Fill in the number of people in your household. 5

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

109,789.00

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

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

17. How do the lines compare?

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

11 U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Your Disposable Income (Official Form 122C-2).

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

1325(b)(3). Go to Part 3 and fill out Calculation of Your Disposable Income (Official Form 122C-2). On line 39 of that form, copy

your current monthly income from line 14 above.

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

18. Copy your total average monthly income from line 11 . $ 5,908.66

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

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

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

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

19b. Subtract line 19a from line 18. $ 5,908.66

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

20a. Copy line 19b $

5,908.66

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 $ 70,903.92

20c. Copy the median family income for your state and size of household from line 16c $ 109,789.00

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/ George E. Weaver X /s/ Kacy L. Weaver

George E. Weaver Kacy L. Weaver

Signature of Debtor 1 Signature of Debtor 2

Date April 18, 2018 Date April 18, 2018

MM / DD / YYYY MM / DD / YYYY

If you checked 17a, do NOT fill out or file Form 122C-2.

If you checked 17b, fill out Form 122C-2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 64 of 72
 4/18/18 1:08PM

Debtor 1

Debtor 2

George E. Weaver

Kacy L. Weaver Case number (if known) 18-31228

Current Monthly Income Details for the Debtor

Debtor Income Details:

Income for the Period 09/01/2017 to 02/28/2018.

Line 2 - Gross wages, salary, tips, bonuses, overtime, commissions

Source of Income: Touch of Color Flooring, Inc.

Constant income of $5,416.66 per month.

Line 10 - Income from all other sources

Source of Income: Child's Contribution (for car payment)

Constant income of $492.00 per month.

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 4

Software Copyright (c) 1996-2018 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 65 of 72
}bk1{Credito AresMatix}bk{

Albemarle GD Court

501 E. Jefferson St.

Attn: Civil Div.

Charlottesville, VA 22902

Allstate

POB 40047

Roanoke, VA 24022-0047

Anthem Healthkeeps

PO Box 11792

Newark, NJ 07101

Argent Federal Credit Union

11651 Alliance Circle

Chester, VA 23831

AT&T Universal

8787 Bay Pine Road

Jacksonville, FL 32256

Bank of America

PO 85350

Louisville, KY 40285

Blue & Gray Self Storage

3801 Williamsburg Road

Richmond, VA 23231

Bridgecrest Credit Co.

P.O. Box 29018

Phoenix, AZ 85038

Caine & Weiner

Po Box 5010

Woodland Hills, CA 91365

Cbe Group

Attn: Bankruptcy Department

Po Box 900

Waterloo, IA 50704

Cbs Collection Division

Po Box 3227

Tuscaloosa, AL 35403

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 66 of 72
Central Credit Service

9550 Regency Square

Jacksonville, FL 32225

Charlottesville Radiology

PO Box 2546

Virginia Beach, VA 23450

Checks Unlimited

P.O. Box 17400

Colorado Springs, CO 80935

Credence Resource Management

17000 Dallas Parkway

Suite 204

Dallas, TX 75248

Credit Adjustment Board

306 East Grace Street

Richmond, VA 23219

Credit Control Corp

Po Box 120568

Newport News, VA 23612

Dept Of Ed/582/nelnet

Attn: Claims/Bankruptcy

Po Box 82505

Lincoln, NE 68501

Dish Network

Dept 0063

Palatine, IL 60055

Diversified Consultants, Inc.

Diversified Consultants, Inc.

Po Box 551268

Jacksonville, FL 32255

Division of Vital Records

2001 Maywill Street

P.O. Box 1000

Richmond, VA 23218

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 67 of 72
Dominion Energy

PO Box 26543

Richmond, VA 23290

DT Credit Company, LLC

Attn: Bankruptcy

Po Box 29018

Phoenix, AZ 85038

Dupont Fibers Credit Union

5403 Jefferson Davis HWY

Richmond, VA 23234-7040

Focused Recovery Solutions

9701-Metropolitan Ct

Ste B

Richmond, VA 23236

Focused Recovery Solutions

9701 Metropolitan Ct Ste

North Chesterfield, VA 23236

Focused Recovery Solutions

7206 Hull Street Road

Suite 211

Richmond, VA 23235

Gastroenterology Assoc

1031 Care Way

Fredericksburg, VA 22401

Gold's Gym

8904 West Broad

Richmond, VA 23294

Hanover Family Phys

9376 Atlee Station Rd

Mechanicsville, VA 23116

Hanover GDC

7515 Library Drive, PO Box 176

Re: GV-032918

Hanover, VA 23069

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 68 of 72
Henrico Doctor's Hospital

PO Box 1021

Louisville, KY 40201

Internal Revenue Service

400 N. 8th Street, Box 76

Insolvency Units - Stop Rm 898

Richmond, VA 23219

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101-7346

James River Emergency Group

Mailstop 43809623

PO Box 660827

Dallas, TX 75266-0827

Jefferson Capital Systems, LLC

Po Box 7999

Saint Cloud, MN 56302

JL Walston & Associates

Attn: Bankruptcy

2609 N Duke St, Ste 501

Durham, NC 27704

Jn Portfolio Debt Equities, LLC

Attn: Bankruptcy

5757 Phantom Dr. Ste 225

Hazelwood, MO 63042

Joseph, Mann & Creed

PO Box 22253

Beachwood, OH 44122-0253

Labcorp

1447 York Court

Burlington, NC 27215

Lafayette, Ayers & Whitlock

10160 Staples Mill Road

Ste 105

Glen Allen, VA 23060

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 69 of 72
Loon Emergency Physicians

PO Box 38001

Philadelphia, PA 19101-8001

Martha Jefferson Hospital

PO Box 2556

Charlottesville, VA 22902-2556

MCV Physicians

1601 Willow Lawn Drive

Suite 275

Richmond, VA 23230-3422

NPAS Solutions LLC

PO Box 2248

Maryland Heights, MO 63043

Orkin

PO 13230

Atlanta, GA 30324

Pediatric Center

10571 Telegraph Road

Glen Allen, VA 23059

Pediatric Neurology Associates

5875 Bremo Road

Suite 310

Richmond, VA 23230

Penn Credit

916 S 14th St

PO Box 988

Harrisburg, PA 17108-0988

Phoenix Financial Services

PO Box 361450

Indianapolis, IN 46236

Powhatan GDC

3880-D Old Buckingham Road

Powhatan, VA 23139

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 70 of 72
Progressive Insurance

P.O. Box 6807

Cleveland, OH 44101-1807

Radiology Assoc of Richmond

P.O. Box 13343

Richmond, VA 23225

Receivable Management Inc

7206 Hull Rd

Ste 211

Richmond, VA 23235

Richmond City GDC

400 N. 9th Street, 2nd Floor

Suite 203

Richmond, VA 23219

Rollins Service Bureau

PO Box 13230

Atlanta, GA 30324-9847

Southwest Credit Systems

4120 International Parkway

Suite 1100

Carrollton, TX 75007

Sunrise Credit Service

260 Airport Plaza

Farmingdale, NY 11735

Suntrust

PO Box 4418

Atlanta, GA 30302-4418

TACS

P.O. Box 31800

Henrico, VA 23294

The Rahman Group

8002 Discovery Dr.

Ste. 306

Henrico, VA 23229

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 71 of 72
Title Max

20 East Belt Blvd.

Richmond, VA 23224

University of Virginia

Medical Center

P.O. Box 85031

Richmond, VA 23261

VCU Dept of Oral & Maxillofaci

521 North 11th Street

Richmond, VA 23298

Verizon

Verizon Wireless Bk Admin

500 Technology Dr Ste 550

Weldon Springs, MO 63304

Virginia Department of Taxatio

PO Box 2156

Richmond, VA 23218

Virginia Employment Comm.

POB 27592

Richmond, VA 23261

Case 18-31228-KLP Doc 16 Filed 04/18/18 Entered 04/18/18 13:10:17 Desc Main

 Document Page 72 of 72