F11, ,n t111s 111forrn,1t,~;n to 1dent1fy your :ase 

United States Bankniptcy Court for the: 

Southern District of Florida 

Case number (If know,): __________ Chapter you are filing under: 

liil Chapter 7 

• Chapter11 

• Chapter12 

• Chapter13 • Check if this is ~ 

amended filing lf . 

Official Form 101 FI~EO-USBC, FLS-MIA · 19 DEC 23 PM!: 14 

Voluntary Petition for Individuals Filing for Bankruptcy 12/17 

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankrfij~!., 

joint cas~nd in joint cases, these fonns use you to ask for Information from both debtors. For example, if a fonn,q~ 41 , 

the answer would be yes If either debtor owns a car. When Information Is needed about the spouses separately, thfflrtii'u 'f-11 

Debtor 2 to distinguish between them. In Joint cases, one of the spouses must report Information as Debtor 1 and the other as Debtor 2. The 

same person must be Debtor 1 In all of the forms. 

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. 

•if I Identify Yourself 

1. Your full name 

2. 

Write the name that is on your 

government-issued picture 

identification (for example, 

your driver's license or 

passport). 

Bring your picture 

identification to yo,Jr meeting 

with the trustee. 

All other names you 

have used in the last 8 

years 

Include your married or 

maiden names. 

3. Only the last 4 digits of 

your Social Se1:urity 

number or fedttral 

Individual Taxpayer 

Identification number 

(ITIN) 

Official Form 101 

About Debtor 1: 

Mark 

First name 

Anthony 

Middle name 

McDonald 

Last name 

Suffix (Sr., Jr., 11, Ill) 

First name 

Middle name 

Last name 

First name 

Middle name 

Lastl!lame 

XXX -XXOR 

9xx - xx 

6 1 

About Debtor 2 (Spouse Only In a Joint Case): 

First name 

Middle name 

Last name 

Suffix (Sr., Jr., II, Ill) 

First name 

Middle name 

Last name 

First name 

Middle name 

Last name 

2 6 XXX XX- _______ _ 

OR 

9xx - xx - _______ _ 

Voluntary Petition for Individuals FIiing for Bankruptcy page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 1 of 56
Debtor 1 Mark Anthony 

F1191Name MiddeName 

"'· Any business names 

and Employer 

Identification Numbers 

(EIN) you have uised in 

the last 8 years 

Include trade names and 

doing business as names 

s. Where you live 

&. Why you are choosing 

this district to file for 

bankruptcy 

Official Form 101 

McDonald 

Last Name 

About Debtor 1: 

~ I have not used any business names or EINs. 

Business name 

Business name 

EIN11300 SW 179th St 

Number Street 

Miami 

City 

Miami-Dade 

County 

FL 33157 

State ZIP Code 

If your mailing address Is different from the one 

above, fill It In here. Note that the court will send 

any notices to you at this mailing address. 

Number Street 

P.O. Box 

City State ZIP Code 

Check one: 

6Zl Over the last 180 days before filing this petition, 

I have lived in this district longer than in any 

other district. 

D I have another reason. Explain. 

(See 28 U.S.C. § 1408.) 

Case number (iflmo,..,_ ____________ _ 

About Debtor 2 (Spouse Only In a Joint Case): 

D I have not used any business names or EINs. 

Business name 

Business name 

EINEINIf Debtor 2 lives at a different address: 

Number Street 

City State ZIP Code 

County 

If Debtor 2's malllng address Is different from 

yours, fill It In here. Note that the court will send 

any notices to this mailing address. 

Number Street 

P.O. Box 

City State ZIP Code 

Check one: 

D Over the last 1 BO days before filing this petition, 

I have lived in this district longer than in any 

other district. 

D I have another reason. Explain. 

(See 28 U.S.C. § 1408.) 

Voluntary Petition for Individuals Flllng for Bankruptcy page 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 2 of 56
Debtor 1 Mark Anthony McDonald Case number (ff known), ____________ _ 

First Name Mickle Name Last Name 

•Mil Tell the Court About Your Bankruptcy case 

7. The chapter of the 

Bankruptcy Code you 

are choosing to file 

under 

Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing 

for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box. 

~ Chapter? 

• Chapter 11 

• Chapter 12 

• Chapter 13 

a. How you will pa·v the fee iiZI I will pay the entire fee when I file my petition. Please check with the clerk's office in your 

9. Have you filed for 

bankruptcy within the 

last 8 years? 

10. Are any bankruptcy 

cases pending or being 

filed by a spouse who is 

not filing this case with 

you, or by a business 

partner, or by an 

affiliate? 

11. Do you rent your 

residence? 

Official Form 101 

local court for more details about how you may pay. Typically, if you are paying the fee 

yourself, you may pay with cash, cashier's check, or money order. If your attorney is 

submitting your payment on your behalf, your attorney may pay with a credit card or check 

with a pre-printed address. 

• I need to pay the fee in installments. If you choose this option, sign and attach the 

Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A). 

• I request that my fee be waived (You may request this option only if you are filing for Chapter 7. 

By law, a judge may, but is not required to, waive your fee, and may do so only if your income is 

less than 150% of the official poverty line that applies to your family size and you are unable to 

pay the fee in installments). If you choose this option, you must fill out the Application to Have the 

Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition. 

iiZI No 

• Yes. 

~ No 

• Yes. 

~ No. 

• Yes. 

District When Case number 

MM/ DD/YYYY 

District When Case number 

MM/ DD/YYYY 

District When Case number 

MM/ DD/YYYY 

Debtor Relationship to you 

District When Case number, if known 

MM/DD /YYYY 

Debtor Relationship to you 

District When Case number, if known 

MM/DD/YYYY 

Go to line 12. 

Has your landlord obtained an eviction judgment against you? 

• No. Go to line 12. 

• Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as 

part of this bankruptcy petition. 

Voluntary Petition for Individuals Filing for Bankruptcy page 3 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 3 of 56
Debtor 1 Mark Anthony McDonald Case number (If/mown), ____________ _ 

Finl Name MlddleNane Last Name 

•,,, Report About Any Businesses You Own as a Sole Proprietor 

12. Are you a sole proprietor 

of any full- or part-time 

business? 

A sole proprietorshi;> is a 

business you operate as an 

individual, and is net a 

separate legal entity such as 

a corporation, partnership, or 

LLC. 

If you have more than one 

sole proprietorship, use a 

separate sheet and attach it 

to this petition. 

13. Are you filing under 

Chapter 11 of the 

Bankruptcy Code and 

are you a small business 

debtor? 

For a definition of small 

business debtor, see 

11 U.S.C. § 101(5'1D). 

~ No. Go to Part 4. 

0 Yes. Name and location of business 

Name of business, if any 

Number Street 

City 

Check the appropriate box to describe your business: 

0 Health Care Business (as defined in 11 U.S.C. § 101(27A)) 

0 Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) 

0 Stockbroker (as defined in 11 U.S.C. § 101(53A)) 

0 Commodity Broker (as defined in 11 U.S.C. § 101(6)) 

0 None of the above 

ZIP Code 

If you are filing under Chapter 11, the courl must know whether you are a small business debtor so that it 

can set appropriate deadlines. If you indicate that you are a small business debtor, you must attach your 

most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or if 

any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(6). 

il'I No. I am not filing under Chapter 11. 

0 No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in 

the Bankruptcy Code. 

0 Yes. I am filing under Chapter 11 and I am a small business debtor according to the definition in the 

Bankruptcy Code. 

Report H You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention 

14. Do you own or have any 

property that poses or is 

alleged to pose a threat 

of imminent and 

Identifiable hazard to 

public health or safety? 

Or do you own any 

property that needs 

immediate attention? 

For example, do you own 

perishable goods, or livestock 

that must be fed, or a building 

that needs urgent repairs? 

Official Form 101 

~No 

0 Yes. What is the hazard? 

If immediate attention is needed, why is it needed? ________________ _ 

Where is the property? _________________________ _ 

Number Street 

City State ZIP Code 

Voluntary Petition for lndlvlduals FIiing for Bankruptcy page4 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 4 of 56
Debtor 1 Mark Anthony McDonald case number (if known.,_ ____________ _ 

FlnllNam• MlddeName last Name 

l!xplaln Your l!fforts to Receive a Briefing About er.dlt Counsellng 

1s. Tell the court whE1ther 

you have received a 

briefing about crE1dlt 

counseling. 

The law requires that you 

receive a briefing about credit 

counseling before you file for 

bankruptcy. You ml.ll!,t 

truthfully check one of the 

following choices. If you 

cannot do so, you ar,e not 

eligible to file. 

If you file anyway, the court 

can dismiss your case, you 

will lose whatever filing fee 

you paid, and your creditors 

can begin collection activities 

again. 

Official Form 101 

About Debtor 1: 

You must check one: 

Iii I received a briefing from an approved credit 

counseling agency within the 180 days before I 

filed this bankruptcy petition, and I received a 

certificate of completion. 

Attach a copy of the certificate and the payment 

plan, if any, that you developed with the agency. 

D I received a briefing from an approved credit 

counseling agency within the 180 days before I 

flied this bankruptcy petition, but I do not have a 

certificate of completion. 

Within 14 days after you file this bankruptcy petition, 

you MUST file a copy of the certificate and payment 

plan, if any. 

D I certify that I asked for credit counseling 

services from an approved agency, but was 

unable to obtain those services during the 7 

days after I made my request, and exigent 

circumstances merit a 30-day temporary waiver 

of the requirement. 

To ask for a 30-day temporary waiver of the 

requirement, attach a separate sheet explaining 

what efforts you made to obtain the briefing, why 

you were unable to obtain it before you filed for 

bankruptcy, and what exigent circumstances 

required you to file this case. 

Your case may be dismissed if the court is 

dissatisfied with your reasons for not receiving a 

briefing before you filed for bankruptcy. 

If the court is satisfied with your reasons, you must 

still receive a briefing within 30 days after you file. 

You must file a certificate from the approved 

agency, along with a copy of the payment plan you 

developed, if any. If you do not do so, your case 

may be dismissed. 

Any extension of the 30-day deadline is granted 

only for cause and is limited to a maximum of 15 

days. 

0 I am not required to receive a briefing about 

credit counseling because of: 

0 Incapacity. I have a mental illness or a mental 

deficiency that makes me 

incapable of realizing or making 

rational decisions about finances. 

0 Disability. My physical disability causes me 

to be unable to participate in a 

briefing in person, by phone, or 

through the internet, even after I 

reasonably tried to do so. 

0 Active duty. I am currently on active military 

duty in a military combat zone. 

If you believe you are not required to receive a 

briefing about credit counseling, you must file a 

motion for waiver of credit counseling with the court. 

About Debtor 2 (Spouse Only In a Joint Case): 

You must check one: 

0 I received a briefing from an approved credit 

counseling agency within the 180 days before I 

filed this bankruptcy petition, and I received a 

certificate of completion. 

Attach a copy of the certificate and the payment 

plan, if any, that you developed with the agency. 

D I received a briefing from an approved credit 

counseling agenc:y within the 180 days before I 

flied this bankruptcy petition, but I do not have a 

certificate of completion. 

Within 14 days after you file this bankruptcy petition, 

you MUST file a copy of the certificate and payment 

plan, if any. 

D I certify that I asked for credit counseling 

services from an approved agency, but was 

unable to obtain those services during the 7 

days after I made my request, and exigent 

circumstances merit a 30-day temporary waiver 

of the requirement. 

To ask for a 30-day temporary waiver of the 

requirement, attach a separate sheet explaining 

what efforts you made to obtain the briefing, why 

you were unable to obtain it before you filed for 

bankruptcy, and what exigent circumstances 

required you to file this case. 

Your case may be dismissed if the court is 

dissatisfied with your reasons for not receiving a 

briefing before you filed for bankruptcy. 

If the court is satisfied with your reasons, you must 

still receive a briefing within 30 days after you file. 

You must file a certificate from the approved 

agency, along with a copy of the payment plan you 

developed, if any. If you do not do so, your case 

may be dismissed. 

Any extension of the 30-day deadline is granted 

only for cause and is limited to a maximum of 15 

days. 

0 I am not required to receive a briefing about 

credit counseling because of: 

0 Incapacity. I have a mental illness or a mental 

deficiency that makes me 

incapable of realizing or making 

rational decisions about finances. 

0 Disability. My physical disability causes me 

to be unable to participate in a 

briefing in person, by phone, or 

through the internet, even after I 

reasonably tried to do so. 

0 Active duty. I am currently on active military 

duty in a military combat zone. 

If you believe you are not required to receive a 

briefing about credit counseling, you must file a 

motion for waiver of credit counseling with the court. 

Voluntary Petition for Individuals FIiing for Bankruptcy page 5 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 5 of 56
Debtor 1 Mark Anthony McDonald Case number (if known), ____________ _ 

FlntNane MiddeName Last Name 

I §•I Answer These Questions for Reporting Purposes 

16. What kind of debts do 

you have? 

11. Are you filing under 

Chapter7? 

Do you estimate that after 

any exempt property is 

excluded and 

administrative expenses 

are paid that funds will be 

available for distribution 

to unsecured creditors? 

1a. How many creditors do 

you estimate that you 

owe? 

19. How much do you 

estimate your assets to 

be worth? 

20. How much do you 

estimate your liabilities 

tobe? 

•@fl Sign Below 

For you 

Official Form 101 

16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8) 

as "incurred by an individual primarily for a personal, family, or household purpose." 

• No. Go to line 16b. 

~Yes.Goto line 17. 

16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain 

money for a business or investment or through the operation of the business or investment. 

~No.Goto line 16c. 

• Yes.Goto line 17. 

16c. State the type of debts you CYNe that are not consumer debts or business debts. 

• No. I am not filing under Chapter 7. Go to line 18. 

~ Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and 

administrative expenses are paid that funds will be available to distribute to unsecured creditors? 

6li No 

• Yes 

~ 1-49 

• 50-99 

• 100-199 

• 200-999 

• $0-$50,000 

• $50,001-$100,000 

~ $100,001-$500,000 

• $500,001-$1 million 

• $0-$50,000 

• $50,001-$100,000 

~ $100,001-$500,000 

• $500,001-$1 million 

• 1,000-5,000 • 25,001-50,000 

• 5,001-10,000 • 50,001-100,000 

• 10,001-25,000 • More than 100,000 

• $1,000,001-$10 million • $500,000,001-$1 billion 

• $10,000,001-$50 million • $1,000,000,001-$10 billion 

• $50,000,001-$100 million • $10,000,000,001-$50 billion 

• $100,000,001-$500 million • More than $50 billion 

• $1,000,001-$10 million • $500,000,001-$1 billion 

• $10,000,001-$50 million • $1,000,000,001-$10 billion 

• $50,000,001-$100 million • $10,000,000,001-$50 billion 

• $100,000,001-$500 million • More than $50 billion 

I have examined this petition, and I declare under penalty of perjury that the information provided is true and 

correct. 

If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11, 12, or 13 

of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed 

under Chapter 7. 

If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out 

this document, I have obtained and read the notice required by 11 U.S.C. § 342(b). 

I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. 

I understand 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. 

x~-- x _____ _ Signature of Debtor 1 

Executed on 12/22/2019 

MM / DD /YYYY 

Signature of Debtor 2 

Executed on ______ _ 

MM/ DD /YYYY 

Voluntary Petition for Individuals Filing for Bankruptcy page6 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 6 of 56
Debtor 1 Mark Anthony ArstName Midcle Nane 

For your attorney, If you are 

represented by one 

If you are not represented 

by an attorney, you do not 

need to file this pagt1. 

Official Form 101 

McDonald case number(ffknownJ, _____________ _ 

Last Name 

I, the atmmey for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility 

to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief 

available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s) 

the notice required by 11 U.S.C. § 342(b) and, in a case in which§ 707(b)(4)(D) applies, certify that I have no 

knowledge after an inquiry that the information in the schedules filed with the petition is incorrect. 

X Date 

Signature of Attorney for Debtor MM DD /YYYY 

Printed name 

Firm name 

Number Street 

City State ZIP Code 

Contact phone _____________ _ Email address 

Bar number State 

Voluntary Petition for Individuals FIiing for Bankruptcy page 7 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 7 of 56
Debtor 1 Mark Anthony FntName Middle Name 

For you If you are filing this 

bankruptcy without an 

attorney 

H you are represented by 

an attorney, you do not 

need to file this page. 

Official Form 101 

McDonald case number (ff/mown) ____________ _ 

Last Name 

The law allows you, as an individual, to represent yourself in bankruptcy court, but you 

should understand that many people find it extremely difficult to represent 

themselves successfully. Because bankruptcy has long-term financial and legal 

consequences, you are strongly urged to hire a qualified attorney. 

To be successful, you must correcUy file and handle your bankruptcy case. The rules are very 

technical, and a mistake or inaction may affect your rights. For example, your case may be 

dismissed because you did not file a required document, pay a fee on time, attend a meeting or 

hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit 

firm if your case is selected for audit. If that happens, you could lose your right to file another 

case, or you may lose protections, including the benefit of the automatic stay. 

X 

You must list all your property and debts in the schedules that you are required to file with the 

court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt 

in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list 

property or properly claim it as exempt, you may not be able to keep the property. The judge can 

also deny you a discharge of all your debts if you do something dishonest in your bankruptcy 

case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy 

cases are randomly audited to determine if debtors have been accurate, truthful, and complete. 

Bankruptcy fraud is a serious crime; you could be fined and imprisoned. 

If you decide to file without an attorney, the court expects you to follow the rules as if you had 

hired an attorney. The court will not treat you differently because you are filing for yourself. To be 

successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of 

Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also 

be familiar with any state exemption laws that apply. 

Are you aware that filing for bankruptcy is a serious action with long-term financial and legal 

consequences? 

• No 

!iZI Yes 

Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are 

inaccurate or incomplete, you could be fined or imprisoned? 

• No 

lia Yes 

Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms? 

lilJ No 

• Yes. Name of Person, ________________________ _ 

Attach Bankruptcy Petition Preparers Notice, Declaration, and Signature (Official Form 119). 

By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I 

have read and understood this notice, and I am aware that filing a bankruptcy case without an 

attorney may cause me to lose my rights or property if I do not property handle the case. 

Signature of Debtor 1 

Date 12/22/2019 

MM/ DD /YYYY 

Contact phone _____________ _ 

Cell phone 786-399-1951 

Email address makmc3@gmail.com 

X 

Signature of Debtor 2 

Date 

MM/ DD /YYYY 

Contact phone 

Cell phone 

Email address 

Voluntary Petition for Individuals FIiing for Bankruptcy page 8 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 8 of 56
Fill ,n this 111for111~t1on to 1dent1fy your c3se 

Debtor 1 Mark Anthony McDonald FlrstName MidcleName Last Name 

Debtor2 

(Spouse, if filing) Fi'II Name Mldde Name LaatName 

United States Bankruptct Court for the: Southern District of Florida 

Case number 

(If known) 

Official Form 106Sum 

0 Check if this is an 

amended filing 

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

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

information. FIii 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. 

•if I Summarize Your Assets 

Your assets 

Value of what you own 

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

1 a. Copy line 55, Total real estate, from Schedule AIB ......................................................................................................... . $ 230,000.00 

1b. Copy line 62, Total personal property, from Schedule A/8 .............................................................................................. . $ __ 13_,8_0_5_.o_o 

1c. Copy line 63, Total of all property on Schedule AIB ....................................................................................................... .. . $ 243.805.00 1 

•if j Summarize Your Llabllltles 

Your liabilities 

Amount you owe 

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

2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D .......... .. $ 464,591.00 

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

3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule EIF ........................................... . $ 0.00 

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule EIF ..................................... .. + $ 8812.53 

Your total llabliltles $ 473,403.531 

•ifi Summarize Your Income and Expenses 

4. Schedule I: Your Income (Official Form 1061) 

Copy your combined monthly income from line 12 of Schedule I ......................................................................................... . $ _____ 1505.59 _ 

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

Copy your monthly expenses from line 22c of Schedule J .................................................................................................. .. $ _____ 2707.00 _ 

Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 1 of 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 9 of 56
Debtor 1 Mark Anthony McDonald Case number (ff known), _____________ _ 

First Name Middle Name Last Name 

•Iii Answer 1rhese Questions for Administrative and Statistical Records 

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

0 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. 

liZIYes 

7. What kind of debt do you have? 

6ZI Your debts ar,e 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. 

0 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 Statemnnt 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. 

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

From Part 4 on Schedule EIF, copy the following: 

9a. Domestic support obligations (Copy line Sa.) 

9b. Taxes and certain other debts you owe the government. (Copy line Sb.) 

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

9d. Student loans. (Copy line Sf.) 

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 Sh.) 

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

Total claim 

$ 

$ 

$ 

$ 

$ 

+s 

$ 

Official Form 10SSum Summary of Your Assets and Liabilities and Certain Statistical Information 

$ 1759.09 ------

0.00 

0.00 

0.00 

0.00 

0.00 

0.00 

000 I 

page 2 of2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 10 of 56
Fiil 111 tnis 1nfo1rnat1on to 1dent1fy your cas, ilnd this f\11119 

Debtor 1 Mark Anthony McDonald FntName Midde ,.,.,. Last Name 

Debtor2 

(Spouse, ifllNng) Fm Name Mkkle Name last Name 

United States Bankruptcy Court for the: Southern District of Florida 

Case number 

0 Check if this is an 

amended filing 

Official Form 106A/B 

Schedule A/B: Property 12/15 

In each category, sepa,rately 11st and describe Items. List an asset only once. If an asset fits In more than one category, 11st 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 suppl)1ng correct lnfonnatlon. If more space Is needed, attach a separate sheet to this fonn. On the top of any additional pages, 

write your name and case number (If known). Answer every question. 

Describe Each Residence, Bulldlng, Land, or Other Real Estate You Own or Have an Interest In 

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

D No. Go to Part 2. 

li1 Yes. Where is thE• property? 

1.1. 11300 SW 179th St 

Street address, if available, or other description 

Miami FL 33157 

City State ZIP Code 

Miami-Dade 

County 

If you own or have more than one, list here: 

1.2. 

Street address, if available, or other description 

City State ZIP Code 

County 

Official Form 106A/B 

What is the property? Check all that apply. 

Gf Single-family home 

0 Duplex or multi-unit building 

0 Condominium or cooperative 

0 Manufactured or mobile home 

0 Land 

0 Investment property 

D Timeshare 

D Other ____________ _ 

Who has an Interest In the property? Check one. 

Gf Debtor 1 only 

0 Debtor 2 only 

0 Debtor 1 and Debtor 2 only 

0 At least one of the debtors and another 

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 Current value of the 

entire property? portion you own? 

$ 230,000.00 $ 230,000.00 

Describe the nature of your ownership 

interest (such as fee simple, tenancy by 

the entireties, or a life estate), If known. 

0 Check if this is community property 

(see Instructions) 

Other lnfonnatlon you wish to add about this Item, such as local 

property Identification number: _____________ _ 

What Is the property? Check all that apply. 

D Single-family home 

D Duplex or multi-unit building 

D Condominium or cooperative 

D Manufactured or mobile home 

D Land 

D Investment property 

D Timeshare 

D Other ____________ _ 

Who has an Interest In the property? Check one. 

D Debtor 1 only 

D Debtor 2 only 

D Debtor 1 and Debtor 2 only 

0 At least one of the debtors and another 

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. 

0 Check If this Is community property 

( see instructions) 

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

property identification number: _____________ _ 

Schedule A/8: Property page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 11 of 56
Debtor 1 Mark Anthony Finl.Name Middle Name Last Name 

1.3. 

Street address, tf available, or other description 

City State ZIP Code 

County 

I if & Describe Your Vehicles 

McDonald case number (r1mown) _____________ _ 

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 ___________ _ 

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 

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 Current value of the 

entire property? portion you own? 

$ ______ _ $ ______ _ 

Describe the nature of your ownership 

interest (such as fee simple, tenancy by 

the entireties, or a life estate), If known. 

0 Check if this is community property 

(see instructions) 

Other Information you wish to add about this Item, such as local 

property Identification number: _____________ _ 

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 

Ga Yes 

3.1. Make: Toyota 

Model: Corolla 

Year: 2013 

Approximate mileage: 115613 

Other information: 

If you own or have more than one, describe here: 

3.2. Make: 

Model: 

Year: 

Approximate mileage: 

Other information: 

Official Form 106A/B 

Who has an Interest In the property? Check one. 

!ill 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) 

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) 

Schedule A/8: Property 

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? 

$ ______ 4000.00 _ 

Current value of the 

portion you own? 

$ ______ 4000.00 _ 

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? 

$ ______ _ 

page 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 12 of 56
Debtor 1 Mark Anthony First Name Middle Name Last Name 

3.3. Make: 

Model: 

Year: 

Approximate rr.ileage: 

Other information: 

3.4. Make: 

Model: 

Year: 

Approximate mileage: 

Other information: 

McDonald Case number (Wknownlc..--_____________ _ 

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) 

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? 

$ ______ _ 

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? 

$ _____ _ 

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

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

iia No 

• Yes 

4.1. Make: 

Model: 

Year: 

Other information: 

If you own or have more than one, list here: 

4.2. Make: 

Model: 

Year: 

Other information: 

Official Form 106A/B 

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) 

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) 

Schedule A/8: Property 

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? 

$ ______ _ 

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? 

$ ______ _ 

page 3 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 13 of 56
Debtor 1 Mark Anthony McDonald Case number (Klmown), _____________ _ 

firBINam• -Nam• Last Name 

•f i Describe l''our Personal and Household Items 

Do you own or have a11,y legal or equltabl• Interest In any of the following Items? 

6. Household goods and furnishings 

Examples: Major ap~~iances, furniture, linens, china, kitchenware 

• No 

liZI Yes. Describe......... Dir:iing table, Tv stand, bedroom & living room furniture 

7. Electronics 

Examples: Televisi011s and radios; audio, video, stereo, and digital equipment; computers, printers, scanners; music 

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

• No 

liZI Yes. Describe .......... Tv, computer, printer 

8. Collectibles of value 

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 

li2I No 

• Yes. Describe ........ .. 

9. Equipment for sports and hobbies 

Examples: Sports, photographic, exercise, and other hobby equipment; bicydes, pool tables, golf dubs, skis; canoes 

and kayaks; carpentry tools; musical instruments 

li2I No 

• Yes. Describe ........ . 

10. Firearms 

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

liZI No 

• Yes. Describe .......... 

11.Clothes 

Examples: Everyda~f dothes, furs, leather coats, designer wear, shoes, accessories 

• No 

liZI Yes. Describe .......... Everyday clothes and shoes 

12.Jewelry 

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

gold, silver 

li2I No 

• Yes. Describe .......... 

13. Non-farm animals 

Examples: Dogs, cats, birds, horses 

liZI No 

• Yes.Describe ......... .. 

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

li2I No 

• Yes. Give specific 

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 that number here .................................................................................................................................................... -+ 

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

Current value of the 

portion you own? 

Do not deduct secured claims 

or exemptions. 

$ 250.00 --------

$ 350.00 --------

$ _______ _ 

$ _______ _ 

$ _______ _ 

$ 150.00 --------

$ ______ _ 

$. _______ _ 

$ _______ _ 

s ____ 1_s_o_.o_o I 

page4 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 14 of 56
Debtor 1 Mark Anthony McDonald Case number (ff known), _____________ _ 

FntName Middle Name Last Name 

•iii Describe 'four Flnanclal Allsets 

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

16. Cash 

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

• No 

Current value of the 

portion you own? 

Do not deduct secured claims 

or exemptions. 

0 Yes .............................................................................................................................................................. . Cash: 340.00 ....................... $ _______ _ 

17. Deposits of money 

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

and othe1· similar institutions. If you have multiple accounts with the same institution, list each. 

• No 

0 Yes .................... . 

17.1. Checking account: 

17.2. Checking account: 

17.3. Savings account: 

17.4. Savings account: 

17.5. Certificates of deposit: 

Institution name: 

Navy Federal 

Navy Federal 

Navy Federal 

11.s. Other financial account: Capital One 360 Checking 

17.7. Other financial account: 

17.8. Other financial account: 

17.9. Other financial account: 

18. Bonds, mutual funds, or publicly traded stocks 

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

all No 

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

19. Non-publlcly traded stock and Interests In Incorporated and unincorporated businesses, Including an Interest In 

an LLC, partnership, and joint venture 

0 No Name of entity: 

0 Yes. Give specific 

information aboJt 

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

Official Form 106A/B 

% of ownership: 

_0_0A_o ___ % 

_0_% ___ % 

_ O_o/c_o ___ % 

Schedule A/B: Property 

s. ____ 1_2_.o_o 

$ ______ _ 0 

$. _______ 0 _

$ _______ _ 

$ _______ _ 

s ____ 3_.o_o 

$ _______ _ 

$ ______ _ 

$ ______ _ 

$ _______ _ 

$ ______ _ 

$ _______ _ 

$ ______ _ 

$ _______ _ 

$ _______ _ 

page 5 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 15 of 56
Debtor 1 Mark Anthony McDonald Case number<"lmownl, ______________ _ 

Fn!Name Middle Name Last Name 

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

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

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

liZI No 

• Yes. Give specific 

information about 

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

Issuer name: 

21. Retirement or pen11lon accounts 

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

• No 

liZI Yes. List each 

account separately. Type of account: 

401 (k) or similar plan: 

Pension plan: 

IRA: 

Retirement account: 

Keogh: 

Additional account: 

Additional account: 

22. Security deposits and prepayments 

Institution name: 

AIG 

Nationwide 

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

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

companies, or others 

~ No 

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

Electric: 

Gas: 

Heating oil: 

Security deposit on rental unit: _______________________ _ 

Prepaid rent: 

Telephone: 

Water: 

Rented furniture: 

Other: 

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

liZI No 

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

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

$ ______ _ 

$ ______ _ 

$ ______ _ 

$ 8000.00 -------

$. ______ _ 

$ _______ _ 

s ____ 7o_o_.o_o 

$ ______ _ 

$ _______ _ 

$. ______ _ 

$. _______ _ 

$. _______ _ 

$. _______ _ 

$. _______ _ 

$. _______ _ 

$. _______ _ 

$. ________ _ 

$. _______ _ 

$. _______ _ 

$ _______ _ 

$. ______ _ 

$. ______ _ 

page 6 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 16 of 56
Debtor 1 Mark Anthony McDonald Case number (tknown)c..._ ____________ _ 

FintName Middle Name Last Name 

24. Interests In an edui:atlon IRA, In an aqcount in a qualified ABLE program, or under a quallfled state tuition program. 

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

!ill No 

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

$ ______ _ 

$. ______ _ 

$. ______ _ 

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

exercisable for your benefit 

~ No 

• Yes. Give specific 

information about them .... 

26. Patents, copyrights, trademarks, trade secrets, and other Intellectual property 

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

!ill No 

• Yes. Give specific 

information about them .... 

27. Licenses, franchises, and other general Intangibles 

$, ______ _ 

$. ______ _ 

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

!ill No 

• Yes. Give specific 

information about them .... 

Money or property owed to you? 

28. Tax refunds owed to you 

!ill No 

• Yes. Give specific information 

about them, including whether 

you already filed the returns 

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

29. Family support 

Federal: 

State: 

Local: 

$. ______ _ 

Current value of the 

portion you own? 

Do not deduct secured 

daims or exemptions. 

$ ______ _ 

$ ______ _ 

$ ______ _ 

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

!ill No 

• Yes. Give specific information ............. . Alimony: $ ______ _ 

Maintenance: $ ______ _ 

Support: $. ______ _ 

Divorce settlement: $ ______ _ 

Property settlement: $. ______ _ 

30. Other amounts someone owes you 

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

Social Security benefits; ul'1)aid loans you made to someone else 

~ No 

• Yes. Give spec:ific information ............. .. $. _______ _ 

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

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 17 of 56
Debtor 1 Mark Anthony McDonald Case number(Kknown), _____________ _ 

First Name Middle Name last Name 

31. Interests In insura11,ce policies 

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

liZI No 

0 Yes. Name the insurance company Company name: 

of each policy and list its value ... Beneficiary: 

32. Any Interest in pro,perty that Is due you from someone who has died 

If you are the benefi ::iary of a living trust, expect proceeds from a life insurance policy, or are currently entitled to receive 

property because sc,meone has died. 

~ No 

0 Yes. Give speci1ic information ............. . 

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

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

~ No 

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

34. Other contingent and unliquldated claims of every nature, Including counterclaims of the debtor and rights 

to set off claims 

~ No 

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

35. Any financial assets you did not already 11st 

~ No 

0 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 .................................................................................................................................................... + 

Surrender or refund value: 

$ ______ _ 

$ _______ _ 

$. ______ _ 

$ _______ _ 

$ _______ _ 

$ _______ _ 

$ _______ _ 

9055.00 

Describe Any Busine .. 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. 

0 Yes. Go to line 38. 

38. Accounts receivable or commissions you already earned 

~ No 

0 Yes. Describe ....... 

39. Office equipment, furnishings, and supplies 

Examples: Buslness-1elated computers, software, modems, printers, copiers, fax machines, rugs, telephones, desks, chairs, electronic devices 

~ No 

0 Yes. Describe ....... 

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

Current value of the 

portion you own? 

Do not deduct secured daims 

or exemptions. 

$. ________ _ 

$ ________ _ 

page 8 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 18 of 56
Debtor 1 Mark Anthony McDonald Case number (Kknown), _____________ _ 

First Name Last Name 

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

Iii No 

• Yes. Describe ...... . 

41. Inventory 

(;a No 

• Yes. Describe ..... . 

42. Interests In partnerships or joint ventures 

Iii No 

• Yes. Describe....... Name of entity: 

43. Customer lists, mailing lists, or other compilations 

(;a No 

$ ________ _ 

$ _______ _ 

% of ownership: 

___ % $ ________ _ 

___ % $ ________ _ 

___ % $ ________ _ 

• Yes. Do your lists Include personally Identifiable Information (as defined in 11 U.S.C. § 101(41A))? 

• No 

• Yes. Doscribe ....... . 

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

(;a No 

• Yes. Give specific 

information ........ . 

Describe Any Fann- and Commercial Fishing-Related Property You Own or Have an Interest In. 

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

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

GI No. Go to Part 7. 

• Yes. Go to line 47. 

47. Farm animals 

Examples: Livestod<, poultry, farm-raised fish 

Iii No 

• Yes ......................... . 

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

$ ________ _ 

$ _______ _ 

$ _______ _ 

$ ________ _ 

$ ________ _ 

$ ________ _ 

$. _______ _ 

Current value of the 

portion you own? 

Do not deduct secured claims 

or exemptions. 

$ _______ _ 

page 9 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 19 of 56
Debtor 1 Mark Anthony McDonald Gase number(Wknown,..._ ____________ _ 

Finl Name MiddleName 

48. Crops--4tlther growing or harvested 

liZI No 

• Yes. Give specific 

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

Last Name 

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

liZI No 

• Yes ........................ .. 

50. Farm and fishing supplies, chemicals, and feed 

liZI No 

• Yes ........................ .. 

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

liZI 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 .................................................................................................................................................... + 

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 llst? 

Examples: Season tickets, country dub membership 

liZI No 

• Yes.Give specific 

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

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

•if:¥ List the Totals of Each Part of this Form 

$ _______ _ 

$ _______ _ 

$ _______ _ 

$ _______ _ 

$ 0.00 --------

$ ______ _ 

$ ______ _ 

$ _____ _ 

$ 0.00 -------

230,000.00 55. Part 1: Total real estate, line 2 .............................................................................................................................................................. + $. ______ _ 

56.Part 2: Total vehicles, line 5 

57.Part 3: Total personal and household Items, llne 15 

58. Part 4: Total flnanclal 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 

$ ______ 4000.00 _ 

$ ______ 750.00 _ 

$ ______ 9055.00 _ 

$ 0.00 -------

$ 0.00 -------

+$ 0.00 ------

62. Total personal property. Add lines 56 through 61 ................... .. $ 13,so5.00 Copy personal property total + + $ 

------- 13,805.00 

63. Total of all property on Schedule A/B, Add line 55 + line 62 ......................................................................................... . $ ______ 243,805.00 _ 

Official Form 106A/B Schedule A/B: Property page 10 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 20 of 56
F11I 11 this 111form,1t1 111 to 1de11t1fy you, ~ase 

Debtor 1 Mark Anthony McDonald FlntNam, l\ljddleName Last Name 

Debtor2 

(Spouse, If filing) First Nam, Mi:ld1eNem• Last Name 

United States Bankruptcy Court for the:Southem District of Florida 

Case number 

(If known) 

Official Form 106C 

Schedule! C: The Property You Claim as Exempt 

0 Check if this is an 

amended filing 

04/19 

Be as complete and ac:curate as possible. If two married people are filing together, both are equally responsible for supplying correct information. 

Using the property yoll 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 clalm 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 appllcable 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. 

f §f I Identify the Property You Clalm 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 11st on Schedule A/8 that you claim as exempt, fill In the information below. 

Brief description of the property and line on Current value of the Amount of the exemption you claim 

Schedule A/B that lists this property portion you own 

Brief 

description: Home 

Line from 

Schedule AIB: 2 

Brief 

description: Car 

Line from L_ 

Schedule AIB: 

Brief 

description: 

Line from 

Personal & Household 

Schedule AIB: .15.._ 

Copy the value from 

Schedule AtB 

$230,00.00 

$4000.00 

$750.00 

3. Are you claiming a homestead exemption of more than $170,350? 

Check only one box for each exemption. 

• $ ___ _ 

liZI 100% of fair market value, up to 

any applicable statutory limit 

• $ ___ _ 

liZI 100% of fair market value, up to 

any applicable statutory limit 

liZI $ 750. 00 

• 100% of fair market value, up to 

any applicable statutory limit 

(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 Clalm as Exempt 

Specific laws that allow exemption 

11 U.S.C. § 522(b)(3) 

11 U.S.C. § 522(b)(3) 

11 U.S.C. § 522(b)(3) 

page 1 of_ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 21 of 56
Debtor 1 Mark Anthony McDonald Case number (Wlcnown)c_ ____________ _ 

First Name Middle Name Last Name 

•Iii Additional Page 

Brief description of the property and line 

on Schedule A/S that lists this property 

Brief 

description: Money & Retirement 

Line from 36 

Schedule AIB: 

Current value of the Amount of the exemption you claim 

portion you own 

Copy the value from 

Schedule AIB 

Check only one box for each exemption 

$ 9055.oo GI s ----- 9055.00 

• 100% of fair market value, up to 

any applicable statutory limit 

Brief 

description: --------- $. ______ _ • s ___ _ • 100% of fair market value, up to 

any applicable statutory limit Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule AIB: 

Brief 

description: 

Line from 

Schedule A/B: 

Brief 

description: 

Line from 

Schedule A/B: 

Brief 

description: 

Line from 

Schedule A/B: 

Official Form 106C 

$ _____ _ 

$ ______ _ 

$ _____ _ 

$ _____ _ 

$ ______ _ 

$ _____ _ 

$ _____ _ 

$ ______ _ 

$. _____ _ 

$. ______ _ 

• $ ___ _ 

• 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ 

• 100% of fair market value, up to 

any applicable statutory limit 

• s ___ _ • 100% of fair market value, up to 

any applicable statutory limit 

Schedule C: The Property You Claim as Exempt 

Specific laws that allow exemption 

11 U.S.C. § 522(b)(3) 

page£_of_ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 22 of 56
Fill 111 this 1nformat10 1 to 1dent1fy your c 1se 

Debtor 1 Mark Anthony McDonald FinllName MkicieName Last Name 

Debtor2 

(Spouse, K filing) First Nome Midcle Name Last Name 

United States BankruptC)I Court for the: Southern District of Florida 

Case number 

"'"""""") D 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 

lnfonnatlon. If more 11pace Is needed, copy the Addltlonal 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? 

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

61 Yes. Fill in all of the information below. 

•¥81 List All Secured Claims 

Column A 

2. List all secured clalms. If a creditor has more than one secured claim, list the creditor separately Amount of claim 

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. Do not deduct the 

value of collateral. 

ColumnB 

Value of collateral 

that supports this 

claim 

Column C 

Unsecured 

portion 

If any 

W PHH Mortgage Service Describe the property that secures the claim: $ 427,591.00 s 230,000.00 $197,591.00 

Creditor's Name Property located at 11300 SW 179th St, Miami 

------------ FL33157 Number Street 

P.O. Box 5452 

Mt. Laurel NJ 08054 

City State ZIP Code 

Who owes the debt? Check one. 

!al Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of the debtors and another 

D Check If this claim relates to a 

community debt 

Date debt was incurred 09/28/2006 

Ll1l Leoni Roberts 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

• Unliquidated 

• Disputed 

Nature of lien. Check all that apply. 

!al An agreement you made (such as mortgage or secured 

car loan) 

• Statutory lien (such as tax lien, mechanic's lien) 

• Judgment lien from a lawsuit 

• Other (including a right to offset) _______ _ 

Last 4 digits of account number 2 _!_ ~ 2 

Describe the property that secures the claim: $ 

Creditor's Name S S 

8441 SW 1441h St Property located at 11300 W 179th t, Miami 

,--,-------,--------- FL 33157 Number Street 

Miami FL 33158 

City State ZIP Code 

Who owes the debt? Check one. 

!al Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtc,r 2 only 

• At least one of the debtors and another 

• Check If this clal111 relates to a 

community debt 

Date debt was Incurred 09/28/2006 

As of the date you file, the claim Is: Check all that apply. 

0 Contingent 

• Unliquidated 

• Disputed 

Nature of Hen. Check all that apply. 

D An agreement you made (such as mortgage or secured 

car loan) 

• Statutory lien (such as tax lien, mechanic's lien) 

• Judgment lien from a lawsuit 

!al Other (including a right to offset) 2nd Mortgage 

Last 4 digits of account number _ __ _ 

Add the dollar value of your entries In Column A on this page. Write that number here: 

Official Form 1060 Schedule D: Creditors Who Have Claims Secured by Property 

37,000.00 $ ______ $ ___ _ 

464.591.001 

page 1 of_ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 23 of 56
Debtor 1 Mark Anthony McDonald Case number (I known), ______________ _ 

First Name Middle Name last Name 

Addltlonal Page Column A 

Amount of claim ' 

Do not deduct the 

value of collateral . 

Columns Co/umnC 

Unsecured 

After portion listing .any entries on this page, number them beginning with 2.3, followed 

by 2.4, and 10 forth. .._ ___________________________ _ Creditor's Name 

Number Street 

City State ZIP Code 

Who owes the debt? 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 claim relates to a 

community debt 

Date debt was incurred 

• CredttOf's Name 

Number Street 

City State ZIP Code 

Who owes the debt? Check one. 

• Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of the d,IDtors and another 

• Check if this claim relates to a 

community debt 

Date debt was Incurred 

• CredltOf's Name 

Number Street 

City State ZIP Code 

Who owes the debt? Gheck one. 

• Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debto• 2 only 

• At least one of the debtors and another 

• Check if this claim relates to a 

community debt 

Date debt was Incurred ____ _ 

Describe the property that secures the clalm: $ 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Nature of llen. Check all that apply. 

• An agreement you made (such as mortgage or secured 

car loan) 

• Statutory lien (such as tax lien, mechanic's lien) 

• Judgment lien from a lawsuit 

• Other (including a right to offset) 

Last 4 digits of account number _ ___ 

Describe the property that secures the claim: $ 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Nature of llen. Check all that apply. 

• An agreement you made (such as mortgage or secured 

car loan) 

• Statutory lien (such as tax lien, mechanic's lien) 

• Judgment lien from a lawsuit 

• Other (including a right to offset) 

Last 4 digits of account number _ ___ 

Describe the property that secures the clalm: $ 

As of the date you file, the claim ls: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Nature of lien. Check all that apply. 

• An agreement you made (such as mortgage or secured 

car loan) 

• Statutory lien (such as tax lien, mechanic's lien) 

• Judgment lien from a lawsuit 

• Other (including a right to offset) _______ _ 

Last 4 digits of account number _ __ _ 

Add the dollar value of your entries in Column A on this page. Write that number here: is 

If this Is the last page of your form, add the dollar value totals from all pages. r==4=64==,5=9=1=.0=0=i,· 

Write that number here: 1.:.$-======:=1: 

Official Form 1060 Additional Page of Schedule D: Creditors Who Have Claims Secured by Property 

Value of collateral 

that supports this 

clalm 

$ 

$ 

$ 

If any 

$ 

$ 

$ 

page_of_ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 24 of 56
, Fill 1n this 1nfor1nJt10•1 to 1clent1fy your c ,,se 

Debtor 1 Mark Anthony McDonald 

Middle Name 

Debtor2 

(Spouse, if fling) First Nome MiddleName 

United States Bankruptcy Court for the: Southern District of Florida 

Case number 

(If known) 

Official Form 106E/F 

LaslName 

L.aatName 

Schedule El/F: Creditors Who Have Unsecured Claims 

• Check if this is an 

amended filing 

12/15 

Be as complete and a1:curate as possible. Use Part 1 for creditors with PRIORITY claims and Part 2 for creditors with NONPRIORITY claims. 

List the other party to any executory contracts or unexpired leases that could result In a claim. Also 11st executory contracts on Schedule 

A/8: Property (Official Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not Include any 

creditors with partiallir secured claims that are listed in Schedule D: Creditors Who Have Claims Secured by Property. If more space Is 

needed, copy the Part you need, fill It out, number the entries In the boxes on the left. Attach the Continuation Page to this page. On the top of 

any additional pages, write your name and case number (if known). 

f §f I Ust All ot· Your PRIORITY Unsecured Claims 

1. Do any creditors have priority unsecured claims against you? 

ia No. Go to Part 2. 

• Yes. 

2. List aU of your priority unsecured cl1lms. If a creditor has more than one priority unsecured claim, list the cr~itor separately for each claim. For 

each claim listed, identify what type of claim it is. If a claim has both priority and nonprlorlty amounts, list that claim here and show both priority and 

nonpriority amounts. As much as possible, 11st the claims In alphabetical order according to the creditor's name. If you have more than two priority 

unsecured claims, fill out the ContlnuaUon Page of Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3. 

(For an explanation of each type of claim, see the Instructions for this form in the Instruction booklet.) 

E] _______ _ Priority Creditor's Name 

Number Street 

City Stale 

Who Incurred the debt? Check one. 

0 Debtor 1 only 

0 Debtor 2 only 

0 Debtor 1 and Debtor 2 only 

ZIP Code 

D At least one of the debtors and another 

D Check If this claim Is for a community debt 

Is the claim subject to offset? 

0 No 

D Yes .--,-::::::....;~-- ----~--------

~ ------------------

Prio rily Creditor's Namo 

Number Street 

City State 

Who Incurred the debt? Check one. 

0 Debtor 1 only 

0 Debtor 2 only 

0 Debtor 1 and Dobtor 2 only 

ZJP Code 

0 Al least one of trie debtors and another 

D Check If this claim Is for a community debt 

Is the claim subject to offset? 

D No 

D Yes 

Priority 

amount 

Last 4 digits of account number _ _ _ _ $ _____ $. ____ $ ___ _ 

When was the debt incurred? 

As of the date you file, the clalm Is: Check all that apply, 

0 Contingent 

0 Unliquidated 

0 Disputed 

Type of PRIORITY unsecured claim: 

D Domestic support obligations 

0 Taxes and certain other debts you c:,we the government 

• Claims for death or personal injury while you were 

intoxicated 

0 Other. Specify ___________ _ 

Last 4 digits of account number _ _ _ _ $ _____ $ ____ $ ___ _ 

When was the debt Incurred? 

As of the date you file, the clalm Is: Check all that apply. 

D Contingent 

D Unliquidated 

• Disputed 

Type of PRIORITY unsecured claim: 

0 Domestic support obligations 

0 Taxes and certain other debts you owe the government 

0 Claims for death or personal injury while you were 

intoxicated 

D Other. Specify ___________ _ 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of J!.... 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 25 of 56
Debtor 1 Mark Anthony McDonald case number (If_,,_ _____________ _ 

FimName Last Name 

ff •H Your PRIORITY Unsecured Claims - Continuation Page 

After listing any entries on this page, nurnber them beginning with 2.3, followed by 2.4, and so forth. 

• 

D 

• 

Priolity Creditor's Name 

Number Street 

City State ZFCode 

Who Incurred the ,:lebt? 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 claim Is for a community debt 

Is the claim subject to offset? 

• No 

• Yes 

Priolity Credttor's Name 

Number Street 

City State 

Who Incurred the debt? Check one. 

D Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

ZIP Code 

D At least one of the debtors and another 

• Check If this claim is for a community debt 

Is the claim subject to offset? 

• No 

D Yes 

Priority Credilor's Namo 

Number Street 

City State ZIP Code 

Who Incurred the debt? 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 c:lalm Is for a community debt 

Is the claim subjttct to offset? 

• No 

D Yes 

Last 4 digits of account number ___ _ 

When was the debt incurred? 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of PRIORITY unsecured claim: 

D Domestic support obligations 

D Taxes and certain other debts you awe the government 

D Claims for death or personal injury while you were 

intoxicated 

• Other. Specify ___________ _ 

Last 4 digits of account number ___ _ 

When was the debt Incurred? 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

• Unliquklated 

D Disputed 

Type of PRIORITY unsecured claim: 

• Domestic support obligations 

D Taxes and certain other debts you awe the government 

• Claims for death or personal injury while you were 

intoxicated • Other. Specify ___________ _ 

Last 4 digits of account number ___ _ 

When was the debt Incurred? 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of PRIORITY unsecured claim: 

• Domestic support obligations 

• Taxes and certain other debts you awe the government 

• Claims for death or personal injury while you were 

intoxicated • Other. Specify ___________ _ 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 

T Priority 

amount 

$. _____ $, ___ _ 

$. _____ $. ___ _ 

$. _____ $. ___ _ 

$. ____ _ 

$ ____ _ 

$. ____ _ 

page_lofJL 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 26 of 56
Debtor 1 Mark Anthony McDonald Case number (lfknolm,_ ____________ _ 

FKSIName Last Name 

f if j Ust All of Your NON PRIORITY Unsecured Clalms 

3. Do any creditors h,1ve nonpriority unsecured claims against you? 

D No. You have netthing to report in this part. Submit this form to the court with your other schedules. 

iii Yes 

4. List all of your nonpriority unsecu3clalms In the alphabetical order of the creditor who holds each clal~. If a creditor has more than one 

nonprlority unsecured clalm, list the itor separately for each claim. For each claim listed, Identify what type of ~aim It Is. Do not list claims already 

included in Part 1. If more than one ltor holds a particular claim, list the other creditors in Part 3.lf you have more than three nonpriority unsecured 

claims fill out the Continuation Page of Part 2. 

~ Capital One 

Nonpriorily Creditor's Name 

P.O. Box 8501!5 Number Street 

Richmond 

City 

Who incurred the debt? Check one. 

ii:I Debtor 1 only 

D Debtor 2 only 

D Debtor 1 and Debtor 2 only 

D At least one of the debtors and another 

VA 

State 

D Check If this clalm Is for a community debt 

Is the claim subjec:t to offset? 

IB" No 

0 Yes 

Nonpriorily Creditor's Name 

P.O. Box 85015 Number Street 

Richmond 

City 

Who incurred the debt? Check one. 

ii:I Debtor 1 only 

D Debtor 2 only 

D Debtor 1 and Debtor 2 only 

D At least one of the debtors and another 

VA 

State 

D Check If this claim is for a community debt 

Is the claim subject to offset? 

f!r"No 

D Yes 

EJ CreditOne 

Nonpriorily Creditor's Name 

6801 S. Cimarron Road Number Street 

Las Vegas 

City 

Who Incurred the debt? Check one. 

liiil' Debtor 1 only 

D Debtor 2 only 

• Debtor 1 and Debtor 2 only 

D Al least one of th-a debtors and another 

NV 

State 

• Check If this claim Is for a community debt 

Is the clalm subJec.1 to offset? 

ct'No 

D Yes 

23285 

ZIP Code 

23285 

ZIPCode 

89113 

ZIP Code 

Last 4 digits of account number_!_ _i_ _§_ -1.._ 

When was the debt incurred? 12/14/2014 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

D Unliquidated 

D Disputed 

Type of NONPRIORITY unsecured claim: 

D Student loans 

• Obligations arising out of a separation agreement or divorce 

that you did not report as priority claims 

D Debts to pension or profit-sharing plans, and other similar debts 

!iii' Other. Specify_C_r_e_d_it_ca_rd ________ _ 

Totalclalm 

$ ______ 612.91 _ 

Last 4 digits of accou~t number 8 ~- 3-·- 5- ~6-------,$ -~~~ ~--85§:23-

When was the debt Incurred? 12/23/2014 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

0 Unliquidaled 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

D Obligations arising out of a separation agreement or divorce 

that you did not report as priority claims 

D Debts to pension or profit-sharing plans, and other similar debts 

ii' Other. Specify_C_r_ed_i_t _ca_rd ________ _ 

Last 4 digits of account number _§_ _2. ~ _J_ 

When was the debt Incurred? 05/20/2015 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

D Unliquidated 

D Disputed 

Type of NONPRIORITY unsecured claim: 

D Student loans 

• Obligations arising out of a separation agreement or di110rce 

that you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

lil Other. Specify _C=rc..ae""d=it_;:C:;.:a=r=d _______ _ 

$ _____ 828.00 _ 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page_1ot.!!._ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 27 of 56
Debtor 1 Mark Anthony McDonald case number (11_,,, _____________ _ 

Fif&IName Mickle Name Last Name 

~RIORITY Unsecured Claims - Continuation Page 

After listing any entrlet1 on this page, nui,,ber them beginning with 4.A, followed by 4.5, and so forth. 

B Fingerhut/Webbank 

Nonpriority Creditor's Nar1e 

6250 Ridgewood Road 

Number Street 

Saint Cloud 

City 

Who incurred the clebt? Check one. 

lil Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Del:itor 2 only 

• At least one of tho debtors and another 

MN 

State 

• Check If this claim is for a community debt 

Is the claim subject to offset? 

~No 

• Yes 

56303 

ZIP Code 

Last 4 digits of account number __Q__ l_ .!_ .!_ 

When was the debt Incurred? 4/8/2015 

As of the date you file, the claim is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

IS Other. specify Online store/ Credit card 

0··•---------------·------···•--- ·---------.---•------·· ··--- .---····--··-··-·----- . -·--- -··-----·-- -----------·~----···--·----· 

Indigo Bank - Celtic Bank Last 4 digits of account number ..!_ ~ J_ ~ 

Nonpriorily Creditor's Name 

P.O. Box 4499 

Number Street 

Beaverton 

City 

Who incurred the debt? Check one. 

iil Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of ttie debtors and another 

OR 

State 

• Check if this claim is for a community debt 

Is the claim subject to offset? 

r!/No 

• Yes 

97076 

ZIP Code 

When was the debt Incurred? 01/15/2019 

As of the date you file, the claim is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

ii Other. Specify.--'-C-'-re;;...;d:...it_C;;...a;;.;.;r.::d'-------

Totalclalm 

$ 1935.00 

s 415.00 

~---·--•·---------·---·-·-·-····-·------·---··•--·-----·-·---------·--·-·-·•---·---·,~·-·····--------····•---<a•"-----------------·-·--·-·---· ·-· ·-----··"-··---~--fa32~00 

Merrick Bank Last 4 digits of account number 2... ..I_ 2._ _§_ 

Nonpriorily Creditor's Name 

P.O. Box 9201 

Number Street 

Old Bethpage 

City 

Who incurred the debt? Check one. 

Ml' Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Dobtor 2 only 

• At least one of the debtors and another 

NY 

State 

• Check If this c:lalm Is for a community debt 

Is the claim subjflCt to offset? 

~No 

• Yes 

11804 

ZIPCode 

When was the debt Incurred? 1 0/ 16/2018 

As of the date you file, the claim is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

iii Other. Specity_C----'re'--d_it_C.;;_a.;;.r...cd=--------

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page±_of~ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 28 of 56
Debtor 1 Mark Anthony McDonald Case number ("/mown), _____________ _ 

Fm Name Middle Name Last.Name 

~NPRIORITY Unsecured Claims - Continuation Page 

After listing any entiies on this page, number them beginning with 4.4, followed by 4.5, and so forth. 

§] Comcast Cable/ Xfinity 

~ 

• 

Nonpriority Credttor's 'lame 

141 NW 16th St 

Number Street 

Pompano Beach 

City 

Who Incurred the debt? Check one. 

IJ Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Clebtor 2 only 

• At least one of the debtors and another 

FL 

State 

• Check if this claim Is for a community debt 

Is the claim subject to offset? 

lJ'No 

• Yes 

AT&T/ Uverse 

Nonpriority Creditor's Name 

P.O. Box 5014 Number Slrllf>t 

Carol Stream 

City 

Who incurred the debt? Check one. 

liJ Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of the debtors and another 

IL 

Stale 

• Check if this claim Is for a community debt 

I~ "9 claim subject to offset? 

I!( No 

• Yes 

Progressive Leasing 

Nonpriority Creditor's Name 

256 Data Dr. 

Number Slr8111 

Draper 

City 

Who Incurred the debt? Check one. 

liJ Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one ol' the debtors and anoUUT 

Slate 

• Check If this claim Is for a community debt 

Is the claim subject to offset? 

Iii No 

• Yes 

33060 

ZIP Code 

60197 

ZIPCode 

84020 

ZIPCode 

Last 4 digits of account number ~ i!_ _1 __ 1_ 

When was the debt incurred? 07/23/2019 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

lai Other. specify_C_o_lle_cti_._o_n ______ _ 

Last 4 digits of account number ~ ~ J_ ~ 

When was the debt Incurred? 09/02/2016 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

Iii Other. Specity_C_ol_lecti_'_o_n ______ _ 

Last 4 digits of account number JL ~ _1_ ~ 

When was the debt Incurred? 07/11/2018 

As of the date you file, the claim Is: Check all that apply. 

• Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

• Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

• Other. Specify Store Credit/ Collection 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 

Total claim 

$ 862.07 

$ 345.73 

$. ____ 532.80 _ 

page~of~ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 29 of 56
Debtor 1 Mark Anthony McDonald Case number (if,._,,l'--------------- First Name LastNam• 

~RIORITY Unsecured Clalms - Continuation Page 

After Hating any entries on this page, nu~ber them beginning with 4.4, followed by 4.5, and so forth. 

D Chase Bank 

Nonpriorily Cnldltor's Name 

' 

340 S. Cleveland Ave. Building 370 

Number Street 

Westerville 

City 

Who incurred the debt? Check one. 

~ Debtor 1 only 

• Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of the debtors and another 

OH 

Stata 

• Check If this claim Is for a community debt 

Is the claim subject to offset? 

BNo 

• Yes 

43081 

ZIPCode 

Last 4 digits of account number ~ ..£_ ..£_ _1_ 

When was the debt Incurred? 06/25/2019 

As of the date you file, the claim is: Check all that apply. 

D Contingent 

• Unliquidated 

D Disputed 

Type of NONPRIORITY unsecured claim: 

D Student loans 

• Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

• Debts to pension or profit-sharing plans, and other similar debts 

if Other. specify_C_ol_le_ct_i_o_n ______ _ 

$. __ 994_.9_3 

IT."·-----·-------•-•··-·--·---~-·-·····--·-----· ·--- - -------------------•·---•··-·-·-----·-·-·-·------·-------·--~-~---•··-·-•-· 

Florida City Gas Last 4 digits of account number _!__ .1__ __Q__ .]_ s 194.86 

• 

Nonpriorily Cnldltofs Name 

P.O. Box 4569 

Number Street 

Atlanta 

City 

Who incurred the debt? Check one. 

iii' Debtor 1 only 

D Debtor 2 only 

• Debtor 1 and Debtor 2 only 

D Af least one of the debtors and another 

GA 

Stata 

• Check If this claim is for a community debt 

Is the claim subj&et to offset? 

ii No 

0 Yes 

Nonpriorily Creditor's Name 

Number Street 

City 

Who Incurred the debt? Check one. 

• Debtor 1 only 

D Debtor 2 only 

• Debtor 1 and Debtor 2 only 

• At least one of the debtors end another 

State 

D Check If this c:lalm Is for a community debt 

la the claim subje,ct to offset? 

• No 

• Yes 

30302 

ZIPCode 

ZIPCode 

When was the debt Incurred? 10/31/2019 

As of the date you file, the claim Is: Check all that apply. 

D Contingent 

D Unliquidated 

Q Disputed 

Type of NONPRIORITY unsecured claim: 

D Student loans 

D Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

D Debts to pension or profit-sharing plans, and other similar debts 

ii Other. Specify_U-'--t_il~ity.__ ______ _ 

Last 4 digits of account number ___ _ 

When was the debt Incurred? 

As of the date you file, the claim is: Check all that apply. 

D Contingent 

• Unliquidated 

• Disputed 

Type of NONPRIORITY unsecured claim: 

D Student loans 

D Obligations arising out of a separation agreement or divorce that 

you did not report as priority claims 

D Debts to pension or profit-sharing plans, and other similar debts 

• Other. Specify ___________ _ 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 

$ ___ _ 

page.§..ot!_ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 30 of 56
Debtor 1 Mark Anthony McDonald case number<""'-"'L-------------- FntNane MlddeName Last Name iii ll.lst Othen to Be Notified About a Debt That You Already Usted 

5. Use this page only 11' you have others to be notified about your bankruptcy, for a debt that you already listed in Parts 1 or 2. For 

example, If a collection agency is trying to collect from you for a debt you owe to someone else, list the original creditor In Parts 1 or 

2, then list the collection agency here. Similarly, If you have more than one creditor for any of the debts that you listed In Parts 1 or 2, list the 

additional creditors here. If you do not have additional persons to be notified for any debts In Parts 1 or 2, do not fill out or submit this page. 

Credit Management LP 

Name 

6080 Tennyson Parkway 

Number Street 

Suite 100 

Plano TX 

City State 

ERC 

Name 

P.O. Box 23870 

Number Street 

Jacksonville FL 

City State 

75024 

ZIP Code 

32241 ZIP Code 

On which entry In Part 1 or Part 2 did you 11st the original creditor? 

Line 4.7 of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

l!f Part 2: Creditors with Nonpriority Unsecured Claims 

Last 4 digits of account number~ ~ _1 __ 1_ 

On which entry In Part 1 or Part 2 did you 11st the original creditor? 

Line ~ of ( Check one): • Part 1: Creditors with Priority Unsecured Claims 

iii' Part 2: Creditors with Nonpriority Unsecured 

Claims 

Last 4 digits of account number~ _! _!_ _! 

•--·-· cc-•••---•·-----------•·-·-- --.---~-------------••-------- -----•- V -• 

Name 

Number Street 

City 

Name 

Number Street 

City State 

Nama 

Number Street 

Name 

Number Street 

City ....... -~ ........................ .. State 

Name 

Number Street 

City State 

Official Form 106E/F 

ZIP Code 

ZIPCode 

ZIPCode 

ZIP Code 

On which entry In Part 1 or Part 2 did you list the original creditor? 

Line 

Claims 

of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

• Part 2: Creditors with Nonpriority Unsecured 

Last 4 digits of account number _ __ _ 

On which entry In Part 1 or Part 2 did you list the original creditor? 

Line 

Claims 

of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

• Part 2: Creditors with Nonpriority Unsecured 

Last 4 digits of account number _ __ _ 

On which entry In Part 1 or Part 2 did you list the original creditor? 

Line 

Claims 

of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

• Part 2: Creditors with Nonpriority Unsecured 

Last 4 digits of account number _ __ _ 

On which entry in Part 1 or Part 2 did you list the original creditor? 

Line 

Claims 

of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

• Part 2: Creditors with Nonpriority Unsecured 

Last 4 digits of account number _ __ _ 

On which entry in Part 1 or Part 2 did you list the original creditor? 

Line 

Claims 

of (Check one): • Part 1: Creditors with Priority Unsecured Claims 

• Part 2: Creditors with Nonpriority Unsecured 

Last 4 digits of account number _ __ _ 

Schedule E/F: Creditors Who Have Unsecured Claims page?_of!._ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 31 of 56
Debtor 1 Mark Anthony McDonald Case number (lflulOWII~------------ Fm Name last Name 

• Add the Amounts for Each Type of Unsecured Claim 

6. Total the amounts of certain types of unsecured claims. This Information is for statistical reporting purposes only. 28 U.S.C. § 159. 

Add the amounts for each type of unsecured claim. 

Total clalm 

Total claims 

6a. Domestic support obllgatlons 6a. $ 0.00 

from Part 1 6b. Taxits and certain other debts you owe the 

gov,trnment 6b. $ 0.00 

6c. Clal,ms for death or personal Injury while you were 

intoKicated 6c. $ 0.00 

6d. Other. Add all other priority unsecured claims. 

Write that amount here. 6d. +s 0.00 

6e. Total. Add lines 6a through 6d. 6e. 0.00 $ 

Totalclalm 

Total claims 6f. Student loans 6f. 

$ 0.00 

from Part2 69. Obligations arising out of a separation agreement 

or divorce that you did not report as priority 0.00 claims 6g. $ 

6h. Debts to pension or profit-sharing plans, and other 

similar debts 6h. 0.00 $ 

6i. Other. Add all other nonpriority unsecured claims. 

Wri1e that amount here. 6i. +s 8812.53 

6j. Total. Add lines 6f through 6i. 6j. 8812.53 $ 

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page!of~ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 32 of 56
F,11111 ti11s 111forr11at1:rn to 1de11t1fy your CclSe 

Debtor Mark Anthony McDonald 

First Name Middle Name 

Debtor2 

(Spouse If filing) Fn1 Name Mkkle Name 

United States Bankruptcy Court for the: Southern District of Florida 

Case number 

(If known) 

Official Form 106G 

Last Name 

LaatName 

Schedule G: Executory Contracts and Unexpired Leases 

0 Check if this is an 

amended filing 

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 page. On the top of any 

additional pages, write your name and case number (if known). 

1. Do you have any executory contracts or unexpired leases? 

Iii No. Check this box and file this fonn with the court with your other schedules. You have nothing else to report on this fonn. 

D Yes. Fill in all of the infonnation below even if the contracts or leases are listed on Schedule A/8: Property (Official Fonn 106A/B). 

2. List separately each person or company with whom you have the contract or lease. Then state what each contract or lease Is for (for 

example, rent, vehicle lease, cell phone). See the instructions for this fonn in the instruction booklet for more examples of executory contracts and 

unexpired leases 

Person or company with whom you have the contract or lease State what the contract or lease Is for 

2.1 

Name 

Number StreE,t 

City State ZIP Code 

2.2 

Name 

Number Streat 

City State ZIP Code 

2.3 

Name 

Number Strettt 

City State ZIP Code 

2.4 

Name 

Number Strettt 

City State ZIP Code 

2.5 

Name 

Number Streot 

City State ZIP Code 

Official Fann 106G Schedule G: Executory Contracts and Unexpired Leases page 1 of_1 _ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 33 of 56
Fill 111 tl11s 111for111<1t1 )11 to 1dent1fy your :ase 

Debtor 1 Mark Anthony McDonald First Name Middle Name 

Debtor2 

(Spouse, ~ filing) Fim Name Mfdclle Name 

United States Bankruptc:y Court for the: Southern District of Florida 

Case number 

Last Name 

Last Name 

(If known) D Check if this is an 

amended filing 

Official Form 106H 

Schedule H: Your Codebtors 12/15 

Codebtors are people or entitles who are also liable for any debts you may have. 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, 

and number the entries In the boxes on the left. Attach the Addltlonal Page to this page. On the top of any Addltlonal Pages, write your name and 

case number (If known). Answer every question. 

1. Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor.) 

~ No 

• Yes 

2. Within the last 8 years, have you lived In a community property state or territory? (Community property states and territories include 

Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.) 

~ No. Go to line 3. 

• Yes. Did your spouse, former spouse, or legal equivalent live with you at the time? 

• No 

• Yes. In which community state or territory did you live? ________ . Fill in the name and current address of that person. 

Name of yc,ur spouse, former spouse, or legal equivalent 

Number Street 

City State ZIP Code 

3. In Column 1, list all of your codebtors. Do not Include your spouse as a codebtor if your spouse is filing with you. List the person 

shown In line 2 again as a codebtor only if that person la a guarantor or cosigner. Make sure you have listed the creditor on 

Schedule D (Official Form 106D), Schedule E/F(Offlcial Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D, 

Schedule EIF, or Schedule G to fill out Column 2. 

Column 1: Your codebtor Column 2: The creditor to whom you owe the debt 

Check all schedules that apply: 

~ • Schedule D, line ___ Name 

• Schedule E/F, line ___ 

Number S'Jeel • Schedule G, line ___ 

City State ZIP Code 

~ • Schedule D, line ___ Name 

• Schedule E/F, line ___ 

Number Street • Schedule G, line ___ 

City Stale ZIP Code 

§] • Schedule D, line ___ Name 

• Schedule E/F, line ___ 

Number Street • Schedule G, line ___ 

City Stale ZIP Code 

Official Form 106H Schedule H: Your Codebtors page 1 ot_1 _ 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 34 of 56
Fill 111 tl11s 1nfo1mat1on to 1dent1fy you, :ase 

Debtor 1 Mark Anthony McDonald First Name Mkldle Name Last Name 

Debtor 2 

(Spouse, If filing) Fnt Name Middle Name Last Name 

United States Bankrupti:y Court for the: Southern District of Florida 

Case number 

(Hknown) 

Check if this is: 

D An amended filing 

D A supplement showing postpetition chapter 13 

income as of the following date: 

Official Form 1061 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 ln1'ormation. If you ant 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. 

•§•I Describe Employment 

1. Fill in your employment 

information. 

If you have more than one job, 

attach a separate page with 

information about additional 

employers. 

Include part-time, seasonal, or 

self-employed work. 

Employment status 

Occupation Occupation may include student 

or homemaker, if t applies. 

Employer's name 

Employer's address 

Debtor 1 

121 Employed 

0 Not employed 

Inspector 

Florida Department of Agriculture 

13603 Old Cutler Road 

Number Street 

Coral Gables FL 33158 

City State ZIP Code 

How long employed there? 6 years 

•§f M Give Details About Monthly Income 

Debtor 2 or non.filing spouse 

0 Employed 

0 Not employed 

Number Street 

City State ZIP Code 

6 years 

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. lndude 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. 

2. List monthly gross wages, salary, and commissions {before all payroll 

deductions). If not paid monthly, calculate what the monthly wage would be. 

3. Estimate and 11:st monthly overtime pay. 

4. Calculate gross income. Add line 2 + line 3. 

2. 

3. 

4. 

Official Form 1061 Schedule I: Your Income 

For Debtor 1 For Debtor 2 or 

~·-----f~•~--- ---- !'on-filing spoyse 

$ 1659.00 $ 

+s 0 + $ 

$ 1659.00 I $ 

page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 35 of 56
Debtor 1 Mark Anthony McDonald Case number w1mown,_ ____________ _ 

FinltName Middle Name Last Name 

Copyllne4here ............................................................................................... + 4. 

5. List all payroll deductions: 

Sa. Tax, Medicare, and Social Security deductions 

Sb. Mandatory c,:,ntributions for retirement plans 

Sc. Voluntary contributions for retirement plans 

Sd. Required res;,ayments of retirement fund loans 

Se. Insurance 

Sf. Domestic support obligations 

5g. Union dues 

Sh. Other deductions. Specify: Medical Reimbursment 

6. Add the payroll deductions. Add lines Sa + Sb + Sc + Sd + Se +Sf+ Sg + Sh. 

7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 

8. List all other Income regularly received: 

Sa. 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. 

8b. Interest and dividends 

Sa. 

Sb. 

Sc. 

Sd. 

Se. 

Sf. 

Sg. 

Sh. 

6. 

7. 

Sa. 

8b. 

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. 

8d. Unemployment compensation 8d. 

Be. Social Security Be. 

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. 

For Debtor1 

$ 1659.00 

$ 

$ 107.1 

$ 

$ 

$ 112.98 

$ 

$ 

+s 33.33 

$ 253.41 

$ 1405.59 

$ 0 

$ 0 

$ 0 

$ 0 

$ 0 

Specify:_____________________ Bf. $ ____ _ 0 

8g. Pension or retirement Income 8g. $ ___ _ 0 

ah. Other monthly Income. Specify: Kingdom Covenant Ministries 8h. +$ 100 

9. Add all other income. Add lines 8a + Sb + 8c + 8d + 8e + Bf +8g + 8h. 9.,$. __ 1001 

1 o. Calculate monthly Income. Add line 7 + line 9. 

Add the entries in line 1 0 for Debtor 1 and Debtor 2 or non-filing spouse. 

1505.59!+ 

1 

10., $ ___ _ 

11. State all other regular contributions to the expenses that you list in Schedule J. 

For Debtor 2 or 

non:1!~.2.ous• . 

$ ____ _ 

$ ____ _ 

$ ____ _ 

$ ____ _ 

$ _____ _ 

$ ____ _ 

$ ____ _ 

$ ____ _ 

+$ ____ _ 

$ ____ _ 

$ ____ _ 

$ 

$ 

$ 

$ 

$ 

$ 

$ 

+s 

$ 

$ 

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. 

I 

I= Is 

Specify:_______________________________ 11. + $ ____ 0_.0_0_ 

12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income. 

Write that amount on the Summary of Your Assets and Liabilities and Certain Statistical Information, if it applies 

13.Do you expect 11n Increase or decrease within the year after you file this form? 

0 No. 

!;a Yes. Explain: am see mg o er emp oymen wi 

Official Form 1061 Schedule I: Your Income 

12. 1505.59 

Combined 

monthly income 

page 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 36 of 56
Fill 111 1111~ 1nfo11nzit10, to 1clerit1fy yolll c.:ise 

Debtor 1 Fl!o!Name MiddleName LastName 

Mark Anthony McDonald 

Check if this is: 

Debtor 2 

(Spouse, if fling) Flrsl Name Middle Name LastNeme • An amended filing 

United States Bankruptcy Court for the: Southern District of Florida 

0 A supplement showing postpetition chapter 13 

expenses as of the following date: 

Case number 

(If known) 

Official Form 106J 

Schedule J: Your Expenses 

MM/ DD/ YYYY 

12/15 

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

Information. H more space Is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number 

(If known). Answer every question. 

•§f 41 Describe Your Household 

1. Is this a Joint case? 

S No. Go to line 2. 

• Yes. Does Debtor 2 live in a separate household? 

• No 

• Yes. Debtor 2 must file Official Form 106J-2, Expenses for Seperate Household of Debtor 2. 

2. Do you have dependents? 

Do not list Debtor 1 and 

Debtor 2. 

Do not state the dependents' 

names. 

3. Do your expenses Include 

expenses of people other than 

yourseH and your dependents? 

Iii No 

• Yes. Fill out this information for 

Dependent's relationship to 

Debtor 1 or Debtor 2 

each dependent... ....................... -----------

if No 

• Yes 

1 §f I Estimate Your Ongoing Monthly Expenses 

Dependent'• 

age 

Don dependent live 

with you? 

• No 

• Yes 

• No 

D Yes 

• No 

D Yes 

• No 

0 Yes 

• No 

D Yes 

Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report 

expenses as of a date after the bankruptcy Is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the 

applicable date. 

Include expenses paid for with non-cash government assistance If you know the value of 

such assistance and have Included It on Schedule I: Your Income (Official Form 106!.) 

4. The rental or home ownership expenses for your residence. Include first mortgage payments and 

any rent for the ground or lot 

If not Included in line 4: 

4a. Real estate truces 

4b. Property, homeowners, or renter's insurance 

4c. Home maintenance, repair, and upkeep expenses 

4d. Homeowner's association or condominium dues 

Official Form 106J Schedule J: Your Expenses 

Your expenses 

$ 1331.00 

4. 

4a. $ 

4b. $ 

4c. $ 

4d. $ 

page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 37 of 56
Debtor 1 Mark Anthony McDonald case number (If,.,_,,), _____________ _ 

5. 

6. 

7. 

8. 

9. 

10. 

11. 

12. 

13. 

14. 

15. 

FntName MlddeName LastNmne 

Additional mortgage payments for your residence, such as home equity loans 

Utilities: 

Sa. Electricity, heat, natural gas 

Sb. Water, sewer, !Jarbage collection 

Sc. Telephone, cell phone, Internet, satellite, and cable services 

6d. Other. Specify: 

Food and housekeeping supplies 

Childcare and chi11:lren's education costs 

Clothing, laundry, and dry cleaning 

Personal care products and services 

Medical and dental expenses 

Transportation. Inc-Jude gas, maintenance, bus or train fare. 

Do not include car payments. 

Entertainment, clubs, recreation, newspapers, magazines, and books 

Charitable contributions and religious donations 

Insurance. 

Do not include insurance deducted from your pay or included in lines 4 or 20. 

15a. Life insurance 

15b. Health insurarce 

15c. Vehicle insurance 

15d. Other insurance. Specify: ________________ _ 

16. Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20. 

Specify: ______________________ _ 

17. Installment or lease payments: 

17a. Car payments for Vehicle 1 

17b. Car payments for Vehicle 2 

17c. other. Specify: ___________________ _ 

17d. Other. Spec~r:. ___________________ _ 

18. Your payments of alimony, maintenance, and support that you did not report as deducted from 

your pay on line 5, Schedule I, Your Income (Official Form 1061). 

19. Other payments you make to support others who do not live with you. 

Specify: _____________________ _ 

20. Other real property expenses not Included in lines 4 or 5 of this form or on Schedule I: Your Income. 

20a. Mortgages on other property 

20b. Real estate taxes 

20c. Property, homeowner's, or renter's insurance 

20d. Maintenance, repair, and upkeep expenses 

20e. Homeowner's association or condominium dues 

Official Form 106J Schedule J: Your Expenses 

YourexpenHs 

5. $ 

Sa. $ 180 

Sb. $ 40 

Sc. $ 115 

6d. $ 

7. $ 200 

8. $ 

9. $ 50 

10. $ 80 

11. $ 

$ 12. 

120 

13. $ 50 

14. $ 

15a. $ 

15b. $ 

15c. $ 182 

15d. $ 

16. $ 

17a. $ 359 

17b. $ 

17c. $ 

17d. $ 

18. $ 

19. $ 

20a. $ 

20b. $ 

20c. $ 

20d. $ 

20e. $ 

page2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 38 of 56
Debtor 1 Mark Anthony McDonald case number(lfkncwm,__ ___________ _ 

FntName MldclaName LastN.na 

21. Other. Specify: 

22. Calculate your monthly expenses. 

22a. Add lines 4 through 21. 

22b. Copy line 22 (monthly expenses for Debtor 2), if any, from Official Form 106J-2 

22c. Add line 22a and 22b. The result is your monthly expenses. 

23. Calculate your monthly net Income. 

23a. Copy line 12 (),our combined monthly income) from Schedule I. 

23b. Copy your monthly expenses from line 22c above. 

23c. Subtract your monthly expenses from your monthly income. 

The result is your monthly net income. 

24. Do you expect an increase or decrease in your expenses within the year after you file this form? 

For example, do you expect to finish paying for your car loan within the year or do you expect your 

mortgage payment to increase or decrease because of a modification to the terms of your mortgage? 

21. +$ 

_,.,. ______ ···- --.--·-----···--·-··-·--··-

22a. $ 2707.00 

22b. $ 0.00 

22c. 2707.00 

1505.59 $ 238. 

23b. -$ 2707.00 

-1201.41 $ 23c. 

• No. 

iif Yes. . I expect to get a lower mortgage payment and a reduction in my expenses because of not having the car 

Explain here: loan anymore. 

Official Form 106J Schedule J: Your Expenses page 3 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 39 of 56
Debtor 2 

(Spouse, ij filing) First Name Middle Name 

United States Bankruptcy Cc,urt for the: Southern District of Florida 

Case number 

(If known) 

Official Form 106Dec 

Last Name 

Declaration About an Individual Debtor's Schedules 

If two married people are filing together, both are equally responsible for supplying correct Information. 

D Check if this is an 

amended filing 

12/15 

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 

D Yes. Name of person, ____________________ . Attach Bankruptcy Petition Preparers 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 AJ!?r-=:= 

Signature of Debtor 1 Signature of Debtor 2 

Date l ti.. / 'l > { ,1.,• \ ~ MM/ DD I YYYY 

Date 

-,-Mc:-M:-cl-,,-DD,---,1-YY----,YY-,--

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

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 40 of 56
Fill 111 this 117formJt1c n to 1dent1fy your c Jse 

Debtor 1 Mark Anthony McDonald FN'stName MdfleName 

Debtor2 

(Spouse, If filing) First Nome Middte Name 

United States Bankruptcy Court for the: Southern District of Florida 

Case number 

(If known) 

Official Form 107 

Last Name 

Last Name 

• Check if this is an 

amended filing 

Statement of Financial Affairs for Individuals Filing for Bankruptcy 04/19 

Be as complete and accurate as poBBible. 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. 

Give Details About Your Marital Status and Where You Uved Before 

1. What Is your current marital status? 

• Married 

till Not married 

2. During the last 3 years, have you lived anywhere other than where you live now? 

13 No 

• Yes. List all of the places you lived in the last 3 years. Do not include where you live now. 

Debtor 1: 

Number Street 

City State ZIP Code 

Number Street 

City Stale ZIP Code 

Dates Debtor 1 

lived there 

From 

To 

From 

To 

Debtor 2: 

D Same as Debtor 1 

Number Street 

City 

D Same as Debtor 1 

Number Street 

City 

State ZIP Code 

State ZIP Code 

Dates Debtor 2 

lived there 

D Same as Debtor 1 

From 

To 

D Same as Debtor 1 

From 

To 

J. Within the last 8 years, did you ever live with a spouse or legal equivalent In a community property state or territory? (Community property 

states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.) 

• No 

~Yes.Make sure you fill out Schedule H: Your Codebtors (Official Form 106H). 

•§fj Explain the Sources of Your Income 

Official Form 107 Statement of Financial Affairs for Individuals FIiing for Bankruptcy page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 41 of 56
Debtor 1 Mark Anthony McDonald Case number (iflmown), ______________ _ 

First Name Middle Name Last Name 

4. Did you have any Income from employment or from operating a business dl{rlng this year or the two previous calendar years? 

Fill in the total amount of income you received from all jobs and all businesses, including part-time activities. 

If you are filing a jc,int case and you have income that you receive together, list it only once under Debtor 1. 

• No 

Ga Yes. Fill in the details. 

From January 1 of current year until 

the date you flied for bankruptcy: 

For last calendar year: 

(January 1 to December 31, _20_1~8~-

YYYY 

For the calendar year before that: 

(January 1 to December 31, .:::;2.;;;..01..;.;7'--_, 

yyyy 

Debtor1 

Sources of income 

Check all that apply. 

Ga Wages, commissions, 

bonuses, tips 

• Operating a business 

Ga Wages, commissions, 

bonuses.tips 

• Operating a business 

64 Wages, commissions, 

bonuses, tips 

• Operating a business 

Gross Income 

(before deductions and 

exclusions) 

$ 21194 -------

$ ___ 1_85_7_4 

$ ___ 1_9_37_4 

s. Did you receive any other Income during this year or the two previous calendar years? 

Debtor2 

Sources of income 

Check all that apply. 

• Wages, commissions, 

bonuses.tips 

• Operating a business 

• Wages, commissions, 

bonuses, tips 

• Operating a business 

• Wages, commissions, 

bonuses.lips 

• Operating a business 

Gross income 

(before deductions and 

exclusions) 

$ ______ _ 

$ ______ _ 

$ _____ _ 

Include income regardless of whether that income is taxable. Examples of other income are alimony; child support; Social Security, 

unemployment, and other public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and 

gambling and lott,9ry winnings. If you are filing a joint case and you have income that you received together, list it only once under Debtor 1. 

List each source ;and the gross income from each source separately. Do not include income that you listed in line 4. 

• No 

~Yes.Fill in tho details. 

From January 1 of current year until 

the date you flied for bankruptcy: 

For last calendar year: 

(January 1 to December 31, 2018 ) 

yyyy 

For the calendar year before that: 

(January 1 to December 31, 2017 ) 

yyyy 

Debtor1 

Sources of income 

Describe below. 

KCM 

KCM 

KCM 

Gross Income from 

each source 

(before deductions and 

exclusions) 

Debtor2 

Sources of income 

Describe below. 

$ 600 ------------------ $ ________ ----------

$ ________ ----------

$ 1500 ·-------

$ _______ _ 

$ ______ _ 

$ 0.00 -------

$ _______ _ 

$, ______ _ 

Official Form 107 Statement of Financial Affairs for Individuals FIiing for Bankruptcy 

Gross Income from 

each source 

(before deductions and 

exclusions) 

$, ______ _ 

$ _______ _ 

$ ______ _ 

$ ______ _ 

$ ______ _ 

$ ______ _ 

$ _______ _ 

$ ______ _ 

$, ______ _ 

page 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 42 of 56
Debtor 1 Mark Anthony McDonald Case number (If known,,_ ____________ _ 

FlrslName MklcleName Last Name 

Ust Certain Payments You Made Before You Flied for Bankruptcy 

6. Are either Debtor 1 's or Debtor 2's debts primarily consumer debts? 

D No. Neither Clebtor 1 nor Debtor 2 has primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101 (8) as 

"incurred by an individual primarily for a personal, family, or household purpose." 

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $6,825* or more? 

D No. (;,o to line 7. 

D Yes. List below each creditor to whom you paid a total of $6,825* or more in one or more payments and the 

total amount you paid that creditor. Do not include payments for domestic support obligations, such as 

1::hild support and alimony. Also, do not include payments to an attorney for this bankruptcy case. 

* SUbject to adjustment on 4/01/22 and every 3 years after that for cases filed on or after the date of adjustment. 

6ZI Yes. Debtor 1 or Debtor 2 or both have primarily consumer debts. 

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $600 or more? 

Gill No. Go to line 7. 

D Yes. List below each creditor to whom you paid a total of $600 or more and the total amount you paid that 

creditor. Do not include payments for domestic support obligations, such as child support and 

alimony. Also, do not include payments to an attorney for this bankruptcy case. 

Creoltor's Name 

Nurroer Street 

City 

Creditor's Name 

Number Street 

City 

Creditor's Name 

Number Street 

Official Form 107 

State 

State 

State 

ZIP Code 

ZIP Code 

ZIP Code 

Dates of 

payment 

Total amount paid Amount you still owe 

$. ______ _ $ _______ _ 

$ _______ $ _______ _ 

$ ______ _ $ _______ _ 

Statement of Financial Affairs for Individuals Flllng for Bankruptcy 

Was this payment for ... 

D Mortgage 

D Car 

0 Credit card 

D Loan repayment 

D Suppliers or vendors 

D Other ____ _ 

D Mortgage 

Dear 

D Credit card 

D Loan repayment 

0 Suppliers or vendors 

0 Other ____ _ 

0 Mortgage 

0 Car 

0 Credit card 

0 Loan repayment 

0 Suppliers or vendors 

0 Other ____ _ 

page 3 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 43 of 56
Debtor 1 Mark Anthony McDonald Case number (Kimownl'---------------- Fir&tNarne Middle Name Last Name 

7. Within 1 year before you flied for bankruptcy, did you make a payment on a debt you owed anyone who was an Insider? 

Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; 

corporations of which you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing 

agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, 

such as child support and alimony. 

121 No 

• Yes. List all payments to an insider. 

Inside~& Name 

Number Street 

City State ZIP Code 

lnsid~s Name 

Number Street 

City State ZIP Code 

Dates of 

payment 

Total amount 

paid 

Amount you still Reason for this payment 

owe 

$ _____ $ ____ _ 

$ _____ $ ____ _ 

8. Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited 

an insider? 

Include payments on debts guaranteed or cosigned by an insider. 

121 No 

• Yes. List all payments that benefited an insider. 

Insider's Name 

Number Street 

City State ZIP Code 

lns~sName 

Number Stree-. 

City State ZIP Code 

Dates of 

payment 

Total amount 

paid 

Amount you stlll 

owe 

$ _____ $ ____ _ 

$ _____ $ ____ _ 

Official Form 107 Statement of Financial Affairs for lndlvlduals FIiing for Bankruptcy 

Reason for this payment 

Include creditor's name 

page4 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 44 of 56
Debtor 1 Mark Anthony McDonald Case number (If known) _____________ _ 

First Name Middle Name Last Name 

Identify Legal Actions, Repossessions, and foreclosures 

9. Within 1 year before you flied for bankruptcy, were you a party In any lawsuit, court action, or administrative proceeding? 

List all such matters, including personal injury cases, small claims actions, divorces, collection suits, paternity actions, support or custody modifications, 

and contract dispute1s. 

0 No 

GIi Yes. Fill in the details. 

Nature of the case 

Foredosure lawsuit 

case title Summons: Personal 

service on a natural person 

Case number 

Case title __________ _ 

Case number 

Court or agency 

11th Judicial Circuit 

Court Name 

175 NW 1st Ave Number Street 

Miami 

City State 

Court Name 

Number Street 

City Stale 

Status of the case 

i;a Pending 

0 Onappeal 

0 Concluded 

FL 33128 

ZIP Code 

0 Pending 

0 Onappeal 

0 Concluded 

ZIPCode 

10. Within 1 year before you flied for bankruptcy, was any of your property repossessed, foreclosed, garnished, attached, seized, or levied? 

Check all that apply and fill in the details below. 

0 No. Go to line 11. 

Ga Yes. Fill in the information below. 

Westlake Financial Services Creditor's Name 

Number Street 

P.O. Box 54807 

Los Angeles CA 90054 

City State ZIP Code 

Credttor's Name 

Number Street 

City State ZIP Code 

Describe the property 

2013 Toyota Corolla 

I got the property back after it was 

repossessed. 

Explaln what happened 

GIi Property was repossessed. 

0 Property was foreclosed. 

0 Property was garnished. 

0 Property was attached, seized, or levied. 

Describe the property 

Explain what happened 

0 Property was repossessed. 

0 Property was foreclosed. 

0 Property was garnished. 

0 Property was attached, seized, or levied. 

Official Form 107 Statement of Flnanclal Affairs for Individuals Flllng for Bankruptcy 

Date Value of the property 

04/23/2019 $ _____ 4000.00 _ 

Date Value of the propef1l 

$ _____ _ 

page 5 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 45 of 56
Debtor 1 Mark Anthony McDonald Case number (it known), ______________ _ 

FlnltNane MiddleNmne Last Name 

11. Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your 

accounts or refuse to make a payment because you owed a debt? 

6Zi No 

0 Yes. Fill in the d,~tails. 

Creditor's Name 

Number Street 

City State ZIP Code 

Describe the action the creditor took 

Last 4 digits of account number: XXXX-___ _ 

Date action 

was taken 

Amount 

$ _____ _ 

12. Within 1 year before you flied for bankruptcy, was any of your property In the possession of an assignee for the benefit of 

creditors, a court-appointed receiver, a custodian, or another official? 

621 No 

0 Yes 

•§f j List Certain Gifts and Contributions 

13. Within 2 years before you filed for bankruptcy, did you give any gifts with a total value of more than $600 per person? 

621 No 

0 Yes. Fill in the details for each gift. 

Gifts with a total value of more than $600 

perpenion 

Person lo Whom YoJ Gave the Gift 

Number Street 

City State ZIP Code 

Person's relationship to you 

Gifts with a total value of more than $600 

per person 

Person lo Whom You Gave the Gift 

Number Street 

City State ZIP Code 

Person's relationship to you _____ _ 

Describe the gifts 

Describe the gifts 

Official Form 107 Statement of Financial Affairs for Individuals FIiing for Bankruptcy 

Dates you gave 

the gifts 

Dates you gave 

the gifts 

Value 

$ ____ _ 

$ ____ _ 

Value 

$ ____ _ 

$ _____ _ 

page 6 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 46 of 56
Debtor 1 Mark Anthony McDonald Case number (if known), ______________ _ 

Finl Name Middle Name last Name 

14. Within 2 years before you filed for bankruptcy, did you give any gifts or contributions with a total value of more than $600 to any charity? 

6a No 

0 Yes. Fill in the details for each gift or contribution. 

Gifts or contrib11tlons to charities 

that total mora than $600 

Charity's Name 

Number Street 

City State ZIP Code 

•&••I List Certain Losses 

Describe what you contributed Date you 

contributed 

Value 

$ ____ _ 

$ ____ _ 

15. Within 1 year before you filed for bankruptcy or since you filed for bankruptcy, did you lose anything because of theft, fire, other 

disaster, or gambling? 

GI No 

0 Yes. Fill in the details. 

Describe the pioperty you lost and 

how the loss occurred 

Describe any insurance coverage for the loss 

Include the amount that insurance has paid. List pending insurance 

claims on line 33 of Schedule AIB: Property. 

FIE List Certain Payments or Transfers 

Date of your 

loss 

Value of property 

lost 

$. ____ _ 

16. Within 1 year before you flied for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone 

you consulted about seeking bankruptcy or preparing a bankruptcy petition? 

Include any attorneys, bankruptcy petition preparers, or credit counseling agencies for services required in your bankruptcy. 

Ga No 

0 Yes. Fill in the details. 

Description and value of any property transferred Date payment or Amount of payment 

transfer was 

Person Who Was Paid made 

Number Street $ _____ _ 

$ ____ _ 

City State ZIP Code 

Email or website address 

Person Who Mada the Payment, if Not You 

Official Form 107 Statement of Flnanclal Affairs for lndlvlduals Flllng for Bankruptcy page7 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 47 of 56
Debtor 1 Mark Anthony McDonald Case number (if known), ______________ _ 

Finl Name Middte Name Last Name 

Description and value of any property transferred Date payment or Amount of 

transfer was made payment 

Person Who Was P~id 

$ ____ _ 

Number Street 

$ ____ _ 

City State ZIP Code 

Email or website ad:lress 

Person Who Made ltle Payment, If Not You 

17. Within 1 year befol'e you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone who 

promised to help you deal with your creditors or to make payments to your creditors? 

Do not include any payment or transfer that you listed on line 16. 

lit No 

D Yes. Fill in the details. 

Description and value of any property transferred Date payment or Amount of payment 

transfer was 

made 

Person Who Was Paid 

Number Street 

$ ____ _ 

$ ____ _ 

City State ZIP Code 

18. Within 2 years before you filed for bankruptcy, did you sell, trade, or otherwise transfer any property to anyone, other than property 

transferred in the ordinary course of your business or financial affairs? 

Include both outrigt-t transfers and transfers made as security (such as the granting of a security interest or mortgage on your property). 

Do not include gifts and transfers that you have already listed on this statement. 

64 No 

D Yes. Fill in the cletails. 

Person Who ReceH1ed Transfer 

Number Street 

City State ZIP Code 

Person's relationship to you ____ _ 

Person Who Received Transfer 

Number Street 

City State ZIP Code 

Person's relatio11ship to you ____ _ 

Description and value of property 

transferred 

Describe any property or payments received 

or debts paid In exchange 

Official Form 107 Statement of Flnanclal Affairs for lndlvlduals FIiing for Bankruptcy 

Date transfer 

was made 

page8 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 48 of 56
Debtor 1 Mark Anthony McDonald Case number (Kknown,_ _____________ _ 

Firsl:Name MiddteName Last Name 

19. Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you 

are a beneficiary? (These are often called asset-protection devices.) 

li1 No 

0 Yes. Fill in the diitails. 

Description and value of the property transferred Date transfer 

was made 

Name of trust 

H@f:ij Ust Certain Flnanclal Accounts, Instruments, Safe Deposit Boxee, and Storage Units 

20. Within 1 year before you flied for bankruptcy, were any financial accounts or Instruments held in your name, or for your benefit, 

closed, sold, moved, or transferred? 

Include checking, savings, money market, or other financial accounts; certificates of deposit; shares in banks, credit unions, 

brokerage houses, pension funds, cooperatives, associations, and other financial institutions. 

Gil No 

0 Yes. FIii In the details. 

Last 4 digits of account number Type of account or 

Instrument 

Date account was Last balance before 

Name of Financial lnsUtuUon 

XXXX-_ - - -

Number Street 

City 

Name of Financial lnsUtuUon 

XXXX-___ _ 

Number Street 

City 

• Checking 

• Savings 

• Money mart<et 

• Brokerage 

• Other ___ _ 

• Checking 

• Savings 

• Money mart<et 

0 Brokerage 

• Other ___ _ 

closed, sold, moved, closing or transfer 

or transferred 

$ ___ _ 

$ ____ _ 

21. Do you now have, or did you have within 1 year before you flied for bankruptcy, any safe deposit box or other depository for 

securities, cash, or other valuables? 

GI No 

• Yes. Fill In the details. 

Who else had access to It? Describe the contents 

Name of Financial Institution Name 

Number Street Number Street 

City State ZIP Coda 

City State ZIPCode 

Official Form 107 Statement of Financial Affairs for Individuals Flllng for Bankruptcy 

Do you still 

have It? 

• No 

• Yes 

page9 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 49 of 56
Debtor 1 Mark Anthony McDonald Gase number(lfknown) ______________ _ 

First Name Middle Name last Name 

22. Have you stored property In a storage unit or place other than your home within 1 year before you filed for bankruptcy? 

till No 

• Yes. FIii in the details. 

Who else has or had acceu to It? Describe the contents 

Name of Storage FnlClllty Name 

Number Streat Number Street 

CltyS- ZIP Code 

City State ZIP Code 

Identify Property You Hold or Control for Someone El9e 

23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, 

or hold In trust for someone. 

GI No 

• Yes. FIii in the details. 

Where la the property? Describe the property 

Owner'• Name 

Number Street Number Streat 

City S- ZIPCode City State ZIP Code 

Give Details About Environmental Information 

For the purpose of Part 10, the following definitions apply: 

• Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of 

hazardous or toxic substances, wastes, or material Into the air, land, soll, surface water, groundwater, or other medium, 

Including statutes or regulations controlling the cleanup of these substances, wastes, or material. 

• Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or 

utilize It or used to own, operate, or utilize It, Including disposal sites. 

• Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic 

substance, hazardous material, pollutant, contaminant, or slmllar term. 

Report all notices, releases, and proceedings that you know about, regardless of when they occurred. 

Do you still 

have It? 

• No 

• Yes 

Value 

$ ___ _ 

24. Has any governmental unit notified you that you may be liable or potentially Hable under or in violation of an environmental law? 

ezl No 

• Yes. Fill in the details. 

Governmental unit Environmental law, If you know It Date of notice 

Name of site Govemmentel unit 

Number Streat Number Street 

City 

City 

Official Form 107 Statement of Financial Affairs for Individuals FIiing for Bankruptcy page 10 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 50 of 56
Debtor 1 Mark Anthony McDonald Case number(ifknownl ______________ _ 

First Name Middle Name last Name 

25. Have you notified any governmental unit of any release of hazardous material? 

Gf No 

• Yes. FIii in the detalls. 

Governmental unit Environmental law, If you know It Date of notice 

Name of site Govemmantal unit 

Number Street Number Street 

City State ZIP Code 

City State ZIP Coda 

26. Have you been a party In any judlclal or administrative proceeding under any environmental law? Include settlements and orders. 

liZI No 

• Yes. Fill in the details. 

Court or agency Nature of the case Status of the 

case 

Case title. ___________ _ 

Court Name • Pending 

• Onappeal 

Number Street • Concluded 

Case number City State ZIP Coda 

•§f f M Give Delalla About Your Business or Connections to Any Business 

27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business? 

• A sole proprietor or self-employed In a trade, profession, or other activity, either full-time or part-time 

• A member of a limited liability company (LLC) or limited liability partnership (LLP) 

• A partner in a partnership 

• An officer, director, or managing executive of a corporation 

• An owner of at least 5°/. of the voting or equity securities of a corporation 

!iii No. None of the above applles. Go to Part 12. 

• Yes. Check all that apply above and fill in the detalls below for each business. 

Describe the nature of the business Employer Identification number 

Business Name Do not Include Social Security number or mN. 

EIN: ________ _ 

Number Street 

Name of accountant or bookkeeper Dates business existed 

From To 

City Stat• ZIP Coele 

Describe the nature of the business Employer Identification number 

Business Name Do not Include Social Security number or mN. 

EIN: ________ _ 

Number Street 

Name of accountant or bookkeeper Dates business existed 

From To 

City Stat• ZIP Coele 

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 11 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 51 of 56
Debtor 1 Mark Anthony McDonald Case number (if/mown) _____________ _ 

Finl Name Mtdcle Name last Name 

Describe the nature of the business Employer Identification number 

Do not Include Social Security number or mN. 

Bual,,..aName 

EIN: ________ _ 

Number Street Name of accountant or bookkeeper Dates business existed 

From To 

City State ZIP Code 

28. WHhln 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial 

Institutions, creditors, or other parties. 

6ZI No 

0 Yes. FIii in the details below. 

Date Issued 

Name MM/DD/YYYY 

Number Street 

City State ZIP Code 

•if ti Stgn ~ow 

I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the 

answers are true and correct. I understand that 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, 13-41, 1519, and 3571. 

Signature of Debtor 2 

Date 12/22/2019 Date _____ _ 

Did you attach additional pages to Your Statement of Financial Affairs for Individuals FIiing for Bankruptcy (Official Form 107)? 

~ No 

0 Yes 

Did you pay or agree to pay someone who is not an attorney to help you fill out bankruptcy forms? 

Iii No 

0 Yes. Name of person _______________________ . Attach the Bankruptcy Petition Preparer's Notice, 

Declaration, and Signature (Official Form 119). 

Official Form 1 07 Statement of Financial Affairs for lndlvlduals FIiing for Bankruptcy page 12 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 52 of 56
F,11 1·1 (l,,s 111for1nat1011 to 1rlcnt1fy your case 

DebtCN" 1 Mark Anthony McDonald FlrslName Middle Name 

DebtCN" 2 

(Spouse, WIiting) First Name Middle Name 

United States Bankruptcy Court for the: Southern District of Florida 

Case number 

(If known) 

Official Form 108 

Last Name 

Last Name 

• Check if this is an 

amended filing 

Statement of Intention for Individuals Filing Under Chapter 7 1211s 

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 per&onal 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). 

•if I List Your Creditors Who Have Secured Clalms 

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 

Creditor's . name: PHH Mortgage Services 

Description of Single family home located at 

property 11300 SW 179th St 

securing debt: Miami, FL 33157 

Creditor's . 

name: Leoni Roberts 

Description of Single family home located at 

property 11300 SW 179th St 

securing debt: Miami, FL 33157 

Creditor's 

name: 

Description of 

property 

securing debt: 

Creditor's 

name: 

Description of 

property 

securing debt: 

What do you Intend to do with the property that 

secures a debt? 

D Surrender the property. 

D Retain the property and redeem it. 

6ZI Retain the property and enter into a 

Reaffirmation Agreement. 

D Retain the property and [explain]: ___ _ 

D Surrender the property. 

D Retain the property and redeem it. 

D Retain the property and enter into a 

Reaffirmation Agreement. 

D Retain the property and [explain): ___ _ 

D Surrender the property. 

D Retain the property and redeem it. 

D Retain the property and enter into a 

Reaffirmation Agreement. 

D Retain the property and [explain]: ___ _ 

D Surrender the property. 

D Retain the property and redeem it. 

D Retain the property and enter into a 

Reaffirmation Agreement. 

D Retain the property and [explain]: ___ _ 

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

Did you claim the property 

as exempt on Schedule C? 

• No 

15!1Yes 

• No 

ell Yes 

• No 

• Yes 

• No 

• Yes 

page 1 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 53 of 56
Deblor 1 Mark Anthony McDonald Case number (If known,_ ____________ _ 

First.Name Middle Name Last Name 

•If& Ust Your Unexpired Penonal Property Leases 

For any unexpired personal property lease that you listed In Schedule G: Executory Contracts and Unexpired Leases (Offlclal Fonn 106G), 

fill In the lnfonnatlon below. Do not list real estate leases. Unexpired leases are leases that are stlll 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 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leastid 

property: 

Lessor's name: 

Description of leasi~d 

property: 

Lessor's name: 

Description of leased 

property: 

Lessor's name: 

Description of leased 

property: 

•iii Sign Below 

Will the lease be assumed? 

• No 

• Yes 

• No 

• Yes 

• No 

• Yes 

• No 

• Yes 

• No 

• Yes 

• No 

• Yes 

• No 

• Yes 

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 £JR) j 

Signature of Debtor 1 

Date 12/22/2019 

MM/ 00 / YYYY 

Official Form 108 

Signature of Debtor 2 

Date _______ _ 

MM/ 00 / YYYY 

Statement of Intention for Individuals FIiing Under Chapter 7 page 2 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 54 of 56
Capital One 

PO Box 85015 

Richmond, VA 23285 

Credit One 

6801 S. Cimarron Road 

Las Vegas, NV 89113 

Fingerhut/Webbank 

6250 Ridgewood Road 

Saint Cloud, MN 56303 

Indigo- Celtic Bank 

PO Box 4499 

Beaverton, OR 97076 

Merrick Bank 

PO Box 9201 

Old Bethpage, NY 11804 

Comcast/ Xfinity 

141 NW 16th St 

Pompano Beach, FL 33060 

AT&T/ Uverse 

PO Box 5014 

Carol Stream, IL 60197 

Progressive Leasing 

256 Data Dr. 

Draper, UT 84020 

Chase Bank 

340 S. Cleveland Ave. Bldg 370 

Westerville, OH 43081 

Florida City Gas 

PO Box 4569 

Atlanta, GA 30302 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 55 of 56
PHH Mortgage Service 

1 Mortgage Way 

Attn: SV09 

Mt. Laurel, NJ 08054 

Credit Management LP 

6080 Tennyson Parkway 

Suite 100 

Plano, TX 75024 

ERC 

PO Box 23870 

Jacksonville, FL 32241 

Westlake Service Inc. 

4751 Wilshire Blvd 

Suite 100 

Los Angeles, CA 90010 

Ocwen Loan Servicing, LLC 

1661 Worthington Rd 

Suite 100 

West Palm Beach, FL 33409 

Case 19-27024-LMI Doc 1 Filed 12/23/19 Page 56 of 56