Fill in this information to Identify your case 

Debtor 1 BETTY MAURICE CRANDALL Fi~t Name Middle Name Last Neme 

Debtor 2 

(Spouse, if filing) First Neme Middle Name Le~l Name 

United States Bankruptcy Court for the: Eastern District of Virginia 

Case number 18-12566-KHK 

(If known) 

Official Form 108 

FILED 

11" AUG 20 P f2: 2b 

r:J Check if this is an 

amended filing CLERK 

lJS BANKRUPTCY roV Oir ALc~',u,,~, "I
 LI'". , ",.!, ~!VIS'ON
 

Statement of Intention for Individuals Filing Under Chapter 7 12115 

If you are an individual filing under chapter 7, you must fill out this form if: 

• creditors have claims secured by your property, or 

• you have leased personal property and the lease has not expired.
 

You must file this form with the court within 30 days after you file your bankruptcy petition or by the date set for the meeting of creditors,
 

whichever is earlier, unless the court extends the time for cause. You must also send copies to the creditors and lessors you list on the form.
 

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

Both debtors must sign and date the form.
 

Be as complete and accurate as possible. If more space is needed, attach a separate sheet to this form. On the top of any additional pages,
 

write your name and case number (if known).
 

List Your Creditors Who Have Secured Claims 

1. For any creditors that you listed in Part 1 of Schedule D: Creditors Who Have Claims Securecl by Property (Official Form 1060), fill in the 

information below. 

Identify the creditor and the property that is collateral 

Creditor's
 

name: LAKE MARION PROP. OWN. ASSN.
 

Description of LIEN AGAINST THE HOUSE 

property 

securing debt: 

Creditor's 

name: 

Description of 

property 

securing debt: 

Creditor's 

name: 

Description of 

property 

securing debt: 

Creditor's 

name: 

Description of 

property 

securing debt: 

What do you intend to do with the property that Did you claim the property 

secures a debt? 

o Surrender the property. 

o Retain the property and redeem it. 

o Retain the property and enter into a 

Reaffirmation Agreement. 

fill Retain the property and [explain]: 

PAY CURRENT FEES $25/MO 

o Surrender the property, 

o Retain the property and redeem it. 

o Retain the property and enter into a 

Reaffirmation Agreement. 

o Retain the property and [explain]: 

o Surrender the property. 

o Retain the property and redeem it. 

o Retain the property and enter into a 

Reaffirmation Agreement. 

o Retain the property and [explain]: 

o Surrender the property, 

o Retain the property and redeem it. 

o Retain the property and enter into a 

Reaffirmation Agreement 

o Retain the property and [explain]: 

as exempt on Schedule C? 

o No 

Iii Ves 

_ 

ONo 

OVes 

_ 

ONo 

OVes 

_ 

ONo
 

OVes
 

_ 

Official Form 108 Statement of Intention for Individuals Filing Under Chapter 7 page 1 

Case 18-12566-KHK Doc 28 Filed 08/20/18 Entered 08/22/18 09:41:27 Desc Main

 Document Page 1 of 2
Debtor 1	 BETTY MAURICE CRANDALL Case number (If known) 18-12566-KHK First Name Middle Name last Name -------------­

List Your Unexpired Personal Property Leases 

For any unexpired personal property lease that you listed in Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G), 

fill in the information below. Do not list real estate leases. Unexpired leas~sar,e.Ieases that are still in effect; the lease period has not yet 

ended. You may assume an unexpired personal property lease ifthe trustee does not assume it. 11 U.S.C. § 365(p)(2). 

Describe your unexpired personal property leases 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

_	 Sign Below 

Will the lease be assumed? 

ONo 

DYes 

o No 

DYes 

DNo 

DYes 

o No 

DYes 

DNo 

DYes 

DNo 

DYes 

DNo 

DYes 

Under penalty of perjury, I declare that I have indicated my intention about any property of my estate that secures a debt and any 

personal property that is subject to an unexpired lease. 

x 13e:tr\J M, Uo.do..\\ 

Signature of Debtor 2 

,?,os:~~t~ Date 08/16/2018 8. /~ Date 

MM/ DD / YYYY -=-M""M'"'/C-=D-=-D"""'/""""yyyy=C:"-­

Official Form 108	 Statement of Intention for Individuals Filing Under Chapter 7 page 2 

Case 18-12566-KHK Doc 28 Filed 08/20/18 Entered 08/22/18 09:41:27 Desc Main

 Document Page 2 of 2