Fill in this information to identify your case:

Debtor 1 Mary Z Mirian

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number 19-21621

(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

1199 Housing

Corporation Describe the property that secures the claim: $0.00 $0.00 $0.00

Creditor's Name Coop

2120 First Avenue

New York, NY 10029

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)

Date debt was incurred Last 4 digits of account number 2004

Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 3

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Case 19-21621-AJC Doc 59 Filed 04/13/20 Page 1 of 5
Debtor 1 Mary Z Mirian Case number (if known) 19-21621

First Name Middle Name Last Name

2.2

Commodore Plaza

Condominium

Association Describe the property that secures the claim: $0.00 $0.00 $0.00

Creditor's Name

c/o Ryan D. Poliakoff,

Esquire

Backer Aboud Poliakoff

& Foelster, LLP

400 S. Dixie Highway

Suite 420

Boca Raton, FL 33432

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)

Date debt was incurred Last 4 digits of account number 1811

2.3 Home Financing Center Describe the property that secures the claim: $0.00 $168,500.00 $0.00

Creditor's Name 2750 NE 183 Streeet Unit 1811 North

Miami Beach, FL 33160 Miami-Dade

County 400 University Drive

Suite 300

Miami, FL 33134

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) First Mortgage

Date debt was incurred Last 4 digits of account number 0168

2.4 HSBC Bank USA NA Describe the property that secures the claim: $72,275.00 $0.00 $72,275.00

Creditor's Name Condominium located at 2750 NE

183 Street Apt 1811, North Miami

Beach, FL 33160

c/o Nusrat Mansoor,

Esquire

Aldridge Pite LLP

1615 South Congress

Avenue

Delray Beach, FL 33445

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) Second Mortgage

Date debt was incurred 2005 Last 4 digits of account number

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 3

Software Copyright (c) 1996-2020 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-21621-AJC Doc 59 Filed 04/13/20 Page 2 of 5
Debtor 1 Mary Z Mirian Case number (if known) 19-21621

First Name Middle Name Last Name

Add the dollar value of your entries in Column A on this page. Write that number here: $72,275.00

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

Write that number here: $72,275.00

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 3 of 3

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Case 19-21621-AJC Doc 59 Filed 04/13/20 Page 3 of 5
Fill in this information to identify your case:

Debtor 1 Mary Z Mirian

Debtor 2

(Spouse, if filing)

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number 19-21621 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 Retired

Employer's name

Employer's address

How long employed there?

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. $ 0.00 $ N/A

3. Estimate and list monthly overtime pay. 3. +$ 0.00 +$ N/A

4. Calculate gross Income. Add line 2 + line 3. 4. $ 0.00 $ N/A

Official Form 106I Schedule I: Your Income page 1

Case 19-21621-AJC Doc 59 Filed 04/13/20 Page 4 of 5
Debtor 1 Mary Z Mirian Case number (if known) 19-21621

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here 4. $ 0.00 $ N/A

5. List all payroll deductions:

5a. Tax, Medicare, and Social Security deductions 5a. $ 0.00 $ N/A

5b. Mandatory contributions for retirement plans 5b. $ 0.00 $ N/A

5c. Voluntary contributions for retirement plans 5c. $ 0.00 $ N/A

5d. Required repayments of retirement fund loans 5d. $ 0.00 $ N/A

5e. Insurance 5e. $ 0.00 $ N/A

5f. Domestic support obligations 5f. $ 0.00 $ N/A

5g. Union dues 5g. $ 0.00 $ N/A

5h. Other deductions. Specify: 5h.+ $ 0.00 + $ N/A

6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 0.00 $ N/A

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 0.00 $ N/A

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. $ 0.00 $ N/A

8b. Interest and dividends 8b. $ 0.00 $ N/A

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 $ N/A

8d. Unemployment compensation 8d. $ 0.00 $ N/A

8e. Social Security 8e. $ 1,502.00 $ N/A

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 $ N/A

8g. Pension or retirement income 8g. $ 935.00 $ N/A

8h. Other monthly income. Specify: Worker's Comp 8h.+ $ 1,600.00 + $ N/A

9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 4,037.00 $ N/A

10. Calculate monthly income. Add line 7 + line 9. 10. $ 4,037.00 + $ N/A = $ 4,037.00

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. $ 4,037.00

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 19-21621-AJC Doc 59 Filed 04/13/20 Page 5 of 5