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):

Deyana

First name First name

Marie

Middle name Middle name

Connolly

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 - 6 5 6 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 12/22

Case 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

Document Page 1 of 19
Debtor 1 Deyana Marie Connolly

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:

1141 Crescent Lane

Number Street Number Street

Wichita Falls, TX 76306

City State ZIP Code City State ZIP Code

Wichita

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 19
Debtor 1 Deyana Marie Connolly

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 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

Document Page 3 of 19
Debtor 1 Deyana Marie Connolly

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 or a debtor as defined

by 11 U.S. C. § 1182(1)?

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 or a debtor choosing to

proceed under Subchapter V so that it can set appropriate deadlines. If you indicate that you are a small business

debtor or you are choosing to proceed under Subchapter V, 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 debtor according to the definition in § 1182(1) of 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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Document Page 4 of 19
Debtor 1 Deyana Marie Connolly

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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Document Page 5 of 19
Debtor 1 Deyana Marie Connolly

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 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

Document Page 6 of 19
Debtor 1 Deyana Marie Connolly

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/ Deyana Marie Connolly

Deyana Marie Connolly, Debtor 1

Executed on 01/31/2024

MM/ DD/ YYYY

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

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Document Page 7 of 19
Debtor 1 Deyana Marie Connolly

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/ Kristin Jones

Signature of Attorney for Debtor

Date 01/31/2024

MM / DD / YYYY

Kristin Jones

Printed name

Roy Petty & Associates, PLLC

Firm name

8700 N Stemmons Fwy Suite #101

Number Street

Roy Petty & Associates

Dallas

City

TX

State

75247

ZIP Code

Contact phone (214) 905-1420 Email address msignil@roypetty.com

00789471

Bar number

TX

State

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

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Document Page 8 of 19
CASE NO

CHAPTER 7

IN THE UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF TEXAS

WICHITA FALLS DIVISION

IN RE: Connolly, Deyana Marie

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 01/31/2024 Signature /s/ Deyana Marie Connolly

Deyana Marie Connolly, Debtor

Case 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

Document Page 9 of 19
Alliance Power Company

811 6th Street #205

Wichita Falls, TX 76301

Amazon

PO Box 035184

Seattle, WA 98124

Amazon Martketplace

440 Terry Avanue North

Seattle, WA 98109

American Coradius

International LLC

2420 Sweet Home Rd STE 150

Amherst, NY 14228

American First Finance

Attn: Bankruptcy

PO Box 565848

Dallas, TX 75356

Builders Lumber

2903 Holliday Rd

Wichita Falls, TX 76302

Capital Bank N.A.

2275 Research Blvd. Ste 600

Rockville, MD 20850

Capitol One

PO Box 71142

Charlotte, NC 28272

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CCS

725 Canton Street

Norwood, MA 02062

Charter Communications

1309 Technology Parkway

Cedar Falls, IA 50613

Clarence Hill Electric

1310 Fm 368 S

Iowa Park, TX 76367

Collection Bureau of America

P.O. Box 5013

Hayward, CA 94540

Collection Bureau of America

PO Box 5013

Hayward, CA 94540

Credit One

PO Box 98871

Las Vegas, NV 89193

Dalorem Heat & Air

Conditioning

1630 Kell W Blvd

Wichita Falls, TX 76301

Devin Davis

5312 Pebble Stone

Wichita Falls, TX 76306

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Discover Financial

Attn: Bankruptcy

PO Box 3025

New Albany, OH 43054

EDFINANCIAL SERVICES LLC

120 N SEVEN OAKS DR

KNOXVILLE, TN 37922

Emergency Assoc Woonsocket

66 West Gilbert Street

Red Bank, NJ 07701

EOS CCA

PO Box 981025

Boston, MA 02298

Esurance

650 Davis Street

San Francisco, CA 94111

Esurance An Allstate

Company

PO Box 66037

Dallas, TX 75266

Exeter Finance

PO BOX 166097

Irving, TX 75016

Exeter Finance LLC

Attn: Bankruptcy

PO Box 166008

Irving, TX 75016

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Fingerhut

6250 Ridgewood Road

St. Cloud, MN 56303

Grainger

100 Grainger Parkway

Lake Forest, IL 60045

Internal Revenue Service

Dept. of Treasury

Kansas City, MO 64999-0010

Jefferey Picotte

10 Linden St

Whitinsville, MA 01588

Jon Horry

3514 University Ave

Wichita Falls, TX 76308

Kelly- Moore Paints

2602 Kemp Blvd

Wichita Falls, TX 76309

Kelly Poer

2009 Garfield St

Wichita Falls, TX 76309

KFDX

4500 Seymour Hwy

Wichita Falls, TX 76309

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KJBO

4500 Seymour Hwy

Wichita Falls, TX 76309

L B Corp

50 Lynch Place

Cumberland, RI 02864

Leanne Roten

3514 University Ave

Wichita Falls, TX 76308

Lendr

670 N Clark St Fl 2

Chicago, IL 60654

Lori Marquart

3604 York St

Wichita Falls, TX 76309

Marcely Pape

4601 Mimosa Ln

Wichita Falls, TX 76301

MOHELA

Attn: Bankruptcy 633 Spirit Drive

Chesterfield, MO 63005-1243

MyStaf

1501 Midwestern Pkwy 102

Wichita Falls, TX 76302

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National Grid

PO Box 11737

Newark, NJ 07101

News Channel 6

3601 Seymour Hwy

Wichita Falls, TX 76309

Norwood Urgent Care

103 Providence Hwy

East Walpole, MA 02032

Nyon O'Bannon

2908 Stratford Ct

Arlington, TX 76015

Office of Ohio Atty Gen.

Collect. Enfcmt

150 E Gay Street

Columbus, OH 43215

Open Sky Bank

101 Crossways Park Dr W

Woodbury, NY 11797

Parkers Plumbing

4713 Spiser Ln

Wichita Falls, TX 76302

Paypal

2420 Sweet Home Rd STE 150

Amherst, NY 14228

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Pediactric Assoc of Norwood

& Franklin

100 Morse Street

Norwood, MA 02062

Primo

200 Eagles Landing Boulevard

Lakeland, FL 33810

PRIMO

6955 Nw 52nd Street Unit 108

Miami, FL 33161

Progressive Auto

6300 Wilson Mills Road

Mayfield Village, OH 44143

Robin Rosenbalm

86 Town and Country Dr

Wichita Falls, TX 76306

Ronald Hoffart

86 Town and Country Dr

Wichita Falls, TX 76306

Roy Petty & Associates, PLLC

Roy Petty & Associates

8700 N Stemmons Fwy Suite #101

Dallas, TX 75247

Spectrum

60 Columbus Circle

New York, NY 10023

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Texoma Community Credit

Union

807 8th St Ste 100

Wichita Falls, TX 76301

T-mobile

ATTN Bankruptcy Dept.

PO Box 53410

Bellevue, WA 98015

Toyota Financial Services

PO Box 8026

Cedar Rapids, IA 52409-8026

Trailers By Premier

317 E State Line

South Fulron, TN 38257

Tritan Productz, LTD

401 US Hwy 281

Wichita Falls, TX 76310

Tritan Rebar LLC

401 US Highway 281

Wichita Falls, TX 76310

U.S. Trustee

1100 Commerce Street 976

Dallas, TX 75242

TXU Energy

PO Box 650764

Dallas, TX 75265

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TXU/Texas Energy

Attn: Bankruptcy

PO Box 650764

Dallas, TX 75262-0764

Uline

12575 Uline Drive

Pleasant Prairie, WI 53158

United Regional Hospital

1600 Eleventh Street

Wichita Falls, TX 76301

United States Department of

Justice

950 Pennsylvania Avenue NW

Washington, DC 20530

University of Cincinnati

Tuition

150 E Gay Street

Columbus, OH 43215

Verizon

PO Box 981025

Boston, MA 02298

Verizon

P.O. Box 33078

Saint Petersburg, FL 33733

Xoom

P.O. Box 1187

Houston, TX 77251

Case 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

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Yuriana Martinez

2012 8th Street

Wichita Falls, TX 76301

Case 24-70025-swe7 Doc 1 Filed 01/31/24 Entered 01/31/24 13:12:11 Desc Main

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