UNITED STATES BANKRUPTCY COURT

 

 

 DISTRICT OF 

 DIVISION

 

CHAPTER 7 TRUSTEE’S FINAL ACCOUNT AND DISTRIBUTION

REPORT CERTIFICATION THAT THE ESTATE HAS BEEN FULLY

ADMINISTERED AND APPLICATION TO BE DISCHARGED (TDR)

BERNARD J. NATALE, chapter 7 trustee, submits this Final Account, Certification that

the Estate has been Fully Administered and Application to be Discharged.

1) All funds on hand have been distributed in accordance with the Trustee’s Final Report

and, if applicable, any order of the Court modifying the Final Report. The case is fully

administered and all assets and funds which have come under the trustee’s control in this case

have been properly accounted for as provided by law. The trustee hereby requests to be

discharged from further duties as a trustee.

2) A summary of assets abandoned, assets exempt, total distributions to claimants, claims

discharged without payment, and expenses of administration is provided below:

3) Total gross receipts of $ (see Exhibit 1), minus funds paid to the debtor and

third parties of $ (see Exhibit 2), yielded net receipts of $ from the

liquidation of the property of the estate, which was distributed as follows:

In re: §

§

TRACY OTTO § Case No. 16-81983

§

Debtor §

Assets Abandoned:

(Without deducting any secured claims)

Assets Exempt:

Total Distributions to Claimants: Claims Discharged

Without Payment: 

Total Expenses of Administration: 

UST Form 101-7-TDR (10/1/2010) (Page: 1)

18,221.91 106,100.00 

2

ILLINOIS WESTERN 20,500.00 

/2010 A 36,168.66 NORTHERN 11,259.76 101-7-TDR /2009 24,908.90 6,686.99 54,300.00 ems Inc.

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

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4) This case was originally filed under chapter on . The case was pending

for months.

5) All estate bank statements, deposit slips, and canceled checks have been submitted to

the United States Trustee.

6) An individual estate property record and report showing the final accounting of the

assets of the estate is attached as Exhibit 8. The cash receipts and disbursements records for each

estate bank account, showing the final accounting of the receipts and disbursements of estate

funds is attached as Exhibit 9.

Pursuant to Fed R Bank P 5009, I hereby certify, under penalty of perjury, that the

foregoing report is true and correct.

STATEMENT: This Uniform Form is associated with an open bankruptcy case, therefore, Paperwork Reduction Act

exemption 5 C.F.R. § 1320.4(a)(2) applies.

CLAIMS

SCHEDULED

CLAIMS

ASSERTED

CLAIMS

ALLOWED

CLAIMS

PAID

SECURED CLAIMS

(from Exhibit 3) $ $ $ $

PRIORITY CLAIMS:

CHAPTER 7 ADMIN. FEES

AND CHARGES

(from Exhibit 4)

PRIOR CHAPTER

ADMIN. FEES AND

CHARGES (from Exhibit 5)

PRIORITY UNSECURED

CLAIMS (from Exhibit 6)

GENERAL UNSECURED

CLAIMS (from Exhibit 7)

TOTAL DISBURSEMENTS $ $ $ $

Dated: By:/s/BERNARD J. NATALE

Trustee

UST Form 101-7-TDR (10/1/2010) (Page: 2)

7

NA NA 0.00 0.00 24,850.09 6,686.99 45,600.00 NA 24,850.09 24,908.90 6,686.99 6,686.99 18,221.91 0.00 0.00 06/14/2017 60,500.00 08/19/2016 NA 0.00 10 18,163.10 18,163.10 0.00 NANA 106,100.00

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EXHIBITS TO

FINAL ACCOUNT

EXHIBIT 1 – GROSS RECEIPTS

EXHIBIT 2 – FUNDS PAID TO DEBTOR & THIRD PARTIES

EXHIBIT 3 – SECURED CLAIMS

DESCRIPTION UNIFORM

TRAN. CODE1

$ AMOUNT

RECEIVED

TOTAL GROSS RECEIPTS $

1

The Uniform Transaction Code is an accounting code assigned by the trustee for statistical reporting purposes.

PAYEE DESCRIPTION UNIFORM

TRAN. CODE

$ AMOUNT

PAID

TRACY OTTO

TOTAL FUNDS PAID TO DEBTOR &

THIRD PARTIES

$

CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form 6D)

CLAIMS

ASSERTED

CLAIMS

ALLOWED CLAIMS PAID

1st Gateway Credit Union,

POB 110 Camanche, IA

52730

UST Form 101-7-TDR (10/1/2010) (Page: 3)

11,259.76 1129-000 36,168.66 11,259.76 8200-002 17,000.00 NA 0.00 36,168.66

Debtor Is A Beneficiary Under The Leonard Otto

Trust (Trust

Surplus Funds Paid to Debtor 726

(a)(6) (includes Payments to

shareholders and limited partners) NA

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EXHIBIT 4 – CHAPTER 7 ADMINISTRATIVE FEES and CHARGES

CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form 6D)

CLAIMS

ASSERTED

CLAIMS

ALLOWED CLAIMS PAID

Cornerstone Credit Union,

550 West Meadows Drive

Freeport, IL 61032

Cornerstone Credit Union,

550 West Meadows Drive

Freeport, IL 61032

Cornerstone Credit Union,

550 West Meadows Drive

Freeport, IL 61032

Springleaf Financial Services,

1888 S. West Ave Freeport, IL

61032

TOTAL SECURED CLAIMS $ $ $ $ 

PAYEE

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

CLAIMS

ASSERTED

CLAIMS

ALLOWED CLAIMS PAID

BERNARD J. NATALE

BERNARD J. NATALE

BERNARD J. NATALE LTD

BERNARD J. NATALE LTD

TOTAL CHAPTER 7 ADMIN. FEES

AND CHARGES

$ $ $ $ 

UST Form 101-7-TDR (10/1/2010) (Page: 4)

NANANANA 0.00 2200-000 2100-000 3120-000 3110-000 21.56 3,240.89 22.04 3,402.50 8,000.00 4,500.00 11,000.00 3,402.50 20,000.00 21.56 22.040.00 NA 3,240.89 0.00 0.00 22.04 3,402.50 21.56 0.00 3,240.89 0.00 0.00 NANANANA 60,500.00 6,686.99 6,686.99 6,686.99 NANANANA

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EXHIBIT 5 – PRIOR CHAPTER ADMINISTRATIVE FEES and CHARGES

EXHIBIT 6 – PRIORITY UNSECURED CLAIMS

EXHIBIT 7 – GENERAL UNSECURED CLAIMS

PAYEE

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

CLAIMS

ASSERTED

CLAIMS

ALLOWED CLAIMS PAID

NA

TOTAL PRIOR CHAPTER ADMIN.

FEES AND CHARGES

$ $ $ $ 

CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6E)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

TOTAL PRIORITY UNSECURED

CLAIMS

$ $ $ $ 

CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Capital One Bank (Buy Power

Card), PO Box 5294 Carol

Stream, IL 60197-5294

UST Form 101-7-TDR (10/1/2010) (Page: 5)

NA 600.00 NA NANA 0.00 0.00 NA NA 0.00 0.00 NA NANA 0.00 0.00 NANA NA NA NA NA NA 0.00 0.00

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Capital One Bank (Buy Power

Card), PO Box 5294 Carol

Stream, IL 60197-5294

Capital One Bank, PO Box

790216 Saint Louis, MO

63179-0216

Capital One Bank, PO Box

790216 Saint Louis, MO

63179-0216

Capital One Bank, PO Box

790216 Saint Louis, MO

63179-0216

Capital One Bank, PO Box

790216 Saint Louis, MO

63179-0216

Chase, Cardmember Service

PO Box 1423 Charlotte, NC

28201

Chase, Cardmember Service

PO Box 1423 Charlotte, NC

28201

Credit One Bank, PO Box

98873 Las Vegas, NV 89193

UST Form 101-7-TDR (10/1/2010) (Page: 6)

800.00 1,100.00 1,800.00 600.00 1,800.00 1,800.00 1,100.00 1,800.00 NANANANANANANANA NANANANANANANANA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Credit One Bank, PO Box

98873 Las Vegas, NV 89193

Credit One Bank, PO Box

98873 Las Vegas, NV 89193

Credit One Bank, PO Box

98873 Las Vegas, NV 89193

Discover, PO Box 30395 Salt

Lake City, UT 84130-0395

Discover, PO Box 30395 Salt

Lake City, UT 84130-0395

First Premier Bank, PO Box

5147 Sioux Falls, SD 57117-

5147

First Premier Bank, PO Box

5147 Sioux Falls, SD 57117-

5147

First Premier Bank, PO Box

5147 Sioux Falls, SD 57117-

5147

First Premier Bank, PO Box

5147 Sioux Falls, SD 57117-

5147

UST Form 101-7-TDR (10/1/2010) (Page: 7)

NANANANANANANANANA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 NANANANANANANANANA 800.00 600.00 600.00 1,300.00 1,300.00 900.00 1,000.00 900.00 1,000.00

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Golden Valley Lending, 633

East Hwy 20 Upper Lake, CA

95485

Gordmans, World Financial

Network National Ba PO Box

659704 San Antonio, TX

78265-9704

Gordmans, World Financial

Network National Ba PO Box

659704 San Antonio, TX

78265-9704

Greenline Loans, POB 507

Hays, MT 59527

JC Penney, PO Box 960001

Orlando, FL 32896-0001

JC Penney, PO Box 960001

Orlando, FL 32896-0001

Lend Up, 237 Kearny St, #371

San Francisco, CA 94108

Old Navy, Monogram Credit

Card Bank Georgia PO Box

530993 Atlanta, GA 30353-

0993

UST Form 101-7-TDR (10/1/2010) (Page: 8)

NANANANANANANANA 0.00 0.00 0.00 0.00 0.00 0.00 0.00 650.00 0.00 500.00 1,400.00 1,400.00 200.00 NANANANANANANANA 1,000.00 900.00 900.00

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Old Navy, Monogram Credit

Card Bank Georgia PO Box

530993 Atlanta, GA 30353-

0993

Phillips 66, PO Box 689060

Des Moines, IA 50368-9060

Phillips 66, PO Box 689060

Des Moines, IA 50368-9060

Sam's Club / GEMB, PO Box

530942 Atlanta, GA 30353-

0942

Sam's Club / GEMB, PO Box

530942 Atlanta, GA 30353-

0942

Security Finance, 423 South

Street Freeport, IL 61032

Security Finance, 423 South

Street Freeport, IL 61032

Synchrony Bank--Dicks

Sporting Good, POB 530916

Atlanta, GA 30353

UST Form 101-7-TDR (10/1/2010) (Page: 9)

NANANA 0.00 0.00 0.00 NANANANANA 0.00 0.00 0.00 0.00 0.00 NANANANANA 650.00 1,100.00 1,100.00 1,600.00 1,500.00 1,600.00 1,500.00 1,600.00 NANANA

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Synchrony Bank--Dicks

Sporting Good, POB 530916

Atlanta, GA 30353

Victoria's Secret, PO Box

659728 San Antonio, TX

78263-9728

Victoria's Secret, PO Box

659728 San Antonio, TX

78263-9728

Walmart / GEMB, PO Box

530927 Atlanta, GA 30353-

0927

Walmart / GEMB, PO Box

530927 Atlanta, GA 30353-

0927

Web Bank/DFS, One Dell

Way Round Rock, TX 78682

Web Bank/DFS, One Dell

Way Round Rock, TX 78682

4 Capital One Bank (Usa), Na

5 Capital One Bank (Usa), Na

11

Comenity Capital

Bank/Paypal Credit

UST Form 101-7-TDR (10/1/2010) (Page: 10)

7100-000 7100-000 7100-000 NANA 1,781.64 1,780.23 785.30 NANANANANA 0.00 NA NA 0.00 NA 0.00 0.00 NA 0.00 NANA 1,780.23 785.30 0.00 1,781.64 0.00 NANA 1,780.23 1,781.64 785.30 1,100.00 2,200.00 1,100.00 1,600.00 2,200.00 NANA 0.00 0.00

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

3 Discover Bank

8 Golden Valley Lending

10

Portfolio Recovery

Associates, Llc

12

Portfolio Recovery

Associates, Llc

13

Portfolio Recovery

Associates, Llc

14

Portfolio Recovery

Associates, Llc

9

Portfolio Recovery

Associates, Llc

6

Pyod, Llc as Assignee of

FNBM LLC

7

Pyod, Llc as Assignee of

FNBM LLC

1

Quantum3 Group Llc As

Agent For

2

Quantum3 Group Llc As

Agent For

Capital One Bank (Usa), Na

UST Form 101-7-TDR (10/1/2010) (Page: 11)

829.88 1,346.14 1,112.42 1,374.28 11.53 2,222.65 916.86 7100-000 7100-000 7100-000 7100-000 7100-000 7100-000 7100-000 7990-000 7100-000 7100-000 7100-000 7100-000 1,374.28 NA 2,222.65 916.86 829.88 1,346.14 1,112.42 1,654.05 1,615.57 1,107.85 636.23 1,000.00 NANANANANANANANANANA 636.23 1,000.00 NANA 636.23 1,107.85 1,654.05 1,654.05 1,000.00 1,615.57 1,615.57 1,107.85 NA 916.86 2,222.65 1,346.14 829.88 1,374.28 1,112.42

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CLAIM NO. CLAIMANT

UNIFORM

TRAN.

CODE

CLAIMS

SCHEDULED

(from Form

6F)

CLAIMS

ASSERTED

(from Proofs of

Claim)

CLAIMS

ALLOWED CLAIMS PAID

Comenity Capital

Bank/Paypal Credit

Discover Bank

Golden Valley Lending

Portfolio Recovery

Associates, Llc

Pyod, Llc as Assignee of

FNBM LLC

Quantum3 Group Llc As

Agent For

TOTAL GENERAL UNSECURED

CLAIMS

$ $ $ $ 

UST Form 101-7-TDR (10/1/2010) (Page: 12)

7990-000 22.22 7990-000 3.24 7990-000 2.06 2.54 10.17 7.05 7990-000 45,600.00 7990-000 7990-000 NANANANANANA NANANA NANANANANANA NANANA 18,163.10 18,163.10 18,221.91

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Exhibit 8

FORM 1

INDIVIDUAL ESTATE PROPERTY RECORD AND REPORT

ASSET CASES

Case No: 16-81983 TML Judge: Thomas M. Lynch Trustee Name: BERNARD J. NATALE

Case Name: TRACY OTTO Date Filed (f) or Converted (c): 08/19/2016 (f)

341(a) Meeting Date: 09/29/2016

For Period Ending: 06/13/2017 Claims Bar Date: 02/17/2017

1 2 3 4 5 6

Asset Description

(Scheduled and Unscheduled (u) Property)

Petition/

Unscheduled

Values

Est Net Value

(Value Determined by 

Trustee, Less Liens, 

Exemptions,

and Other Costs)

Property Formally

Abandoned

OA=554(a)

Sale/Funds

Received by

the Estate

Asset Fully

Administered (FA)/

Gross Value of Remaining 

Assets

1. 104 North Main St.

Baileyville Il

40,000.00 40,000.00 OA 0.00 FA

2. 2007 Chrysler Pacifica 5,000.00 5,000.00 OA 0.00 FA

3. 2010 Ford Fusion 8,000.00 8,000.00 OA 0.00 FA

4. 2002 Chevy Impala 500.00 500.00 OA 0.00 FA

5. 2011 Chrysler 200 Owned Jointly With Daughter 15,000.00 15,000.00 OA 0.00 FA

6. Furniture, Furnishings, Appliances And Misc. Other Items 2,000.00 0.00 OA 0.00 FA

7. Tvs, Computer, Printer, Small Electornic Items 750.00 0.00 OA 0.00 FA

8. Books, Pictures, Dvds, Music Cds And Misc. Other Items 500.00 0.00 OA 0.00 FA

9. Misc. Sporting Goods And Recreational Items 150.00 0.00 OA 0.00 FA

10. Debtor's Clothing 1,500.00 0.00 OA 0.00 FA

11. Rings, Watches And Misc. Other Items 150.00 0.00 OA 0.00 FA

12. Misc. Household Implements And Tools 150.00 0.00 OA 0.00 FA

13. Lawn Mower And Misc. Lawn Equipment 200.00 0.00 OA 0.00 FA

14. Cash From Wages 100.00 0.00 OA 0.00 FA

15. Cornerstone Credit Union 750.00 0.00 OA 0.00 FA

16. Cornerstone Credit Union 50.00 0.00 OA 0.00 FA

17. Retirement Account With Employer 0.00 0.00 OA 0.00 FA

18. Debtor Is A Beneficiary Under The Leonard Otto Trust (Trust 0.00 0.00 36,168.66 FA

19. Term Life Policy 0.00 0.00 OA 0.00 FA

Gross Value of Remaining Assets

TOTALS (Excluding Unknown Values) $74,800.00 $68,500.00 $36,168.66 $0.00

(Total Dollar Amount in Column 6)

Page: 1

UST Form 101-7-TDR (10/1/2010) (Page: 13)

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 Document Page 13 of 19
Exhibit 8

Major activities affecting case closing which are not reflected above, and matters pending, date of hearing or sale, and other action:

Initial Projected Date of Final Report (TFR): 12/31/2017 Current Projected Date of Final Report (TFR): 12/31/2017

Page: 2

UST Form 101-7-TDR (10/1/2010) (Page: 14)

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Exhibit 9

FORM 2

ESTATE CASH RECEIPTS AND DISBURSEMENTS RECORD

Case No: 16-81983 Trustee Name: BERNARD J. NATALE

Case Name: TRACY OTTO Bank Name: Associated Bank

Account Number/CD#: XXXXXX8772

Checking

Taxpayer ID No: XX-XXX0116 Blanket Bond (per case limit): $3,000.00

For Period Ending: 06/13/2017 Separate Bond (if applicable):

1 2 3 4 5 6 7

Transaction Date Check or 

Reference

Paid To / Received From Description of Transaction Uniform Tran. 

Code

Deposits ($) Disbursements ($) Account/CD Balance 

($)

03/07/17 18 Mahoney & Mahoney

Trust Account

50 W Douglas St #300

Freeoirt IL 61032

Inheritance 1129-000 $36,168.66 $36,168.66

05/03/17 1101 BERNARD J. NATALE

1639 N ALPINE RD SUITE 401

EDGEBROOK OFFICE CENTER

ROCKFORD, IL 61107

Distribution $3,262.45 $32,906.21

BERNARD J. NATALE Final distribution representing a 

payment of 100.00 % per court 

order.

($3,240.89) 2100-000

BERNARD J. NATALE Trsutee Expenses ($21.56) 2200-000

05/03/17 1102 BERNARD J. NATALE LTD

1639 N ALPINE RD SUITE 401

EDGEBROOK OFFICE CENER

ROCKFORD, IL 61107

Distribution $3,424.54 $29,481.67

BERNARD J. NATALE LTD Attorney Fees ($3,402.50) 3110-000

BERNARD J. NATALE LTD Attorney Expenses ($22.04) 3120-000

05/03/17 1103 Quantum3 Group Llc As Agent For

Comenity Bank

Po Box 788

Kirkland, Wa 98083-0788

Distribution $3,149.68 $26,331.99

($10.17) 7990-000

Quantum3 Group Llc As Agent For Ref #0222/Gordmans ($916.86) 7100-000

Quantum3 Group Llc As Agent For Ref #4651/Victoria Secret ($2,222.65) 7100-000

05/03/17 1104 Discover Bank

Discover Products Inc

PO Box 3025

New Albany, OH 43054-3025

Ref #2073 $638.29 $25,693.70

($2.06) 7990-000

Discover Bank Ref #2073 ($636.23) 7100-000

Page Subtotals: $36,168.66 $10,474.96

Page: 1

UST Form 101-7-TDR (10/1/2010) (Page: 15)

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

 Document Page 15 of 19
Exhibit 9

FORM 2

ESTATE CASH RECEIPTS AND DISBURSEMENTS RECORD

Case No: 16-81983 Trustee Name: BERNARD J. NATALE

Case Name: TRACY OTTO Bank Name: Associated Bank

Account Number/CD#: XXXXXX8772

Checking

Taxpayer ID No: XX-XXX0116 Blanket Bond (per case limit): $3,000.00

For Period Ending: 06/13/2017 Separate Bond (if applicable):

1 2 3 4 5 6 7

Transaction Date Check or 

Reference

Paid To / Received From Description of Transaction Uniform Tran. 

Code

Deposits ($) Disbursements ($) Account/CD Balance 

($)

05/03/17 1105 Capital One Bank (Usa), Na

American InforSource LP

Po Box 71083

Charlotte, NC 28272-1083

Distribution $3,573.40 $22,120.30

($11.53) 7990-000

Capital One Bank (Usa), Na Ref #6373 ($1,781.64) 7100-000

Capital One Bank (Usa), Na Ref #9145 ($1,780.23) 7100-000

05/03/17 1106 Pyod, Llc as Assignee of FNBM LLC

Resurgent Capital Services

Po Box 19008

Greenville, Sc 29602

Distribution $2,183.07 $19,937.23

($7.05) 7990-000

Pyod, Llc as Assignee of FNBM LLC Ref #9045 ($1,346.14) 7100-000

Pyod, Llc as Assignee of FNBM LLC Ref #7805 ($829.88) 7100-000

05/03/17 1107 Golden Valley Lending

633 East Hwy 20 "E"

Upper Lake, Ca 95485

Ref #0631 $1,003.24 $18,933.99

($3.24) 7990-000

Golden Valley Lending Ref #0631 ($1,000.00) 7100-000

05/03/17 1108 Portfolio Recovery Associates, Llc

P O Box 12914

Norfolk VA 23541

Ref #2081/Walmart CC $1,116.02 $17,817.97

($3.60) 7990-000

Portfolio Recovery Associates, Llc Ref #2081/Walmart CC ($1,112.42) 7100-000

05/03/17 1109 Portfolio Recovery Associates, Llc

P O Box 12914

Norfolk VA 23541

Ref #4402 Dick's Sprtg Gds $1,659.40 $16,158.57

($5.35) 7990-000

Page Subtotals: $0.00 $9,535.13

Page: 2

UST Form 101-7-TDR (10/1/2010) (Page: 16)

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

 Document Page 16 of 19
Exhibit 9

FORM 2

ESTATE CASH RECEIPTS AND DISBURSEMENTS RECORD

Case No: 16-81983 Trustee Name: BERNARD J. NATALE

Case Name: TRACY OTTO Bank Name: Associated Bank

Account Number/CD#: XXXXXX8772

Checking

Taxpayer ID No: XX-XXX0116 Blanket Bond (per case limit): $3,000.00

For Period Ending: 06/13/2017 Separate Bond (if applicable):

1 2 3 4 5 6 7

Transaction Date Check or 

Reference

Paid To / Received From Description of Transaction Uniform Tran. 

Code

Deposits ($) Disbursements ($) Account/CD Balance 

($)

Portfolio Recovery Associates, Llc Ref #4402 Dick's Sprtg Gds ($1,654.05) 7100-000

05/03/17 1110 Comenity Capital Bank/Paypal Credit

C/O Weinstein & Riley, Ps

P O Box 3978

Seattle, Wa 98124-3978

Ref #1921 $787.84 $15,370.73

($2.54) 7990-000

Comenity Capital Bank/Paypal Credit Ref #1921 ($785.30) 7100-000

05/03/17 1111 Portfolio Recovery Associates, Llc

P O Box 12914

Norfolk VA 23541

Ref #3404/Sam's Club $1,620.80 $13,749.93

($5.23) 7990-000

Portfolio Recovery Associates, Llc Ref #3404/Sam's Club ($1,615.57) 7100-000

05/03/17 1112 Portfolio Recovery Associates, Llc

P O Box 12914

Norfolk VA 23541

Ref #6400/Phillips 66CC $1,111.44 $12,638.49

($3.59) 7990-000

Portfolio Recovery Associates, Llc Ref #6400/Phillips 66CC ($1,107.85) 7100-000

05/03/17 1113 Portfolio Recovery Associates, Llc

P O Box 12914

Norfolk VA 23541

Ref #0823/JCPenney CC $1,378.73 $11,259.76

($4.45) 7990-000

Portfolio Recovery Associates, Llc Ref #0823/JCPenney CC ($1,374.28) 7100-000

05/03/17 1114 TRACY OTTO

104 NORTH MAIN ST.

BAILEYVILLE, IL 61007

Distribution of surplus funds to 

debtor.

8200-002 $11,259.76 $0.00

COLUMN TOTALS $36,168.66 $36,168.66

Less: Bank Transfers/CD's $0.00 $0.00

Subtotal $36,168.66 $36,168.66

Page Subtotals: $0.00 $16,158.57

Page: 3

UST Form 101-7-TDR (10/1/2010) (Page: 17)

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

 Document Page 17 of 19
Exhibit 9

Less: Payments to Debtors $0.00 $11,259.76

Net $36,168.66 $24,908.90

Page Subtotals: $0.00 $0.00

Page: 4

UST Form 101-7-TDR (10/1/2010) (Page: 18)

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

 Document Page 18 of 19
Exhibit 9

TOTAL OF ALL ACCOUNTS

NET ACCOUNT

NET DEPOSITS DISBURSEMENTS BALANCE

XXXXXX8772 - Checking $36,168.66 $24,908.90 $0.00

$36,168.66 $24,908.90 $0.00

(Excludes account

transfers)

(Excludes payments

to debtors)

Total Funds on Hand

Total Allocation Receipts: $0.00

Total Net Deposits: $36,168.66

Total Gross Receipts: $36,168.66

Page Subtotals: $0.00 $0.00

Page: 5

UST Form 101-7-TDR (10/1/2010) (Page: 19)

Case 16-81983 Doc 42 Filed 06/23/17 Entered 06/23/17 15:40:34 Desc Main

 Document Page 19 of 19