Fill in this information to identify your case:

United States Bankruptcy Court for the:

Northern District of Texas

Case number (If known):

Chapter you are filing under:

Chapter 7

Chapter 11

Chapter 12

Chapter 13 Check if this is an

amended filing

Official Form 101

The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a joint case—and

in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, “Do you own a car,” the answer would be yes if

either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish between them. In

joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in all of the forms.

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

space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every

question.

Part 1: Identify Yourself

1. Your full name

Write the name that is on your

government-issued picture

identification (for example, your

driver’s license or passport).

Bring your picture identification

to your meeting with the trustee.

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

Chasatee

First name First name

Nichole

Middle name Middle name

Carbaugh

Last name Last name

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

2. All other names you have

used in the last 8 years

Include your married or maiden

names and any assumed, trade

names and doing business as

names.

Do NOT list the name of any

separate legal entity such as a

corporation, partnership, or LLC

that is not filing this petition.

First name First name

Middle name Middle name

Last name Last name

Business name (if applicable) Business name (if applicable)

Business name (if applicable) Business name (if applicable)

3. Only the last 4 digits of your

Social Security number or

federal Individual Taxpayer

Identification number

(ITIN)

xxx - xx - 3 0 5 9 xxx - xx -

OR OR

9xx - xx - 9xx - xx -

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1

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Voluntary Petition for Individuals Filing for Bankruptcy 06/24

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 1 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

4. Your Employer Identification

Number (EIN), if any.

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

-

EIN

-

EIN

-

EIN

-

EIN

5. Where you live

If Debtor 2 lives at a different address:

15287 Hanging Tree

Number Street Number Street

Terrell, TX 75161

City State ZIP Code City State ZIP Code

Kaufman

County County

If your mailing address is different from the one above,

fill it in here. Note that the court will send any notices to

you at this mailing address.

If Debtor 2's mailing address is different from yours, fill

it in here. Note that the court will send any notices to you

at this mailing address.

Number Street Number Street

P.O. Box P.O. Box

City State ZIP Code City State ZIP Code

6. Why you are choosing this

district to file for bankruptcy

Check one: Check one:

Over the last 180 days before filing this petition, I

have lived in this district longer than in any other

district.

Over the last 180 days before filing this petition, I

have lived in this district longer than in any other

district.

I have another reason. Explain.

(See 28 U.S.C. § 1408)

I have another reason. Explain.

(See 28 U.S.C. § 1408)

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 2

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Document Page 2 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 2: Tell the Court About Your Bankruptcy Case

7. The chapter of the Bankruptcy

Code you are choosing to file

under

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

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

Chapter 7

Chapter 11

Chapter 12

Chapter 13

8. How you will pay the fee I will pay the entire fee when I file my petition. Please check with the clerk's office in your local court for more

details about how you may pay. Typically, if you are paying the fee yourself, you may pay with cash, cashier's

check, or money order. If your attorney is submitting your payment on your behalf, your attorney may pay with

a credit card or check with a pre-printed address.

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

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

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

judge may, but is not required to, waive your fee, and may do so only if your income is less than 150% of the

official poverty line that applies to your family size and you are unable to pay the fee in installments). If you

choose this option, you must fill out the Application to Have the Chapter 7 Filing Fee Waived (Official Form

103B) and file it with your petition.

9. Have you filed for bankruptcy

within the last 8 years?

No.

Yes. District When

MM / DD / YYYY

Case number

District When

MM / DD / YYYY

Case number

District When

MM / DD / YYYY

Case number

10. Are any bankruptcy cases

pending or being filed by a

spouse who is not filing this

case with you, or by a

business partner, or by an

affiliate?

No.

Yes. Debtor Relationship to you

District When

MM / DD / YYYY

Case number, if known

Debtor Relationship to you

District When

MM / DD / YYYY

Case number, if known

11. Do you rent your residence? No. Go to line 12.

Yes. Has your landlord obtained an eviction judgment against you?

No. Go to line 12.

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

as part of this bankruptcy petition.

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 3

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 3 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 3: Report About Any Businesses You Own as a Sole Proprietor

12. Are you a sole proprietor of

any full- or part-time

business?

A sole proprietorship is a

business you operate as an

individual, and is not a separate

legal entity such as a

corporation, partnership, or LLC.

If you have more than one sole

proprietorship, use a separate

sheet and attach it to this

petition.

No. Go to Part 4.

Yes. Name and location of business

Name of business, if any

Number Street

City State ZIP Code

Check the appropriate box to describe your business:

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

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

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

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

None of the above

13. Are you filing under Chapter

11 of the Bankruptcy Code,

and are you a small business

debtor?

For a definition of small business

debtor, see 11 U.S.C. §

101(51D).

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

appropriate deadlines. If you indicate that you are a small business debtor, you must attach your most recent balance

sheet, statement of operations, cash-flow statement, and federal income tax return or if any of these documents do not

exist, follow the procedure in 11 U.S.C. § 1116(1)(B).

No. I am not filing under Chapter 11.

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

Bankruptcy Code.

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

Bankruptcy Code, and I do not choose to proceed under Subchapter V of Chapter 11.

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

Bankruptcy Code, and I choose to proceed under Subchapter V of Chapter 11.

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 4

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 4: Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention

14. Do you own or have any

property that poses or is

alleged to pose a threat of

imminent and identifiable

hazard to public health or

safety? Or do you own any

property that needs immediate

attention?

For example, do you own

perishable goods, or livestock

that must be fed, or a building

that needs urgent repairs?

No.

Yes. What is the hazard?

If immediate attention is needed, why is it needed?

Where is the property?

Number Street

City State ZIP Code

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 5

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 5: Explain Your Efforts to Receive a Briefing About Credit Counseling

15. Tell the court whether you

have received a briefing

about credit counseling.

The law requires that you

receive a briefing about credit

counseling before you file for

bankruptcy. You must truthfully

check one of the following

choices. If you cannot do so,

you are not eligible to file.

If you file anyway, the court

can dismiss your case, you will

lose whatever filing fee you

paid, and your creditors can

begin collection activities

again.

About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):

You must check one: You must check one:

I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, and I received a

certificate of completion.

Attach a copy of the certificate and the payment

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

I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, and I received a

certificate of completion.

Attach a copy of the certificate and the payment

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

I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, but I do not have a

certificate of completion.

Within 14 days after you file this bankruptcy petition,

you MUST file a copy of the certificate and payment

plan, if any.

I received a briefing from an approved credit

counseling agency within the 180 days before I

filed this bankruptcy petition, but I do not have a

certificate of completion.

Within 14 days after you file this bankruptcy petition,

you MUST file a copy of the certificate and payment

plan, if any.

I certify that I asked for credit counseling services

from an approved agency, but was unable to

obtain those services during the 7 days after I

made my request, and exigent circumstances

merit a 30-day temporary waiver of the

requirement.

To ask for a 30-day temporary waiver of the

requirement, attach a separate sheet explaining

what efforts you made to obtain the briefing, why you

were unable to obtain it before you filed for

bankruptcy, and what exigent circumstances

required you to file this case.

I certify that I asked for credit counseling services

from an approved agency, but was unable to

obtain those services during the 7 days after I

made my request, and exigent circumstances

merit a 30-day temporary waiver of the

requirement.

To ask for a 30-day temporary waiver of the

requirement, attach a separate sheet explaining

what efforts you made to obtain the briefing, why you

were unable to obtain it before you filed for

bankruptcy, and what exigent circumstances

required you to file this case.

Your case may be dismissed if the court is

dissatisfied with your reasons for not receiving a

briefing before you filed for bankruptcy.

Your case may be dismissed if the court is

dissatisfied with your reasons for not receiving a

briefing before you filed for bankruptcy.

If the court is satisfied with your reasons, you must

still receive a briefing within 30 days after you file.

You must file a certificate from the approved agency,

along with a copy of the payment plan you

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

be dismissed.

If the court is satisfied with your reasons, you must

still receive a briefing within 30 days after you file.

You must file a certificate from the approved agency,

along with a copy of the payment plan you

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

be dismissed.

Any extension of the 30-day deadline is granted only

for cause and is limited to a maximum of 15 days.

Any extension of the 30-day deadline is granted only

for cause and is limited to a maximum of 15 days.

I am not required to receive a briefing about credit

counseling because of:

Incapacity. I have a mental illness or a mental

deficiency that makes me

incapable of realizing or making

rational decisions about finances.

Disability. My physical disability causes me

to be unable to participate in a

briefing in person, by phone, or

through the internet, even after I

reasonably tried to do so.

Active duty. I am currently on active military

duty in a military combat zone.

I am not required to receive a briefing about credit

counseling because of:

Incapacity. I have a mental illness or a mental

deficiency that makes me

incapable of realizing or making

rational decisions about finances.

Disability. My physical disability causes me

to be unable to participate in a

briefing in person, by phone, or

through the internet, even after I

reasonably tried to do so.

Active duty. I am currently on active military

duty in a military combat zone.

If you believe you are not required to receive a

briefing about credit counseling, you must file a

motion for waiver of credit counseling with the court.

If you believe you are not required to receive a

briefing about credit counseling, you must file a

motion for waiver of credit counseling with the court.

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 6

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 6 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 6: Answer These Questions for Reporting Purposes

16. What kind of debts do you

have?

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

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

No. Go to line 16b.

Yes. Go to line 17.

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

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

No. Go to line 16c.

Yes. Go to line 17.

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

17. Are you filing under Chapter 7?

Do you estimate that after any

exempt property is excluded

and administrative expenses are

paid that funds will be available

for distribution to unsecured

creditors?

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

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

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

No

Yes

18. How many creditors do you

estimate that you owe?

1-49

50-99

100-199

200-999

1,000-5,000

5,001-10,000

10,001-25,000

25,001-50,000 50,000-100,000 More than 100,000

19. How much do you estimate your

assets to be worth?

$0-$50,000

$50,001-$100,000

$100,001-$500,000

$500,001-$1 million

$1,000,001-$10 million

$10,000,001-$50 million

$50,000,001-$100 million

$100,000,001-$500 million

$500,000,001-$1 billion

$1,000,000,001-$10 billion

$10,000,000,001-$50 billion

More than $50 billion

20. How much do you estimate your

liabilities to be?

$0-$50,000

$50,001-$100,000

$100,001-$500,000

$500,001-$1 million

$1,000,001-$10 million

$10,000,001-$50 million

$50,000,001-$100 million

$100,000,001-$500 million

$500,000,001-$1 billion

$1,000,000,001-$10 billion

$10,000,000,001-$50 billion

More than $50 billion

Part 7: Sign Below

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

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

States Code. I understand the relief available under each chapter, and I choose to proceed under Chapter 7.

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

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

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

I understand making a false statement, concealing property, or obtaining money or property by fraud in connection with a

bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519,

and 3571.

✘ /s/ Chasatee Nichole Carbaugh

Chasatee Nichole Carbaugh, Debtor 1

Executed on 10/30/2024

MM/ DD/ YYYY

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 7

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 7 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

For your attorney, if you are

represented by one

If you are not represented by an

attorney, you do not need to file this

page.

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

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

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

11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no knowledge after an inquiry

that the information in the schedules filed with the petition is incorrect.

✘ /s/ Nathan Graham

Signature of Attorney for Debtor

Date 10/30/2024

MM / DD / YYYY

Nathan Graham

Printed name

Graham Legal, PLLC

Firm name

8501 Wade Blvd Ste 340

Number Street

Frisco

City

TX

State

75034-6265

ZIP Code

Contact phone (214) 618-1700 Email address nathan@grahamlegalpllc.com

24065317

Bar number

TX

State

Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 8

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 8 of 87
Fill in this information to identify your case and this filing:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number Check if this is an

amended filing

Official Form 106A/B

Schedule A/B: Property 12/15

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

the category where you think it fits best. Be as complete and accurate as possible. If two married people are filing together, both are

equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any

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

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

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

No. Go to Part 2.

Yes. Where is the property?

1.1 15287 Hanging Tree

Street address, if available, or other

description

Terrell, TX 75161

City State ZIP Code

Kaufman

County

What is the property? Check all that apply.

Single-family home

Duplex or multi-unit building

Condominium or cooperative

Manufactured or mobile home

Land

Investment property

Timeshare

Other

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$695,000.00

Current value of the

portion you own?

$695,000.00

Describe the nature of your ownership interest

(such as fee simple, tenancy by the entireties, or

a life estate), if known.

Fee Simple

Check if this is community property

(see instructions)

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

property identification number: 

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

you have attached for Part 1. Write that number here ...................................................................................................➔ $695,000.00

Part 2: Describe Your Vehicles

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

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

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

No

Yes

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

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 9 of 87
Debtor Carbaugh, Chasatee Nichole Case number (if known)

3.1 Make: Ford

Model: Expedition

Year: 2022

Approximate mileage: 92,000

Other information:

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Check if this is community property (see

instructions)

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$39,675.00

Current value of the

portion you own?

$39,675.00

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

3.2 Make: Ford

Model: F250

Year: 2019

Approximate mileage: 100,000

Other information:

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Check if this is community property (see

instructions)

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$26,025.00

Current value of the

portion you own?

$26,025.00

3.3 Make: Hyundai

Model: Elantra

Year: 2016

Approximate mileage: 120000

Other information:

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Check if this is community property (see

instructions)

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$9,000.00

Current value of the

portion you own?

$9,000.00

3.4 Make: Chevrolet

Model: Suburban

Year: 2016

Approximate mileage: 130000

Other information:

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Check if this is community property (see

instructions)

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

$31,000.00

Current value of the

portion you own?

$31,000.00

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

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

No

Yes

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

4.1 Make:

Model:

Year:

Other information:

Who has an interest in the property? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and another

Check if this is community property (see

instructions)

Do not deduct secured claims or exemptions. Put

the amount of any secured claims on Schedule D:

Creditors Who Have Claims Secured by Property.

Current value of the

entire property?

Current value of the

portion you own?

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

you have attached for Part 2. Write that number here ...................................................................................................➔ $105,700.00

Part 3: Describe Your Personal and Household Items

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

portion you own?

Do not deduct secured

claims or exemptions.

6. Household goods and furnishings

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

No

Yes. Describe. ......... Beds (2)

Couch - $200

Coffee table - $50

Barstools (3) - $150

Kitchen table and chairs - $200

Refrigerator - $400

Dishwasher - $300

Dryer - $300

Beds (3) - $300

Dressers (5) - $500

Nightstands (4) - $200

Pots and pans - $50

Dishes and flatware - $50

$3,700.00

7. Electronics

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

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

No

Yes. Describe. ......... Televisions (4) - $600

Computer - $400

Cell phones (2) - $400

Cell phones (2) - $400

Smartwatches (2) - $200

Video game system - $200

$2,200.00

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

8. Collectibles of value

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

baseball card collections; other collections, memorabilia, collectibles

No

Yes. Describe. .........

9. Equipment for sports and hobbies

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

kayaks; carpentry tools; musical instruments

No

Yes. Describe. .........

10. Firearms

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

No

Yes. Describe. ......... Handguns (2) $500.00

11. Clothes

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

No

Yes. Describe. ......... Clothing and shoes $1,000.00

12. Jewelry

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

silver

No

Yes. Describe. ......... Jewelry $3,000.00

13. Non-farm animals

Examples: Dogs, cats, birds, horses

No

Yes. Describe. ......... Dogs (2) $100.00

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

No

Yes. Give specific

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

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

for Part 3. Write that number here .................................................................................................................................➔ $10,500.00

Part 4: Describe Your Financial Assets

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

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

portion you own?

Do not deduct secured

claims or exemptions.

16. Cash

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

No

Yes ................................................................................................................................................... Cash: ...................

17. Deposits of money

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

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

No

Yes ..................... Institution name:

17.1. Checking account: Bank of America checking account no. 1011 $357.00

17.2. Checking account: Capital One checking account no. 1909 $19.00

17.3. Savings account: Capital One savings account no. 7401 $0.00

18. Bonds, mutual funds, or publicly traded stocks

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

No

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

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

LLC, partnership, and joint venture

No

Yes. Give specific

information about

them.................... Name of entity: % of ownership:

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

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

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

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

No

Yes. Give specific

information about

them.................... Issuer name:

21. Retirement or pension accounts

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

No

Yes. List each

account separately. Type of account: Institution name:

401(k) or similar plan:

Pension plan:

IRA:

Retirement account:

Keogh:

Additional account:

Additional account:

22. Security deposits and prepayments

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

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

others

No

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

Electric:

Gas:

Heating oil:

Security deposit on rental unit:

Prepaid rent:

Telephone:

Water:

Rented furniture:

Other:

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

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

No

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

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

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

No

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

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

for your benefit

No

Yes. Give specific

information about them. ...

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

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

No

Yes. Give specific

information about them. ...

27. Licenses, franchises, and other general intangibles

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

No

Yes. Give specific

information about them. ...

Money or property owed to you? Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

28. Tax refunds owed to you

No

Yes. Give specific information about

them, including whether you

already filed the returns and

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

Federal:

State:

Local:

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

29. Family support

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

settlement

No

Yes. Give specific information. ........

Alimony:

Maintenance:

Support:

Divorce settlement:

Property settlement:

30. Other amounts someone owes you

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

Social Security benefits; unpaid loans you made to someone else

No

Yes. Give specific information. ........

31. Interests in insurance policies

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

No

Yes. Name the insurance company

of each policy and list its value. ... Company name: Beneficiary: Surrender or refund value:

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

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

property because someone has died.

No

Yes. Give specific information. ........

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

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

No

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

34. Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and rights to set off

claims

No

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

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

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35. Any financial assets you did not already list

No

Yes. Give specific information. ........

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

for Part 4. Write that number here .................................................................................................................................➔ $376.00

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

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

No. Go to Part 6.

Yes. Go to line 38.

Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

38. Accounts receivable or commissions you already earned

No

Yes. Describe. .........

39. Office equipment, furnishings, and supplies

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

electronic devices

No

Yes. Describe. .........

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

No

Yes. Describe. ......... Tools used by Carbaugh Construction. $2,000.00

41. Inventory

No

Yes. Describe. .........

42. Interests in partnerships or joint ventures

No

Yes. Describe .......

Name of entity: % of ownership:

Official Form 106A/B Schedule A/B: Property page 9

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

43. Customer lists, mailing lists, or other compilations

No

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

No

Yes. Describe. .........

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

No

Yes. Give specific

information .........

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

for Part 5. Write that number here .................................................................................................................................➔ $2,000.00

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

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

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

No. Go to Part 7.

Yes. Go to line 47.

Current value of the

portion you own?

Do not deduct secured

claims or exemptions.

47. Farm animals

Examples: Livestock, poultry, farm-raised fish

No

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

48. Crops—either growing or harvested

No

Yes. Give specific

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

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

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

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

No

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

50. Farm and fishing supplies, chemicals, and feed

No

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

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

No

Yes. Give specific

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

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

for Part 6. Write that number here .................................................................................................................................➔ $0.00

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

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

Examples: Season tickets, country club membership

No

Yes. Give specific

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

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

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

55. Part 1: Total real estate, line 2 ........................................................................................................................................➔ $695,000.00

56. Part 2: Total vehicles, line 5 $105,700.00

57. Part 3: Total personal and household items, line 15 $10,500.00

58. Part 4: Total financial assets, line 36 $376.00

59. Part 5: Total business-related property, line 45 $2,000.00

60. Part 6: Total farm- and fishing-related property, line 52 $0.00

61. Part 7: Total other property not listed, line 54 + $0.00

62. Total personal property. Add lines 56 through 61. ............... $118,576.00 Copy personal property total ➔ + $118,576.00

Official Form 106A/B Schedule A/B: Property page 11

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Debtor Carbaugh, Chasatee Nichole Case number (if known)

63. Total of all property on Schedule A/B. Add line 55 + line 62. ........................................................................................ $813,576.00

Official Form 106A/B Schedule A/B: Property page 12

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 20 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known) Check if this is an

amended filing

Official Form 106C

Schedule C: The Property You Claim as Exempt 04/22

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

property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more space is needed, fill out

and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write your name and case number (if known).

For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a specific

dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount of any applicable

statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt retirement funds—may be unlimited

in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that limits the exemption to a particular dollar amount

and the value of the property is determined to exceed that amount, your exemption would be limited to the applicable statutory amount.

Part 1: Identify the Property You Claim as Exempt

1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you.

You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3)

You are claiming federal exemptions. 11 U.S.C. § 522(b)(2)

2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below.

Brief description of the property and

line on Schedule A/B that lists this

property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Brief

description:

15287 Hanging

Tree Terrell, TX

75161

Line from

Schedule A/B: 1.1

$695,000.00

$399,993.00

100% of fair market value, up to

any applicable statutory limit

Const. art. 16 §§ 50, 51, Texas

Prop. Code §§ 41.001-.002

Brief

description:

2019 Ford F250

Line from

Schedule A/B: 3.2

$26,025.00

$2,547.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(9)

3. Are you claiming a homestead exemption of more than $189,050?

(Subject to adjustment on 4/01/25 and every 3 years after that for cases filed on or after the date of adjustment.)

No

Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case?

No

Yes

Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 3

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Document Page 21 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 2: Additional Page

Brief description of the property and

line on Schedule A/B that lists this

property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Brief

description:

2016 Hyundai

Elantra

Line from

Schedule A/B: 3.3

$9,000.00

$0.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(9)

Brief

description:

2016 Chevrolet

Suburban

Line from

Schedule A/B: 3.4

$31,000.00

$0.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(9)

Brief

description:

Couch - $200

Coffee table - $50

Barstools (3) - $150

Kitchen table and

chairs - $200

Refrigerator - $400

Dishwasher - $300

Dryer - $300 Beds

(3) - $300 Dressers

(5) - $500

Nightstands (4) -

$200 Pots and

pans - $50 Dishes

and flatware - $50

Line from

Schedule A/B: 6

$2,700.00

$2,700.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(1)

Brief

description:

Beds (2)

Line from

Schedule A/B: 6

$1,000.00

$0.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(1)

Brief

description:

Televisions (4) -

$600 Computer -

$400 Cell phones

(2) - $400 Cell

phones (2) - $400

Smartwatches (2) -

$200 Video game

system - $200

Line from

Schedule A/B: 7

$2,200.00

$2,200.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(1)

Official Form 106C Schedule C: The Property You Claim as Exempt page 2 of 3

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Document Page 22 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 2: Additional Page

Brief description of the property and

line on Schedule A/B that lists this

property

Current value of the

portion you own

Copy the value from

Schedule A/B

Amount of the exemption you claim

Check only one box for each exemption.

Specific laws that allow exemption

Brief

description:

Handguns (2)

Line from

Schedule A/B: 10

$500.00

$500.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(7)

Brief

description:

Clothing and

shoes

Line from

Schedule A/B: 11

$1,000.00

$1,000.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(5)

Brief

description:

Jewelry

Line from

Schedule A/B: 12

$3,000.00

$3,000.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(6)

Brief

description:

Dogs (2)

Line from

Schedule A/B: 13

$100.00

$100.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(11)

Brief

description:

Tools used by

Carbaugh

Construction.

Line from

Schedule A/B: 40.1

$2,000.00

$2,000.00

100% of fair market value, up to

any applicable statutory limit

Tex. Prop. Code §§ 42.001(a),

42.002(a)(4)

Official Form 106C Schedule C: The Property You Claim as Exempt page 3 of 3

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Document Page 23 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number (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 Bridgecrest Acceptance Corp

Creditor’s Name

7300 East Hampton Avenue

Suite 100

Number Street

Mesa, AZ 85209-3324

City State ZIP Code

Describe the property that secures the claim: $16,233.00 $9,000.00 $7,233.00

2016 Hyundai Elantra

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 11/1/2022 Last 4 digits of account number 2 3 0 3

Add the dollar value of your entries in Column A on this page. Write that number here: $16,233.00

Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 5

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Document Page 24 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 1:

Additional Page

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

followed by 2.4, and so forth.

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

2.2 Nebraska Furniture Mart

Creditor’s Name

700 South 72nd Street

Number Street

Omaha, NE 68114

City State ZIP Code

Describe the property that secures the claim: $3,875.00 $1,000.00 $2,875.00

Beds (2)

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

ChargeAccount

Date debt was incurred 8/1/2021 Last 4 digits of account number 8 R E V

2.3 Owings Auto

Creditor’s Name

519 E Division St

Number Street

Arlington, TX 76011-7211

City State ZIP Code

Describe the property that secures the claim: $31,000.00 $31,000.00 $0.00

2016 Chevrolet Suburban

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred Last 4 digits of account number

Add the dollar value of your entries in Column A on this page. Write that number here: $34,875.00

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

Write that number here:

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 5

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 25 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 1:

Additional Page

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

followed by 2.4, and so forth.

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

2.4 Regional Acceptance Co

Creditor’s Name

Attn: Bankruptcy

1424 E Firetower Rd

Number Street

Greenville, SC 27858

City State ZIP Code

Describe the property that secures the claim: $23,478.00 $26,025.00 $0.00

2019 Ford F250

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 4/1/2020 Last 4 digits of account number 9 8 5 1

2.5 Select Portfolio Servicing, Inc

Creditor’s Name

Attn: Bankruptcy

PO Box 65250

Number Street

Salt Lake City, UT 84165-0250

City State ZIP Code

Describe the property that secures the claim: $295,007.00 $695,000.00 $0.00

15287 Hanging Tree Terrell, TX 75161

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 8/1/2021 Last 4 digits of account number 2 9 1 0

Add the dollar value of your entries in Column A on this page. Write that number here: $318,485.00

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

Write that number here:

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 3 of 5

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 26 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 1:

Additional Page

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

followed by 2.4, and so forth.

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

2.5 Select Portfolio Servicing, Inc

(post petition arrearage)

Creditor’s Name

Attn: Bankruptcy

PO Box 65250

Number Street

Salt Lake City, UT 84165-0250

City State ZIP Code

Describe the property that secures the claim: $4,268.00 $695,000.00 $0.00

15287 Hanging Tree Terrell, TX 75161

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 8/1/2021 Last 4 digits of account number 2 9 1 0

2.5 Select Portfolio Servicing, Inc

(arrearage)

Creditor’s Name

Attn: Bankruptcy

PO Box 65250

Number Street

Salt Lake City, UT 84165-0250

City State ZIP Code

Describe the property that secures the claim: $55,000.00 $695,000.00 $0.00

15287 Hanging Tree Terrell, TX 75161

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 8/1/2021 Last 4 digits of account number 2 9 1 0

Add the dollar value of your entries in Column A on this page. Write that number here: $0.00

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

Write that number here:

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 4 of 5

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 27 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 1:

Additional Page

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

followed by 2.4, and so forth.

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

2.6 TD Auto Finance

Creditor’s Name

Po Box 100295

Number Street

Columbia, SC 29202-3295

City State ZIP Code

Describe the property that secures the claim: $69,737.00 $39,675.00 $30,062.00

2022 Ford Expedition

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

Contingent

Unliquidated

Disputed

Who owes the debt? Check one.

Debtor 1 only

Debtor 2 only

Debtor 1 and Debtor 2 only

At least one of the debtors and

another

Check if this claim relates to a

community debt

Nature of lien. Check all that apply.

An agreement you made (such as mortgage or secured car loan)

Statutory lien (such as tax lien, mechanic’s lien)

Judgment lien from a lawsuit

Other (including a right to

offset)

Date debt was incurred 10/1/2022 Last 4 digits of account number 9 5 0 5

Add the dollar value of your entries in Column A on this page. Write that number here: $69,737.00

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

Write that number here: $439,330.00

Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 5 of 5

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 28 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known) 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 Graham Legal, PLLC

Priority Creditor’s Name

8501 Wade Blvd Ste 340

Number Street

Frisco, TX 75034-6265

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?

$4,250.00 $4,250.00 $0.00

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 Attorney Fees

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 1 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 29 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 1: Your PRIORITY Unsecured Claims ─ Continuation Page

After listing any entries on this page, number them beginning with 2.3, followed by 2.4, and so forth. Total claim Priority

amount

Nonpriority

amount

2.2 Internal Revenue Service

Priority Creditor’s Name

PO Box 7346

Number Street

Philadelphia, PA 19101

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? 2023

$23,719.00 $23,719.00 $0.00

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

2.3 Internal Revenue Service

Priority Creditor’s Name

PO Box 7346

Number Street

Philadelphia, PA 19101

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? 2022

$57,765.00 $57,765.00 $0.00

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 2 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 30 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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 Capital One

Nonpriority Creditor’s Name

Attn: Bankruptcy

PO Box 30285

Number Street

Salt Lake City, UT 84130-0285

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 6 4

When was the debt incurred? 4/1/2018

$702.00

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 CreditCard

4.2 Capital One

Nonpriority Creditor’s Name

Attn: Bankruptcy

PO Box 30285

Number Street

Salt Lake City, UT 84130-0285

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 2 3 9

When was the debt incurred? 11/1/2021

$211.00

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 CreditCard

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 3 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 31 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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 Citibank/The Home Depot

Nonpriority Creditor’s Name

Citicorp Cr Srvs/Centralized Bankruptcy

PO Box 790040

Number Street

St Louis, MO 63179-0040

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 8 0 6

When was the debt incurred? 8/1/2022

$277.00

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 ChargeAccount

4.4 Comenity Bk/Ulta

Nonpriority Creditor’s Name

Attn: Bankruptcy Dept

PO Box 182125

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 3 9 6 5

When was the debt incurred? 1/26/2022

$981.00

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 ChargeAccount

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 4 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 32 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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 Credit One Bank

Nonpriority Creditor’s Name

ATTN: Bankruptcy Department

PO Box 98873

Number Street

Las Vegas, NV 89193

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? 01/2024

$1,700.00

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

4.6 First Savings Bank/Blaze

Nonpriority Creditor’s Name

Attn: Bankruptcy

PO Box 5096

Number Street

Sioux Falls, SD 57117-5096

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 4 7

When was the debt incurred? 6/1/2020

$467.00

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 CreditCard

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 5 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 33 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

4.7 Jefferson Capital Systems, LLC

Nonpriority Creditor’s Name

16 Mcleland Rd

Number Street

Saint Cloud, MN 56303-2198

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 3

When was the debt incurred? 5/1/2024

$1,156.00

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 FactoringCompanyAccount

4.8 Jefferson Capital Systems, LLC

Nonpriority Creditor’s Name

16 Mcleland Rd

Number Street

Saint Cloud, MN 56303-2198

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? 8/1/2024

$966.00

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 FactoringCompanyAccount

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 6 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 34 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

4.9 Merrick Bank/Card Works

Nonpriority Creditor’s Name

Attn: Bankruptcy

PO Box 9201

Number Street

Old Bethpage, NY 11804-9001

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 2 1 0

When was the debt incurred? 7/1/2019

$1,713.00

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 CreditCard

4.10 MiraMed Revenue Group

Nonpriority Creditor’s Name

PO Box 1411

Number Street

Carol Stream, IL 60132

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 0 3 6

When was the debt incurred? 01/2024

$25,000.00

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 Medical Bill

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 7 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 35 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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 Sheffield Financial

Nonpriority Creditor’s Name

PO Box 1704

Number Street

Clemmons, NC 27012

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 1 0 6

When was the debt incurred? 2/1/2022

$15,520.00

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

4.12 Synchrony Bank/Amazon

Nonpriority Creditor’s Name

Attn: Bankruptcy

PO Box 965060

Number Street

Orlando, FL 32896-5060

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 3 1 0

When was the debt incurred? 2/1/2022

$865.00

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 ChargeAccount

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 8 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 36 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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 Synchrony Bank/Care Credit

Nonpriority Creditor’s Name

Attn: Bankruptcy Dept

PO Box 965060

Number Street

Orlando, FL 32896-5060

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 3 7 8

When was the debt incurred? 8/1/2021

$3,118.00

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 ChargeAccount

4.14 Synchrony Bank/TJX

Nonpriority Creditor’s Name

Attn: Bankruptcy Dept

PO Box 965060

Number Street

Orlando, FL 32896-5060

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 2 9

When was the debt incurred? 9/1/2021

$425.00

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 ChargeAccount

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 9 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 37 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

4.15 Target NB

Nonpriority Creditor’s Name

C/O Financial & Retail Services

Mailstop BT PO Box 9475

Number Street

Minneapolis, MN 55440

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 1 6 2

When was the debt incurred? 11/1/2019

$238.00

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 CreditCard

4.16 Wells Fargo Bank NA

Nonpriority Creditor’s Name

Attn: Bankruptcy

1 Home Campus MAC X2303-01A

Number Street

Des Moines, IA 50328

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 4 0 6

When was the debt incurred? 3/1/2022

$4,164.00

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 CreditCard

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 10 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 38 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

4.17 Wells Fargo Bank, NA

Nonpriority Creditor’s Name

Attn: Bankruptcy

1 Home Campus MAC X2303-01A 3rd Floor

Number Street

Des Moines, IA 50328

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? 8/1/2022

$724.00

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 NoteLoan

Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims page 11 of 12

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 39 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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. $81,484.00

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. + $4,250.00

6e. Total. Add lines 6a through 6d. 6e. $85,734.00

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. + $58,227.00

6j. Total. Add lines 6f through 6i. 6j. $58,227.00

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

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 40 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Check if this is an

amended filing

Official Form 106G

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

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

case number (if known).

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

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

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

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

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

leases.

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

2.1

Name

Number Street

City State ZIP Code

2.2

Name

Number Street

City State ZIP Code

2.3

Name

Number Street

City State ZIP Code

2.4

Name

Number Street

City State ZIP Code

Official Form 106G Schedule G: Executory Contracts and Unexpired Leases page 1 of 1

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Schedule G: Executory Contracts and Unexpired Leases 12/15

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 41 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known) Check if this is an

amended filing

Official Form 106H

Schedule H: Your Codebtors 12/15

Codebtors are people or entities who are also liable for any debts you may have. Be as complete and accurate as possible. If two married people are

filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, and number

the entries in the boxes on the left. Attach the Additional Page to this page. On the top of any Additional Pages, write your name and case number (if

known). Answer every question.

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

No

Yes

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

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

No. Go to line 3.

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

 No

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

Carbaugh, Larry Morgan

Name of your spouse, former spouse, or legal equivalent

15287 Hanging Tree

Number Street

Terrell, TX 75161

City State ZIP Code

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

2 again as a codebtor only if that person is a guarantor or cosigner. Make sure you have listed the creditor on Schedule D (Official Form 106D),

Schedule E/F (Official Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D, Schedule E/F, or Schedule G to fill out Column 2.

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

Check all schedules that apply:

3.1

Name

Number Street

City State ZIP Code

 Schedule D, line 

 Schedule E/F, line 

 Schedule G, line 

3.2

Name

Number Street

City State ZIP Code

 Schedule D, line 

 Schedule E/F, line 

 Schedule G, line 

Official Form 106H Schedule H: Codebtors page 1 of 1

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 42 of 87
Check if this is:

 An amended filing

A supplement showing postpetition

chapter 13 income as of the following date:

MM / DD / YYYY

Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Official Form 106I

Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for supplying correct

information. If you are married and not filing jointly, and your spouse is living with you, include information about your spouse. If you are separated and your

spouse is not filing with you, do not include information about your spouse. If more space is needed, attach a separate sheet to this form. On the top of any

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

Part 1: Describe Employment

1. Fill in your employment

information. Debtor 1 Debtor 2 or non-filing spouse

If you have more than one job,

attach a separate page with

information about additional

employers.

Include part time, seasonal, or

self-employed work.

Occupation may include student

or homemaker, if it applies.

Employment status

Occupation

Employer's name

Employer's address

Employed Not Employed

Number Street

City State Zip Code

Employed Not Employed

Number Street

City State Zip Code

How long employed there?

Part 2: Give Details About Monthly Income

Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing spouse

unless you are separated.

If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need

more space, attach a separate sheet to this form.

For Debtor 1 For Debtor 2 or

non-filing spouse

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

deductions.) If not paid monthly, calculate what the monthly wage would be. 2. $0.00 $0.00

3. Estimate and list monthly overtime pay. 3. + $0.00 + $0.00

4. Calculate gross income. Add line 2 + line 3. 4. $0.00 $0.00

Official Form 106I Schedule I: Your Income page 1

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Schedule I: Your Income 12/15

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 43 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

For Debtor 1 For Debtor 2 or

non-filing spouse

Copy line 4 here....................................................................................➔ 4. $0.00 $0.00

5. List all payroll deductions:

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

5b. Mandatory contributions for retirement plans 5b. $0.00 $0.00

5c. Voluntary contributions for retirement plans 5c. $0.00 $0.00

5d. Required repayments of retirement fund loans 5d. $0.00 $0.00

5e. Insurance 5e. $0.00 $0.00

5f. Domestic support obligations 5f. $0.00 $0.00

5g. Union dues 5g. $0.00 $0.00

5h. Other deductions. Specify: 5h. + $0.00 + $0.00

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

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

8. List all other income regularly received:

8a. Net income from rental property and from operating a business,

profession, or farm

Attach a statement for each property and business showing gross

receipts, ordinary and necessary business expenses, and the total

monthly net income. 8a. $7,016.42 $11,514.84

8b. Interest and dividends 8b. $0.00 $0.00

8c. Family support payments that you, a non-filing spouse, or a

dependent regularly receive

Include alimony, spousal support, child support, maintenance, divorce

settlement, and property settlement. 8c. $0.00 $0.00

8d. Unemployment compensation 8d. $0.00 $0.00

8e. Social Security 8e. $0.00 $0.00

8f. Other government assistance that you regularly receive

Include cash assistance and the value (if known) of any non-cash

assistance that you receive, such as food stamps (benefits under the

Supplemental Nutrition Assistance Program) or housing subsidies.

Specify: 8f. $0.00 $0.00

8g. Pension or retirement income 8g. $0.00 $0.00

8h. Other monthly income. Specify: 8h. + $0.00 + $0.00

9. Add all other income. Add lines 8a + 8b + 8c + 8d + 8e + 8f +8g + 8h. 9. $7,016.42 $11,514.84

10. Calculate monthly income. Add line 7 + line 9.

Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse 10. $7,016.42 + $11,514.84 = $18,531.26

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

Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and other

friends or relatives.

Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J.

Specify: 11. + $0.00

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

amount on the Summary of Your Assets and Liabilities and Certain Statistical Information, if it applies 12. $18,531.26

Combined

monthly income

13. Do you expect an increase or decrease within the year after you file this form?

 No.

 Yes. Explain: 

Official Form 106I Schedule I: Your Income page 2

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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 44 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

8a. Attached Statement

Realtor Income

FINANCIAL REVIEW OF THE DEBTOR'S BUSINESS (NOTE: ONLY INCLUDE information directly related to the business operation.)

PART A - ESTIMATED AVERAGE FUTURE GROSS MONTHLY INCOME:

1. Gross Monthly Income: $9,736.09

PART B - ESTIMATED AVERAGE FUTURE MONTHLY EXPENSES:

2. Ordinary and necessary expense $1,662.67

3. Net Employee Payroll (Other than debtor) $540.33

4. Payroll Taxes $0.00

5. Unemployment Taxes $0.00

6. Worker's Compensation $0.00

7. Other Taxes $0.00

8. Inventory Purchases (Including raw materials) $0.00

9. Purchase of Feed/Fertilizer/Seed/Spray $0.00

10. Rent (Other than debtor's principal residence) $0.00

11. Utilities $0.00

12. Office Expenses and Supplies $90.00

13. Repairs and Maintenance $0.00

14. Vehicle Expenses $0.00

15. Travel and Entertainment $260.00

16. Equipment Rental and Leases $0.00

17. Legal/Accounting/Other Professional Fees $0.00

18. Insurance $166.67

19. Employee Benefits (e.g., pension, medical, etc.) $0.00

20. Payments to be Made Directly by Debtor to Secured Creditors for Pre-Petition

Business Debts

TOTAL PAYMENTS TO SECURED CREDITORS $0.00

21. Other Expenses

TOTAL OTHER EXPENSES $0.00

22. TOTAL MONTHLY EXPENSES(Add item 2 - 21)

$2,719.67

PART C - ESTIMATED AVERAGE NET MONTHLY INCOME:

23. AVERAGE NET MONTHLY INCOME(Subtract item 22 from item 1) $7,016.42

Official Form 106I Schedule I: Your Income page 3

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 45 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

8a. Attached Statement

Carbaugh Construction

FINANCIAL REVIEW OF THE DEBTOR'S BUSINESS (NOTE: ONLY INCLUDE information directly related to the business operation.)

PART A - ESTIMATED AVERAGE FUTURE GROSS MONTHLY INCOME:

1. Gross Monthly Income: $27,416.00

PART B - ESTIMATED AVERAGE FUTURE MONTHLY EXPENSES:

2. Ordinary and necessary expense $2,026.83

3. Net Employee Payroll (Other than debtor) $2,850.00

4. Payroll Taxes $0.00

5. Unemployment Taxes $0.00

6. Worker's Compensation $0.00

7. Other Taxes $0.00

8. Inventory Purchases (Including raw materials) $10,624.33

9. Purchase of Feed/Fertilizer/Seed/Spray $0.00

10. Rent (Other than debtor's principal residence) $0.00

11. Utilities $0.00

12. Office Expenses and Supplies $75.00

13. Repairs and Maintenance $0.00

14. Vehicle Expenses $0.00

15. Travel and Entertainment $0.00

16. Equipment Rental and Leases $0.00

17. Legal/Accounting/Other Professional Fees $0.00

18. Insurance $37.50

19. Employee Benefits (e.g., pension, medical, etc.) $0.00

20. Payments to be Made Directly by Debtor to Secured Creditors for Pre-Petition

Business Debts

TOTAL PAYMENTS TO SECURED CREDITORS $0.00

21. Other Expenses

Benefits to Owners/Employees $287.50

TOTAL OTHER EXPENSES $287.50

22. TOTAL MONTHLY EXPENSES(Add item 2 - 21)

$15,901.16

PART C - ESTIMATED AVERAGE NET MONTHLY INCOME:

23. AVERAGE NET MONTHLY INCOME(Subtract item 22 from item 1) $11,514.84

Official Form 106I Schedule I: Your Income page 4

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 46 of 87
Check if this is:

An amended filing

A supplement showing postpetition chapter 13

expenses as of the following date:

MM / DD / YYYY

Do you have dependents?

Do not list Debtor 1 and

Debtor 2.

Do not state the dependents'

names.

 No

Yes. Fill out this information

for each dependent...............

Dependent's relationship to

Debtor 1 or Debtor 2

Dependent's

age

Does dependent live

with you?

Child 16 No. Yes.

Child 10 No. Yes.

Child 8 No. Yes.

 No. Yes.

 No. Yes.

Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Official Form 106J

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

space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.

Part 1: Describe Your Household

1. Is this a joint case?

 No. Go to line 2.

 Yes. Does Debtor 2 live in a separate household?

 No

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

2.

3. Do your expenses include

expenses of people other than

yourself and your dependents?

 No

 Yes

Part 2: Estimate Your Ongoing Monthly Expenses

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

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

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

such assistance and have included it on Schedule I: Your Income (Official Form 106I.)

Your expenses

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

for the ground or lot. 4. $0.00

If not included in line 4:

4a. Real estate taxes 4a. $0.00

4b. Property, homeowner's, or renter's insurance 4b. $0.00

4c. Home maintenance, repair, and upkeep expenses 4c. $250.00

4d. Homeowner's association or condominium dues 4d. $0.00

Official Form 106J Schedule J: Your Expenses page 1

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Schedule J: Your Expenses 12/15

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Document Page 47 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Your expenses

5. Additional mortgage payments for your residence, such as home equity loans 5. $0.00

6. Utilities:

6a. Electricity, heat, natural gas 6a. $450.00

6b. Water, sewer, garbage collection 6b. $120.00

6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $620.00

6d. Other. Specify: 6d. $0.00

7. Food and housekeeping supplies 7. $1,250.00

8. Childcare and children’s education costs 8. $0.00

9. Clothing, laundry, and dry cleaning 9. $300.00

10. Personal care products and services 10. $150.00

11. Medical and dental expenses 11. $200.00

12. Transportation. Include gas, maintenance, bus or train fare.

Do not include car payments. 12. $600.00

13. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $300.00

14. Charitable contributions and religious donations 14. $0.00

15. Insurance.

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

15a. Life insurance 15a. $0.00

15b. Health insurance 15b. $0.00

15c. Vehicle insurance 15c. $600.00

15d. Other insurance. Specify: 15d. $0.00

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

Specify: Self Employment Tax 16. $3,000.00

17. Installment or lease payments:

17a. Car payments for Vehicle 1 2019 Ford F250 17a. $807.00

17b. Car payments for Vehicle 2 2016 Chevrolet Suburban 17b. $866.67

17c. Other. Specify: 2016 Hyundai Elantra 17c. $423.00

17d. Other. Specify: 17d. $0.00

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

from your pay on line 5, Schedule I, Your Income (Official Form 106I). 18. $0.00

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

Specify: 19. $0.00

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

20a. Mortgages on other property 20a. $0.00

20b. Real estate taxes 20b. $0.00

20c. Property, homeowner’s, or renter’s insurance 20c. $0.00

20d. Maintenance, repair, and upkeep expenses 20d. $0.00

20e. Homeowner’s association or condominium dues 20e. $0.00

Official Form 106J Schedule J: Your Expenses page 2

Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 48 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

21. Other. Specify: 21. + $0.00

22. Calculate your monthly expenses.

22a. Add lines 4 through 21.

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

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

22a.

22b.

22c.

$9,936.67

$0.00

$9,936.67

23. Calculate your monthly net income.

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

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

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

The result is your monthly net income.

23a.

23b.

23c.

$18,531.26

– $9,936.67

$8,594.59

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

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

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

 No.

 Yes.

None

Official Form 106J Schedule J: Your Expenses page 3

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Document Page 49 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

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...........................................................................................................

$695,000.00

$118,576.00

$813,576.00

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....... $439,330.00

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.................................

$85,734.00

+ $58,227.00

Your total liabilities $583,291.00

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.......................................................................................... $18,531.26

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

Copy your monthly expenses from line 22c of Schedule J.................................................................................. $9,936.67

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 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 50 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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. $18,531.25

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.) $81,484.00

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. $81,484.00

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

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Document Page 51 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

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/ Chasatee Nichole Carbaugh

Chasatee Nichole Carbaugh, Debtor 1

Date 10/30/2024

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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Case 24-33415-swe13 Doc 1 Filed 10/30/24 Entered 10/30/24 11:03:59 Desc Main

Document Page 52 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Check if this is an

amended filing

Official Form 107

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

space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every

question.

Part 1: Give Details About Your Marital Status and Where You Lived Before

1. What is your current marital status?

Married

Not married

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

No

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

Debtor 1: Dates Debtor 1 lived

there

Debtor 2: Dates Debtor 2 lived

there

Number Street

City State ZIP Code

From 

To

Same as Debtor 1

Number Street

City State ZIP Code

Same as Debtor 1

From 

To

Number Street

City State ZIP Code

From 

To

Same as Debtor 1

Number Street

City State ZIP Code

Same as Debtor 1

From 

To

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

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

No

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

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

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Statement of Financial Affairs for Individuals Filing for Bankruptcy 04/22

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Document Page 53 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 2: Explain the Sources of Your Income

4. Did you have any income from employment or from operating a business during this year or the two previous calendar years?

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

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

No

Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Check all that apply.

Gross Income

(before deductions and

exclusions)

Sources of income

Check all that apply.

Gross Income

(before deductions and

exclusions)

From January 1 of current year until the

date you filed for bankruptcy:

Wages, commissions,

bonuses, tips

 Operating a business $75,573.54

Wages, commissions,

bonuses, tips

 Operating a business $200,794.54

For last calendar year:

(January 1 to December 31, 2023 )

YYYY

Wages, commissions,

bonuses, tips

 Operating a business $135,538.00

Wages, commissions,

bonuses, tips

 Operating a business

For the calendar year before that:

(January 1 to December 31, 2022 )

YYYY

Wages, commissions,

bonuses, tips

 Operating a business $229,893.00

Wages, commissions,

bonuses, tips

 Operating a business

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

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

public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and gambling and lottery winnings. If you are

filing a joint case and you have income that you received together, list it only once under Debtor 1.

No

Yes. Fill in the details.

Debtor 1 Debtor 2

Sources of income

Describe below.

Gross income from

each source

(before deductions and

exclusions)

Sources of income

Describe below.

Gross Income from

each source

(before deductions and

exclusions)

From January 1 of current year until the

date you filed for bankruptcy:

For last calendar year:

(January 1 to December 31, 2023 )

YYYY

For the calendar year before that:

(January 1 to December 31, 2022 )

YYYY

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 2

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 3: List Certain Payments You Made Before You Filed for Bankruptcy

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

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

an individual primarily for a personal, family, or household purpose.”

During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $7,575* or more?

 No. Go to line 7.

 Yes. List below each creditor to whom you paid a total of $7,575* or more in one or more payments and the total amount you

paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do

not include payments to an attorney for this bankruptcy case.

* Subject to adjustment on 4/01/25 and every 3 years after that for cases filed on or after the date of adjustment.

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

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

 No. Go to line 7.

 Yes. List below each creditor to whom you paid a total of $600 or more and the total amount you paid that creditor. Do not

include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to

an attorney for this bankruptcy case.

Dates of

payment

Total amount paid Amount you still owe Was this payment for...

TD Auto Finance

Creditor's Name

Po Box 100295

Number Street

Columbia, SC 29202-3295

City State ZIP Code

09/2024

08/2024

$3,394.00 $69,737.00 Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other 

Bridgecrest Acceptance Corp

Creditor's Name

7300 East Hampton Avenue

Suite 100

Number Street

Mesa, AZ 85209-3324

City State ZIP Code

10/2024

09/2024

08/2024

$1,269.00 $16,233.00 Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other 

Regional Acceptance Co

Creditor's Name

Attn: Bankruptcy

1424 E Firetower Rd

Number Street

Greenville, SC 27858

City State ZIP Code

10/2024

09/2024

08/2024

$2,421.00 $23,478.00 Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other 

Owings Auto

Creditor's Name

519 E Division St

Number Street

Arlington, TX 76011-7211

City State ZIP Code

10/2024 $2,500.00 $31,000.00 Mortgage

 Car

 Credit card

 Loan repayment

 Suppliers or vendors

 Other 

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 3

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Document Page 55 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

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

you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing agent, including one for a business you

operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, such as child support and alimony.

 No

 Yes. List all payments to an insider.

Dates of

payment

Total amount paid Amount you still

owe

Reason for this payment

Barbara Carbaugh

Insider's Name

Number Street

City State ZIP Code

04/2024 $5,500.00 $0.00

Repayment of debt owed to

mother in law.

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

Include payments on debts guaranteed or cosigned by an insider.

 No

 Yes. List all payments that benefited an insider.

Dates of

payment

Total amount paid Amount you still

owe

Reason for this payment

Include creditor’s name

Insider's Name

Number Street

City State ZIP Code

Part 4: Identify Legal Actions, Repossessions, and Foreclosures

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

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

contract disputes.

 No

 Yes. Fill in the details.

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 4

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Nature of the case Court or agency Status of the case

Case title 

Case number 

Court Name

Number Street

City State ZIP Code

 Pending

 On appeal

 Concluded

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

Check all that apply and fill in the details below.

 No. Go to line 11.

 Yes. Fill in the information below.

Creditor’s Name

Number Street

City State ZIP Code

Describe the property

Explain what happened

 Property was repossessed.

 Property was foreclosed.

 Property was garnished.

 Property was attached, seized, or levied.

Date Value of the property

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

refuse to make a payment because you owed a debt?

 No

 Yes. Fill in the details.

Creditor’s Name

Number Street

City State ZIP Code

Describe the action the creditor took

Last 4 digits of account number: XXXX– 

Date action was

taken

Amount

12. Within 1 year before you filed for bankruptcy, was any of your property in the possession of an assignee for the benefit of creditors, a courtappointed receiver, a custodian, or another official?

 No

 Yes

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 5

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 5: List Certain Gifts and Contributions

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

 No

 Yes. Fill in the details for each gift.

Gifts with a total value of more than $600

per person

Person to Whom You Gave the Gift

Number Street

City State ZIP Code

Person’s relationship to you 

Describe the gifts Dates you gave

the gifts

Value

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

 No

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

Gifts or contributions to charities

that total more than $600

Charity’s Name

Number Street

City State ZIP Code

Describe what you contributed Date you

contributed

Value

Part 6: List Certain Losses

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

gambling?

 No

 Yes. Fill in the details.

Describe the property you lost and

how the loss occurred

Describe any insurance coverage for the loss

Include the amount that insurance has paid. List pending

insurance claims on line 33 of Schedule A/B: Property.

Date of your loss Value of property lost

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 7: List Certain Payments or Transfers

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

about seeking bankruptcy or preparing a bankruptcy petition?

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

 No

 Yes. Fill in the details.

Graham Legal, PLLC

Person Who Was Paid

8501 Wade Blvd Ste 340

Number Street

Frisco, TX 75034-6265

City State ZIP Code

Email or website address

Person Who Made the Payment, if Not You

Description and value of any property transferred

Attorney's Fee

Date payment or

transfer was made

10/30/2024

Amount of payment

$0.00

Debtorcc, Inc.

Person Who Was Paid

378 Summit Ave

Number Street

Jersey City, NJ 07306-3110

City State ZIP Code

Email or website address

Person Who Made the Payment, if Not You

Description and value of any property transferred

Credit counseling

Date payment or

transfer was made

08/02/2024

Amount of payment

$19.95

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

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

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

 No

 Yes. Fill in the details.

Person Who Was Paid

Number Street

City State ZIP Code

Description and value of any property transferred Date payment or

transfer was made

Amount of payment

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

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

ordinary course of your business or financial affairs?

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

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

 No

 Yes. Fill in the details.

Description and value of property

transferred

Describe any property or payments

received or debts paid in exchange

Date transfer was

made

Person Who Received Transfer

Number Street

City State ZIP Code

Person's relationship to you 

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

(These are often called asset-protection devices.)

 No

 Yes. Fill in the details.

Name of trust 

Description and value of the property transferred Date transfer was

made

Part 8: List Certain Financial Accounts, Instruments, Safe Deposit Boxes, and Storage Units

20. Within 1 year before you filed for bankruptcy, were any financial accounts or instruments held in your name, or for your benefit, closed, sold, moved,

or transferred?

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

funds, cooperatives, associations, and other financial institutions.

 No

 Yes. Fill in the details.

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 8

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Last 4 digits of account number Type of account or

instrument

Date account was

closed, sold, moved, or

transferred

Last balance

before closing or

transfer

Wells Fargo

Name of Financial Institution

P.O. Box 6895

Number Street

Portland, OR 97228

City State ZIP Code

XXXX– Checking

 Savings

 Money market

 Brokerage

 Other 

04/01/2024 $289.00

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

valuables?

 No

 Yes. Fill in the details.

Who else had access to it? Describe the contents Do you still have

it?

Name of Financial Institution

Number Street

City State ZIP Code

Name

Number Street

City State ZIP Code

 No

 Yes

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

 No

 Yes. Fill in the details.

Who else has or had access to it? Describe the contents Do you still have

it?

Name of Storage Facility

Number Street

City State ZIP Code

Name

Number Street

City State ZIP Code

 No

 Yes

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 9

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 9: Identify Property You Hold or Control for Someone Else

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

 No

 Yes. Fill in the details.

Where is the property? Describe the property Value

Owner's Name

Number Street

City State ZIP Code

Number Street

City State ZIP Code

Part 10: Give Details About Environmental Information

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

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

substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, including statutes or regulations controlling the

cleanup of these substances, wastes, or material.

Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize it or used to own, operate,

or utilize it, including disposal sites.

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

pollutant, contaminant, or similar term.

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

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

 No

 Yes. Fill in the details.

Governmental unit Environmental law, if you know it Date of notice

Name of site

Number Street

City State ZIP Code

Governmental unit

Number Street

City State ZIP Code

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

 No

 Yes. Fill in the details.

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

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Governmental unit Environmental law, if you know it Date of notice

Name of site

Number Street

City State ZIP Code

Governmental unit

Number Street

City State ZIP Code

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

 No

 Yes. Fill in the details.

Court or agency Nature of the case Status of the case

Case title

Case number

Court Name

Number Street

City State ZIP Code

 Pending

 On appeal

 Concluded

Part 11: Give Details About Your Business or Connections to Any Business

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

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

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

A partner in a partnership

An officer, director, or managing executive of a corporation

An owner of at least 5% of the voting or equity securities of a corporation

 No. None of the above applies. Go to Part 12.

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

Chasatee Carbaugh (Realtor)

Name

Number Street

City State ZIP Code

Describe the nature of the business

Self-employed realtor

Name of accountant or bookkeeper

Employer Identification number

Do not include Social Security number or ITIN.

EIN: –

Dates business existed

From 08/2017 To Present

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

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Carbaugh Construction

Name

Number Street

City State ZIP Code

Describe the nature of the business

Construction company.

Name of accountant or bookkeeper

Employer Identification number

Do not include Social Security number or ITIN.

EIN: –

Dates business existed

From 2014 To Present

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

creditors, or other parties.

 No

 Yes. Fill in the details below.

Date issued

Name

Number Street

City State ZIP Code

MM / DD / YYYY

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 12

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 12: Sign Below

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

and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud in connection with a

bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.

✘ /s/ Chasatee Nichole Carbaugh

Signature of Chasatee Nichole Carbaugh, Debtor 1

Date 10/30/2024

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

 No

 Yes

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 the Bankruptcy Petition Preparer’s Notice,

Declaration, and Signature (Official Form 119).

Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 13

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B2030 (Form 2030) (12/15)

United States Bankruptcy Court

Northern District of Texas

In re Carbaugh, Chasatee Nichole

Debtor

Case No. 

Chapter 13

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR

1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above named debtor(s) and that

compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered

or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:

For legal services, I have agreed to accept ................................................................................................................................................ $4,250.00

Prior to the filing of this statement I have received ................................................................................................................................................ $0.00

Balance Due ................................................................................................................................................ $4,250.00

2. The source of the compensation paid to me was:

Debtor Other (specify)

3. The source of compensation to be paid to me is:

Debtor Other (specify)

4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my

law firm.

 I have agreed to share the above-disclosed compensation with a other person or persons who are not members or associates of my

law firm. A copy of the agreement, together with a list of the names of the people sharing in the compensation, is attached.

5. In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including:

a. Analysis of the debtor' s financial situation, and rendering advice to the debtor in determining whether to file a petition in

bankruptcy;

b. Preparation and filing of any petition, schedules, statements of affairs and plan which may be required;

c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof;

6. By agreement with the debtor(s), the above-disclosed fee does not include the following services:

Adversary proceedings

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B2030 (Form 2030) (12/15)

CERTIFICATION

I certify that the foregoing is a complete statement of any agreement or arrangement for payment to

me for representation of the debtor(s) in this bankruptcy proceeding.

10/30/2024

Date

/s/ Nathan Graham

Nathan Graham

Signature of Attorney

Bar Number: 24065317

Graham Legal, PLLC

8501 Wade Blvd Ste 340

Frisco, TX 75034-6265

Phone: (214) 618-1700

Graham Legal, PLLC

Name of law firm

Date: 10/30/2024 /s/ Chasatee Nichole Carbaugh

Chasatee Nichole Carbaugh

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Check as directed in lines 17 and 21:

According to the calculations required by this

Statement:

1. Disposable income is not determined

under 11 U.S.C. § 1325(b)(3).

2. Disposable income is determined

under 11 U.S.C. § 1325(b)(3).

3. The commitment period is 3 years.

4. The commitment period is 5 years.

Check if this is an amended filing

Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Official Form 122C-1

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more space is needed,

attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any additional pages, write your name

and case number (if known).

Part 1: Calculate Your Average Monthly Income

1. What is your marital and filing status? Check one only.

Not married. Fill out Column A, lines 2-11.

Married. Fill out both Columns A and B, lines 2-11.

Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy case.11 U.S.C. §

101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount of your monthly income

varied during the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any income amount more than once. For

example, if both spouses own the same rental property, put the income from that property in one column only. If you have nothing to report for any line, write

$0 in the space.

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

2. Your gross wages, salary, tips, bonuses, overtime, and commissions (before all

payroll deductions).

$0.00 $0.00

3. Alimony and maintenance payments. Do not include payments from a spouse. $0.00 $0.00

4. All amounts from any source which are regularly paid for household expenses of you or

your dependents, including child support. Include regular contributions from an

unmarried partner, members of your household, your dependents, parents, and

roommates. Do not include payments from a spouse. Do not include payments you listed

on line 3. $0.00 $0.00

5. Net income from operating a business, profession, or

farm Debtor 1 Debtor 2

Gross receipts (before all deductions) $9,736.09 $27,416.00

Ordinary and necessary operating expenses - $2,719.67 - $15,901.17

Net monthly income from a business, profession, or farm $7,016.42 $11,514.83 Copy

here → $7,016.42 $11,514.83

6. Net income from rental and other real property Debtor 1 Debtor 2

Gross receipts (before all deductions) $0.00 $0.00

Ordinary and necessary operating expenses - $0.00 - $0.00

Net monthly income from rental or other real property $0.00 $0.00 Copy

here → $0.00 $0.00

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1

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Chapter 13 Statement of Your Current Monthly Income

and Calculation of Commitment Period 10/19

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For you.................................................................................... $0.00

For your spouse...................................................................... $0.00

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Column A

Debtor 1

Column B

Debtor 2 or

non-filing spouse

7. Interest, dividends, and royalties $0.00 $0.00

Unemployment compensation

Do not enter the amount if you contend that the amount received was a benefit under

the Social Security Act. Instead, list it here: .................................................. ↓

8. $0.00 $0.00

Pension or retirement income. Do not include any amount received that was a benefit

under the Social Security Act. Also, except as stated in the next sentence, do not

include any compensation, pension, pay, annuity, or allowance paid by the United

States Government in connection with a disability, combat-related injury or disability, or

death of a member of the uniformed services. If you received any retired pay paid

under chapter 61 of title 10, then include that pay only to the extent that it does not

exceed the amount of retired pay to which you would otherwise be entitled if retired

under any provision of title 10 other than chapter 61 of that title.

9. $0.00 $0.00

Income from all other sources not listed above. Specify the source and amount. Do

not include any benefits received under the Social Security Act; payments received as

a victim of a war crime, a crime against humanity, or international or domestic

terrorism; or compensation, pension, pay, annuity, or allowance paid by the United

States Government in connection with a disability, combat-related injury or disability, or

death of a member of the uniformed services. If necessary, list other sources on a

separate page and put the total below.

10. 

Total amounts from separate pages, if any. + +

Calculate your total average monthly income. Add lines 2 through 10 for each

column. Then add the total for Column A to the total for Column B.

11. $7,016.42 + $11,514.83 = $18,531.25

Total average

monthly income

Part 2: Determine How to Measure Your Deductions from Income

12. Copy your total average monthly income from line 11. ................................................................................. $18,531.25

13. Calculate the marital adjustment. Check one:

 You are not married. Fill in 0 below.

 You are married and your spouse is filing with you. Fill in 0 below.

 You are married and your spouse is not filing with you.

Fill in the amount of the income listed in line 11, Column B, that was NOT regularly paid for the household expenses of you or

your dependents, such as payment of the spouse’s tax liability or the spouse’s support of someone other than you or your

dependents.

Below, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list

additional adjustments on a separate page.

If this adjustment does not apply, enter 0 below.

+

Total........................................................................................... $0.00 Copy here. → - $0.00

14. Your current monthly income. Subtract the total in line 13 from line 12. $18,531.25

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2

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Texas

5

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

15. Calculate your current monthly income for the year. Follow these steps:

15a. Copy line 14 here →............................................................................................................................................................... $18,531.25

Multiply line 15a by 12 (the number of months in a year). x 12

15b. The result is your current monthly income for the year for this part of the form..................................................................... $222,375.00

16. Calculate the median family income that applies to you. Follow these steps:

16a. Fill in the state in which you live.

16b. Fill in the number of people in your household.

16c. Fill in the median family income for your state and size of household. ....................................................................................

To find a list of applicable median income amounts, go online using the link specified in the separate

instructions for this form. This list may also be available at the bankruptcy clerk’s office.

$118,766.00

17. How do the lines compare?

17a. Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under 11

U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Your Disposable Income (Official Form 122C–2).

17b. Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under 11 U.S.C. §

1325(b)(3). Go to Part 3 and fill out Calculation of Your Disposable Income (Official Form 122C–2). On line 39 of that form, copy your

current monthly income from line 14 above.

Part 3: Calculate Your Commitment Period Under 11 U.S.C. §1325(b)(4)

18. Copy your total average monthly income from line 11. .......................................................................................................... $18,531.25

Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you contend that

calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your spouse’s income, copy the

amount from line 13.

19. 

19a. If the marital adjustment does not apply, fill in 0 on line 19a. ..................................................................................................... - $0.00

19b. Subtract line 19a from line 18. $18,531.25

20. Calculate your current monthly income for the year. Follow these steps.

20a. Copy line 19b............................................................................................................................................................................. $18,531.25

Multiply by 12 (the number of months in a year). x 12

20b. The result is your current monthly income for the year for this part of the form. $222,375.00

20c. Copy the median family income for your state and size of household from line 16c. ............................................................... $118,766.00

21. How do the lines compare?

Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3,

The commitment period is 3 years. Go to Part 4.

Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form,

check box 4, The commitment period is 5 years. Go to Part 4.

Part 4: Sign Below

By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.

✘ /s/ Chasatee Nichole Carbaugh

Signature of Debtor 1

Date 10/30/2024

MM/ DD/ YYYY

If you checked 17a, do NOT fill out or file Form 122C–2.

If you checked 17b, fill out Form 122C–2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3

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Document Page 70 of 87
Fill in this information to identify your case:

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Debtor 2

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

United States Bankruptcy Court for the: Northern District of Texas

Case number

(if known)

Check if this is an

amended filing

Official Form 122C-2

To fill out this form, you will need your completed copy of Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period

(Official Form 122C–1).

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

needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any additional pages, write

your name and case number (if known).

Part 1: Calculate Your Deductions from Your Income

The Internal Revenue Service (IRS) issues National and Local Standards for certain expense amounts. Use these amounts to answer the questions in

lines 6-15. To find the IRS standards, go online using the link specified in the separate instructions for this form. This information may also be available

at the bankruptcy clerk’s office.

Deduct the expense amounts set out in lines 6-15 regardless of your actual expense. In later parts of the form, you will use some of your actual expenses if

they are higher than the standards. Do not include any operating expenses that you subtracted from income in lines 5 and 6 of Form 122C–1, and do not

deduct any amounts that you subtracted from your spouse’s income in line 13 of Form 122C–1.

If your expenses differ from month to month, enter the average expense.

Note: Line numbers 1-4 are not used in this form. These numbers apply to information required by a similar form used in chapter 7 cases.

5. The number of people used in determining your deductions from income

Fill in the number of people who could be claimed as exemptions on your federal income tax return, plus the

number of any additional dependents whom you support. This number may be different from the number of

people in your household.

5

National

Standards You must use the IRS National Standards to answer the questions in lines 6-7.

6. Food, clothing, and other items: Using the number of people you entered in line 5 and the IRS National

Standards, fill in the dollar amount for food, clothing, and other items.

$2,413.00

7. Out-of-pocket health care allowance: Using the number of people you entered in line 5 and the IRS National Standards, fill in the

dollar amount for out-of-pocket health care. The number of people is split into two categories─people who are under 65 and people

who are 65 or older─because older people have a higher IRS allowance for health care costs. If your actual expenses are higher

than this IRS amount, you may deduct the additional amount on line 22.

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 1

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Document Page 71 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

People who are under 65 years of age

7a. Out-of-pocket health care allowance per person $83.00

7b. Number of people who are under 65 X 5

7c. Subtotal. Multiply line 7a by line 7b. $415.00 Copy

here → $415.00

People who are 65 years of age or older

7d. Out-of-pocket health care allowance per person $158.00

7e. Number of people who are 65 or older X 0

7f. Subtotal. Multiply line 7d by line 7e. $0.00 Copy

here →

+ $0.00

7g. Total. Add lines 7c and 7f. ............................................................................................................... $415.00 Copy here →.... $415.00

Local

Standards You must use the IRS Local Standards to answer the questions in lines 8-15.

Based on information from the IRS, the U.S. Trustee Program has divided the IRS Local Standard for housing for

bankruptcy purposes into two parts:

Housing and utilities – Insurance and operating expenses

Housing and utilities – Mortgage or rent expenses

To answer the questions in lines 8-9, use the U.S. Trustee Program chart. To find the chart, go online using the link

specified in the separate instructions for this form. This chart may also be available at the bankruptcy clerk’s office.

8. Housing and utilities – Insurance and operating expenses: Using the number of people you entered in line 5, fill in

the dollar amount listed for your county for insurance and operating expenses.

$867.00

9. Housing and utilities – Mortgage or rent expenses:

9a. Using the number of people you entered in line 5, fill in the dollar amount

listed for your county for mortgage or rent expenses.

$2,094.00

9b. Total average monthly payment for all mortgages and other debts secured by

your home.

To calculate the total average monthly payment, add all amounts that are

contractually due to each secured creditor in the 60 months after you file for

bankruptcy. Next divide by 60.

Name of the creditor Average monthly

payment

Select Portfolio Servicing, Inc $2,134.00

+

9b. Total average monthly payment $2,134.00 Copy

here → – $2,134.00 Repeat this amount

on line 33a.

9c. Net mortgage or rent expense.

Subtract line 9b (total average monthly payment) from line 9a (mortgage or rent expense). If

this number is less than $0, enter $0. $0.00 Copy here →..... $0.00

10. If you claim that the U.S. Trustee Program’s division of the IRS Local Standard for housing is incorrect and affects

the calculation of your monthly expenses, fill in any additional amount you claim.

Explain

why:

$0.00

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 2

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

11. Local transportation expenses: Check the number of vehicles for which you claim an ownership or operating expense.

0. Go to line 14.

1. Go to line 12.

2 or more. Go to line 12.

12. Vehicle operation expense: Using the IRS Local Standards and the number of vehicles for which you claim the operating

expenses, fill in the Operating Costs that apply for your Census region or metropolitan statistical area.

$584.00

13. Vehicle ownership or lease expense: Using the IRS Local Standards, calculate the net ownership or lease expense for each

vehicle below. You may not claim the expense if you do not make any loan or lease payments on the vehicle. In addition, you may

not claim the expense for more than two vehicles.

Vehicle 1 Describe Vehicle 1: 2019 Ford F250

13a. Ownership or leasing costs using IRS Local Standard....................................... $619.00

13b. Average monthly payment for all debts secured by Vehicle 1.

Do not include costs for leased vehicles.

To calculate the average monthly payment here and on line 13e, add all

amounts that are contractually due to each secured creditor in the 60

months after you file for bankruptcy. Then divide by 60.

Name of each creditor for Vehicle 1 Average monthly

payment

Regional Acceptance Co $464.89

+

Total average monthly payment

$464.89 Copy

here →

– $464.89

Repeat this amount

on line 33b.

13c. Net Vehicle 1 ownership or lease expense

Subtract line 13b from line 13a. If this number is less than $0, enter $0.............

$619.00

Copy net Vehicle 1

expense here → $619.00

Vehicle 2 Describe Vehicle 2: 2016 Chevrolet Suburban

13d. Ownership or leasing costs using IRS Local Standard....................................... $619.00

13e. Average monthly payment for all debts secured by Vehicle 2.

Do not include costs for leased vehicles.

Name of each creditor for Vehicle 2 Average monthly

payment

Owings Auto $689.58

+

Total average monthly payment

$689.58 Copy

here →

– $689.58

Repeat this amount

on line 33c.

13f. Net Vehicle 2 ownership or lease expense

Subtract line 13e from 13d. If this number is less than $0, enter $0.............

$154.11

Copy net Vehicle 2

expense here → $154.11

14. Public transportation expense: If you claimed 0 vehicles in line 11, using the IRS Local Standards, fill in the Public

Transportation expense allowance regardless of whether you use public transportation.

15. Additional public transportation expense: If you claimed 1 or more vehicles in line 11 and if you claim that you may also deduct a

public transportation expense, you may fill in what you believe is the appropriate expense, but you may not claim more than the

IRS Local Standard for Public Transportation.

$0.00

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 3

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Document Page 73 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Other Necessary

Expenses

In addition to the expense deductions listed above, you are allowed your monthly expenses for the

following IRS categories.

16. Taxes: The total monthly amount that you actually pay for federal, state and local taxes, such as income taxes, self-employment taxes,

social security taxes, and Medicare taxes. You may include the monthly amount withheld from your pay for these taxes. However, if

you expect to receive a tax refund, you must divide the expected refund by 12 and subtract that number from the total monthly amount

that is withheld to pay for taxes.

Do not include real estate, sales, or use taxes.

$3,000.00

17. Involuntary deductions: The total monthly payroll deductions that your job requires, such as retirement contributions, union dues, and

uniform costs.

Do not include amounts that are not required by your job, such as voluntary 401(k) contributions or payroll savings.

$0.00

18. Life insurance: The total monthly premiums that you pay for your own term life insurance. If two married people are filing together,

include payments that you make for your spouse’s term life insurance.

Do not include premiums for life insurance on your dependents, for a non-filing spouse’s life insurance, or for any form of life insurance

other than term.

$0.00

19. Court-ordered payments: The total monthly amount that you pay as required by the order of a court or administrative agency, such as

spousal or child support payments.

Do not include payments on past due obligations for spousal or child support. You will list these obligations in line 35.

$0.00

20. Education: The total monthly amount that you pay for education that is either required:

as a condition for your job, or

for your physically or mentally challenged dependent child if no public education is available for similar services.

$0.00

21. Childcare: The total monthly amount that you pay for childcare, such as babysitting, daycare, nursery, and preschool.

Do not include payments for any elementary or secondary school education.

$0.00

22. Additional health care expenses, excluding insurance costs: The monthly amount that you pay for health care that is required for the

health and welfare of you or your dependents and that is not reimbursed by insurance or paid by a health savings account. Include

only the amount that is more than the total entered in line 7.

Payments for health insurance or health savings accounts should be listed only in line 25.

$0.00

23. Optional telephones and telephone services: The total monthly amount that you pay for telecommunication services for you and your

dependents, such as pagers, call waiting, caller identification, special long distance, or business cell phone service, to the extent

necessary for your health and welfare or that of your dependents or for the production of income, if it is not reimbursed by your

employer.

Do not include payments for basic home telephone, internet or cell phone service. Do not include self-employment expenses, such as

those reported on line 5 of Form 122C-1, or any amount you previously deducted.

+ $0.00

24. Add all of the expenses allowed under the IRS expense allowances.

Add lines 6 through 23.

$8,052.11

Additional Expense

Deductions

These are additional deductions allowed by the Means Test.

Note: Do not include any expense allowances listed in lines 6-24.

25. Health insurance, disability insurance, and health savings account expenses. The monthly expenses for health insurance, disability

insurance, and health savings accounts that are reasonably necessary for yourself, your spouse, or your dependents.

Health insurance $0.00

Disability insurance $0.00

Health savings account + $0.00

Total $0.00 Copy total here → ........................................................................ $0.00

Do you actually spend this total amount?

 No. How much do you actually spend?

 Yes 

26. Continuing contributions to the care of household or family members.

The actual monthly expenses that you will continue to pay for the reasonable and necessary care and support of an elderly, chronically

ill, or disabled member of your household or member of your immediate family who is unable to pay for such expenses. These

expenses may include contributions to an account of a qualified ABLE program. 26 U.S.C. § 529A(b).

$0.00

27. Protection against family violence. The reasonably necessary monthly expenses that you incur to maintain the safety of you and your

family under the Family Violence Prevention and Services Act or other federal laws that apply.

By law, the court must keep the nature of these expenses confidential.

$0.00

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 4

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Document Page 74 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

28. Additional home energy costs. Your home energy costs are included in your insurance and operating expenses on line 8.

If you believe that you have home energy costs that are more than the home energy costs included in expenses on line 8, then fill in

the excess amount of home energy costs

You must give your case trustee documentation of your actual expenses, and you must show that the additional amount claimed is

reasonable and necessary.

$0.00

29. Education expenses for dependent children who are younger than 18. The monthly expenses (not more than $189.58* per child)

that you pay for your dependent children who are younger than 18 years old to attend a private or public elementary or secondary

school.

You must give your case trustee documentation of your actual expenses, and you must explain why the amount claimed is

reasonable and necessary and not already accounted for in lines 6-23.

* Subject to adjustment on 4/01/25, and every 3 years after that for cases begun on or after the date of adjustment.

$0.00

30. Additional food and clothing expense. The monthly amount by which your actual food and clothing expenses are higher than the

combined food and clothing allowances in the IRS National Standards. That amount cannot be more than 5% of the food and clothing

allowances in the IRS National Standards.

To find a chart showing the maximum additional allowance, go online using the link specified in the separate instructions for this form.

This chart may also be available at the bankruptcy clerk’s office.

You must show that the additional amount claimed is reasonable and necessary.

$0.00

31. Continuing charitable contributions. The amount that you will continue to contribute in the form of cash or financial instruments to a

religious or charitable organization. 11 U.S.C. § 548(d)3 and (4).

Do not include any amount more than 15% of your gross monthly income.

+ $0.00

32. Add all of the additional expense deductions.

Add lines 25 through 31.

$0.00

Deductions for Debt Payment

33. For debts that are secured by an interest in property that you own, including home mortgages, vehicle loans, and

other secured debt, fill in lines 33a through 33e.

To calculate the total average monthly payment, add all amounts that are contractually due to each secured creditor in

the 60 months after you file for bankruptcy. Then divide by 60.

Average monthly

payment

Mortgages on your home

33a. Copy line 9b here .....................................................................................................→

$2,134.00

Loans on your first two vehicles

33b. Copy line 13b here ..................................................................................................→

$464.89

33c. Copy line 13e here ..................................................................................................→

$689.58

33d. List other secured debts:

Name of each creditor for other

secured debt

Identify property that secures the

debt

Does payment

include taxes or

insurance?

Bridgecrest Acceptance Corp 2016 Hyundai Elantra

 No

 Yes $270.55

Nebraska Furniture Mart Beds (2)

 No

 Yes $16.67

No

Yes +

33e. Total average monthly payment. Add lines 33a through 33d. ................................... $3,575.69 Copy total

here→ $3,575.69

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 5

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Document Page 75 of 87
Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

34. Are any debts that you listed in line 33 secured by your primary residence, a vehicle, or other property necessary for your

support or the support of your dependents?

No. Go to line 35.

Yes. State any amount that you must pay to a creditor, in addition to the payments listed in line 33, to keep

possession of your property (called the cure amount). Next, divide by 60 and fill in the information below.

Name of the creditor Identify property that

secures the debt

Total cure

amount

Monthly cure

amount

÷ 60 =

÷ 60 =

÷ 60 = + 

Total $0.00 Copy total

here → $0.00

35. Do you owe any priority claims—such as a priority tax, child support, or alimony—that are past due as of the filing date of your

bankruptcy case? 11 U.S.C. § 507.

No. Go to line 36.

Yes. Fill in the total amount of all of these priority claims. Do not include current or ongoing priority claims, such as

those you listed in line 19.

Total amount of all past-due priority claims.................................................................. $85,734.00 ÷ 60 $1,428.90

36. Projected monthly Chapter 13 plan payment $6,130.00

Current multiplier for your district as stated on the list issued by the Administrative Office of the

United States Courts (for districts in Alabama and North Carolina) or by the Executive Office for

United States Trustees (for all other districts).

To find a list of district multipliers that includes your district, go online using the link specified in

the separate instructions for this form. This list may also be available at the bankruptcy clerk’s

office. X 10.00%

Average monthly administrative expense

$613.00

Copy

total

here → $613.00

37. Add all of the deductions for debt payment. Add lines 33e through 36. $5,617.59

Total Deductions from Income

38. Add all of the allowed deductions.

Copy line 24, All of the expenses allowed under IRS expense allowances .................................... $8,052.11

Copy line 32, All of the additional expense deductions.................................................................... $0.00

Copy line 37, All of the deductions for debt payment....................................................................... + $5,617.59

Total deductions..............................................................................................................................

$13,669.70

Copy

total

here →

$13,669.70

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 6

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Document Page 76 of 87
Copy here →

Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 2: Determine Your Disposable Income Under 11 U.S.C. § 1325(b)(2)

39. Copy your total current monthly income from line 14 of Form 122C-1, Chapter 13

Statement of Your Current Monthly Income and Calculation of Commitment Period. ................................................................ $18,531.25

40. Fill in any reasonably necessary income you receive for support for dependent children.

The monthly average of any child support payments, foster care payments, or disability

payments for a dependent child, reported in Part I of Form 122C-1, that you received in

accordance with applicable nonbankruptcy law to the extent reasonably necessary to be

expended for such child.

$0.00

41. Fill in all qualified retirement deductions. The monthly total of all amounts that your

employer withheld from wages as contributions for qualified retirement plans, as specified in

11 U.S.C. § 541(b)(7) plus all required repayments of loans from retirement plans, as

specified in 11 U.S.C. § 362(b)(19).

$0.00

42. Total of all deductions allowed under 11 U.S.C. § 707(b)(2)(A). Copy line 38 here .... → $13,669.70

43. Deduction for special circumstances. If special circumstances justify additional expenses

and you have no reasonable alternative, describe the special circumstances and their

expenses. You must give your case trustee a detailed explanation of the special

circumstances and documentation for the expenses.

Describe the special circumstances Amount of expense

+

Total $0.00 Copy here

→ + $0.00

44. Total adjustments. Add lines 40 through 43........................................................................ $13,669.70 – $13,669.70

45. Calculate your monthly disposable income under § 1325(b)(2). Subtract line 44 from line 39. $4,861.55

Part 3: Change in Income or Expenses

46. Change in income or expenses. If the income in Form 122C-1 or the expenses you reported in this form have

changed or are virtually certain to change after the date you filed your bankruptcy petition and during the time your

case will be open, fill in the information below. For example, if the wages reported increased after you filed your

petition, check 122C-1 in the first column, enter line 2 in the second column, explain why the wages increased, fill

in when the increase occurred, and fill in the amount of the increase.

Form Line Reason for change Date of change Increase or

decrease?

Amount of change

122C-1

122C-2

Increase

Decrease

122C-1

122C-2

Increase

Decrease

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 7

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Debtor 1 Chasatee Nichole Carbaugh

First Name Middle Name Last Name

Case number (if known)

Part 4: Sign Below

By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.

✘ /s/ Chasatee Nichole Carbaugh

Signature of Debtor 1

Date 10/30/2024

MM/ DD/ YYYY

Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 8

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CASE NO

CHAPTER 13

IN THE UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF TEXAS

DALLAS DIVISION

IN RE: Carbaugh, Chasatee Nichole

VERIFICATION OF CREDITOR MATRIX

The above named Debtor hereby verifies that the attached list of creditors is true and correct to the best of his/her knowledge.

Date 10/30/2024 Signature /s/ Chasatee Nichole Carbaugh

Chasatee Nichole Carbaugh, Debtor

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Bridgecrest Acceptance Corp

7300 East Hampton Avenue Suite 100

Mesa, AZ 85209-3324

Capital One

Attn: Bankruptcy

PO Box 30285

Salt Lake City, UT 84130-0285

Citibank/The Home Depot

Citicorp Cr Srvs/Centralized Bankruptcy

PO Box 790040

St Louis, MO 63179-0040

Comenity Bk/Ulta

Attn: Bankruptcy Dept

PO Box 182125

Columbus, OH 43218

Credit One Bank

ATTN: Bankruptcy Department

PO Box 98873

Las Vegas, NV 89193

First Savings Bank/Blaze

Attn: Bankruptcy

PO Box 5096

Sioux Falls, SD 57117-5096

Graham Legal, PLLC

8501 Wade Blvd Ste 340

Frisco, TX 75034-6265

Internal Revenue Service

PO Box 7346

Philadelphia, PA 19101

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Jefferson Capital Systems,

LLC

16 Mcleland Rd

Saint Cloud, MN 56303-2198

Merrick Bank/Card Works

Attn: Bankruptcy

PO Box 9201

Old Bethpage, NY 11804-9001

MiraMed Revenue Group

PO Box 1411

Carol Stream, IL 60132

Nebraska Furniture Mart

700 South 72nd Street

Omaha, NE 68114

Owings Auto

519 E Division St

Arlington, TX 76011-7211

Regional Acceptance Co

Attn: Bankruptcy 1424 E Firetower Rd

Greenville, SC 27858

Select Portfolio Servicing, Inc

Attn: Bankruptcy

PO Box 65250

Salt Lake City, UT 84165-0250

Sheffield Financial

PO Box 1704

Clemmons, NC 27012

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Synchrony Bank/Amazon

Attn: Bankruptcy

PO Box 965060

Orlando, FL 32896-5060

Synchrony Bank/Care Credit

Attn: Bankruptcy Dept

PO Box 965060

Orlando, FL 32896-5060

Synchrony Bank/TJX

Attn: Bankruptcy Dept

PO Box 965060

Orlando, FL 32896-5060

Target NB

C/O Financial & Retail Services

Mailstop BT PO Box 9475

Minneapolis, MN 55440

TD Auto Finance

Po Box 100295

Columbia, SC 29202-3295

United States Attorney

1100 Commerce St Ste 976

Dallas, TX 75242-1011

United States Trustee

1100 Commerce St Room 976

Dallas, TX 75202

Wells Fargo Bank NA

Attn: Bankruptcy

1 Home Campus MAC X2303-01A

Des Moines, IA 50328

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Wells Fargo Bank, NA

Attn: Bankruptcy 1 Home Campus MAC

X2303-01A 3rd Floor

Des Moines, IA 50328

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Notice Required by 11 U.S.C. § 342(b) for

Individuals Filing for Bankruptcy (Form 2010)

This notice is for you if:

You are an individual filing for

bankruptcy, and

Your debts are primarily consumer debts.

Consumer debts are defined in 11 U.S.C. §

101(8) as “incurred by an individual

primarily for a personal, family, or

household purpose.”

The types of bankruptcy that are

available to individuals

Individuals who meet the qualifications may file

under one of four different chapters of the

Bankruptcy Code:

Chapter 7 — Liquidation

Chapter 11— Reorganization

Chapter 12— Voluntary repayment plan

for family farmers or

fishermen

Chapter 13— Voluntary repayment plan

for individuals with regular

income

You should have an attorney review your

decision to file for bankruptcy and the choice of

chapter.

Chapter 7: Liquidation

$245 filing fee

$78 administrative fee

+ $15 trustee surcharge

$338 total fee

Chapter 7 is for individuals who have financial

difficulty preventing them from paying their

debts and who are willing to allow their nonexempt property to be used to pay their

creditors. The primary purpose of filing under

chapter 7 is to have your debts discharged.

The bankruptcy discharge relieves you after

bankruptcy from having to pay many of your

pre-bankruptcy debts. Exceptions exist for

particular debts, and liens on property may

still be enforced after discharge. For example,

a creditor may have the right to foreclose a

home mortgage or repossess an automobile.

However, if the court finds that you have committed

certain kinds of improper conduct described in the

Bankruptcy Code, the court may deny your

discharge.

You should know that even if you file chapter 7 and

you receive a discharge, some debts are not

discharged under the law. Therefore, you may still

be responsible to pay:

most taxes;

most student loans;

most domestic support and property

settlement obligations;

Notice Required by 11 U.S.C. U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 1

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Document Page 84 of 87
most fines, penalties, forfeitures, and

criminal restitution obligations; and

certain debts that are not listed in your

bankruptcy papers.

You may also be required to pay debts arising

from:

fraud or theft;

fraud or defalcation while acting in breach

of fiduciary capacity;

intentional injuries that you inflicted; and

death or personal injury caused by

operating a motor vehicle, vessel, or

aircraft while intoxicated from alcohol or

drugs.

If your debts are primarily consumer debts, the

court can dismiss your chapter 7 case if it finds that

you have enough income to repay creditors a

certain amount. You must file Chapter 7 Statement

of Your Current Monthly Income (Official Form

122A–1) if you are an individual filing for

bankruptcy under chapter 7. This form will

determine your current monthly income and

compare whether your income is more than the

median income that applies in your state.

If your income is not above the median for your

state, you will not have to complete the other

chapter 7 form, the Chapter 7 Means Test

Calculation (Official Form 122A–2).

If your income is above the median for your state,

you must file a second form —the Chapter 7

Means Test Calculation (Official Form 122A–2).

The calculations on the form— sometimes called

the Means Test —deduct from your income living

expenses and payments on certain debts to

determine any amount available to pay unsecured

creditors. If

your income is more than the median income for

your state of residence and family size, depending

on the results of the Means Test, the U.S. trustee,

bankruptcy administrator, or creditors can file a

motion to dismiss your case under § 707(b) of the

Bankruptcy Code. If a motion is filed, the court will

decide if your case should be dismissed. To avoid

dismissal, you may choose to proceed under

another chapter of the Bankruptcy Code.

If you are an individual filing for chapter 7

bankruptcy, the trustee may sell your property to

pay your debts, subject to your right to exempt the

property or a portion of the proceeds from the sale

of the property. The property, and the proceeds

from property that your bankruptcy trustee sells or

liquidates that you are entitled to, is called exempt

property. Exemptions may enable you to keep your

home, a car, clothing, and household items or to

receive some of the proceeds if the property is

sold.

Exemptions are not automatic. To exempt property,

you must list it on Schedule C: The Property You

Claim as Exempt (Official Form 106C). If you do

not list the property, the trustee may sell it and pay

all of the proceeds to your creditors.

Chapter 11: Reorganization

$1,167 filing fee

+ $571 administrative fee

$1,738 total fee

Chapter 11 is often used for reorganizing a

business, but is also available to individuals. The

provisions of chapter 11 are too complicated to

summarize briefly.

Notice Required by 11 U.S.C. U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 2

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Read These Important Warnings

Because bankruptcy can have serious long-term financial and legal consequences, including loss of

your property, you should hire an attorney and carefully consider all of your options before you file.

Only an attorney can give you legal advice about what can happen as a result of filing for bankruptcy

and what your options are. If you do file for bankruptcy, an attorney can help you fill out the forms

properly and protect you, your family, your home, and your possessions.

Although the law allows you to represent yourself in bankruptcy court, you should understand that

many people find it difficult to represent themselves successfully. The rules are technical, and a

mistake or inaction may harm you. If you file without an attorney, you are still responsible for

knowing and following all of the legal requirements.

You should not file for bankruptcy if you are not eligible to file or if you do not intend to file the

necessary documents.

Bankruptcy fraud is a serious crime; you could be fined and imprisoned if you commit fraud in your

bankruptcy case. 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.

Chapter 12: Repayment plan for family

farmers or fishermen

$200 filing fee

+ $78 administrative fee

$278 total fee

Similar to chapter 13, chapter 12 permits family

farmers and fishermen to repay their debts over a

period of time using future earnings and to

discharge some debts that are not paid.

Chapter 13: Repayment plan for

individuals with regular

income

$235 filing fee

+ $78 administrative fee

$313 total fee

Chapter 13 is for individuals who have regular

income and would like to pay all or part of their

debts in installments over a period of time and to

discharge some debts that are not paid. You are

eligible for chapter 13 only if your debts are not

more than certain dollar amounts set forth in 11

U.S.C. § 109.

Under chapter 13, you must file with the court a

plan to repay your creditors all or part of the money

that you owe them, usually using your future

earnings. If the court approves your plan, the court

will allow you to repay your debts, as adjusted by

the plan, within 3 years or 5 years, depending on

your income and other factors.

After you make all the payments under your plan,

many of your debts are discharged. The debts that

are not discharged and that you may still be

responsible to pay include:

domestic support obligations,

most student loans,

certain taxes,

debts for fraud or theft,

debts for fraud or defalcation while acting

in a fiduciary capacity,

most criminal fines and restitution

obligations,

certain debts that are not listed in your

bankruptcy papers,

certain debts for acts that caused death or

personal injury, and

certain long-term secured debts

Notice Required by 11 U.S.C. U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 3

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Warning: File Your Forms on Time

Section 521(a)(1) of the Bankruptcy Code

requires that you promptly file detailed

information about your creditors, assets,

liabilities, income, expenses and general

financial condition. The court may dismiss your

bankruptcy case if you do not file this

information within the deadlines set by the

Bankruptcy Code, the Bankruptcy Rules, and

the local rules of the court.

For more information about the documents and

their deadlines, go to:

http://www.uscourts.gov/bkforms

/bankruptcy_form

s.html#procedure.

Bankruptcy crimes have serious

consequences

If you knowingly and fraudulently conceal

assets or make a false oath or statement

under penalty of perjury—either orally or

in writing—in connection with a

bankruptcy case, you may be fined,

imprisoned, or both.

All information you supply in connection

with a bankruptcy case is subject to

examination by the Attorney General acting

through the Office of the U.S. Trustee, the

Office of the U.S. Attorney, and other

offices and employees of the U.S.

Department of Justice.

Make sure the court has your

mailing address

The bankruptcy court sends notices to the mailing

address you list on Voluntary Petition for

Individuals Filing for Bankruptcy(Official Form 101).

To ensure that you receive information about your

case, Bankruptcy Rule 4002 requires that you

notify the court of any changes in your address.

A married couple may file a bankruptcy case

together—called a joint case. If you file a joint

case and each spouse lists the same mailing

address on the bankruptcy petition, the

bankruptcy court generally will mail you and

your spouse one copy of each notice, unless

you file a statement with the court asking that

each spouse receive separate copies.

Understand which services you

could receive from credit

counseling agencies

The law generally requires that you receive a

credit counseling briefing from an approved

credit counseling agency. 11 U.S.C. § 109(h).

If you are filing a joint case, both spouses

must receive the briefing. With limited

exceptions, you must receive it within the 180

days before you file your bankruptcy petition.

This briefing is usually conducted by

telephone or on the Internet.

In addition, after filing a bankruptcy case, you

generally must complete a financial

management instructional course before you

can receive a discharge. If you are filing a

joint case, both spouses must complete the

course.

You can obtain the list of agencies approved

to provide both the briefing and the

instructional course from:

http://justice.gov/ust/eo/hapcpa

/ccde/cc_approved.html.

In Alabama and North Carolina, go to:

http://www.uscourts.gov/FederalCourts

/Bankruptcy/

BankruptcyResources/ApprovedCredit

AndDebtCounselors.aspx.

If you do not have access to a computer, the

clerk of the bankruptcy court may be able to

help you obtain the list.

Notice Required by 11 U.S.C. U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 4

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