United States Bankruptcy Court

Eastern District of Virginia

In re Angela Michelle Owens-Crowell Case No. 19-50966

Debtor(s) Chapter 7

AMENDMENT COVER SHEET

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

Involuntary/Voluntary Petition [Specify reason for amendment: ]

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

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

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

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

Schedule A/B – Property

Schedule C – The Property You Claim as Exempt

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

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

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

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

debt.) Check applicable statement(s):

Creditor(s) added Creditor(s) deleted

Change in amounts owed or classification of debt

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

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

Post-petition creditors added (Schedule of Unpaid Debts)

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

Schedule G – Executory Contracts and Unexpired Leases

Schedule H – Codebtors

Schedule I – Your Income

Schedule J – Your Expenses

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

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

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

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

Statement of Financial Affairs

Statement of Intention for Individuals Filing Under Chapter 7

Chapter 11 List of Equity Security Holders

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

Attorney’s Disclosure of Compensation

Other: 

NOTICE OF AMENDMENT(S) TO AFFECTED PARTIES

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

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

affected by the amendment as follows: .

Date: September 19, 2019

/s/ Courtney J. Thomas

Courtney J. Thomas 88572

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

State Bar No.: 88572 VA

Mailing Address: The Merna Law Group, PC

3419 Virginia Beach Blvd.

#236

Virginia Beach, VA 23452

Telephone No.:

[amendcs ver. 12/16]

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Case 19-50966-FJS Doc 13 Filed 09/18/19 Entered 09/18/19 11:54:19 Desc Main

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Fill in this information to identify your case:

Debtor 1 Angela Michelle Owens-Crowell

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: EASTERN DISTRICT OF VIRGINIA

Case number 19-50966

(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  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

Description of Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt:

Creditor's  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

Description of Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt:

Creditor's  Surrender the property.  No

 Yes

name:  Retain the property and redeem it.

 Retain the property and enter into a

Description of Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt:

Creditor's  Surrender the property.  No

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

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Case 19-50966-FJS Doc 13 Filed 09/18/19 Entered 09/18/19 11:54:19 Desc Main

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Debtor 1 Angela Michelle Owens-Crowell Case number (if known) 19-50966

name:  Retain the property and redeem it.  Yes

 Retain the property and enter into a

Description of Reaffirmation Agreement.

property  Retain the property and [explain]:

securing debt:

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: Acima Credit  No

 Yes

Description of leased

Property:

Furniture Lease.

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

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Case 19-50966-FJS Doc 13 Filed 09/18/19 Entered 09/18/19 11:54:19 Desc Main

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Debtor 1 Angela Michelle Owens-Crowell Case number (if known) 19-50966

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/ Angela Michelle Owens-Crowell X

Angela Michelle Owens-Crowell Signature of Debtor 2

Signature of Debtor 1

Date September 9, 2019 Date

Official Form 108 Statement of Intention for Individuals Filing Under Chapter 7 page 3

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Case 19-50966-FJS Doc 13 Filed 09/18/19 Entered 09/18/19 11:54:19 Desc Main

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