Fill in this information to identify your case:

Debtor 1 Jennifer Ann Madigan

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 19-72892

(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

1188 Eagle Way Virginia Beach, VA

23456 Virginia Beach Cit County

Value based upon current listing of

comparable home on same street of

$315,000.

Tax assessment: $298,900.00

Debtor's ex-spouse has a $20,000.00

interest in the equity of this home

pursua

Line from Schedule A/B: 1.1

$315,000.00  $923.82 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

1188 Eagle Way Virginia Beach, VA

23456 Virginia Beach Cit County

Value based upon current listing of

comparable home on same street of

$315,000.

Tax assessment: $298,900.00

Debtor's ex-spouse has a $20,000.00

interest in the equity of this home

pursua

Line from Schedule A/B: 1.1

$315,000.00  $500.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 4

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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

DVC 1390 Celebration Blvd.

Celebration, FL 34747 Osceola

County

Timeshare: Dvc - Kidani Village

120 Points, (estimated at $50 per

point after closing and maintenance

(approx. 2 - 4 days for studio room

per year) Jointly owned with

ex-husband

Line from Schedule A/B: 1.2

$3,000.00  $248.61 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

DVC 1390 Celebration Blvd.

Celebration, FL 34747 Osceola

County

Timeshare: Dvc - Kidani Village

50 Points. Can only be used in

conjunction with another timeshare

contract Jointly owned with

ex-husband

Line from Schedule A/B: 1.3

$1,000.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

DVC 1390 Celebration Blvd.

Celebration, FL 34747 Osceola

County

Timeshare: Dvc - The Villas at Grand

Floridian - 70 Points, (estimated at

$50 per point after closing and

maintenance - can not be used

alone, must have another contract

Jointly owned with

Line from Schedule A/B: 1.4

$1,750.00  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

2019 Toyota Tundra 4WD 48000 miles

Retail values

Line from Schedule A/B: 3.1

$43,907.00  $1,907.00 Va. Code Ann. § 34-26(8)

 100% of fair market value, up to

any applicable statutory limit

Household goods and furnishings,

please see attached

Line from Schedule A/B: 6.1

$3,990.00  $3,990.00 Va. Code Ann. § 34-26(4a)

 100% of fair market value, up to

any applicable statutory limit

Clothng and accessories

Line from Schedule A/B: 11.1

$200.00  $200.00 Va. Code Ann. § 34-26(4)

 100% of fair market value, up to

any applicable statutory limit

Jewelry: Costume And Plastic

Jewelery

Line from Schedule A/B: 12.1

$50.00  $50.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

NOTICE: Animals: 1 Black Lab - 10

Years, 1 Bunny 7 Years, fish with

aquarium

Line from Schedule A/B: 13.1

$0.00  Va. Code Ann. § 34-26(5)

 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 4

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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

Line from Schedule A/B: 16.1

$125.00  $125.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Checking: Checking Account: Navy

Federal Credit Union *6722 (joint with

step-father who has not contributed

to account)

Line from Schedule A/B: 17.1

$257.28  $257.28 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Savings: Savings Account: Bellco

Federal Credit Union *4833

Line from Schedule A/B: 17.2

$101.65  $101.65 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Checking: Checkin Account: Bellco

Federal Credit Union *4833

Line from Schedule A/B: 17.3

$44.53  $44.53 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Savings: Savings Account: Navy

Federal Credit Union *6201

Line from Schedule A/B: 17.4

$5.00  $5.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

IRA: Investment Account

Adminsitered by Franklin Templeton

*3455

Line from Schedule A/B: 17.5

$542.11  $542.11 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Complete Office Installations, LLC

(no longer operating, all taxes and

payroll paid)

Asstes: Cash on hand $3967.95 and

an inoperable 2007 International box

truck with over 250,000 miles

100 % ownership

Line from Schedule A/B: 19.1

$3,967.95  $1.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

IRA: IRA administered by Franklin

Templeton *3455

Line from Schedule A/B: 21.1

$3,575.76  $3,575.76 Va. Code Ann. § 34-34

 100% of fair market value, up to

any applicable statutory limit

Federal: Federal income tax refund

for fy 2018

Line from Schedule A/B: 28.1

$3,816.00  $1,117.00 Va. Code Ann. § 34-26(9)

 100% of fair market value, up to

any applicable statutory limit

Federal: Federal income tax refund

for fy 2018

Line from Schedule A/B: 28.1

$3,816.00  $2,699.00 Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Official Form 106C Schedule C: The Property You Claim as Exempt page 3 of 4

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 Document Page 3 of 5
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

Federal: NOTICE: Potential, though

uncertain, federal income tax

refund(s) and/or credit(s) including

fy2019 prorata (debtor has not

earned any income YTD

Line from Schedule A/B: 28.2

$0.00  $1.00 Va. Code Ann. § 34-26(9)

 100% of fair market value, up to

any applicable statutory limit

Federal: NOTICE: Potential, though

uncertain, federal income tax

refund(s) and/or credit(s) including

fy2019 prorata (debtor has not

earned any income YTD

Line from Schedule A/B: 28.2

$0.00  Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

State: NOTICE: Potential, though

uncertain, state income tax refund(s)

and/or credit(s) including fy2019

prorata (debtor has not earned any

income YTD

Line from Schedule A/B: 28.3

$0.00  Va. Code Ann. § 34-4

 100% of fair market value, up to

any applicable statutory limit

Whole life insurance with Liberty

National Life *644

Beneficiary: Ex-husband & daughter

Line from Schedule A/B: 31.1

$500.00  $500.00 Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

NOTICE: Whole life insurance with

Liberty National Life *960 - no cash

value

Beneficiary: Ex-husband & daughter

Line from Schedule A/B: 31.2

$0.00  $0.00 Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

Whole life insurance with Liberty

National Life *961

Beneficiary: Ex-husband & daughter

Line from Schedule A/B: 31.3

$82.00  $82.00 Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

NOTICE: Term life insurance policy

through Midland National Life

Insurance *765 - no cash value

Beneficiary: Ex-husband & daughter

Line from Schedule A/B: 31.4

$0.00  Va. Code Ann. § 38.2-3122

 100% of fair market value, up to

any applicable statutory limit

Potential personal injury claim for

injuries sustained at DisneyWorld

approx. October 2018.

Line from Schedule A/B: 33.1

Unknown  Va. Code Ann. § 34-28.1

 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 4 of 4

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Case 19-72892-FJS Doc 25 Filed 12/16/19 Entered 12/16/19 14:30:08 Desc Main

 Document Page 4 of 5
Fill in this information to identify your case:

Debtor 1 Jennifer Ann Madigan

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 19-72892

(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/ Jennifer Ann Madigan X

Jennifer Ann Madigan Signature of Debtor 2

Signature of Debtor 1

Date November 19, 2019 Date

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

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Case 19-72892-FJS Doc 25 Filed 12/16/19 Entered 12/16/19 14:30:08 Desc Main

 Document Page 5 of 5