Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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................................................................................................ $ 502,200.00

1b. Copy line 62, Total personal property, from Schedule A/B..................................................................................... $ 52,014.93

1c. Copy line 63, Total of all property on Schedule A/B............................................................................................... $ 554,214.93

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... $ 1,537,249.03

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................................. $ 81,473.07

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................ $ 715,108.79

Your total liabilities $ 2,333,830.89

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................................................................................ $ 7,637.33

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

Copy your monthly expenses from line 22c of Schedule J.......................................................................... $ 9,181.76

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) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 1 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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. $

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.) $ 81,473.07

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

9d. Student loans. (Copy line 6f.) $ 0.00

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. $ 81,473.07

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 2 of 86
Fill in this information to identify your case and this filing:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK  Check if this is an

amended filing

Official Form 106A/B

Schedule A/B: Property 12/15

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

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

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

Answer every question.

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

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

 No. Go to Part 2.

 Yes. Where is the property?

1.1 What is the property? Check all that apply

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

15338 Colonel Tansill Ct. 





Single-family home

Duplex or multi-unit building

Condominium or cooperative

Street address, if available, or other description

Woodbridge VA 22193-5888





Manufactured or mobile home

Land

Current value of the

entire property?

Current value of the

portion you own?

City State ZIP Code  Investment property $502,200.00 $502,200.00

 Timeshare

Describe the nature of your ownership interest

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

a life estate), if known.

 Other

Who has an interest in the property? Check one

 Debtor 1 only Tenants by the entirety

Prince William  Debtor 2 only

County  Debtor 1 and Debtor 2 only

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

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

property identification number:

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

pages you have attached for Part 1. Write that number here...........................................................................=> $502,200.00

Part 2: Describe Your Vehicles

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

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

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 3 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

 No

 Yes

3.1 Make: Honda 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: Pilot  Creditors Who Have Claims Secured by Property.

 Debtor 1 only

Year: 2012  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 110,000  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

 Check if this is community property $9,500.00 $9,500.00

 (see instructions)

3.2 Make: Honda 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: Civic  Debtor 1 only Creditors Who Have Claims Secured by Property.

Year: 2016  Debtor 2 only Current value of the

entire property?

Current value of the

Approximate mileage: 29,314  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

 Check if this is community property $14,000.00 $14,000.00

 (see instructions)

3.3 Make: Toyota 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: RAV4  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: 22,948  Debtor 1 and Debtor 2 only portion you own?

Other information:  At least one of the debtors and another

 Check if this is community property $14,000.00 $14,000.00

 (see instructions)

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

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

 No

 Yes

5

.

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

pages you have attached for Part 2. Write that number here.............................................................................=> $37,500.00

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) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 4 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Miscellaneous household goods and furnishings, including basement

chairs ($400), tables & chairs ($800), 3 couches & 3 chairs ($1,500), 2

cabinets & 4 side tables ($350), dishes, utensils, pots & pans,

glassware, silverware, toaster oven, coffee maker ($400), alarm clock,

portable radio, desk ($200), 3 beds, linens ($300), 2 armoires ($200),

dresser ($100), 5 night stands ($300), and desk ($200) $4,750.00

Miscellaneous books, photographs, pictures, CDs, and DVDs $50.00

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.....

Miscellaneous electronics, including DVD players ($125), TVs ($900),

and computers ($200) $1,225.00

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.....

Elliptical machine $75.00

10. Firearms

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

 No

 Yes. Describe.....

11. Clothes

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

 No

 Yes. Describe.....

Miscellaneous men's clothing, including suits, shirts, pants, shoes,

socks, undergarments, coats, sweaters, ties, belts, and accessories $500.00

Miscellaneous women's clothing, including dresses, skirts, pants, shirts,

blouses, coats, sweaters, shoes, socks, undergarments, and

accessories $500.00

12. Jewelry

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

 No

 Yes. Describe.....

Wedding band $75.00

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 5 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Wedding ring $1,000.00

Watch $100.00

Watch and miscellaneous costume jewelry, including earrings $150.00

13. Non-farm animals

Examples: Dogs, cats, birds, horses

 No

 Yes. Describe.....

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

 No

 Yes. Give specific information.....

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

for Part 3. Write that number here .............................................................................. $8,425.00

Part 4: Describe Your Financial Assets

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

portion you own?

Do not deduct secured

claims or exemptions.

16. Cash

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

 No

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

Cash on hand $50.00

17. Deposits of money

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

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

 No

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

17.1.

Checking and

Savings

Bank of America acct. #2152 ($837.46) and acct.

#2870 ($543.65) $1,381.11

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

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 6 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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:

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.......

Unknown potential tax refunds Federal and State Unknown

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..

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 7 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Accrued wages, earned but not yet paid $2,254.06

Overpayment of chapter 7 legal fees $38.00

$2,366.76 garnished by The Greene Company of VA within 90

days of the bankruptcy filing date $2,366.76

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:

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

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

someone has died.

 No

 Yes. Give specific information..

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

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

 No

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

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

 No

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

35. Any financial assets you did not already list

 No

 Yes. Give specific information..

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..................................................................................................................... $6,089.93

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.........

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 8 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

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

55. Part 1: Total real estate, line 2 ...................................................................................................................... $502,200.00

56. Part 2: Total vehicles, line 5 $37,500.00

57. Part 3: Total personal and household items, line 15 $8,425.00

58. Part 4: Total financial assets, line 36 $6,089.93

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... $52,014.93 Copy personal property total $52,014.93

63. Total of all property on Schedule A/B. Add line 55 + line 62 $554,214.93

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 9 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(if known)  Check if this is an

amended filing

Official Form 106C

Schedule C: The Property You Claim as Exempt 4/19

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

15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Line from Schedule A/B: 1.1

$502,200.00  $1.00 VA Code §§ 34-4 & -6

 100% of fair market value, up to

any applicable statutory limit

2012 Honda Pilot 110,000 miles

Line from Schedule A/B: 3.1

$9,500.00  $9,500.00 VA Code § 34-26(8); VA Code

§§ 34-4, -13 & -14 (as to

 100% of fair market value, up to $3,500)

any applicable statutory limit

2016 Honda Civic 29,314 miles

Line from Schedule A/B: 3.2

$14,000.00  $2,113.12 VA Code § 34-26(8)

 100% of fair market value, up to

any applicable statutory limit

2014 Toyota RAV4 22,948 miles

Line from Schedule A/B: 3.3

$14,000.00  $7,089.11 VA Code § 34-26(8) (as to

$3,886.88); VA Code §§ 34-4,

 100% of fair market value, up to -13 & -14 (as to $3,202.23)

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 3

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 10 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

Miscellaneous household goods and

furnishings, including basement chairs

($400), tables & chairs ($800), 3

couches & 3 chairs ($1,500), 2 cabinets

& 4 side tables ($350), dishes, utensils,

pots & pans, glassware, silverware,

toaster oven, coffee maker ($40

Line from Schedule A/B: 6.1

$4,750.00  $4,750.00 VA Code § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous books, photographs,

pictures, CDs, and DVDs

Line from Schedule A/B: 6.2

$50.00  $50.00 VA Code § 34-26(2) & (4a)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous electronics, including

DVD players ($125), TVs ($900), and

computers ($200)

Line from Schedule A/B: 7.1

$1,225.00  $1,225.00 VA Code § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Elliptical machine

Line from Schedule A/B: 9.1

$75.00  $75.00 VA Code § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous men's clothing, including

suits, shirts, pants, shoes, socks,

undergarments, coats, sweaters, ties,

belts, and accessories

Line from Schedule A/B: 11.1

$500.00  $500.00 VA Code § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Miscellaneous women's clothing,

including dresses, skirts, pants, shirts,

blouses, coats, sweaters, shoes, socks,

undergarments, and accessories

Line from Schedule A/B: 11.2

$500.00  $500.00 VA Code § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Wedding band

Line from Schedule A/B: 12.1

$75.00  100% VA Code § 34-26(1a)

 100% of fair market value, up to

any applicable statutory limit

Wedding ring

Line from Schedule A/B: 12.2

$1,000.00  100% VA Code § 34-26(1a)

 100% of fair market value, up to

any applicable statutory limit

Watch

Line from Schedule A/B: 12.3

$100.00  $100.00 VA Code § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Watch and miscellaneous costume

jewelry, including earrings

Line from Schedule A/B: 12.4

$150.00  $150.00 VA Code § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 2 of 3

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 11 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

Cash on hand

Line from Schedule A/B: 16.1

$50.00  $50.00 VA Code §§ 34-4, -13 & -14

 100% of fair market value, up to

any applicable statutory limit

Checking and Savings: Bank of America

acct. #2152 ($837.46) and acct. #2870

($543.65)

Line from Schedule A/B: 17.1

$1,381.11  $1,381.11 VA Code §§ 34-4, -13 & -14

 100% of fair market value, up to

any applicable statutory limit

Federal and State: Unknown potential

tax refunds

Line from Schedule A/B: 28.1

Unknown  $1.00 VA Code §§ 34-4, -13 & -14

 100% of fair market value, up to

any applicable statutory limit

Accrued wages, earned but not yet paid

Line from Schedule A/B: 30.1

$2,254.06  $2,254.06 VA Code § 34-29; VA Code §§

34-4, -13 & -14 (as to $563.52)

 100% of fair market value, up to

any applicable statutory limit

Overpayment of chapter 7 legal fees

Line from Schedule A/B: 30.2

$38.00  $38.00 VA Code §§ 34-4, -13 & -14

 100% of fair market value, up to

any applicable statutory limit

$2,366.76 garnished by The Greene

Company of VA within 90 days of the

bankruptcy filing date

Line from Schedule A/B: 30.3

$2,366.76  $1,642.23 VA Code §§ 34-4, -13 & -14

 100% of fair market value, up to

any applicable statutory limit

3. Are you claiming a homestead exemption of more than $170,350?

(Subject to adjustment on 4/01/22 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 3 of 3

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 12 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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 Bank of America, N.A. Describe the property that secures the claim: $11,886.88 $14,000.00 $0.00

Creditor's Name 2016 Honda Civic 29,314 miles

P.O. Box 15220

Wilmington, DE

19886-5220

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) Security interest

Date debt was incurred

January

2016 Last 4 digits of account number 6006

Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 13 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.2 CarMax Auto Finance Describe the property that secures the claim: $718.86 $14,000.00 $0.00

Creditor's Name 2014 Toyota RAV4 22,948 miles

P.O. Box 3174

Milwaukee, WI 53201-3174

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) Security interest

Date debt was incurred 7/6/14 Last 4 digits of account number 8867

2.3 Commonwealth of Virginia Describe the property that secures the claim: $32,946.81 $502,200.00 $32,946.81

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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) Tax lien

Date debt was incurred 2014 Last 4 digits of account number 1910

2.4 Commonwealth of Virginia Describe the property that secures the claim: $17,140.33 $502,200.00 $17,140.33

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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) Tax lien

Date debt was incurred 2016 Last 4 digits of account number 1910

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 14 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.5 Commonwealth of Virginia Describe the property that secures the claim: $705.13 $502,200.00 $705.13

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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) Tax lien

Date debt was incurred 2009 Last 4 digits of account number 7130

2.6 Commonwealth of Virginia Describe the property that secures the claim: $29,059.32 $502,200.00 $29,059.32

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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) Tax lien

Date debt was incurred 2010 Last 4 digits of account number 7130

2.7 Commonwealth of Virginia Describe the property that secures the claim: $20,755.53 $502,200.00 $20,755.53

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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) Tax lien

Date debt was incurred 2011 Last 4 digits of account number 7130

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 3 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 15 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.8 Internal Revenue Service Describe the property that secures the claim: $34,573.57 $502,200.00 $34,573.57

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2015 Last 4 digits of account number 7017

2.9 Internal Revenue Service Describe the property that secures the claim: $106,747.16 $502,200.00 $106,747.16

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2016 Last 4 digits of account number 7017

2.1

0 Internal Revenue Service Describe the property that secures the claim: $149,776.28 $502,200.00 $149,776.28

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2014 Last 4 digits of account number 3916

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 4 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 16 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.1

1 Internal Revenue Service Describe the property that secures the claim: $51,495.47 $502,200.00 $51,495.47

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2012 Last 4 digits of account number 0716

2.1

2 Internal Revenue Service Describe the property that secures the claim: $95,067.95 $502,200.00 $95,067.95

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2013 Last 4 digits of account number 0716

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 5 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 17 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.1

3 Internal Revenue Service Describe the property that secures the claim: $9,538.81 $502,200.00 $9,538.81

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2007 Last 4 digits of account number 2813

2.1

4 Internal Revenue Service Describe the property that secures the claim: $38,654.10 $502,200.00 $38,654.10

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2008 Last 4 digits of account number 2813

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 6 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 18 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.1

5 Internal Revenue Service Describe the property that secures the claim: $51,668.65 $502,200.00 $51,668.65

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2009 Last 4 digits of account number 2813

2.1

6 Internal Revenue Service Describe the property that secures the claim: $77,788.96 $502,200.00 $77,788.96

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2010 Last 4 digits of account number 2813

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 7 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 19 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.1

7 Internal Revenue Service Describe the property that secures the claim: $1,352.93 $502,200.00 $0.00

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2005 Last 4 digits of account number 0912

2.1

8 Internal Revenue Service Describe the property that secures the claim: $69,178.93 $502,200.00 $0.00

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2008 Last 4 digits of account number 0912

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 8 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 20 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.1

9 Internal Revenue Service Describe the property that secures the claim: $84,840.51 $502,200.00 $50,364.78

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2009 Last 4 digits of account number 0912

2.2

0 Internal Revenue Service Describe the property that secures the claim: $163,239.27 $502,200.00 $163,239.27

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2010 Last 4 digits of account number 0912

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 9 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 21 of 86
Debtor 1 Jerome Alan Johnson Case number (if known) 19-12437-BFK

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

First Name Middle Name Last Name

2.2

1 Internal Revenue Service Describe the property that secures the claim: $92,921.17 $502,200.00 $92,921.17

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

400 N. 8th Street, Box 76

Stop Room 898

Richmond, VA 23219

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

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

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

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

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

 Check if this claim relates to a

community debt

 Other (including a right to offset) Tax lien

Date debt was incurred 2011 Last 4 digits of account number 0912

2.2

2

Wells Fargo Home

Mortgage Describe the property that secures the claim: $397,192.41 $502,200.00 $0.00

Creditor's Name 15338 Colonel Tansill Ct. Woodbridge,

VA 22193-5888 Prince William County

P.O. Box 105632

Atlanta, GA 30348-5632

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) 1st priority deed of trust

Date debt was incurred 11/20/09 Last 4 digits of account number 9131

Add the dollar value of your entries in Column A on this page. Write that number here: $1,537,249.03

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

Write that number here: $1,537,249.03

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

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

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

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

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

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 10 of 10

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 22 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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 City of Portsmouth Treasurer Last 4 digits of account number 1044 $3,232.37 Unknown Unknown

Priority Creditor's Name

801 Crawford St.

Portsmouth, VA 23704

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

 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

Claim solely against Contract Security Forces, LLC,

listed for infomation only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 1 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com 10952 Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 23 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

2.2 Commonwealth of Virginia Last 4 digits of account number 1910 $37,389.58 $37,389.58 $0.00

Priority Creditor's Name

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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

Payroll taxes for Contract Security Forces, LLC

2.3 Commonwealth of Virginia Last 4 digits of account number 1910 $4,818.18 $4,818.18 $0.00

Priority Creditor's Name

Dept. of Taxation

Legal Unit, P.O. Box 2156

Richmond, VA 23218

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

Payroll taxes for Contract Security Forces, LLC

2.4 Comptroller of Maryland Last 4 digits of account number 1587 $21,782.16 $21,782.16 $0.00

Priority Creditor's Name

Revenue Administration Div.

110 Carroll St.

Annapolis, MD 21411-0001

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

Payroll taxes for Contract Security Forces, LLC

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 24 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

2.5 Comptroller of Maryland Last 4 digits of account number 1587 $4,545.19 $4,545.19 $0.00

Priority Creditor's Name

Revenue Administration Div.

110 Carroll St.

Annapolis, MD 21411-0001

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

Payroll taxes for Contract Security Forces, LLC

2.6 Office of Tax and Revenue Last 4 digits of account number 5995 $4,465.84 $4,465.84 $0.00

Priority Creditor's Name

P.O. Box 96385

Washington, DC 20090-6385

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

Payroll taxes for Contract Security Forces, LLC

2.7 Office of Tax and Revenue Last 4 digits of account number 5995 $5,151.09 $5,151.09 $0.00

Priority Creditor's Name

P.O. Box 96385

Washington, DC 20090-6385

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

Payroll taxes for Contract Security Forces, LLC

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 25 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

2.8 Office of Tax and Revenue Last 4 digits of account number 5995 $88.66 $88.66 $0.00

Priority Creditor's Name

P.O. Box 96385

Washington, DC 20090-6385

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

Payroll taxes for Contract Security Forces, LLC

2.9 Prince William County Last 4 digits of account number 8817 Unknown $0.00 $0.00

Priority Creditor's Name

Tax Administration Division

P.O. Box 2467

Woodbridge, VA 22195-2467

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

 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

Claim solely against Contract Security Forces, LLC,

listed for infomation only

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 4 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 26 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.1 Alireza Kiaee Last 4 digits of account number Unknown

Nonpriority Creditor's Name

7939 Enola St., #104

McLean, VA 22102

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.2 AMCB Last 4 digits of account number 8110 $3,642.40

Nonpriority Creditor's Name

2900 Telestar Ct.

Falls Church, VA 22042

When was the debt incurred? 7/15/17-12/5/17

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 Medical bill

4.3 AMCB Last 4 digits of account number 8110 $1,123.23

Nonpriority Creditor's Name

2900 Telestar Ct.

Falls Church, VA 22042

When was the debt incurred? 3/15/17-9/5/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 27 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.4 AMCB Last 4 digits of account number 8110 $30,066.75

Nonpriority Creditor's Name

2900 Telestar Ct.

Falls Church, VA 22042

When was the debt incurred? 4/15/17-7/20/17

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 Medical bill

4.5 AMCB Last 4 digits of account number 8110 $39.82

Nonpriority Creditor's Name

2900 Telestar Ct.

Falls Church, VA 22042

When was the debt incurred? 9/24/18-11/16/18

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 Medical bill

4.6 Anthony Pellicone Last 4 digits of account number Unknown

Nonpriority Creditor's Name

1487 Ranger Loop, #304

Woodbridge, VA 22191

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 28 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.7 Antoine J. Wright Last 4 digits of account number Unknown

Nonpriority Creditor's Name

5083 Coles Point Rd.

Hague, VA 22469

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.8 Armor Fence, LLC Last 4 digits of account number $3,352.14

Nonpriority Creditor's Name

c/o Harry N. Lowe, III, Esq.

1775 Wiehle Ave., Suite 400

Reston, VA 20190

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

Claim solely against Athscho, LLC, listed for

information only

4.9 Assoc. of Alex Radiologists Last 4 digits of account number 0522 $86.60

Nonpriority Creditor's Name

P.O. Box 79537

Baltimore, MD 21279-0537

When was the debt incurred? 8/5/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 7 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 29 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.1

0 Baktash Rahimi Last 4 digits of account number Unknown

Nonpriority Creditor's Name

14577 Crossfield Way

Woodbridge, VA 22191

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.1

1 Bank of America Last 4 digits of account number 8866 $383.08

Nonpriority Creditor's Name

P.O. Box 15019

Wilmington, DE 19886-5019

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 Visa credit card

4.1

2 Breiner & Breiner, LLC Last 4 digits of account number 9457 $4,557.75

Nonpriority Creditor's Name

115 N. Henry St.

Alexandria, VA 22314

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 Legal fees

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 8 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 30 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.1

3 Camille A. Boothe Last 4 digits of account number Unknown

Nonpriority Creditor's Name

2004 Perry St., NE

Washington, DC 20018

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.1

4 Capital One Bank Last 4 digits of account number $1,201.77

Nonpriority Creditor's Name

P.O. Box 85147

Richmond, VA 23276

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 Credit card

4.1

5 Capital One Bank Last 4 digits of account number 5788 $1,937.67

Nonpriority Creditor's Name

P.O. Box 71083

Charlotte, NC 28272-1083

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 MasterCard credit card

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 9 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 31 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.1

6 CardioNet, LLC Last 4 digits of account number 1866 $250.00

Nonpriority Creditor's Name

1000 Cedar Hollow Rd.

Suite 102

Malvern, PA 19355

When was the debt incurred? 3/15/17-9/5/18

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 Medical bill

4.1

7 CardioNet, LLC Last 4 digits of account number 4413 $1,495.00

Nonpriority Creditor's Name

1000 Cedar Hollow Rd.

Suite 102

Malvern, PA 19355

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 Medical bill

4.1

8 Carolina Radiology Assoc. Last 4 digits of account number 5938 $242.20

Nonpriority Creditor's Name

1303 Azalea Ct., #B

Myrtle Beach, SC 29577

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 10 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 32 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.1

9 Cary Poropatich MD LLC Last 4 digits of account number 7368 $6.03

Nonpriority Creditor's Name

9834 Business Way

Manassas, VA 20110

When was the debt incurred? 2/15/18

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 Medical bill

4.2

0 Central Credit Services, LLC Last 4 digits of account number 4697 $89.78

Nonpriority Creditor's Name

9550 Regency Sq. Blvd., #500

Jacksonville, FL 32225

When was the debt incurred? 4/26/16

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 Medical bill

4.2

1 Central Insurance Agency Last 4 digits of account number 7796 $15,823.00

Nonpriority Creditor's Name

93 E. Main St.

Smithtown, NY 11787

When was the debt incurred? March 2017-October 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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 11 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 33 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.2

2 CitiBank Last 4 digits of account number 3475 $705.05

Nonpriority Creditor's Name

P.O. Box 6500

Sioux Falls, SD 57117

When was the debt incurred? 3/13/18

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 Credit card

4.2

3 Credit One Bank Last 4 digits of account number 9868 $873.16

Nonpriority Creditor's Name

P.O. Box 60500

City of Industry, CA 91716-0500

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 Visa credit card

4.2

4 Credit One Bank Last 4 digits of account number 0992 $1,114.59

Nonpriority Creditor's Name

P.O. Box 60500

City of Industry, CA 91716-0500

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 MasterCard credit card

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 12 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 34 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.2

5 Dalwuan R. Williams Last 4 digits of account number Unknown

Nonpriority Creditor's Name

16670 Hardwood Oak Ct., #202

Dumfries, VA 22026

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.2

6 Danyell Baker Last 4 digits of account number Unknown

Nonpriority Creditor's Name

1119 Castle Harbour Way, #3A

Glen Burnie, MD 21061

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.2

7 Darnell A. Jackson Last 4 digits of account number Unknown

Nonpriority Creditor's Name

3385 Dry Powder Cir., Apt. 304

Dumfries, VA 22026

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 13 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 35 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.2

8 Darrell W. Noble Last 4 digits of account number Unknown

Nonpriority Creditor's Name

9925 Holland Meadows Ct.

Fredericksburg, VA 22408

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.2

9 Essence A. Delgado Last 4 digits of account number Unknown

Nonpriority Creditor's Name

13687 Lynn St.

Woodbridge, VA 22191

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.3

0 Fairfax Radiological Consults. Last 4 digits of account number 8033 $367.00

Nonpriority Creditor's Name

2722 Merrilee Dr., Suite 230

Fairfax, VA 22031

When was the debt incurred? 1/12/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 14 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 36 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.3

1 Grand Strand Regional Med. Ctr Last 4 digits of account number 2901 $35.70

Nonpriority Creditor's Name

P.O. Box 402724

Atlanta, GA 30384-2724

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 Medical bill

4.3

2 Hugo N. C. Hidalgo Last 4 digits of account number Unknown

Nonpriority Creditor's Name

1413 Bayside Ave., Apt. 6

Woodbridge, VA 22191

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.3

3

INOVA Fairfax Hospital Last 4 digits of account number 5261 $4,084.63

Nonpriority Creditor's Name

P.O. Box 37019

Baltimore, MD 21297-3019

When was the debt incurred? 1/12/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 15 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 37 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.3

4

INOVA Fairfax Hospital Last 4 digits of account number 9891 $154.55

Nonpriority Creditor's Name

P.O. Box 37019

Baltimore, MD 21297-3019

When was the debt incurred? 1/12/18

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 Medical bill

4.3

5

Inova Medical Group Urology Last 4 digits of account number 9891 $67.67

Nonpriority Creditor's Name

8503 Arlington Blvd.

Suite 310

Fairfax, VA 22031

When was the debt incurred? 2/1/17

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 Medical bill

4.3

6

Integrated Reg Lab Path Serv Last 4 digits of account number 9118 $5.65

Nonpriority Creditor's Name

P.O. Box 3093

Boca Raton, FL 33431-0993

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 16 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 38 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.3

7

J. Douglas Lewis, Esq. Last 4 digits of account number 1786 $21,551.12

Nonpriority Creditor's Name

7500 Diplomat Dr., #201

Manassas, VA 20109

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 Medical bill

4.3

8

Jacqueline W. Wanjohi Last 4 digits of account number Unknown

Nonpriority Creditor's Name

7659 Richmond Hwy., Apt. 22

Alexandria, VA 22306

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.3

9

Jahkira L. Prince Last 4 digits of account number Unknown

Nonpriority Creditor's Name

1319 Oates St.

Capitol Heights, MD 20743

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 17 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 39 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.4

0

Janet M. Meiburger, Trustee Last 4 digits of account number Unknown

Nonpriority Creditor's Name

The Meiburger Law Firm, P.C.

1493 Chain Bridge Rd., #201

McLean, VA 22101-5726

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

Potential avoidance claims arising in affiliated

Chapter 7 case of Contract Security Forces,

LLC, Case #17-14203-KHK

4.4

1

Jermaine K. Mitcham Last 4 digits of account number Unknown

Nonpriority Creditor's Name

7941 Richmond Hwy., #12

Alexandria, VA 22306

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.4

2

John T. Harrod Last 4 digits of account number Unknown

Nonpriority Creditor's Name

14029 Lindendale Rd.

Woodbridge, VA 22193

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 18 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 40 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.4

3

Johns Hopkins Health System Last 4 digits of account number 7273 $443.20

Nonpriority Creditor's Name

P.O. Box 3475

Toledo, OH 43607-0475

When was the debt incurred? 7/23/18

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 Medical bill

4.4

4

Johns Hopkins Health System Last 4 digits of account number 0867 $700.29

Nonpriority Creditor's Name

P.O. Box 3475

Toledo, OH 43607-0475

When was the debt incurred? 8/31/16

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 Medical bill

4.4

5

Johns Hopkins Physicians Last 4 digits of account number $100.93

Nonpriority Creditor's Name

P.O. Box 65045

Baltimore, MD 21264-5045

When was the debt incurred? 5/27/16-10/5/16

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 19 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 41 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.4

6

Joseph A. Campbell Last 4 digits of account number Unknown

Nonpriority Creditor's Name

2603 Colebrooke Dr.

Temple Hills, MD 20748

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.4

7

Joseph J. Buchino MD & Assoc. Last 4 digits of account number 3355 $644.00

Nonpriority Creditor's Name

P.O. Box 7308

Arlington, VA 22207-0308

When was the debt incurred? 12/19/16

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 Medical bill

4.4

8

Joseph Walker Last 4 digits of account number Unknown

Nonpriority Creditor's Name

2690 Pheasant Hunt Rd.

Woodbridge, VA 22192

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 20 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 42 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.4

9

Juan J. Encarnacion Last 4 digits of account number Unknown

Nonpriority Creditor's Name

9619 Dublin Dr.

Manassas, VA 20109

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.5

0 Kadija H. Kargbo Last 4 digits of account number Unknown

Nonpriority Creditor's Name

600 W. Hallmark Ave., #531

Killeen, TX 76541

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.5

1 Lab Corp Last 4 digits of account number 7419 Unknown

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 8/25/17-8/20/18 & 11/14/16

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 21 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 43 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.5

2 Lab Corp Last 4 digits of account number 2980 $816.00

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 11/06/14

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 Medical bill

4.5

3 Lab Corp Last 4 digits of account number

1025;5188;7

183;6128;29

14 $23.48

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 3/15/17-9/5/18

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 Medical bill

4.5

4 Lab Corp Last 4 digits of account number 7354 $266.00

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 8/25/17

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 22 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 44 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.5

5 Lab Corp Last 4 digits of account number

2130;8040;9

030 $259.14

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 9/23/15-5/23/16

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 Medical bill

4.5

6 Lab Corp Last 4 digits of account number

0050;9330;2

130;8040 $212.80

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 4/26/16-2/22/17

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 Medical bill

4.5

7 Lab Corp Last 4 digits of account number 5309;3556 $9.59

Nonpriority Creditor's Name

P.O. Box 2240

Burlington, NC 27216-2240

When was the debt incurred? 5/4/18-12/11/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 23 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 45 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.5

8 Lamont C. Thompson Last 4 digits of account number Unknown

Nonpriority Creditor's Name

8829 Telegraph Rd.

Lorton, VA 22079

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.5

9 Mac J. Kriesch Last 4 digits of account number Unknown

Nonpriority Creditor's Name

7404 Paxton Rd.

Falls Church, VA 22043

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.6

0 Malcolm J. Maiden Last 4 digits of account number Unknown

Nonpriority Creditor's Name

509 Rock Creek Church Rd., NW

Washington, DC 20010

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 24 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 46 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.6

1 Melissa R. Benitez Last 4 digits of account number Unknown

Nonpriority Creditor's Name

4636 Evansdale Rd.

Woodbridge, VA 22193

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.6

2 Merrick Bank Last 4 digits of account number 3400 $2,062.91

Nonpriority Creditor's Name

P.O. Box 9201

Old Bethpage, NY 11804

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 Personal loan

4.6

3 Metroplex Pathology Assoc. Last 4 digits of account number 6536 $69.81

Nonpriority Creditor's Name

P.O. Box 840294

Dallas, TX 75284-0294

When was the debt incurred? 12/20/16

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 25 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 47 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.6

4 Michael C. Paynter Last 4 digits of account number Unknown

Nonpriority Creditor's Name

3917 Findley Rd.

Woodbridge, VA 22193

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.6

5 Nationwide Credit Corp. Last 4 digits of account number 3722 $653.99

Nonpriority Creditor's Name

P.O. Box 9156

Alexandria, VA 22304-0156

When was the debt incurred? 7/31/18

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 Medical bill

4.6

6 NE Virginia Emerg Phys, LLC Last 4 digits of account number 7780 $43.71

Nonpriority Creditor's Name

P.O. Box 37993

Philadelphia, PA 19101-7993

When was the debt incurred? 1/12/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 26 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 48 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.6

7 NE Virginia Emerg Phys, LLC Last 4 digits of account number 6102 $1,825.00

Nonpriority Creditor's Name

P.O. Box 37993

Philadelphia, PA 19101-7993

When was the debt incurred? 7/15/17

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 Medical bill

4.6

8 NE Virginia Emerg Phys, LLC Last 4 digits of account number 9990 $240.30

Nonpriority Creditor's Name

P.O. Box 37993

Philadelphia, PA 19101-7993

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 Medical bill

4.6

9 NO VA Radiology Consultants Last 4 digits of account number 6344 $20.82

Nonpriority Creditor's Name

P.O. Box 37148

Baltimore, MD 21297

When was the debt incurred? 2/15/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 27 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 49 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.7

0 NPAS Solutions, LLC Last 4 digits of account number 8023 $388.85

Nonpriority Creditor's Name

P.O. Box 2248

Maryland Heights, MO 63043-1048

When was the debt incurred? 3/24/18

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 Medical bill

4.7

1 Orlando B. Crawford Last 4 digits of account number Unknown

Nonpriority Creditor's Name

11460 St. Martha Dr., Apt. 217

Waldorf, MD 20602

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.7

2 Parkway East, LLC Last 4 digits of account number $21,110.60

Nonpriority Creditor's Name

P.O. Box 1607

Lorton, VA 22199-1607

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

Claim against Contract Security Forces, LLC,

personally guaranteed

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 28 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 50 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.7

3 Pendrick Capital Partners, LLC Last 4 digits of account number 5109 $558.00

Nonpriority Creditor's Name

6029 Ridge Ford Dr.

Burke, VA 22015

When was the debt incurred? 3/15/17-9/5/18

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 Medical bill

4.7

4 Philadelphia Insurance Company Last 4 digits of account number 0246 $14,329.00

Nonpriority Creditor's Name

c/o Leib

P.O. Box 357

Voorhees, NJ 08043

When was the debt incurred? 6/29/17

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.7

5 Prince William Neurology Last 4 digits of account number 1191 $2,331.00

Nonpriority Creditor's Name

14401 Hereford Rd.

Woodbridge, VA 22193

When was the debt incurred? 10/6/16

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 29 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 51 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.7

6 Redmon, Peyton & Braswell, LLP Last 4 digits of account number $220,751.82

Nonpriority Creditor's Name

Attn: James S. Kurz, Esq.

510 King St., Suite 301

Alexandria, VA 22314

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 Legal fees

4.7

7 Ricky D. McDonald Last 4 digits of account number Unknown

Nonpriority Creditor's Name

2507 Doverhill Ct.

Woodbridge, VA 22192

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.7

8 Robert F. Byrd Last 4 digits of account number Unknown

Nonpriority Creditor's Name

5901 Spell Rd.

Clinton, MD 20735

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 30 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 52 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.7

9 Sentara Last 4 digits of account number 4232 $260.40

Nonpriority Creditor's Name

863 Glenrock Rd., #100

Norfolk, VA 23502

When was the debt incurred? 8/25/17-5/16/18

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 Medical bill

4.8

0 Sentara Last 4 digits of account number 6316 $909.00

Nonpriority Creditor's Name

863 Glenrock Rd., #100

Norfolk, VA 23502

When was the debt incurred? 11/11/16

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 Medical bill

4.8

1 Sentara Last 4 digits of account number 0896 $46.50

Nonpriority Creditor's Name

863 Glenrock Rd., #100

Norfolk, VA 23502

When was the debt incurred? 7/25/17

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 31 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 53 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.8

2 Sentara Last 4 digits of account number 5385 $166.00

Nonpriority Creditor's Name

863 Glenrock Rd., #100

Norfolk, VA 23502

When was the debt incurred? 2/12/17-8/18/17

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 Medical bill

4.8

3 Shauntay A. Spinner Last 4 digits of account number $279,060.02

Nonpriority Creditor's Name

7463 Gladys Rd.

Altavista, VA 24517

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.8

4 Suburban Credit Corp. Last 4 digits of account number 0015 $573.26

Nonpriority Creditor's Name

P.O. Box 30640

Alexandria, VA 22310-0640

When was the debt incurred? 10/19/12-11/11/16

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 32 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 54 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.8

5 Teresa D. Carcamo Last 4 digits of account number Unknown

Nonpriority Creditor's Name

15028 Lost Canyon Ct.

Woodbridge, VA 22191

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.8

6 The Greene Company of VA Last 4 digits of account number $72,010.38

Nonpriority Creditor's Name

2075 Stultz Rd.

Martinsville, VA 24112

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 Judgment

4.8

7 Timothy V. Whitley Last 4 digits of account number Unknown

Nonpriority Creditor's Name

109 Healey Ct.

Stafford, VA 22554

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 33 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 55 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.8

8 Tony G. Ferguson Last 4 digits of account number Unknown

Nonpriority Creditor's Name

3805 Laramie Pl., Unit C

Alexandria, VA 22309

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.8

9 United Consumers, Inc. Last 4 digits of account number $311.66

Nonpriority Creditor's Name

P.O. Box 4466

Woodbridge, VA 22194-4466

When was the debt incurred? 3/30/14-7/20/17

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 Medical bill

4.9

0 Virginia Hospital Center Last 4 digits of account number 8382 $653.99

Nonpriority Creditor's Name

P.O. Box 1494

Merrifield, VA 22116-1494

When was the debt incurred? 2/15/18

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 Medical bill

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 34 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 56 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.9

1 William H. Wigfall, Jr. Last 4 digits of account number Unknown

Nonpriority Creditor's Name

4600 Mimsey Rd.

Upper Marlboro, MD 20772

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.9

2 Wyatt G. Dulaney Last 4 digits of account number Unknown

Nonpriority Creditor's Name

14509 Golden Oak Rd.

Centreville, VA 20121

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

Claim solely against Contract Security Forces,

LLC, listed for information only

4.9

3 Yusef A. Adams Last 4 digits of account number Unknown

Nonpriority Creditor's Name

301 N. Beauregard St., #1004

Alexandria, VA 22312

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

Claim solely against Contract Security Forces,

LLC, listed for information only

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 35 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 57 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

4.9

4 Yvon Raymond Last 4 digits of account number Unknown

Nonpriority Creditor's Name

9348 Cherry Hill Rd., #706

College Park, MD 20740

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

Claim solely against Contract Security Forces,

LLC, listed for information only

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

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

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

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

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

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

Affiliate Asset Solutions, LLC

145 Technology Pkwy. NW

Suite 100

Peachtree Corners, GA 30092-2913

Line 4.67 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?

AMCB

2900 Telestar Ct.

Falls Church, VA 22042

Line 4.35 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?

AMCB

2900 Telestar Ct.

Falls Church, VA 22042

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

AMCB

2900 Telestar Ct.

Falls Church, VA 22042

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

American Medical Collection

4 Westchester Plaza, Bldg. 4

Elmsford, NY 10523

Line 4.51 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?

American Medical Collection

4 Westchester Plaza, Bldg. 4

Elmsford, NY 10523

Line 4.56 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?

Barbara A. Queen, Esq.

Lawrence & Associates

701 E. Franklin St., Suite 700

Richmond, VA 23219

Line 4.83 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 36 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 58 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Last 4 digits of account number

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

BYL Collection Services

P.O. Box 5569

Malvern, PA 19355

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

BYL Collection Services

P.O. Box 5569

Malvern, PA 19355

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Central Credit Services, LLC

9550 Regency Sq. Blvd., #500

Jacksonville, FL 32225

Line 4.73 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?

Christopher L. Rogan, Esq.

Rogan, Miller & Zimmerman PLLC

50 Catoctin Cir., Suite 333

Leesburg, VA 20176

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?

Credence Resource Management

P.O. Box 2210

Southgate, MI 48195-4210

Line 4.68 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?

Crum & Forster

305 Madison Ave..

Morristown, NJ 07960

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?

D & A Services

JH Portfolio Debt Equities LLC

1400 E. Touhy Ave., #G2

Des Plaines, IL 60018

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

David T. Spruill, Esq.

120 Corporate Blvd.

Norfolk, VA 23502

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?

Douglas J. Lewis, Esq.

7500 Diplomat Dr., #201

Manassas, VA 20109

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Fullerton & Knowles, P.C.

12642 Chapel Rd., Suite A

Clifton, VA 20124

Line 4.72 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?

GLA Collection Company, Inc.

DAKS 1123

P.O. Box 1022

Wixom, MI 48393-1022

Line 4.47 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 37 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 59 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Last 4 digits of account number

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

Harris & Harris of Illinois

111 W. Jackson Blvd.

Suite 400

Chicago, IL 60604-4135

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?

Jason T. Brown, Esq.

JTB Law Group, L.L.C.

155 2nd St., Suite 4

Jersey City, NJ 07302

Line 4.83 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?

John L. Gregory, III

P.O. Box 72

Martinsville, VA 24114-0072

Line 4.86 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?

Merchants Adjustment Service

56 N. Florida St.

Mobile, AL 36607

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

 Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

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

Morin & Barkley LLP

455 Second St., SE

Suite 200

Charlottesville, VA 22902

Line 4.74 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?

NCC

P.O. Box 9156

Alexandria, VA 22304-0156

Line 4.30 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?

Phillips & Cohen Assoc.

1002 Justison St.

Wilmington, DE 19801

Line 4.62 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 LLC

8902 Otis Ave., Suite 103A

Indianapolis, IN 46216-1077

Line 4.66 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?

Plantation Billing Center

P.O. Box 459077

Sunrise, FL 33345-9077

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?

Portfolio Recovery Associates

P.O. Box 12914

Norfolk, VA 23541

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?

Radius Global Solutions LLC

7831 Glenroy Rd., Suite 250-A

Minneapolis, MN 55439

Line 4.54 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 38 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 60 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Last 4 digits of account number

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

Rapid Recovery

P.O. Box 112

Fairfax, VA 22038

Line 4.75 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?

Retrieval-Masters Cred Bureau

4 Westerchester Plaza

Suite 110

Elmsford, NY 10523

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?

Retrieval-Masters Cred Bureau

4 Westerchester Plaza

Suite 110

Elmsford, NY 10523

Line 4.55 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?

Sentara Collections

P.O. Box 79698

Baltimore, MD 21279-0698

Line 4.80 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?

US Fire Insurance Company

P.O. Box 28146

New York, NY 10087-8146

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

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. $ 81,473.07

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

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

6e. Total Priority. Add lines 6a through 6d. 6e. $ 81,473.07

Total Claim

6f. Student loans 6f. $ 0.00

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.

$ 715,108.79

6j. Total Nonpriority. Add lines 6f through 6i. 6j. $ 715,108.79

Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 39 of 39

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 61 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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 Wife-Debtor's mother Wife-Debtor's mother resides with them under an informal,

unwritten lease pursuant to which she pays $800/mo.

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 62 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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 August S. Thennet

390 Bridgewater Cir.

Fredericksburg, VA 22406

 Schedule D, line 

 Schedule E/F, line 4.83 

 Schedule G 

Shauntay A. Spinner

3.2 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.21 

 Schedule G 

Central Insurance Agency

3.3 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.74 

 Schedule G 

Philadelphia Insurance Company

Official Form 106H Schedule H: Your Codebtors Page 1 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 63 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.4 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.1 

 Schedule G 

Alireza Kiaee

3.5 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.6 

 Schedule G 

Anthony Pellicone

3.6 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.7 

 Schedule G 

Antoine J. Wright

3.7 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.10 

 Schedule G 

Baktash Rahimi

3.8 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.13 

 Schedule G 

Camille A. Boothe

3.9 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.25 

 Schedule G 

Dalwuan R. Williams

3.10 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.26 

 Schedule G 

Danyell Baker

3.11 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.27 

 Schedule G 

Darnell A. Jackson

Official Form 106H Schedule H: Your Codebtors Page 2 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 64 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.12 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.28 

 Schedule G 

Darrell W. Noble

3.13 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.29 

 Schedule G 

Essence A. Delgado

3.14 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.32 

 Schedule G 

Hugo N. C. Hidalgo

3.15 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.38 

 Schedule G 

Jacqueline W. Wanjohi

3.16 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.39 

 Schedule G 

Jahkira L. Prince

3.17 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.41 

 Schedule G 

Jermaine K. Mitcham

3.18 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.42 

 Schedule G 

John T. Harrod

3.19 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.46 

 Schedule G 

Joseph A. Campbell

Official Form 106H Schedule H: Your Codebtors Page 3 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 65 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.20 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.48 

 Schedule G 

Joseph Walker

3.21 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.49 

 Schedule G 

Juan J. Encarnacion

3.22 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.50 

 Schedule G 

Kadija H. Kargbo

3.23 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.58 

 Schedule G 

Lamont C. Thompson

3.24 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.59 

 Schedule G 

Mac J. Kriesch

3.25 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.60 

 Schedule G 

Malcolm J. Maiden

3.26 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.61 

 Schedule G 

Melissa R. Benitez

3.27 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.64 

 Schedule G 

Michael C. Paynter

Official Form 106H Schedule H: Your Codebtors Page 4 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 66 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.28 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.71 

 Schedule G 

Orlando B. Crawford

3.29 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.77 

 Schedule G 

Ricky D. McDonald

3.30 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.78 

 Schedule G 

Robert F. Byrd

3.31 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.83 

 Schedule G 

Shauntay A. Spinner

3.32 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.85 

 Schedule G 

Teresa D. Carcamo

3.33 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.87 

 Schedule G 

Timothy V. Whitley

3.34 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.88 

 Schedule G 

Tony G. Ferguson

3.35 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.91 

 Schedule G 

William H. Wigfall, Jr.

Official Form 106H Schedule H: Your Codebtors Page 5 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 67 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.36 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.92 

 Schedule G 

Wyatt G. Dulaney

3.37 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.93 

 Schedule G 

Yusef A. Adams

3.38 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.94 

 Schedule G 

Yvon Raymond

3.39 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.1 

 Schedule G 

City of Portsmouth Treasurer

3.40 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.3 

 Schedule E/F, line 

 Schedule G 

Commonwealth of Virginia

3.41 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.4 

 Schedule E/F, line 

 Schedule G 

Commonwealth of Virginia

3.42 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.2 

 Schedule G 

Commonwealth of Virginia

3.43 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.3 

 Schedule G 

Commonwealth of Virginia

Official Form 106H Schedule H: Your Codebtors Page 6 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 68 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.44 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.4 

 Schedule G 

Comptroller of Maryland

3.45 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.5 

 Schedule G 

Comptroller of Maryland

3.46 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.6 

 Schedule G 

Office of Tax and Revenue

3.47 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.7 

 Schedule G 

Office of Tax and Revenue

3.48 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.8 

 Schedule G 

Office of Tax and Revenue

3.49 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 2.9 

 Schedule G 

Prince William County

3.50 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.72 

 Schedule G 

Parkway East, LLC

3.51 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.5 

 Schedule E/F, line 

 Schedule G 

Commonwealth of Virginia

Official Form 106H Schedule H: Your Codebtors Page 7 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 69 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.52 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.6 

 Schedule E/F, line 

 Schedule G 

Commonwealth of Virginia

3.53 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.7 

 Schedule E/F, line 

 Schedule G 

Commonwealth of Virginia

3.54 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.13 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.55 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.14 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.56 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.15 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.57 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.17 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.58 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.18 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.59 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.20 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

Official Form 106H Schedule H: Your Codebtors Page 8 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 70 of 86
Debtor 1

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Additional Page to List More Codebtors

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt

Check all schedules that apply:

3.60 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 2.21 

 Schedule E/F, line 

 Schedule G 

Internal Revenue Service

3.61 Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

 Schedule D, line 

 Schedule E/F, line 4.76 

 Schedule G 

Redmon, Peyton & Braswell, LLP

3.62 Shameka C. Venable

5783 Rhode Island Ave.

Woodbridge, VA 22193

 Schedule D, line 

 Schedule E/F, line 4.83 

 Schedule G 

Shauntay A. Spinner

3.63 Thomas L. Johnson

1037 Milton Ave.

Baltimore, MD 21205

 Schedule D, line 

 Schedule E/F, line 4.83 

 Schedule G 

Shauntay A. Spinner

Official Form 106H Schedule H: Your Codebtors Page 9 of 9

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 71 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

Debtor 2 Michele Anita Johnson

(Spouse, if filing)

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK 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 CEO Homemaker

Employer's name United Security Forces, LLC

Employer's address 3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193

How long employed there? 1 1/2 years

Part 2: Give Details About Monthly Income

Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing

spouse unless you are separated.

If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need

more space, attach a separate sheet to this form.

For Debtor 1 For Debtor 2 or

non-filing spouse

2.

List monthly gross wages, salary, and commissions (before all payroll

deductions). If not paid monthly, calculate what the monthly wage would be. 2. $ 8,666.67 $ 0.00

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

4. Calculate gross Income. Add line 2 + line 3. 4. $ 8,666.67 $ 0.00

Official Form 106I Schedule I: Your Income page 1

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 72 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 8,666.67 $ 0.00

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 1,829.34 $ 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. $ 0.00 $ 0.00

5f. Domestic support obligations 5f. $ 0.00 $ 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. $ 1,829.34 $ 0.00

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 6,837.33 $ 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. $ 400.00 $ 400.00

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: 8h.+ $ 0.00 + $ 0.00

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 400.00 $ 400.00

10. Calculate monthly income. Add line 7 + line 9. 10. $ 7,237.33 + $ 400.00 = $ 7,637.33

Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse.

11. State all other regular contributions to the expenses that you list in Schedule J.

Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and

other friends or relatives.

Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J.

Specify: 11. +$ 0.00

12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income.

12. $ 7,637.33

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

applies

Combined

monthly income

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

 No.

 Yes. Explain:

Official Form 106I Schedule I: Your Income page 2

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 73 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson Check if this is:

 An amended filing

Debtor 2 Michele Anita Johnson  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 19-12437-BFK

(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 19

 No

 Yes

Daughter 20

 No

 Yes

 No

 Yes

 No

 Yes

3. Do your expenses include

expenses of people other than

yourself and your dependents?

 No

 Yes

Part 2: Estimate Your Ongoing Monthly Expenses

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

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

applicable date.

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

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

(Official Form 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. $ 3,448.43

If not included in line 4:

4a. Real estate taxes 4a. $ 0.00

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

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

4d. Homeowner’s association or condominium dues 4d. $ 59.53

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 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 74 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

6. Utilities:

6a. Electricity, heat, natural gas 6a. $ 525.00

6b. Water, sewer, garbage collection 6b. $ 130.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 400.00

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

7. Food and housekeeping supplies 7. $ 1,300.00

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

9. Clothing, laundry, and dry cleaning 9. $ 350.00

10. Personal care products and services 10. $ 100.00

11. Medical and dental expenses 11. $ 250.00

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. $ 100.00

14. Charitable contributions and religious donations 14. $ 0.00

15. Insurance.

Do not include insurance deducted from your pay or included in lines 4 or 20.

15a. Life insurance 15a. $ 255.00

15b. Health insurance 15b. $ 0.00

15c. Vehicle insurance 15c. $ 777.00

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 on vehicles 16. $ 88.00

17. Installment or lease payments:

17a. Car payments for Vehicle 1 17a. $ 608.16

17b. Car payments for Vehicle 2 17b. $ 540.64

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. $ 9,181.76

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. $ 9,181.76

23. Calculate your monthly net income.

23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 7,637.33

23b. Copy your monthly expenses from line 22c above. 23b. -$ 9,181.76

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

The result is your monthly net income. 23c. $ -1,544.43

24. Do you expect an increase or decrease in your expenses within the year after you file this form?

For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a

modification to the terms of your mortgage?

 No.

 Yes. Explain here:

Official Form 106J Schedule J: Your Expenses page 2

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 75 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(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/ Jerome Alan Johnson X /s/ Michele Anita Johnson

Jerome Alan Johnson Michele Anita Johnson

Signature of Debtor 1 Signature of Debtor 2

Date August 15, 2019 Date August 15, 2019

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 76 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(if known)  Check if this is an

amended filing

Official Form 107

Statement of Financial Affairs for Individuals Filing for Bankruptcy 4/19

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

$60,000.00  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) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 77 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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, 2018 )

 Wages, commissions,

bonuses, tips

 Operating a business

$60,000.00  Wages, commissions,

bonuses, tips

 Operating a business

$0.00

For the calendar year before that:

(January 1 to December 31, 2017 )

 Wages, commissions,

bonuses, tips

 Operating a business

$36,885.00  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)

From January 1 of current year until

the date you filed for bankruptcy:

Rental income $2,800.00 Rental income $2,800.00

For last calendar year:

(January 1 to December 31, 2018 )

Rental income $4,800.00 Rental income $4,800.00

For the calendar year before that:

(January 1 to December 31, 2017 )

Rental income $4,800.00 Rental income $4,800.00

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 $6,825* or more?

 No. Go to line 7.

 Yes List below each creditor to whom you paid a total of $6,825* 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 4/01/22 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) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 78 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Creditor's Name and Address Dates of payment Total amount

paid

Amount you

still owe

Was this payment for ...

Wells Fargo Home Mortgage

P.O. Box 105632

Atlanta, GA 30348-5632

7/3/19 $6,896.86 $397,192.41  Mortgage

 Car

 Credit Card

 Loan Repayment

 Suppliers or vendors

 Other

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

Inova Health Care Services, Inova

Fairfax Hospital v. Jerome A.

Johnson

GV19009316-00

Warrant in Debt Prince Willaim General

District Court

9311 Lee Ave.

Manassas, VA 20110

 Pending

 On appeal

 Concluded

Judgment entered 7/18/19

Portfolio Recovery Associates, LLC,

Assignee of Capital One Bank, N.A.

v. Jermone A. Johnson

GV19000954-00

Warrant in Debt Prince Willaim General

District Court

9311 Lee Ave.

Manassas, VA 20110

 Pending

 On appeal

 Concluded

Judgment entered 2/26/19

Parkway East, LLC v. Jerome

Johnson, Michele Johnson, and

Contract Security Forces, LLC

GV19007890-00

Unlawful detainer Prince Willaim General

District Court

9311 Lee Ave.

Manassas, VA 20110

 Pending

 On appeal

 Concluded

Judgment entered 7/12/19

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 79 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Case title

Case number

Nature of the case Court or agency Status of the case

Potomac Hospital Corporation of PW

dba Sentara Northern VA Medical

Center v. Jermone and Michele

Johnson

GV19012172-00

Warrant in Debt Prince Willaim General

District Court

9311 Lee Ave.

Manassas, VA 20110

 Pending

 On appeal

 Concluded

Hearing scheduled on

8/22/19

Redmon, Peyton & Braswell, LLP v.

Jerome and Michele Johnson

Case No. 2019-003550

Civil action Prince William County Circuit

Court

9311 Lee Ave.

Manassas, VA 20110

 Pending

 On appeal

 Concluded

Judgment entered 6/28/19

The Greene Company of Virginia v.

Jerome Johnson, et al.

CL19-677

Garnishment Henry County Circuit Court

3160 Kings Mountain Rd.

Martinsville, VA 24112

 Pending

 On appeal

 Concluded

Hearing scheduled on

9/25/19

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

The Greene Company of VA

2075 Stultz Rd.

Martinsville, VA 24112

Wages

 Property was repossessed.

 Property was foreclosed.

 Property was garnished.

 Property was attached, seized or levied.

7/19/19

($788.92);

7/5/19

($788.92);

6/21/19

($788.92)

$2,366.76

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 4

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 80 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

Tyler, Bartl & Ramsdell, P.L.C.

300 N. Washington St., Suite 310

Alexandria, VA 22314

$4,000, plus $362 in applicable filing fees 6/17/19 $4,362.00

Cricket Debt Counseling $24 7/24/19 $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 5

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 81 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

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

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

Debtors' daughters

15338 Colonel Tansill Ct.

Woodbridge, VA 22193-5888

Debtors' residence Debtors have mutual

possession of, and control over,

miscellaneous personal

belongings of their daughters,

with whom they reside

Unknown

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 82 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

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

Wife-Debtor's mother

15338 Colonel Tansill Ct.

Woodbridge, VA 22193-5888

Debtor's residence Debtors have mutual

possession of, and control over,

miscellaneous personal

belongings of Wife-Debtor's

mother, with whom they reside

Unknown

Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

Debtors' residence Debtors have possession of,

and control over, the LLC's

2013 Toyota Tundra, 2006

Chevrolet Malibu, and 2008

Scion, which are vested in the

LLC's Chapter 7 Trustee in

Case #17-14203-KHK

Unknown

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

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 83 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

 An officer, director, or managing executive of a corporation

 An owner of at least 5% of the voting or equity securities of a corporation

 No. None of the above applies. Go to Part 12.

 Yes. Check all that apply above and fill in the details below for each business.

Business Name

Address

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

Describe the nature of the business

Name of accountant or bookkeeper

Employer Identification number

Do not include Social Security number or ITIN.

Dates business existed

AthScho LLC

1900 Campus Commons Dr., Suite

100

Reston, VA 20191

Collegiate T-shirt Company

J. Peter Stratos

EIN:

From-To

27-4019698

2010-10/29/16

Contract Security Forces, LLC

3310 Noble Pond Way, Suite 103

Woodbridge, VA 22193-1472

Security services

J. Peter Stratos

EIN:

From-To

27-5121910

2011-12/11/17

Legacy Wealth Properties, LLC Ownership of home in which

Husband-Debtor's mother resides

EIN:

From-To through 10/29/16

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/ Jerome Alan Johnson /s/ Michele Anita Johnson

Jerome Alan Johnson Michele Anita Johnson

Signature of Debtor 1 Signature of Debtor 2

Date August 15, 2019 Date August 15, 2019

Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)?

 No

 Yes

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

 No

 Yes. Name of Person . Attach the Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119).

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 8

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 84 of 86
Fill in this information to identify your case:

Debtor 1 Jerome Alan Johnson

First Name Middle Name Last Name

Debtor 2 Michele Anita Johnson

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-12437-BFK

(if known)  Check if this is an

amended filing

Official Form 108

Statement of Intention for Individuals Filing Under Chapter 7 12/15

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).

Part 1: List Your Creditors Who Have Secured Claims

1. For any creditors that you listed in Part 1 of Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D), fill in the

information below.

Identify the creditor and the property that is collateral What do you intend to do with the property that

secures a debt?

Did you claim the property

as exempt on Schedule C?

Creditor's Bank of America, N.A.  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

Description of 2016 Honda Civic 29,314 miles Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt: Make regular payments without formal

reaffirmation agreement

Creditor's CarMax Auto Finance  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

Description of 2014 Toyota RAV4 22,948 miles Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt: Make regular payments without formal

reaffirmation agreement

Creditor's Wells Fargo Home Mortgage  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 85 of 86
Debtor 1

Debtor 2

Jerome Alan Johnson

Michele Anita Johnson Case number (if known) 19-12437-BFK

Description of 15338 Colonel Tansill Ct. Reaffirmation Agreement.

Woodbridge, VA 22193-5888

Prince William County

property  Retain the property and [explain]:

securing debt: Make regular payments without formal

reaffirmation agreement

Part 2: 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 leases are leases that are still in effect; the lease period has not yet ended.

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

Describe your unexpired personal property leases Will the lease be assumed?

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Lessor's name:  No

 Yes

Description of leased

Property:

Part 3: Sign Below

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 /s/ Jerome Alan Johnson X /s/ Michele Anita Johnson

Jerome Alan Johnson Michele Anita Johnson

Signature of Debtor 1 Signature of Debtor 2

Date August 15, 2019 Date August 15, 2019

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-12437-BFK Doc 15 Filed 08/15/19 Entered 08/15/19 17:04:14 Desc Main

Document Page 86 of 86