Official Form 106Sum

Summary of Your Assets and Liabilities and Certain Statistical Information 12/15 

Part 1: Summarize Your Assets

1. Schedule A/B: Property (Official Form 106A/B)

1a.

1b.

1c.

Copy line 55, Total real estate, from Schedule A/B...................................................................................................

Copy line 62, Total personal property, from Schedule A/B........................................................................................

Copy line 63, Total of all property on Schedule A/B..................................................................................................

Fill in this information to identify your case:

Debtor 1

Debtor 2

(Spouse, if filing)

First Name Middle Name Last Name

First Name Middle Name Last Name

United States Bankruptcy Court for the:

Case number

(if known)

Marc-Aurel Genece

SOUTHERN DISTRICT OF FLORIDA

20-13104-PGH  Check if this is an

amended filing

$505,000.00 

$27,343.67 

$532,343.67 

Your assets

Value of what you own

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying 

correct information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended 

schedules after you file your original forms, you must fill out a new Summary and check the box at the top of this page.

Part 2: Summarize Your Liabilities

2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D)

Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D.....

3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F)

3a.

3b.

Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F.....................................

Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................. + 

Your total liabilities

2a. $365,800.00 

$0.00 

$132,211.61 

$498,011.61 

Your liabilities

Amount you owe

Part 3: Summarize Your Income and Expenses

4. Schedule I: Your Income (Official Form 106I)

Copy your combined monthly income from line 12 of Schedule I......................................................................................

5. Schedule J: Your Expenses (Official Form 106J)

Copy your monthly expenses from line 22c of Schedule J................................................................................................

$5,721.79 

$5,547.47 

Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 1 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 1 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

Part 4: Answer These Questions for Administrative and Statistical Records

6. Are you filing for bankruptcy under Chapters 7, 11, or 13?





No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules.

Yes

7. What kind of debt do you have?





Your debts are primarily consumer debts. Consumer debts are those "incurred by an individual primarily for a personal,

family, or household purpose." 11 U.S.C. § 101(8). Fill out lines 8-9g for statistical purposes. 28 U.S.C. § 159.

Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit

this form to the court with your other schedules.

8. From the Statement of Your Current Monthly Income: Copy your total current monthly income from

Official Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $8,822.20 

9. Copy the following special categories of claims from Part 4, line 6 of Schedule E/F:

Total claim

From Part 4 on Schedule E/F, copy the following:

9a.

9b.

Domestic support obligations. (Copy line 6a.)

Taxes and certain other debts you owe the government. (Copy line 6b.)

9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.)

9d. Student loans. (Copy line 6f.)

9e. Obligations arising out of a separation agreement or divorce that you did not report as

priority claims. (Copy line 6g.)

9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) + 

9g. Total. Add lines 9a through 9f.

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

$0.00 

Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 2 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 2 of 11
Official Form 106A/B

Schedule A/B: Property 12/15 

Fill in this information to identify your case and this filing:

Debtor 1

Debtor 2

(Spouse, if filing)

First Name Middle Name Last Name

First Name Middle Name Last Name

United States Bankruptcy Court for the:

Case number

(if known)

Marc-Aurel Genece

SOUTHERN DISTRICT OF FLORIDA

20-13104-PGH

1. Do you own or have any legal or equitable interest in any residence, building, land, or similar property?





No. Go to Part 2.

Yes. Where is the property?

 Check if this is an

amended filing

Part 1: Describe Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest In

In each category, separately list and describe items. List an asset only once. If an asset fits in more than one category, list 

the asset in the category where you think it fits best. 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, 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.

What is the property?

Check all that apply.

















Single-family home

Duplex or multi-unit building

Condominium or cooperative

Manufactured or mobile home

Land

Investment property

Timeshare

Other

Do not deduct secured claims or exemptions. Put the

amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

Current value of the

portion you own?

Describe the nature of your ownership

interest (such as fee simple, tenancy by the

entireties, or a life estate), if known.

Who has an interest in the property?

Check one.









Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

 Check if this is community property

(see instructions)

Other information you wish to add about this item, such as local

property identification number:

1.1.

Street address, if available, or other description

City State ZIP Code

County

5170 SW 19 St

$505,000.00 

Fee Simple - Tenants by E

$505,000.00 

5041 14 21 0210

Plantation

Broward

FL 33317

5170 SW 19 St, Plantation, FL 33317

PLANTATION HARBOR FOURTH ADD 

103-33 B LOT 7 BLK 10

2. Add the dollar value of the portion you own for all of your entries from Part 1, including any

entries for pages you have attached for Part 1. Write that number here......................................................... $505,000.00 

Official Form 106A/B Schedule A/B: Property page 1 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 3 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

Part 2: Describe Your Vehicles

Do you own, lease, or have legal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles

you own that someone else drives. If you lease a vehicle, also report it on Schedule G: Executory Contracts and Unexpired Leases.

3. Cars, vans, trucks, tractors, sport utility vehicles, motorcycles





No

Yes

3.1. Who has an interest in the property?

Check one.









Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

 Check if this is community property

(see instructions)

Do not deduct secured claims or exemptions. Put the

amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

Current value of the

portion you own?

Make:

Model:

Year:

Approximate mileage:

Other information:

$18,145.00 $18,145.00 

Chrysler

Pacifica

2017

75,000

2017 Chrysler Pacifica with approx. 

75,000 miles

VIN: 2C4RC1EG7HR608433

4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, other vehicles, and accessories





No

Yes

Examples: Boats, trailers, motors, personal watercraft, fishing vessels, snowmobiles, motorcycle accessories

5. Add the dollar value of the portion you own for all of your entries from Part 2, including any

entries for pages you have attached for Part 2. Write that number here......................................................... $18,145.00 

Part 3: Describe Your Personal and Household Items

Do you own or have any legal or equitable interest in any of the following items? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

6. Household goods and furnishings





No

Yes. Describe.....

Examples: Major appliances, furniture, linens, china, kitchenware

2 end tables $150, dining table and chairs $500, stove $100, microwave $50, $1,225.00 

2 freezers $100, armoire $50, 2 sofas $500, coffee table $100, lamps $50, 

dishwasher $100, refrigerator $100, dresser $50, 2 night stands $100, 4 

beds $500

Items are approx. 3 y/o

Value is Debtor's 1/2 interest

7. Electronics





No

Yes. Describe.....

Examples: Televisions and radios; audio, video, stereo, and digital equipment; computers, printers, scanners;

music collections; electronic devices including cell phones, cameras, media players, games

4 televisions $400 (3 y/o) $325.00 

2 laptops $250 (4 y/o)

Value is Debtor's 1/2 interest

Official Form 106A/B Schedule A/B: Property page 2 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 4 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

8. Collectibles of value





No

Yes. Describe.....

Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects;

stamp, coin, or baseball card collections; other collections, memorabilia, collectibles

9. Equipment for sports and hobbies





No

Yes. Describe.....

Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, golf clubs, skis;

canoes and kayaks; carpentry tools; musical instruments

10. Firearms





No

Yes. Describe.....

Examples: Pistols, rifles, shotguns, ammunition, and related equipment

11. Clothes





No

Yes. Describe.....

Examples: Everyday clothes, furs, leather coats, designer wear, shoes, accessories

Clothing and shoes $100.00 

12. Jewelry





No

Yes. Describe.....

Examples: Everyday jewelry, costume jewelry, engagement rings, wedding rings, heirloom jewelry, watches, gems,

gold, silver

wedding band $200, inexpensive watch $25 $225.00 

13. Non-farm animals





No

Yes. Describe.....

Examples: Dogs, cats, birds, horses

14. Any other personal and household items you did not already list, including any health aids you





No

Yes. Give specific

did not list

information.............

15. Add the dollar value of all of your entries from Part 3, including any entries for pages you have

attached for Part 3. Write the number here........................................................................................................  $1,875.00 

Part 4: Describe Your Financial Assets

Do you own or have any legal or equitable interest in any of the following? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

16. Cash





No

Yes....................................................................................................................................

Examples: Money you have in your wallet, in your home, in a safe deposit box, and on hand when you file your

petition

Cash: ..........................

Official Form 106A/B Schedule A/B: Property page 3 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 5 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

17. Deposits of money

Examples: Checking, savings, or other financial accounts; certificates of deposit; shares in credit unions,

brokerage houses, and other similar institutions. If you have multiple accounts with the same





No

Yes............................

institution, list each.

Institution name:

17.1. Checking account: Checking account #7977 @ Bank of America $23.67 

17.2. Checking account: Checking account # 2108 @ Wells Fargo $7,300.00 

18. Bonds, mutual funds, or publicly traded stocks

Examples: Bond funds, investment accounts with brokerage firms, money market accounts





No

Yes............................ Institution or issuer name:

19. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including

an interest in an LLC, partnership, and joint venture





No

Yes. Give specific

Name of entity: % of ownership:

information about

them..........................

50% $0.00 

Genece & Surena, LLC 

Business no longer operating

Business closed 6/2019

20. Government and corporate bonds and other negotiable and non-negotiable instruments

Negotiable instruments include personal checks, cashiers' checks, promissory notes, and money orders.





No

Issuer name:

Non-negotiable instruments are those you cannot transfer to someone by signing or delivering them.

Yes. Give specific

information about

them..........................

21. Retirement or pension accounts

Examples: Interests in IRA, ERISA, Keogh, 401(k), 403(b), thrift savings accounts, or other pension or

profit-sharing plans





No

Type of account: Institution name:

Yes. List each

account separately.

22. Security deposits and prepayments

Examples: Agreements with landlords, prepaid rent, public utilities (electric, gas, water), telecommunications

companies, or others





No

Yes............................ Institution name or individual:

Your share of all unused deposits you have made so that you may continue service or use from a company

23. Annuities (A contract for a specific periodic payment of money to you, either for life or for a number of years)





No

Yes............................ Issuer name and description:

24. Interests in an education IRA, in an account in a qualified ABLE program, or under a qualified state tuition program.





No

Yes............................ Institution name and description. Separately file the records of any interests. 11 U.S.C. § 521(c)

26 U.S.C. §§ 530(b)(1), 529A(b), and 529(b)(1).

25. Trusts, equitable or future interests in property (other than anything listed in line 1), and rights or





No

Yes. Give specific

powers exercisable for your benefit

information about them

Official Form 106A/B Schedule A/B: Property page 4 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 6 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

26. Patents, copyrights, trademarks, trade secrets, and other intellectual property;





No

Examples: Internet domain names, websites, proceeds from royalties and licensing agreements

Yes. Give specific

information about them

27. Licenses, franchises, and other general intangibles





No

Examples: Building permits, exclusive licenses, cooperative association holdings, liquor licenses, professional licenses

Yes. Give specific

information about them

Money or property owed to you? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

28. Tax refunds owed to you





No

Yes. Give specific information

about them, including whether

you already filed the returns

and the tax years......................

Federal:

State:

Local:

29. Family support





No

Examples: Past due or lump sum alimony, spousal support, child support, maintenance, divorce settlement, property settlement

Yes. Give specific information Alimony:

Maintenance:

Support:

Divorce settlement:

Property settlement:

30. Other amounts someone owes you





No

Examples: Unpaid wages, disability insurance payments, disability benefits, sick pay, vacation pay, workers'

Yes. Give specific information

compensation, Social Security benefits; unpaid loans you made to someone else

31. Interests in insurance policies





No

Yes. Name the insurance

Company name: Beneficiary:

Examples: Health, disability, or life insurance; health savings account (HSA); credit, homeowner's, or renter's insurance

Surrender or refund value: 

company of each policy

and list its value................

Term Life Ins thru Employer Fabiola Surena $0.00 

32. Any interest in property that is due you from someone who has died





No

If you are the beneficiary of a living trust, expect proceeds from a life insurance policy, or are currently

Yes. Give specific information

entitled to receive property because someone has died

Official Form 106A/B Schedule A/B: Property page 5 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 7 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

33. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment





No

Examples: Accidents, employment disputes, insurance claims, or rights to sue

Yes. Describe each claim........ Potential claim/ class action lawsuit against Burgerim franchise $0.00 

no lawsuit filed

attorney not retained

34. Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and





No

rights to set off claims

Yes. Describe each claim........

35. Any financial assets you did not already list





No

Yes. Give specific information

36. Add the dollar value of all of your entries from Part 4, including any entries for pages you have

attached for Part 4. Write that number here.......................................................................................................  $7,323.67 

Part 5: Describe Any Business-Related Property You Own or Have an Interest In. List any real estate in Part 1.

37. Do you own or have any legal or equitable interest in any business-related property?





No. Go to Part 6.

Yes. Go to line 38.

38. Accounts receivable or commissions you already earned





No

Yes. Describe..

Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

39. Office equipment, furnishings, and supplies





No

Yes. Describe..

Examples: Business-related computers, software, modems, printers, copiers, fax machines, rugs, telephones,

desks, chairs, electronic devices

40. Machinery, fixtures, equipment, supplies you use in business, and tools of your trade





No

Yes. Describe..

41. Inventory





No

Yes. Describe..

Official Form 106A/B Schedule A/B: Property page 6 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 8 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

42. Interests in partnerships or joint ventures





No

Yes. Describe..... Name of entity: % of ownership:

43. Customer lists, mailing lists, or other compilations





No

Yes. Do your lists include personally identifiable information (as defined in 11 U.S.C. § 101(41A))?





No

Yes. Describe.....

44. Any business-related property you did not already list





No

Yes. Give specific information.

45. Add the dollar value of all of your entries from Part 5, including any entries for pages you have

attached for Part 5. Write that number here.......................................................................................................  $0.00 

Part 6: Describe Any Farm- and Commercial Fishing-Related Property You Own or Have an Interest In.

46. Do you own or have any legal or equitable interest in any farm- or commercial fishing-related property?





No. Go to Part 7.

Yes. Go to line 47.

If you own or have an interest in farmland, list it in Part 1.

47. Farm animals





No

Yes....

Examples: Livestock, poultry, farm-raised fish

Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

48. Crops--either growing or harvested





No

Yes. Give specific

information................

49. Farm and fishing equipment, implements, machinery, fixtures, and tools of trade





No

Yes....

50. Farm and fishing supplies, chemicals, and feed





No

Yes....

51. Any farm- and commercial fishing-related property you did not already list

 No

 Yes. Give specific

information................

52. Add the dollar value of all of your entries from Part 6, including any entries for pages you have

attached for Part 6. Write that number here.......................................................................................................  $0.00 

Official Form 106A/B Schedule A/B: Property page 7 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 9 of 11
Debtor 1 Marc-Aurel Genece Case number (if known) 20-13104-PGH

Part 7: Describe All Property You Own or Have an Interest in That You Did Not List Above

53. Do you have other property of any kind you did not already list?





No

Yes. Give specific information.

Examples: Season tickets, country club membership

54. Add the dollar value of all of your entries from Part 7. Write that number here.............................................  $0.00 

Part 8: List the Totals of Each Part of this Form

55. Part 1: Total real estate, line 2..............................................................................................................................

56. Part 2: Total vehicles, line 5

57. Part 3: Total personal and household items, line 15

58. Part 4: Total financial assets, line 36

59. Part 5: Total business-related property, line 45

60. Part 6: Total farm- and fishing-related property, line 52

61. Part 7: Total other property not listed, line 54

62. Total personal property.

63. Total of all property on Schedule A/B.

Add lines 56 through 61..................

Copy personal

property total 

+

+

Add line 55 + line 62................................................................................

$505,000.00 

$18,145.00 

$1,875.00 

$7,323.67 

$0.00 

$0.00 

$0.00 

$27,343.67 $27,343.67 

$532,343.67 

Official Form 106A/B Schedule A/B: Property page 8 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 10 of 11
Official Form 106Dec

Declaration About an Individual Debtor's Schedules 12/15 

Fill in this information to identify your case:

Debtor 1

Debtor 2

(Spouse, if filing)

First Name Middle Name Last Name

First Name Middle Name Last Name

United States Bankruptcy Court for the:

Case number

(if known)

Marc-Aurel Genece

SOUTHERN DISTRICT OF FLORIDA

20-13104-PGH  Check if this is an

amended filing

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).

X /s/ Marc-Aurel Genece X

Marc-Aurel Genece, Debtor 1 Signature of Debtor 2

Date

MM / DD / YYYY

Date

MM / DD / YYYY

05/20/2020

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.

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.

Official Form 106Dec Declaration About an Individual Debtor's Schedules page 1 

Case 20-13104-PDR Doc 22 Filed 05/20/20 Page 11 of 11