Fill in this information to identify your case:

Debtor 1 Cherie Harrison Savage

Debtor 2

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-73839-FJS 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 Retired Rigger Supervisor

Employer's name General Dynamics Nassco-Norfolk

Employer's address 200 Ligon St

Norfolk, VA 23523

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. $ 0.00 $ 6,391.02

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

4. Calculate gross Income. Add line 2 + line 3. 4. $ 0.00 $ 6,391.02

Official Form 106I Schedule I: Your Income page 1

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 1 of 7
Debtor 1 Cherie Harrison Savage Case number (if known) 18-73839-FJS

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 0.00 $ 6,391.02

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 0.00 $ 1,274.30

5b. Mandatory contributions for retirement plans 5b. $ 0.00 $ 377.82

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

5d. Required repayments of retirement fund loans 5d. $ 0.00 $ 446.51

5e. Insurance 5e. $ 0.00 $ 593.45

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

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

5h. Other deductions. Specify: shoes 5h.+ $ 0.00 + $ 130.00

Metlaw $ 0.00 $ 15.73

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 0.00 $ 2,837.81

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 0.00 $ 3,553.21

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. $ 2,171.76 $ 0.00

8h. Other monthly income. Specify: 8h.+ $ 0.00 + $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 2,171.76 $ 0.00

10. Calculate monthly income. Add line 7 + line 9. 10. $ 2,171.76 + $ 3,553.21 = $ 5,724.97

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. $ 5,724.97

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: Mrs. Savage is working a part-time holiday job for the month of December. Mrs. Savage is now a

seasonal employee and anticipates working every year for the month of December and bringing

home approximately $1,500.00 from that job. She will continue looking for a part-time job to work

throughout the year.

Amendments will be filed as needed

Official Form 106I Schedule I: Your Income page 2

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 2 of 7
Fill in this information to identify your case:

Debtor 1 Cherie Harrison Savage

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 18-73839-FJS

(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/ Cherie Harrison Savage X

Cherie Harrison Savage Signature of Debtor 2

Signature of Debtor 1

Date December 10, 2018 Date

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 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 3 of 7
United States Bankruptcy Court

Eastern District of Virginia

In re Cherie Harrison Savage Case No. 18-73839-FJS

Debtor(s) Chapter 13

AMENDMENT COVER SHEET

Amendment(s) to the following petition, list(s), schedule(s) or statement(s) are transmitted herewith:

Involuntary/Voluntary Petition [Specify reason for amendment: ]

Check if applicable: Soc. Sec. No. amended. [If applicable: An original, signed Official Form 121 was

mailed/hand-delivered to the Clerk's office on .*]

Summary of Your Assets and Liabilities (and Certain Statistical Information - Individuals Only)

Declaration (Individuals - Form 106Dec) (Non-Individuals - Form 202)

Schedule A/B – Property

Schedule C – The Property You Claim as Exempt

Schedule D – Creditors Who Hold Claims Secured by Property (See LBR 1009-1)

Schedule E/F – Creditors Who Have Unsecured Claims (See LBR 1009-1)

Schedule E/F Creditors Who Have Unsecured Claims (See LBR 1009-1)

($31.00 fee required if adding or deleting pre-petition creditors, changing amounts owed or classification of

debt.) Check applicable statement(s):

Creditor(s) added Creditor(s) deleted

Change in amounts owed or classification of debt

No pre-petition creditors added/deleted, or amounts owed or classification of debt changed. [Docket:

Amended Schedule(s) and/or Statement(s), List(s)-NO FEE)

Post-petition creditors added (Schedule of Unpaid Debts)

REMINDER: Conversion of Chapter 13 to Chapter 7 - only file Schedule of Unpaid Debts.

Schedule G – Executory Contracts and Unexpired Leases

Schedule H – Codebtors

Schedule I – Your Income

Schedule J – Your Expenses

[NOTE: The form “NOTICE TO CREDITOR(S) (RE AMENDMENT)” is still required when adding or deleting creditors.

*Amendment of debtor(s) Social Security Number requires that this cover sheet together with a completed Official Form 121 –

Statement About Your Social Security Numbers be electronically filed or submitted to the Clerk’s Office for “restricted”

entry of the amended Social Security Number into the case record.]

Statement of Financial Affairs

Statement of Intention for Individuals Filing Under Chapter 7

Chapter 11 List of Equity Security Holders

Chapter 11: The List of Creditors Who Have the 20 Largest Unsecured Claims Against You Who Are Not Insiders

Attorney’s Disclosure of Compensation

Other:

NOTICE OF AMENDMENT(S) TO AFFECTED PARTIES

Pursuant to Federal Rule of Bankruptcy Procedure 1009(a) and Local Rule 1009-1, I certify that notice of the filing of the

amendment(s) checked above has been given this date to the United States Trustee, the trustee in this case, and to any and all entities

affected by the amendment as follows: all creditors .

Date: December 17, 2018

/s/ Carolyn Bedi

Carolyn Bedi

Attorney for Debtor(s) [or Pro Se Debtor(s)]

State Bar No.: 90545 VA

Mailing Address: Bedi Legal, P.C.

501 Independence Pkwy., Ste 102

Chesapeake, VA 23320

Telephone No.: 757-222-5842

[amendcs ver. 12/16]

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

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 4 of 7
I, Cherie Harrison Savage certify under penalty of perjury that the amended forms herein are accurate and true to the best of my

knowledge and belief.

Date: December 10, 2018 /s/ Cherie Harrison Savage

[amendcs ver. 12/16]

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

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 5 of 7
 Label Matrix for local noticing United States Bankruptcy Court Best Buy/ CBNA 

 0422-2 600 Granby St., Room 400 PO Box 6497 

 Case 18-73839-FJS Norfolk, VA 23510-1915 Sioux Falls, SD 57117-6497 

 Eastern District of Virginia 

 Norfolk 

 Mon Dec 17 13:33:54 EST 2018 

 Bloomingdales/DSNB Capital One Check into Cash 

 PO Box 8218 P.O. BOX 30281 201 Keith Street 

 Mason, OH 45040-8218 Salt Lake City, UT 84130-0281 Suite 80 

 Cleveland, TN 37311-5867 

 

 City of Norfolk First Premier Bank Grand Brands dba Grand Furnitu 

 PO Box 3215 601 South Minnesota Ave. 1305 Baker Road 

 Norfolk, VA 23514-3215 Sioux Falls, SD 57104-4868 Virginia Beach, VA 23455-3317 

 Internal Revenue Service Jefferson Sessions, Atty Gen. Kohls / Capone 

 PO Box 7346 US Dept. of Justice PO Box 3115 

 Philadelphia, PA 19101-7346 950 Pennsylvania Ave., NW Milwaukee, WI 53201-3115 

 Washington, DC 20530-0001 

 Mohela/Dept of Education Net Credit Nordstrom/TD Bank USA 

 633 Sprint Drive 200 West Jackson Blvd., 13531 E Caley Ave 

 Chesterfield, MO 63005-1243 Ste. 1400 Englewood, CO 80111-6504 

 Chicago, IL 60606-6929 

 Quantum3 Group LLC as agent for Seventh Avenue TD Bank USA/Target Credit 

 MOMA Funding LLC 1112 7th Ave TD Bank USA/Target Credit 

 PO Box 788 Monroe, WI 53566-1364 Minneapolis, MN 55440-0000 

 Kirkland, WA 98083-0788 

 Tiki Series III Trust U S Department of Education/MOHELA U.S. Bank Trust National Association, as Tru 

 7114 E Stetson Dr. 633 Spirit Drive c/o McCabe, Weisberg & Conway, LLC 

 Suite 250 Chesterfield, MO 63005-1243 312 Marshall Avenue, Suite 800 

 Scottsdale, AZ 85251-3264 Laurel, MD 20707-4808 

 US Attorney’s Office (p)VIRGINIA DEPARTMENT OF TAXATION Carolyn Anne Bedi 

 101 W Main Street, Ste 8000 P O BOX 2156 Bedi Legal, P.C. 

 Norfolk, VA 23510-1671 RICHMOND VA 23218-2156 501 Independence Pkwy., Suite 102 

 Chesapeake, VA 23320-5173 

 Cherie Harrison Savage John P. Fitzgerald, III R. Clinton Stackhouse Jr. 

 5265 Norvella Ave Office of the U.S. Trustee, Region 4 -N Chapter 12/13 Trustee 

 Norfolk, VA 23513-1542 200 Granby Street, Room 625 7021 Harbour View Boulevard 

 Norfolk, VA 23510-1819 Suite 101 

 Suffolk, VA 23435-2869 

 

 The preferred mailing address (p) above has been substituted for the following entity/entities as so specified 

 by said entity/entities in a Notice of Address filed pursuant to 11 U.S.C. 342(f) and Fed.R.Bank.P. 2002 (g)(4). 

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 6 of 7
 VA Department of Taxation 

 PO Box 2369 

 Richmond, VA 23218-2369 

 

 The following recipients may be/have been bypassed for notice due to an undeliverable (u) or duplicate (d) address. 

 (u)U.S. Bank Trust National Association, as T End of Label Matrix 

 Mailable recipients 26 

 Bypassed recipients 1 

 Total 27 

Case 18-73839-FJS Doc 15 Filed 12/17/18 Entered 12/17/18 14:17:51 Desc Main

 Document Page 7 of 7