Fill in this information to identify your case:

Debtor 1 Timothy E Sally

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: SOUTHERN DISTRICT OF FLORIDA

Case number 19-17664

(if known)  Check if this is an

amended filing

Official Form 106D

Schedule D: Creditors Who Have Claims Secured by Property 12/15

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

is needed, copy the Additional Page, fill it out, number the entries, and attach it to this form. On the top of any additional pages, write your name and case

number (if known).

1. Do any creditors have claims secured by your property?

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

 Yes. Fill in all of the information below.

Part 1: List All Secured Claims

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

for each claim. If more than one creditor has a particular claim, list the other creditors in Part 2. As

much as possible, list the claims in alphabetical order according to the creditor’s name.

Column A

Amount of claim

Do not deduct the

value of collateral.

Column B

Value of collateral

that supports this

claim

Column C

Unsecured

portion

If any

2.1 Amercredit Financial

Services, Inc Describe the property that secures the claim: $16,825.64 $8,500.00 $8,325.64

Creditor's Name 2014 Chevrolet Traverse 85,063.00

miles

d/b/a GM Financial

PO Box 183853

Arlington, TX 76096

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred 2014 Last 4 digits of account number 7465

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

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(AMENDED)

Case 19-17664-LMI Doc 47 Filed 09/06/19 Page 1 of 3
Debtor 1 Timothy E Sally Case number (if known) 19-17664 First Name Middle Name Last Name

2.2 American Investment

Services LLP Describe the property that secures the claim: $53,373.00 Unknown $34,680.24

Creditor's Name 1841 NW 67 Street Miami, FL 33147

Miami-Dade County

Homestead

c/o Michael P. Cudlipp,

Esquire

12555 Biscayne

Boulevard #785

Miami, FL 33181

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred 3/14/2019 Last 4 digits of account number N/A

2.3 American Investment

Services LLP Describe the property that secures the claim: $46,569.85 $105,000.00 $46,163.49

Creditor's Name 1841 NW 67th Street

c/o Sabrina Chassagne Miami, FL 33147

PA

One NE 2nd Avenue,

Suite 208

Miami, FL 33132

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred Last 4 digits of account number N/A

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-17664-LMI Doc 47 Filed 09/06/19 Page 2 of 3
Debtor 1 Timothy E Sally Case number (if known) 19-17664 First Name Middle Name Last Name

2.4 Capital One Auto Finance Describe the property that secures the claim: $23,151.51 Unknown Unknown Creditor's Name 2015 BMW X1 33,841 miles

Debtor has bare legal title of

vehicle.

Vehicle payments are made by son.

PO BOX 259407

Plano, TX 75025

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred Last 4 digits of account number

2.5 PHH Mortgage Services Describe the property that secures the claim: $104,768.55 Unknown Unknown Creditor's Name 1841 NW 67 Street Miami, FL 33147

Miami-Dade County

Homestead

PO Box 5452

Mount Laurel, NJ 08054

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

apply.

 Contingent

Number, Street, City, State & Zip Code  Unliquidated

 Disputed

Who owes the debt? Check one. Nature of lien. Check all that apply.

 Debtor 1 only

 Debtor 2 only

 An agreement you made (such as mortgage or secured

car loan)

 Debtor 1 and Debtor 2 only  Statutory lien (such as tax lien, mechanic's lien)

 At least one of the debtors and another  Judgment lien from a lawsuit

 Check if this claim relates to a

community debt

 Other (including a right to offset)

Date debt was incurred Last 4 digits of account number 4499

Add the dollar value of your entries in Column A on this page. Write that number here: $244,688.55

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

Write that number here: $244,688.55

Part 2: List Others to Be Notified for a Debt That You Already Listed

Use this page only if you have others to be notified about your bankruptcy for a debt that you already listed in Part 1. For example, if a collection agency is

trying to collect from you for a debt you owe to someone else, list the creditor in Part 1, and then list the collection agency here. Similarly, if you have more

than one creditor for any of the debts that you listed in Part 1, list the additional creditors here. If you do not have additional persons to be notified for any

debts in Part 1, do not fill out or submit this page.

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

Software Copyright (c) 1996-2019 Best Case, LLC - www.bestcase.com Best Case Bankruptcy

Case 19-17664-LMI Doc 47 Filed 09/06/19 Page 3 of 3