Fill in this information to identify your case:

Debtor 1 Christopher Evan Collins

First Name Middle Name Last Name

Debtor 2

(Spouse, if filing)

Deanna Renae Collins

First Name Middle Name Last Name

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

23-43861-7

Check if this is an

amended filing

Official Form 106E/F

Schedule E/F: Creditors Who Have Unsecured Claims 12/15

Be as complete and accurate 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 list executory contracts on Schedule A/B: Property (Official

Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not include any creditors with partially 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).

Part 1: List All of Your PRIORITY Unsecured Claims

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

No. Go to Part 2.

Yes.

2. List all of your priority unsecured claims. If a creditor has more than one priority unsecured claim, list the creditor separately for each claim. For each

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

amounts. As much as possible, list the claims in alphabetical order according to the creditor’s name. If you have more than two priority unsecured claims,

fill out the Continuation 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.)

Total claim Priority

amount

Nonpriority

amount

2.1

Priority Creditor’s Name

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 claim is for a

community debt

Is the claim subject to offset?

No

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:

Domestic support obligations

Taxes and certain other debts you owe 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 page 1 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 1 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: List All of Your NONPRIORITY Unsecured Claims

3. Do any creditors have nonpriority unsecured claims against you?

No. You have nothing to report in this part. Submit this form to the court with your other schedules.

Yes

4. List all of your nonpriority unsecured claims in the alphabetical order of the creditor who holds each claim. If a creditor has more than one

nonpriority unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. Do not list claims already

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

claims fill out the Continuation Page of Part 2.

Total claim

4.1 AAdvantage - Citi Bank

Nonpriority Creditor’s Name

P.O. Box 6500

Number Street

Sioux Falls,, SD 57117

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 9 1 2 2

When was the debt incurred? 07/01/2013

$3,471.86

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 Credit Card

4.2 Acima

Nonpriority Creditor’s Name

5th Floor

13907 Minuteman Dr

Number Street

Draper, UT 84020

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 2 7 4 8

When was the debt incurred?

$1,596.00

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

Remarks: Fraudulent account opened without knowledge

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 2 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 2 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.3 Allstate Texas Lloyds Company

Nonpriority Creditor’s Name

P.O. Box 6001

Number Street

Carol Stream, IL 60197

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 0 0 4 2

When was the debt incurred?

$1,400.97

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

Remarks: Allstate Auto Policy that was canceled due to nonpayment. I am not sure on the exact policy number, I put in one that was on the collection

service mailing statement.

4.4 Ally Financial

Nonpriority Creditor’s Name

500 Woodward Ave

Number Street

Detroit, MI 48226

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 5 0 4 3

When was the debt incurred?

$7,215.00

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

Remarks: Voluntary surrender, 2020 Chevy Silverado 1500. Our credit reports show $7215 is owed, on the Ally Website it shows $5506.81.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 3 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 3 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.5 American Express

Nonpriority Creditor’s Name

20500 Belshaw Ave

Number Street

Carson, CA 90746

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 0 0 3

When was the debt incurred? 04/01/2019

$2,569.92

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 Credit Card

4.6 American Express

Nonpriority Creditor’s Name

20500 Belshaw Ave

Number Street

Carson, CA 90746

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 0 0 7

When was the debt incurred? 02/01/2016

$804.32

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 Credit Card

4.7 American Express

Nonpriority Creditor’s Name

20500 Belshaw Ave

Number Street

Carson, CA 90747

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 0 0 1

When was the debt incurred? 04/01/2019

$14,525.42

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 4 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 4 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.8 Apple Card (Goldman Sachs Bank)

Nonpriority Creditor’s Name

Lockbox 6112

P.O. Box 7247

Number Street

Philadelphia, PA 19170

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 9 8 2

When was the debt incurred? 12/01/2022

$89.51

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 Credit Card

4.9 Bank of America

Nonpriority Creditor’s Name

PO Box 15019

Number Street

Wilmington, DE 19886

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 0 4 9 3

When was the debt incurred? 07/01/2018

$5,528.95

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 Credit Card

4.10 Best Buy

Nonpriority Creditor’s Name

P.O. Box 790441

Number Street

St Louis, MO 63179

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 0 2 9

When was the debt incurred? 11/01/2018

$819.56

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 5 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 5 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.11 Business Capital Providers

Nonpriority Creditor’s Name

Suite 210

2501 Hollywood Blvd

Number Street

Hollywood, FL 33020

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 4 1 8 8

When was the debt incurred?

$107,720.50

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

Remarks: Merchant Cash Advance loans. Lawsuit has been opened against us. It has the potential to enter into a judgement very soon.

4.12 Capital One

Nonpriority Creditor’s Name

PO Box 30279

Number Street

Salt Lake City, UT 84130

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 9 5 6

When was the debt incurred? 04/01/2018

$1,311.10

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 6 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 6 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.13 Capital One

Nonpriority Creditor’s Name

PO Box 71087

Number Street

Charlotte, NC 28727

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number r a u d

When was the debt incurred? 08/01/2019

$310.00

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 Credit Card

4.14 Capital One Spark

Nonpriority Creditor’s Name

PO Box 30285

Number Street

Salt Lake City, UT 84130

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 4 2 6 8

When was the debt incurred? 01/01/2020

$696.26

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 Credit Card

4.15 Charmaine Coerver

Nonpriority Creditor’s Name

c/o William A. Stark Stark Law Firm

275 Gabasse St.

Number Street

Houma, LA 70361

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number

When was the debt incurred?

$154,505.00

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 Contract

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 7 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 7 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.16 Chase

Nonpriority Creditor’s Name

PO Box 15298

Number Street

Wilmington, DE 19850

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 9 8 5

When was the debt incurred? 05/01/2017

$13,685.85

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 Credit Card

4.17 Chase

Nonpriority Creditor’s Name

PO Box 15298

Number Street

Wilmington, DE 19850

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 6 6 4

When was the debt incurred? 01/01/2011

$13,996.67

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 Credit Card

4.18 Chase

Nonpriority Creditor’s Name

PO Box 15298

Number Street

Wilmington, DE 19850

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 7 5 6

When was the debt incurred? 06/01/2019

$9,570.53

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 8 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 8 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.19 Chase

Nonpriority Creditor’s Name

PO Box 15298

Number Street

Wilmington, DE 19850

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 0 1 8 9

When was the debt incurred? 07/01/2019

$11,626.17

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 Credit Card

4.20 Chase

Nonpriority Creditor’s Name

PO Box 15298

Number Street

Wilmington, DE 19850

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 9 2 6 1

When was the debt incurred? 09/01/2017

$57,860.37

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 Credit Card

4.21 Citi Double Cash

Nonpriority Creditor’s Name

P.O. Box 6500

Number Street

Sioux Falls, SD 57117

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 2 4 0

When was the debt incurred? 09/01/2019

$3,115.14

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 9 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 9 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.22 Citi Home Depot

Nonpriority Creditor’s Name

PO Box 9001037

Number Street

Louisville, KY 40290

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 7 7 6 7

When was the debt incurred? 07/01/2020

$969.00

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 Credit Card

4.23 Citi Simplicity

Nonpriority Creditor’s Name

P.O. Box 6500

Number Street

Sioux Falls, SD 57117

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 7 0 7 1

When was the debt incurred? 01/01/2018

$3,431.50

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 Credit Card

4.24 Cook Childrens Physician Accts

Nonpriority Creditor’s Name

PO Box 2209

Number Street

Addison, TX 75001

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 5 6 3

When was the debt incurred?

$235.00

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

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 10 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 10 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.25 Costco - Citi Bank

Nonpriority Creditor’s Name

PO BOX 790046

Number Street

St Louis, MO 63179

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 5 6 4

When was the debt incurred? 08/01/2012

$469.63

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 Credit Card

4.26 Discover

Nonpriority Creditor’s Name

PO Box 6103

Number Street

Carol Stream, IL 60197

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 4 9 5

When was the debt incurred? 07/01/2019

$4,317.98

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 Credit Card

4.27 Discover Credit Card

Nonpriority Creditor’s Name

PO Box 6103

Number Street

Carol Stream, IL 60197

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 9 9 6

When was the debt incurred? 05/01/2014

$23,240.30

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 11 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 11 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.28 Discover Products Inc

Nonpriority Creditor’s Name

PO Box 30666

Number Street

Salt Lake City, UT 84130

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 3 3 1

When was the debt incurred? 02/01/2018

$479.40

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 Credit Card

4.29 Everest Business Funding

Nonpriority Creditor’s Name

8th Floor

102 W 38th St

Number Street

New York, NY 10018

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number n o w n

When was the debt incurred?

$15,000.00

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

Remarks: Merchant Cash Advance

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 12 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 12 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.30 Frontier Communications

Nonpriority Creditor’s Name

401 Merritt 7

Number Street

Norwalk, CT 06851

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 5 7 7 1

When was the debt incurred?

$773.30

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

Remarks: Unpaid Internet Charges

4.31 Funding Metrics

Nonpriority Creditor’s Name

Suite 200

3220 Tillman Dr

Number Street

Bensalem, PA 19020

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 5 0 5

When was the debt incurred?

$98,550.78

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

Remarks: Merchant Cash Advance loan. Lawsuit opened against us.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 13 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 13 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.32 GreenSky

Nonpriority Creditor’s Name

PO Box 2730

Number Street

Alpharetta, GA 30023

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 0 4 0

When was the debt incurred?

$14,798.79

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

Remarks: Bathroom remodel

4.33 Infusion Capital Group

Nonpriority Creditor’s Name

Suite 103-302

1000 Johnnie Dodds Blvd

Number Street

Mount Pleasant, SC 29464

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number n o w n

When was the debt incurred?

$33,000.00

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

Remarks: Merchant Cash Advance

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 14 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 14 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.34 JP Morgan Chase

Nonpriority Creditor’s Name

PO Box 182051

Number Street

Columbus, OH 43218

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 8 7 5

When was the debt incurred?

$132.02

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 Bank Account

4.35 JP Morgan Chase

Nonpriority Creditor’s Name

PO Box 182051

Number Street

Columbus, OH 43218

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 0 8 1 7

When was the debt incurred?

$1,618.72

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 Business Bank Account

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 15 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 15 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.36 Koalafi

Nonpriority Creditor’s Name

PO Box 5518

Number Street

Glen Allen, VA 23058

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 7 5 6 4

When was the debt incurred?

$4,755.76

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

Remarks: Merchandise purchase using lease to own

4.37 M&T Bank

Nonpriority Creditor’s Name

345 Main Street

Number Street

Buffalo, NY 14203

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 0 0 0 1

When was the debt incurred?

$12,761.97

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

Remarks: Voluntary Surrender, 2021 Forest River Cherokee, Sold at Auction with an outstanding Balance

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 16 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 16 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.38 North Texas Toll Authority

Nonpriority Creditor’s Name

PO Box 260928

Number Street

Plano, TX 75026

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 5 3 2 1

When was the debt incurred?

$40.33

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

Remarks: Unpaid toll bill that is potentially not even ours. License plate is 89192P8 which I am not familiar with.

4.39 North Texas Tollway Authority

Nonpriority Creditor’s Name

PO Box 660244

Number Street

Dallas, TX 75266

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 5 2 3 3

When was the debt incurred?

$123.69

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

Remarks: Unpaid toll bill from vehicle that was repossessed.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 17 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 17 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.40 OnDeck Capital

Nonpriority Creditor’s Name

Suite 200

4700 W Daybreak Pkwy

Number Street

South Jordan, UT 84009

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 2 6 8 3

When was the debt incurred?

$75,380.00

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

Remarks: Merchant cash advance. Turned over to collections.

4.41 PathAdvantage

Nonpriority Creditor’s Name

PO ox 224138

Number Street

Dallas, TX 75222

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 0 2 3

When was the debt incurred?

$75.74

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

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 18 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 18 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.42 PathAdvantage

Nonpriority Creditor’s Name

PO Box 224138

Number Street

Dallas, TX 75222

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 3 5 0

When was the debt incurred?

$32.00

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

4.43 PayPal

Nonpriority Creditor’s Name

2211 North 1st St

Number Street

San Jose, CA 95131

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number h e l e

When was the debt incurred?

$75.76

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

Remarks: There is an outstanding balance owed on PayPal.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 19 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 19 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.44 Pediatrix Medical Group

Nonpriority Creditor’s Name

10864 Texas Health Trl

Number Street

Fort Worth, TX 76244

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 6 4 0

When was the debt incurred?

$1,369.59

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

4.45 Progressive Auto Insurance

Nonpriority Creditor’s Name

PO Box 894105

Number Street

Los Angeles, CA 90189-4105

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number

When was the debt incurred?

$430.76

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 Insurance

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 20 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 20 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.46 RCI (TLC Resorts)

Nonpriority Creditor’s Name

9998 North Michigan Road

Number Street

Carmel, IN 46032

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 6 7 4

When was the debt incurred?

$872.00

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

Remarks: RCI timeshare. Log into TLC Resorts for payments, then it sends me to Equiant with an account number of 605101103421. I only make two

payments a year for membership dues. Timeshare Loan was paid off in 01/2019

4.47 SBA (U.S. Small Business Administration)

Nonpriority Creditor’s Name

P.O. Box 3918

Number Street

Portland, OR 97208

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 8 2 0 2

When was the debt incurred?

$1,120.51

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

Remarks: SBA Loan for Disaster COVID-19 Economic Injury for Southern Roots DnA, LLC owned by Deanna Collins.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 21 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 21 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.48 SBA (U.S. Small Business Administration)

Nonpriority Creditor’s Name

P.O. Box 3918

Number Street

Portland, OR 97208

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 7 8 0 3

When was the debt incurred?

$173,267.15

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

Remarks: SBA Loan for Disaster COVID-19 Economic Injury for Construction by Southern Roots, LLC owned by Collins.

4.49 State of Louisiana

Nonpriority Creditor’s Name

PO Box 94005

Number Street

Baton Rouge, LA 70804

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 2 7 0 7

When was the debt incurred?

$3,113.96

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

Remarks: Judgement fine from Louisiana Construction licensing board.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 22 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 22 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.50 State of Louisiana

Nonpriority Creditor’s Name

600 North Street

Number Street

Baton Rouge, LA 70802

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 6 0 0 1

When was the debt incurred?

$1,878.26

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

Remarks: Fines owed from state licensing board of Louisiana

4.51 Stearns Bank

Nonpriority Creditor’s Name

PO Box 750

Number Street

Albany, MN 56307

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 0 0 1

When was the debt incurred?

$2,245.32

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

Remarks: Epson Surecolor F2100 Direct To Garment printer for old business. We no longer have this printer.

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 23 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 23 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.52 Synchrony - Sam's Club

Nonpriority Creditor’s Name

Suite 125

170 Election Road

Number Street

Draper, UT 84020

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 4 9 3 9

When was the debt incurred? 10/01/2019

$3,686.00

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 Credit Card

4.53 Synchrony Bank - 4 Wheel Parts

Nonpriority Creditor’s Name

PO Box 71734

Number Street

Philadelphia, PA 19176

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 3 6 0

When was the debt incurred? 06/01/2021

$4,109.36

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 Credit Card

4.54 Synchrony Bank - Summit Racing

Nonpriority Creditor’s Name

PO Box 960061

Number Street

Orlando, FL 32896

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 3 7 5 6

When was the debt incurred? 02/01/2022

$1,242.87

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 24 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 24 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.55 Texas Health Harris Methodist Hospital Alliance

Nonpriority Creditor’s Name

10864 Texas Health Trl

Number Street

Fort Worth, TX 76244

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 7 0 3

When was the debt incurred?

$12,971.23

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

4.56 Thousand Trails

Nonpriority Creditor’s Name

PO Box 29352

Number Street

Phoenix, AZ 85038

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 4 7 3

When was the debt incurred?

$15,054.48

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

Remarks: RV Timeshare Membership

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 25 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 25 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.57 Thousand Trails

Nonpriority Creditor’s Name

PO Box 29352

Number Street

Phoenix, AZ 85038

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 1 4 7 3

When was the debt incurred?

$1,138.24

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

Remarks: RV Timeshare membership dues

4.58 Vader Servicing

Nonpriority Creditor’s Name

c/o Triton Recovery Group

19790 W. Dixie Hwy. Ste. 301

Number Street

Miami, FL 33180

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number

When was the debt incurred?

$15,701.24

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 Bank Loan

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 26 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 26 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 2: Your NONPRIORITY Unsecured Claims ─ Continuation Page

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

4.59 Verizon Financial Services

Nonpriority Creditor’s Name

1095 Avenue of the Americas

Number Street

New York, NY 10036

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number X X X X

When was the debt incurred?

$1,068.00

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

Remarks: Fraudulent account opened without knowledge. We tried to dispute this charge in the past and they did not remove it.

4.60 Wells Fargo

Nonpriority Creditor’s Name

PO Box 10347

Number Street

Des Moines, IA 50306

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 claim is for a community debt

Is the claim subject to offset?

No

Yes

Last 4 digits of account number 9 5 8 1

When was the debt incurred? 06/01/2018

$7,053.42

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 Credit Card

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 27 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 27 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 3: List Others to Be Notified About a Debt That You Already Listed

5. Use this page only if 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.

1. Radius Global Solutions LLC

Name

7831 Glenroy Rd

Number Street

Minneapolis, MN 55439

City State ZIP Code

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

Line 4.1 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 0 3 8 4

2. Credit Collection Services

Name

725 Canton Street

Number Street

Norwood, MA 02062

City State ZIP Code

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

Line 4.3 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 5 9 7 1

3. Transworld Systems Inc

Name

PO Box 15130

Number Street

Wilmington, DE 19850

City State ZIP Code

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

Line 4.5 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 2 2 3 7

4. Firstsource Advantage, LLC

Name

205 Bryant Woods South

Number Street

Amherst, NY 14228

City State ZIP Code

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

Line 4.6 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 5 1 5 3

5. Radius Global Solutions LLC

Name

PO Box 358

Number Street

Ramsey, NJ 07446

City State ZIP Code

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

Line 4.6 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 4 1 0 8

6. Firstsource Advantage, LLC

Name

205 Bryant Woods South

Number Street

Amherst, NY 14228

City State ZIP Code

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

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

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 5 1 5 4

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 28 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 28 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 3: List Others to Be Notified About a Debt That You Already Listed - Additional Page

7. Javitch Block, LLC

Name

1100 Superior Avenue

Number Street

Cleveland, OH 44114

City State ZIP Code

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

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

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

8. Scott & Associates

Name

P.O. Box 115220

Number Street

Carrollton, TX 75011

City State ZIP Code

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

Line 4.9 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 7 7 1 8

9. Radius Global Solutions LLC

Name

7831 Glenroy Rd

Number Street

Minneapolis, MN 55439

City State ZIP Code

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

Line 4.21 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 0 4 5 8

10. Calvary Portfolio Services

Name

Suite 220

1 American Lane

Number Street

Greenwich, CT 06831

City State ZIP Code

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

Line 4.22 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 7 7 1 1

11. Radius Global Solutions LLC

Name

7831 Glenroy Rd

Number Street

Minneapolis, MN 55439

City State ZIP Code

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

Line 4.23 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 0 4 1 4

12. Radius Global Solutions LLC

Name

7831 Glenroy Rd

Number Street

Minneapolis, MN 55439

City State ZIP Code

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

Line 4.25 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 0 5 3 2

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 29 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 29 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 3: List Others to Be Notified About a Debt That You Already Listed - Additional Page

13. Capital Management Services

Name

698 1/2 South Ogden St

Number Street

Buffalo, NY 14206

City State ZIP Code

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

Line 4.28 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 9 8 4 7

14. First Collection Services

Name

10925 Otter Creek East Blvd

Number Street

Mabelvale, AR 72103

City State ZIP Code

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

Line 4.30 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 9 1 6 1

15. Lincoln @ Morgan

Name

Suite 700

600 W Broadway

Number Street

San Diego, CA 92101

City State ZIP Code

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

Line 4.31 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 4 0 7 4

16. Credit Management, LP

Name

Suite 100

6080 Tennyson Pkwy

Number Street

Plano, TX 75024

City State ZIP Code

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

Line 4.38 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 4 3 2 2

17. Zwicker & Associates

Name

80 Minuteman Rd

Number Street

Andover, MA 01810

City State ZIP Code

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

Line 4.40 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 5 8 0 2

18. Financial Corporations of America

Name

Bldg 2, Suite 200

12515 Research Blvd

Number Street

Austin, TX 78759

City State ZIP Code

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

Line 4.44 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 6 1 2 4

19. TLC Resorts

Name

101 Convention Center Dr. Ste. 200

Number Street

Las Vegas, NV 89109

City State ZIP Code

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

Line 4.46 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 30 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 30 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 3: List Others to Be Notified About a Debt That You Already Listed - Additional Page

20. Rausch Sturm LLP

Name

Suite 300

250 N Sunnyslope Rd

Number Street

Brookfield, WI 53005

City State ZIP Code

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

Line 4.52 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number r y e t

21. Cavalry Portfolio Services

Name

Suite 220

1 American Lane

Number Street

Greenwich, CT 06831

City State ZIP Code

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

Line 4.53 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 4 4 0 8

22. Medicredit

Name

PO Box505600

Number Street

St Louis, MO 63150

City State ZIP Code

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

Line 4.55 of (Check one): Part 1: Creditors with Priority Unsecured Claims

Part 2: Creditors with Nonpriority Unsecured Claims

Last 4 digits of account number 7 6 3 5

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 31 of 32

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 31 of 35
Debtor 1 Christopher Evan Collins

Debtor 2 Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 4: 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 claim

Total claims

from Part 1

6a. Domestic support obligations 6a. $0.00

6b. Taxes and certain other debts you owe the government 6b. $0.00

6c. Claims for death or personal injury while you were

intoxicated

6c. $0.00

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

Write that amount here.

6d. + $0.00

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

Total claim

Total claims

from Part 2

6f. Student loans 6f. $0.00

6g. Obligations arising out of a separation agreement or

divorce that you did not report as priority claims

6g. $0.00

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

similar debts

6h. $0.00

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

Write that amount here.

6i. + $949,003.16

6j. Total. Add lines 6f through 6i. 6j. $949,003.16

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 32 of 32

Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 32 of 35
Fill in this information to identify your case:

Debtor 1 Christopher Evan Collins

First Name Middle Name Last Name

Debtor 2

(Spouse, if filing)

Deanna Renae Collins

First Name Middle Name Last Name

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

23-43861-7 Check if this is an

amended filing

Official Form 106Sum

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

of your schedules first; then complete the information on this form. If you are filing amended schedules after you file your original forms, you must fill out a

new Summary and check the box at the top of this page.

Part 1: Summarize Your Assets

Your assets

Value of what you own

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

1a. Copy line 55, Total real estate, from Schedule A/B...........................................................................................................

1b. Copy line 62, Total personal property, from Schedule A/B................................................................................................

1c. Copy line 63, Total of all property on Schedule A/B...........................................................................................................

$367,600.00

$245,644.20

$613,244.20

Part 2: Summarize Your Liabilities

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.......

$504,891.72

3. Schedule E/F: 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 E/F......................................

3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F.................................

$0.00

+ $949,003.16

Your total liabilities $1,453,894.88

Part 3: Summarize Your Income and Expenses

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

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

$7,902.41

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

Copy your monthly expenses from line 22c of Schedule J.................................................................................. $7,709.50

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

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Summary of Your Assets and Liabilities and Certain Statistical

Information 12/15

Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 33 of 35
Debtor 1

Debtor 2

Christopher Evan Collins

Deanna Renae Collins

First Name Middle Name Last Name

Case number (if known) 23-43861-7

Part 4: Answer These Questions for Administrative and Statistical Records

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

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

 Yes

7. What kind of debt do you have?

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

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

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

this form to the court with your other schedules.

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

Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $9,499.42

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

Total claim

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

9a. Domestic support obligations (Copy line 6a.) $0.00

9b. Taxes and certain other debts you owe the government. (Copy line 6b.) $0.00

9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.) $0.00

9d. Student loans. (Copy line 6f.) $0.00

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

claims. (Copy line 6g.)

$0.00

9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) + $0.00

9g. Total. Add lines 9a through 9f. $0.00

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

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Case 23-43861-mxm7 Doc 20 Filed 01/08/24 Entered 01/08/24 17:14:18 Desc Main

Document Page 34 of 35
Fill in this information to identify your case:

Debtor 1 Christopher Evan Collins

First Name Middle Name Last Name

Debtor 2

(Spouse, if filing)

Deanna Renae Collins

First Name Middle Name Last Name

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

23-43861-7 Check if this is an

amended filing

Official Form 106Dec

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

You must file this form whenever you file bankruptcy schedules or amended schedules. Making a false statement, concealing property, or obtaining money

or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20

years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

Sign Below

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

 No

 Yes. Name of person . Attach Bankruptcy Petition Preparer's Notice, Declaration, and

Signature (Official Form 119).

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.

✘ /s/ Christopher Evan Collins

Christopher Evan Collins, Debtor 1

Date 01/08/2024

MM/ DD/ YYYY

✘ /s/ Deanna Renae Collins

Deanna Renae Collins, Debtor 2

Date 01/08/2024

MM/ DD/ YYYY

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

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Declaration About an Individual Debtor's Schedules 12/15

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