Fill in this information to identify your case:

United States Bankruptcy Court for the:

Eastern District of Virginia

Case number (if known). Chapter you are fiiing under:

Chapter?

□ Chapter 11

□ Chapter 12

□ Chapter 13

CLERK.

dS. BANKRUPTCY

20I9FEB22 PM 3= 23

eck if this is an

ended filing

Official Form 101

Voluntary Petition for individuals Fiiing for Bankruptcy 12/17

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a

joint case—and in Joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, "Do you own a car,"

the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and

Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The

same person must be Debtor 1 in all of the forms.

Be as complete and accurate as possible, if two married people are fiiing 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.

identify Yourself

1. Your full name

Write the name that is on your

government-issued picture

identification (for example,

your driver's license or

passport).

Bring your picture

identification to your meeting

with the trustee.

About Debtor 1:

CHARLES

First name

BRAXTON

Middle name

BELL

Last name

Suffix (Sr.. Jr.. il. Ill)

About Debtor 2 (Spouse Only in a Joint Case):

First name

Middle name

Last name

Suffix (Sr.. Jr.. II. Ill)

2. All Other names you

have used In the last 8

years

include your married or

maiden names.

First name

Middle name

Last name

First name

Middle name

Last name

3. Only the last 4 digits of

your Social Security

number or federal

Individual Taxpayer

Identification number

(ITIN)

XXX - XX -

OR

9xx - XX -

First name

Middle name

Last name

First name

Middle name

Last name

XXX - XX

OR

9 XX - XX

Official Form 101 Voluntary Petition for individuals Fiiing for Bankruptcy page 1

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