}bk1{Form .Vluntary Peiton}bk{

(Official Form 1) (10/05)

United States Bankruptcy Court Voluntary Petition

Name of Debtor (if individual, enter Last, First, Middle):

All Other Names used by the Debtor in the last 8 years

(include married, maiden, and trade names):

Last four digits of Soc. Sec./Complete EIN or other Tax ID No. (if more than one, state all):

Street Address of Debtor (No. & Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Debtor (if different from street address):

Location of Principal Assets of Business Debtor

(if different from street address above):

Name of Joint Debtor (Spouse) (Last, First, Middle):

All Other Names used by the Joint Debtor in the last 8 years

(include married, maiden, and trade names):

Last four digits of Soc. Sec./Complete EIN or other Tax ID No. (if more than one, state all):

Street Address of Joint Debtor (No. & Street, City, and State):

County of Residence or of the Principal Place of Business:

Mailing Address of Joint Debtor (if different from street address):

ZIP Code ZIP Code

ZIP Code ZIP Code

Type of Debtor (Form of Organization)

(Check one box)

Individual (includes Joint Debtors)

Corporation (includes LLC and LLP)

Partnership

Other (If debtor is not one of the above

entities, check this box and provide the

information requested below.)

State type of entity:

Filing Fee (Check one box)

Full Filing Fee attached

Filing Fee to be paid in installments (Applicable to individuals only) Must

attach signed application for the court's consideration certifying that the debtor

is unable to pay fee except in installments. Rule 1006(b). See Official Form 3A.

Filing Fee waiver requested (Applicable to chapter 7 individuals only). Must

attach signed application for the court's consideration. See Official Form 3B.

Nature of Business

(Check all applicable boxes.)

Health Care Business

Single Asset Real Estate as defined

in 11 U.S.C. § 101 (51B)

Railroad

Stockbroker

Commodity Broker

Clearing Bank

Nonprofit Organization qualified

under 15 U.S.C. § 501(c)(3)

Chapter of Bankruptcy Code Under Which

the Petition is Filed (Check one box)

Chapter 7 Chapter 11 Chapter 15 Petition for Recognition

of a Foreign Main Proceeding

Chapter 9 Chapter 12 Chapter 15 Petition for Recognition

of a Foreign Nonmain Proceeding

Chapter 13

Nature of Debts (Check one box)

Consumer/Non-Business Business

Chapter 11 Debtors

Check one box:

Debtor is a small business debtor as defined in 11 U.S.C. § 101(51D).

Debtor is not a small business debtor as defined in 11 U.S.C. § 101(51D).

Check if:

Debtor's aggregate noncontingent liquidated debts owed to non-insiders

or affiliates are less than $2 million.

Statistical/Administrative Information THIS SPACE IS FOR COURT USE ONLY

Debtor estimates that funds will be available for distribution to unsecured creditors.

Debtor estimates that, after any exempt property is excluded and administrative expenses paid, there will be no funds

available for distribution to unsecured creditors.

Estimated Number of Creditors

1- 50- 100- 200- 1000- 5001- 10,001- 25,001- 50,001- OVER

49 99 199 999 5,000 10,000 25,000 50,000 100,000 100,000

Estimated Assets

$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than

$50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million

Estimated Debts

$0 to $50,001 to $100,001 to $500,001 to $1,000,001 to $10,000,001 to $50,000,001 to More than

$50,000 $100,000 $500,000 $1 million $10 million $50 million $100 million $100 million

Northern District of Illinois

Pyburn, Nathan Scott Pyburn, Andrea Bernadette

xxx-xx-6491

107 S. Harvey Ave Apt. 1N

Oak Park, IL

Cook

xxx-xx-4332

107 S. Harvey Ave Apt. 1N

Oak Park, IL

Cook

60302 60302

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 1 of 37
(Official Form 1) (10/05) FORM B1, Page 2

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

Prior Bankruptcy Case Filed Within Last 8 Years (If more than one, attach additional sheet)

Location Case Number: Date Filed:

Where Filed:

Pending Bankruptcy Case Filed by any Spouse, Partner, or Affiliate of this Debtor (If more than one, attach additional sheet)

Name of Debtor: Case Number: Date Filed:

District: Relationship: Judge:

Exhibit A

(To be completed if debtor is required to file periodic reports (e.g.,

forms 10K and 10Q) with the Securities and Exchange Commission

pursuant to Section 13 or 15(d) of the Securities Exchange Act of 1934

and is requesting relief under chapter 11.)

Exhibit A is attached and made a part of this petition.

Exhibit C

Does the debtor own or have possession of any property that poses or

is alleged to pose a threat of imminent and identifiable harm to public

health or safety?

Yes, and Exhibit C is attached and made a part of this petition.

No

Information Regarding the Debtor (Check the Applicable Boxes)

Venue (Check any applicable box)

Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180

days immediately preceding the date of this petition or for a longer part of such 180 days than in any other District.

There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.

Debtor is a debtor in a foreign proceeding and has its principal place of business or principal assets in the United States in

this District, or has no principal place of business or assets in the United States but is a defendant in an action or

proceeding [in a federal or state court] in this District, or the interests of the parties will be served in regard to the relief

sought in this District.

Statement by a Debtor Who Resides as a Tenant of Residential Property

Check all applicable boxes.

Landlord has a judgment against the debtor for possession of debtor's residence. (If box checked, complete the following.)

(Name of landlord that obtained judgment)

(Address of landlord)

Debtor claims that under applicable nonbankruptcy law, there are circumstances under which the debtor would be

permitted to cure the entire monetary default that gave rise to the judgment for possession, after the judgment for

possession was entered, and

Debtor has included in this petition the deposit with the court of any rent that would become due during the 30-day period

after the filing of the petition.

Exhibit B

(To be completed if debtor is an individual whose debts are primarily consumer debts.)

I, the attorney for the petitioner named in the foregoing petition, declare that I

have informed the petitioner that [he or she] may proceed under chapter 7, 11,

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

under each such chapter.

I further certify that I delivered to the debtor the notice required by §342(b) of

the Bankruptcy Code.

X

Signature of Attorney for Debtor(s) Date

Certification Concerning Debt Counseling

by Individual/Joint Debtor(s)

I/we have received approved budget and credit counseling during

the 180-day period preceding the filing of this petition.

I/we request a waiver of the requirement to obtain budget and

credit counseling prior to filing based on exigent circumstances.

(Must attach certification describing.)

Pyburn, Nathan Scott

Pyburn, Andrea Bernadette

- None -

- None -

/s/ Richard L. Goldner January 4, 2010

Richard L. Goldner

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 2 of 37
(Official Form 1) (10/05) FORM B1, Page 3

Voluntary Petition

(This page must be completed and filed in every case)

Name of Debtor(s):

Signatures

Signature(s) of Debtor(s) (Individual/Joint)

I declare under penalty of perjury that the information provided in

this petition is true and correct.

[If petitioner is an individual whose debts are primarily consumer

debts and has chosen to file under chapter 7] I am aware that I may

proceed under chapter 7, 11, 12, or 13 of title 11, United States

Code, understand the relief available under each such chapter, and

choose to proceed under chapter 7.

[If no attorney represents me and no bankruptcy petition preparer

signs the petition] I have obtained and read the notice required by

§342(b) of the Bankruptcy Code.

I request relief in accordance with the chapter of title 11, United

States Code, specified in this petition.

X

Signature of Debtor

X

Signature of Joint Debtor

Telephone Number (If not represented by attorney)

Date

Signature of Attorney

X

Signature of Attorney for Debtor(s)

Printed Name of Attorney for Debtor(s)

Firm Name

Address

Telephone Number

Date

Signature of Debtor (Corporation/Partnership)

I declare under penalty of perjury that the information provided in

this petition is true and correct, and that I have been authorized to

file this petition on behalf of the debtor.

The debtor requests relief in accordance with the chapter of title 11,

United States Code, specified in this petition.

X

Signature of Authorized Individual

Printed Name of Authorized Individual

Title of Authorized Individual

Date

Signature of a Foreign Representative

I declare under penalty of perjury that the information provided in this petition

is true and correct, that I am the foreign representative of a debtor in a foreign

proceeding, and that I am authorized to file this petition.

(Check only one box.)

I request relief in accordance with chapter 15 of title 11. United States Code.

Certified copies of the documents required by §1515 of title 11 are attached.

Pursuant to §1511 of title 11, United States Code, I request relief in accordance with the chapter of title 11 specified in this petition. A certified copy

of the order granting recognition of the foreign main proceeding is attached.

X

Signature of Foreign Representative

Printed Name of Foreign Representative

Date

Signature of Non-Attorney Bankruptcy Petition Preparer

I declare under penalty of perjury that: (1) I am a bankruptcy

petition preparer as defined in 11 U.S.C. § 110; (2) I prepared this

document for compensation and have provided the debtor with a

copy of this document and the notices and information required

under 11 U.S.C. §§ 110(b), 110(h), and 342(b); and, (3) if rules or

guidelines have been promulgated pursuant to 11 U.S.C. § 110(h)

setting a maximum fee for services chargeable by bankruptcy

petition preparers, I have given the debtor notice of the maximum

amount before preparing any document for filing for a debtor or

accepting any fee from the debtor, as required in that section.

Official Form 19B is attached.

Printed Name and title, if any, of Bankruptcy Petition Preparer

Social Security number (If the bankrutpcy petition preparer is not

an individual, state the Social Security number of the officer,

principal, responsible person or partner of the bankruptcy petition

preparer.)(Required by 11 U.S.C. § 110.)

Address

X

Date

Signature of Bankruptcy Petition Preparer or officer, principal,

responsible person,or partner whose social security number is

provided above.

Names and Social Security numbers of all other individuals who

prepared or assisted in preparing this document unless the

bankruptcy petition preparer is not an individual:

If more than one person prepared this document, attach additional

sheets conforming to the appropriate official form for each person.

A bankruptcy petition preparer’s failure to comply with the

provisions of title 11 and the Federal Rules of Bankruptcy

Procedure may result in fines or imprisonment or both 11 U.S.C.

§110; 18 U.S.C. §156.

Pyburn, Nathan Scott

Pyburn, Andrea Bernadette

/s/ Nathan Scott Pyburn

Nathan Scott Pyburn

/s/ Andrea Bernadette Pyburn

Andrea Bernadette Pyburn

January 4, 2010

/s/ Richard L. Goldner

Richard L. Goldner

Richard L. Goldner

605 East Ogden Avenue

Suite 2G

Naperville, IL 60563

630-717-8388 Fax: 630-717-0907

January 4, 2010

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 3 of 37
}bk1{Form 6.Suary ofScheduls}bk{

United States Bankruptcy Court

Northern District of Illinois

In re

,

Debtors

Case No.

Chapter 7

Nathan Scott Pyburn,

Andrea Bernadette Pyburn

Form 6-Summary

(10/05)

Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A,

B, D, E, F, I, and J in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor’s assets.

Add the amounts of all claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors must

also complete the "Statistical Summary of Certain Liabilities."

SUMMARY OF SCHEDULES

AMOUNTS SCHEDULED

ATTACHED NO. OF NAME OF SCHEDULE ASSETS LIABILITIES OTHER

(YES/NO) SHEETS

A - Real Property

B - Personal Property

C - Property Claimed as Exempt

D - Creditors Holding Secured

Claims

E - Creditors Holding Unsecured

Priority Claims

F - Creditors Holding Unsecured

Nonpriority Claims

G - Executory Contracts and

Unexpired Leases

H - Codebtors

I - Current Income of Individual

Debtor(s)

J - Current Expenditures of

Individual Debtor(s)

Total Number of Sheets of ALL Schedules

Total Assets

Total Liabilities

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

1 0.00

4 3,935.00

2

1 37,623.62

1 0.00

3 74,047.86

1

1

1 2,861.86

1 3,324.24

16

3,935.00

111,671.48

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 4 of 37
United States Bankruptcy Court

Northern District of Illinois

In re

,

Debtors

Case No.

Chapter 7

Nathan Scott Pyburn,

Andrea Bernadette Pyburn

Form 6-Summ2

(10/05)

STATISTICAL SUMMARY OF CERTAIN LIABILITIES (28 U.S.C. § 159)

[Individual Debtors Only]

Summarize the following types of liabilities, as reported in the Schedules, and total them.

Type of Liability Amount

Domestic Support Obligations (from Schedule E)

Taxes and Certain Other Debts Owed to Governmental Units

(from Schedule E)

Claims for Death or Personal Injury While Debtor Was Intoxicated

(from Schedule E)

Student Loan Obligations (from Schedule F)

Domestic Support, Separation Agreement, and Divorce Decree

Obligations Not Reported on Schedule E

Obligations to Pension or Profit-Sharing, and Other Similar Obligations

(from Schedule F)

TOTAL

The foregoing information is for statistical purposes only under 28 U.S.C § 159.

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

0.00

0.00

0.00

61,133.78

0.00

0.00

61,133.78

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 5 of 37
}bk1{Schedul A.ReaPropty}bk{

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Form B6A

(10/05)

Except as directed below, list all real property in which the debtor has any legal, equitable, or future interest, including all property owned as a

cotenant, community property, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for

the debtor's own benefit. If the debtor is married, state whether husband, wife, or both own the property by placing an "H," "W," "J," or "C" in the column

labeled "Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, write "None" under "Description and Location of Property."

Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and

Unexpired Leases.

If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity

claims to hold a secured interest in the property, write "None" in the column labeled "Amount of Secured Claim."

If the debtor is an individual or if a joint petition is filed, state the amount of any exemption claimed in the property only in Schedule C - Property

Claimed as Exempt.

Description and Location of Property Nature of Debtor's

Interest in Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in

Property, without

Deducting any Secured

Claim or Exemption

Amount of

Secured Claim

continuation sheets attached to the Schedule of Real Property

SCHEDULE A. REAL PROPERTY

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

0

None

Sub-Total > 0.00 (Total of this page)

Total >

(Report also on Summary of Schedules)

0.00

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 6 of 37
}bk1{Schedul B.Personal Prpety}bk{

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Form B6B

(10/05)

Except as directed below, list all personal property of the debtor of whatever kind. If the debtor has no property in one or more of the categories, place

an "x" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identified

with the case name, case number, and the number of the category. If the debtor is married, state whether husband, wife, or both own the property by placing

an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint petition is filed, state the

amount of any exemptions claimed only in Schedule C - Property Claimed as Exempt.

Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G - Executory Contracts and

Unexpired Leases.

If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."

In providing the information requested in this schedule, do not include the name or address of a minor child. Simply state "a minor child."

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

continuation sheets attached to the Schedule of Personal Property

SCHEDULE B. PERSONAL PROPERTY

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

3

1. Cash on hand X

2. Checking, savings or other financial

accounts, certificates of deposit, or

shares in banks, savings and loan,

thrift, building and loan, and

homestead associations, or credit

unions, brokerage houses, or

cooperatives.

Bank of America Account J 200.00

3. Security deposits with public

utilities, telephone companies,

landlords, and others.

X

4. Household goods and furnishings,

including audio, video, and

computer equipment.

Soft Chair J 10.00

Two kitchen shelves J 10.00

Pots, pans, kitchen equipment J 50.00

Two Lazy Boy chairs J 50.00

Three dressers J 60.00

Twin bed J 15.00

Four bookcases J 80.00

Cedar chest J 50.00

Currio cabinet J 20.00

Two DVD players J 15.00

VCR J 10.00

Playstation J 75.00

Ten video games J 50.00

Sub-Total >

(Total of this page)

695.00

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 7 of 37
Form B6B

(10/05)

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B. PERSONAL PROPERTY

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

50 inch television J 100.00

Acer laptop computer J 200.00

24 inch Macintosh computer J 300.00

Record player J 50.00

Ipod J 50.00

Fifty books J 50.00

300 DVDs J 300.00

DVD shelf J 20.00

Xerox printer J 50.00

Scanner J 20.00

Kitchen table and 8 chairs J 150.00

5. Books, pictures and other art

objects, antiques, stamp, coin,

record, tape, compact disc, and

other collections or collectibles.

X

6. Wearing apparel. X

7. Furs and jewelry. Two wedding bands J 200.00

Engagement ring J 500.00

Anniversary band J 500.00

8. Firearms and sports, photographic,

and other hobby equipment.

Digital camera J 100.00

Digital piano J 100.00

9. Interests in insurance policies.

Name insurance company of each

policy and itemize surrender or

refund value of each.

X

10. Annuities. Itemize and name each

issuer.

X

Sub-Total >

(Total of this page)

2,690.00

1 3

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 8 of 37
Form B6B

(10/05)

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B. PERSONAL PROPERTY

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

11. Interests in an education IRA as

defined in 26 U.S.C. § 530(b)(1) or

under a qualified State tuition plan

as defined in 26 U.S.C. § 529(b)(1).

Give particulars. (File separately the

record(s) of any such interest(s).

11 U.S.C. § 521(c); Rule 1007(b)).

X

12. Interests in IRA, ERISA, Keogh, or

other pension or profit sharing

plans. Give particulars.

Roth IRA J 450.00

13. Stock and interests in incorporated

and unincorporated businesses.

Itemize.

X

14. Interests in partnerships or joint

ventures. Itemize.

X

15. Government and corporate bonds

and other negotiable and

nonnegotiable instruments.

X

16. Accounts receivable. X

17. Alimony, maintenance, support, and

property settlements to which the

debtor is or may be entitled. Give

particulars.

X

18. Other liquidated debts owing debtor

including tax refunds. Give

particulars.

X

19. Equitable or future interests, life

estates, and rights or powers

exercisable for the benefit of the

debtor other than those listed in

Schedule A - Real Property.

X

20. Contingent and noncontingent

interests in estate of a decedent,

death benefit plan, life insurance

policy, or trust.

X

21. Other contingent and unliquidated

claims of every nature, including

tax refunds, counterclaims of the

debtor, and rights to setoff claims.

Give estimated value of each.

X

Sub-Total >

(Total of this page)

450.00

2 3

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 9 of 37
Form B6B

(10/05)

Type of Property

N

O

N

E

Description and Location of Property

Husband,

Wife,

Joint, or

Community

Current Value of

Debtor's Interest in Property,

without Deducting any

Secured Claim or Exemption

Sheet of continuation sheets attached

to the Schedule of Personal Property

SCHEDULE B. PERSONAL PROPERTY

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

22. Patents, copyrights, and other

intellectual property. Give

particulars.

X

23. Licenses, franchises, and other

general intangibles. Give

particulars.

X

24. Customer lists or other compilations

containing personally identifiable

information (as defined in 11 U.S.C.

§ 101(41A)) provided to the debtor

by individuals in connection with

obtaining a product or service from

the debtor primarily for personal,

family, or household purposes.

X

25. Automobiles, trucks, trailers, and

other vehicles and accessories.

X

26. Boats, motors, and accessories. X

27. Aircraft and accessories. X

28. Office equipment, furnishings, and

supplies.

Office chair J 50.00

29. Machinery, fixtures, equipment, and

supplies used in business.

X

30. Inventory. X

31. Animals. X

32. Crops - growing or harvested. Give

particulars.

X

33. Farming equipment and

implements.

X

34. Farm supplies, chemicals, and feed. X

35. Other personal property of any kind

not already listed. Itemize.

Posters in frames J 50.00

Sub-Total >

(Total of this page)

100.00

3 3

Total >

(Report also on Summary of Schedules)

3,935.00

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 10 of 37
}bk1{Schedul C.Propety Claimed sExpt}bk{

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Form B6C

(10/05)

Debtor elects the exemptions to which debtor is entitled under: Check if debtor claims a homestead exemption that exceeds

(Check one box) $125,000.

11 U.S.C. §522(b)(2)

11 U.S.C. §522(b)(3)

Description of Property Specify Law Providing

Each Exemption

Value of

Claimed

Exemption

Current Value of

Property Without

Deducting Exemption

continuation sheets attached to Schedule of Property Claimed as Exempt

SCHEDULE C. PROPERTY CLAIMED AS EXEMPT

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

1

Checking, Savings, or Other Financial Accounts, Certificates of Deposit

Bank of America Account 735 ILCS 5/12-1001(b) 200.00 200.00

Household Goods and Furnishings

Soft Chair 735 ILCS 5/12-1001(b) 10.00 10.00

Two kitchen shelves 735 ILCS 5/12-1001(b) 10.00 10.00

Pots, pans, kitchen equipment 735 ILCS 5/12-1001(b) 50.00 50.00

Two Lazy Boy chairs 735 ILCS 5/12-1001(b) 50.00 50.00

Three dressers 735 ILCS 5/12-1001(b) 60.00 60.00

Twin bed 735 ILCS 5/12-1001(b) 15.00 15.00

Four bookcases 735 ILCS 5/12-1001(b) 80.00 80.00

Cedar chest 735 ILCS 5/12-1001(b) 50.00 50.00

Currio cabinet 735 ILCS 5/12-1001(b) 20.00 20.00

Two DVD players 735 ILCS 5/12-1001(b) 15.00 15.00

VCR 735 ILCS 5/12-1001(b) 10.00 10.00

Playstation 735 ILCS 5/12-1001(b) 75.00 75.00

Ten video games 735 ILCS 5/12-1001(b) 50.00 50.00

50 inch television 735 ILCS 5/12-1001(b) 100.00 100.00

Acer laptop computer 735 ILCS 5/12-1001(b) 200.00 200.00

24 inch Macintosh computer 735 ILCS 5/12-1001(b) 300.00 300.00

Record player 735 ILCS 5/12-1001(b) 50.00 50.00

Ipod 735 ILCS 5/12-1001(b) 50.00 50.00

Fifty books 735 ILCS 5/12-1001(b) 50.00 50.00

300 DVDs 735 ILCS 5/12-1001(b) 300.00 300.00

DVD shelf 735 ILCS 5/12-1001(b) 20.00 20.00

Xerox printer 735 ILCS 5/12-1001(b) 50.00 50.00

Scanner 735 ILCS 5/12-1001(b) 20.00 20.00

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 11 of 37
Form B6C

(10/05)

Description of Property Specify Law Providing

Each Exemption

Value of

Claimed

Exemption

Current Value of

Property Without

Deducting Exemption

Sheet of continuation sheets attached to the Schedule of Property Claimed as Exempt

SCHEDULE C. PROPERTY CLAIMED AS EXEMPT

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Kitchen table and 8 chairs 735 ILCS 5/12-1001(b) 150.00 150.00

Furs and Jewelry

Two wedding bands 735 ILCS 5/12-1001(b) 200.00 200.00

Engagement ring 735 ILCS 5/12-1001(b) 500.00 500.00

Anniversary band 735 ILCS 5/12-1001(b) 500.00 500.00

Firearms and Sports, Photographic and Other Hobby Equipment

Digital camera 735 ILCS 5/12-1001(b) 100.00 100.00

Digital piano 735 ILCS 5/12-1001(b) 100.00 100.00

Interests in IRA, ERISA, Keogh, or Other Pension or Profit Sharing Plans

Roth IRA 735 ILCS 5/12-704 450.00 450.00

Office Equipment, Furnishings and Supplies

Office chair 735 ILCS 5/12-1001(b) 50.00 50.00

Other Personal Property of Any Kind Not Already Listed

Posters in frames 735 ILCS 5/12-1001(b) 50.00 50.00

1 1

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 12 of 37
}bk1{Schedul D.Creditos HldingSecurd Claims}bk{

AMOUNT OF

CLAIM

WITHOUT

DEDUCTING

VALUE OF

COLLATERAL

DATE CLAIM WAS INCURRED,

NATURE OF LIEN, AND

DESCRIPTION AND VALUE

OF PROPERTY

SUBJECT TO LIEN

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Husband, Wife, Joint, or Community

H

W

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CREDITOR'S NAME

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Value $

Account No.

Value $

Account No.

Value $

Account No.

Value $

Subtotal

_____ continuation sheets attached (Total of this page)

UNSECURED

PORTION, IF

ANY

Form B6D

(10/05)

State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property

of the debtor as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to the trustee

and the creditor and may be provided if the debtor chooses to do so. List creditors holding all types of secured interests such as judgment liens,

garnishments, statutory liens, mortgages, deeds of trust, and other security interests.

List creditors in alphabetical order to the extent practicable. If a minor child is a creditor, indicate that by stating "a minor child" and do not disclose

the child's name. See 11 U.S.C§112; Fed.R.Bankr.P. 1007(m). If all secured creditors will not fit on this page, use the continuation sheet provided.

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor", include the entity

on the appropriate schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether husband, wife, both of them, or the

marital community may be liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community." If the

claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column labeled "Unliquidated". If

the claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one of these three columns.)

Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on

the Summary of Schedules.

Check this box if debtor has no creditors holding secured claims to report on this Schedule D.

SCHEDULE D. CREDITORS HOLDING SECURED CLAIMS

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

0

518-9140-74721 Automobile-2006 Suzuki Grand Vitara

American Suzuki Financial Services

P.O Box 380903

Bloomington, MN 55438 J

Unknown 15,231.04 Unknown

1079174 Automobile

Capital One Auto Finance

3905 Dallas Parkway

Plano, TX 75093 J

Unknown 10,651.27 Unknown

5769116649 Automobile

Wachovia Dealer Services

PO Box 25341

Santa Ana, CA 92799 J

0.00 11,741.31 11,741.31

37,623.62

Total 37,623.62

(Report on Summary of Schedules)

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 13 of 37
}bk1{Schedul E.Creditos HldingUsecurd PiotyClams}bk{

Form B6E

(10/05)

A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of

unsecured claims entitled to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address,

including zip code, and last four digits of the account number, if any, of all entities holding priority claims against the debtor or the property of the

debtor, as of the date of the filing of the petition. Use a separate continuation sheet for each type of priority and label each with the type of priority.

The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if

the debtor chooses to do so. If a minor child is a creditor, indicate that by stating "a minor child" and do not disclose the child’s name. See

11 U.S.C.§112; Fed.R.Bankr.P. 1007(m).

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor", include the

entity on the appropriate schedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether husband, wife, both of

them or the marital community may be liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or

Community". If the claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column

labeled "Unliquidated". If the claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one

of these three columns.)

Report the total of claims listed on each sheet in the box labeled "Subtotal" on each sheet. Report the total of all claims listed on this

Schedule E in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.

Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotal" on each sheet. Report the total of all

amounts entitled to priority listed on this Schedule E in the box labeled "Total" on the last sheet of the completed schedule. If applicable, also

report this total on the Means Test form.

Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.

TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets.)

Domestic support obligations

Claims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian,

or responsible relative of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in

11 U.S.C. § 507(a)(1).

Extensions of credit in an involuntary case

Claims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier

of the appointment of a trustee or the order for relief. 11 U.S.C. § 507(a)(3).

Wages, salaries, and commissions

Wages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying

independent sales representatives up to $10,000* per person earned within 180 days immediately preceding the filing of the original petition, or

the cessation of business, which ever occurred first, to the extent provided in 11 U.S.C. § 507 (a)(4).

Contributions to employee benefit plans

Money owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the

cessation of business, whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(5).

Certain farmers and fishermen

Claims of certain farmers and fishermen, up to $4,925* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. § 507(a)(6).

Deposits by individuals

Claims of individuals up to $2,225* for deposits for the purchase, lease, or rental of property or services for personal, family, or household

use, that were not delivered or provided. 11 U.S.C. § 507(a)(7).

Taxes and certain other debts owed to governmental units

Taxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C § 507(a)(8).

Commitments to maintain the capital of an insured depository institution

Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors

of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. § 507(a)(9).

Claims for death or personal injury while debtor was intoxicated

Claims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using

alcohol, a drug, or another substance. 11 U.S.C. § 507(a)(10).

*Amounts are subject to adjustment on April 1, 2007, and every three years thereafter with respect to cases commenced on or after the date of

adjustment.

continuation sheets attached

SCHEDULE E. CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

0

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 14 of 37
}bk1{Schedul F.Creditos HldingUsecurd Nonpirty Claims}bk{

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Husband, Wife, Joint, or Community

H

W

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C

CREDITOR'S NAME,

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Subtotal

_____ continuation sheets attached (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

Form B6F

(10/05)

State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without

priority against the debtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor

has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, indicate

that by stating "a minor child" and do not disclose the child's name. See 11 U.S.C.§112; Fed.R.Bankr.P. 1007(m). Do not include claims listed in

Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor", include the entity

on the appropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether husband, wife, both of them, or

the marital community maybe liable on each claim by placing an "H", "W", "J", or "C" in the column labeled "Husband, Wife, Joint, or Community".

If the claim is contingent, place an "X" in the column labeled "Contingent". If the claim is unliquidated, place an "X" in the column labeled

"Unliquidated". If the claim is disputed, place an "X" in the column labeled "Disputed". (You may need to place an "X" in more than one of these three

columns.)

Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on

the Summary of Schedules.

Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

S/N:30982-060105

SCHEDULE F. CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

2

295533870

AT&T

PO Box 6428

Carol Stream, IL 60197

W

395.87

4185 8652 9121 5163

Chase

PO Box 15153

Wilmington, DE 19886

W

3,106.33

6019 1818 4108 7095

GE Money Bank/ Care Credit

PO Box 960061

Orlando, FL 32896

J

4,104.59

5176-6900-0223-1848

HSBC

PO BOX 17051

Baltimore, MD 21297

W

1,753.37

9,360.16

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 15 of 37
Form B6F - Cont.

(10/05)

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Husband, Wife, Joint, or Community

H

W

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C

CREDITOR'S NAME,

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F. CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

J0904100592

Resurrection Health Care

3 Erie Court

Oak Park, IL 60302

H

200.00

J0905600377

Resurrection Health Care

3 Erie Court

Oak Park, IL 60302

W

260.00

9651216619-1

Sallie Mae

PO Box 9533

Wilkes Barre, PA 18773-4600

H

5,476.71

9651216619-1

Sallie Mae

PO Box 9500

Wilkes Barre, PA 18773-4600

H

20,344.37

9651216619-1

Sallie Mae

PO Box 9555

Wilkes Barre, PA 18773-4600

J

20,343.90

46,624.98

1 2

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 16 of 37
Form B6F - Cont.

(10/05)

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Husband, Wife, Joint, or Community

H

W

J

C

CREDITOR'S NAME,

AND MAILING ADDRESS

INCLUDING ZIP CODE,

AND ACCOUNT NUMBER

(See instructions.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of Subtotal

Creditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED AND

CONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F. CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

(Continuation Sheet)

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

76667-52649

Wells Fargo Education Financial Svc

PO Box 5185

Sioux Falls, SD 57117-5185

H

14,968.80

8585-124022

Wells Fargo Financial/Tempur Pedic

PO Box 98796

Las Vegas, NV 89193

W

1,561.28

5774 4215 0014 9159

Wells Fargo Financial/Tempur Pedic

PO Box 98796

Las Vegas, NV 89193

W

1,532.64

18,062.72

2 2

74,047.86

Total

(Report on Summary of Schedules)

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 17 of 37
}bk1{Schedul G.Executory Cnactsd Unexpird Leas}bk{

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Form B6G

(10/05)

Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests. State nature

of debtor's interest in contract, i.e., "Purchaser", "Agent", etc. State whether debtor is the lessor or lessee of a lease. Provide the names and

complete mailing addresses of all other parties to each lease or contract described. If a minor child is a party to one of the leases or contracts,

indicate that by stating "a minor child" and do not disclose the child's name. See 11 U.S.C. § 112; Fed.R. Bankr. P. 1007(m).

Check this box if debtor has no executory contracts or unexpired leases.

Name and Mailing Address, Including Zip Code,

of Other Parties to Lease or Contract

Description of Contract or Lease and Nature of Debtor's Interest.

State whether lease is for nonresidential real property.

State contract number of any government contract.

continuation sheets attached to Schedule of Executory Contracts and Unexpired Leases

SCHEDULE G. EXECUTORY CONTRACTS AND UNEXPIRED LEASES

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

0

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 18 of 37
}bk1{Schedul H.Codebtrs}k{

In re

,

Debtors

Nathan Scott Pyburn, Case No.

Andrea Bernadette Pyburn

Form B6H

(10/05)

Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed

by debtor in the schedules of creditors. Include all guarantors and co-signers. If the debtor resides or resided in a community property state,

commonwealth, or territory (including Alaska, Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or

Wisconsin) within the eight year period immediately preceding the commencement of the case, identify the name of the debtor's spouse and of

any former spouse who resides or resided with the debtor in the community property state, commonwealth, or territory. Include all names used

by the nondebtor spouse during the eight years immediately preceding the commencement of this case. If a minor child is a codebtor or a creditor,

indicate that by stating "a minor child" and do not disclose the child's name. See 11 U.S.C. § 112; Fed. Bankr. P. 1007(m).

Check this box if debtor has no codebtors.

NAME AND ADDRESS OF CODEBTOR NAME AND ADDRESS OF CREDITOR

continuation sheets attached to Schedule of Codebtors

SCHEDULE H. CODEBTORS

Copyright (c) 1996-2005 - Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

0

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 19 of 37
Form B6I

(10/05)

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s)

SCHEDULE I. CURRENT INCOME OF INDIVIDUAL DEBTOR(S)

The column labeled "Spouse" must be completed in all cases filed by joint debtors and by a married debtor in a chapter 7, 11, 12, or 13 case whether

or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. Do not state the name of any minor child.

Debtor's Marital Status: DEPENDENTS OF DEBTOR AND SPOUSE

Married

RELATIONSHIP:

Daughter

AGE:

6

Employment: DEBTOR SPOUSE

Occupation Prep Cook Customer Service

Name of Employer Senior Lifestyle Corporation Neill Cartage

How long employed 2 months 4 months

Address of Employer 4285 N. Oak Park Avenue

Chicago, IL 60634

5400 Proviso Drive

Berkeley, IL 60163

INCOME: (Estimate of average monthly income) DEBTOR SPOUSE

1. Current monthly gross wages, salary, and commissions (Prorate if not paid monthly.) $ 1,343.76 $ 2,250.00

2. Estimate monthly overtime $ 0.00 $ 0.00

3. SUBTOTAL $ 1,343.76 $ 2,250.00

4. LESS PAYROLL DEDUCTIONS

a. Payroll taxes and social security $ 129.26 $ 183.16

b. Insurance $ 19.48 $ 400.00

c. Union dues $ 0.00 $ 0.00

d. Other (Specify): $ 0.00 $ 0.00

$ 0.00 $ 0.00

5. SUBTOTAL OF PAYROLL DEDUCTIONS $ 148.74 $ 583.16

6. TOTAL NET MONTHLY TAKE HOME PAY $ 1,195.02 $ 1,666.84

7. Regular income from operation of business or profession or farm. (Attach detailed statement) $ 0.00 $ 0.00

8. Income from real property $ 0.00 $ 0.00

9. Interest and dividends $ 0.00 $ 0.00

10. Alimony, maintenance or support payments payable to the debtor for the debtor's use or

that of dependents listed above. $ 0.00 $ 0.00

11. Social security or other government assistance

(Specify): $ 0.00 $ 0.00

$ 0.00 $ 0.00

12. Pension or retirement income $ 0.00 $ 0.00

13. Other monthly income

(Specify): $ 0.00 $ 0.00

$ 0.00 $ 0.00

14. SUBTOTAL OF LINES 7 THROUGH 13 $ 0.00 $ 0.00

15. TOTAL MONTHLY INCOME (Add amounts shown on lines 6 and 14) $ 1,195.02 $ 1,666.84

16. TOTAL COMBINED MONTHLY INCOME: $ 2,861.86 (Report also on Summary of Schedules)

17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 20 of 37
Form B6J

(10/05)

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s)

SCHEDULE J. CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR(S)

Complete this schedule by estimating the average monthly expenses of the debtor and the debtor's family. Pro rate any payments

made bi-weekly, quarterly, semi-annually, or annually to show monthly rate.

o Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of

expenditures labeled "Spouse."

1. Rent or home mortgage payment (include lot rented for mobile home) $ 840.00

 a. Are real estate taxes included? Yes No X

 b. Is property insurance included? Yes No X

2. Utilities: a. Electricity and heating fuel $ 54.42

b. Water and sewer $ 0.00

c. Telephone $ 142.11

d. Other Internet $ 91.44

3. Home maintenance (repairs and upkeep) $ 25.00

4. Food $ 500.00

5. Clothing $ 60.00

6. Laundry and dry cleaning $ 150.00

7. Medical and dental expenses $ 125.00

8. Transportation (not including car payments) $ 240.00

9. Recreation, clubs and entertainment, newspapers, magazines, etc. $ 0.00

10. Charitable contributions $ 0.00

11. Insurance (not deducted from wages or included in home mortgage payments)

a. Homeowner's or renter's $ 30.91

b. Life $ 0.00

c. Health $ 400.00

d. Auto $ 191.56

e. Other $ 0.00

12. Taxes (not deducted from wages or included in home mortgage payments)

(Specify) $ 0.00

13. Installment payments: (In chapter 11, 12 and 13 cases, do not list payments to be included in the

plan.)

a. Auto $ 473.80

b. Other $ 0.00

c. Other $ 0.00

d. Other $ 0.00

14. Alimony, maintenance, and support paid to others $ 0.00

15. Payments for support of additional dependents not living at your home $ 0.00

16. Regular expenses from operation of business, profession, or farm (attach detailed statement) $ 0.00

17. Other $ 0.00

 Other $ 0.00

18. TOTAL MONTHLY EXPENSES (Report also on Summary of Schedules) $ 3,324.24

19. Describe any increase or decrease in expenditures reasonably anticipated to occur within the year

following the filing of this document:

20. STATEMENT OF MONTHLY NET INCOME

a. Total monthly income from Line 16 of Schedule I $ 2,861.86

b. Total monthly expenses from Line 18 above $ 3,324.24

c. Monthly net income (a. minus b.) $ -462.38

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 21 of 37
Official Form 6-Decl.

(10/05)

United States Bankruptcy Court

Northern District of Illinois

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s) Chapter 7

DECLARATION CONCERNING DEBTOR'S SCHEDULES

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of

 18 sheets [total shown on summary page plus 2], and that they are true and correct to the best of my

knowledge, information, and belief.

Date January 4, 2010 Signature /s/ Nathan Scott Pyburn

Nathan Scott Pyburn

Debtor

Date January 4, 2010 Signature /s/ Andrea Bernadette Pyburn

Andrea Bernadette Pyburn

Joint Debtor

Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both.

18 U.S.C. §§ 152 and 3571.

Software Copyright (c) 1996-2003 Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

Case 10-00719 Doc 1 Filed 01/09/10 Entered 01/09/10 19:16:35 Desc Main

 Document Page 22 of 37
Official Form 7

(10/05)

United States Bankruptcy Court

Northern District of Illinois

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s) Chapter 7

STATEMENT OF FINANCIAL AFFAIRS

This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the information for

both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or

not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. An individual debtor engaged in business as a sole

proprietor, partner, family farmer, or self-employed professional, should provide the information requested on this statement concerning all such

activities as well as the individual's personal affairs. Do not include the name or address of a minor child in this statement. Indicate payments,

transfers and the like to minor children by stating "a minor child." See 11 U.S.C. § 112; Fed. R. Bankr. P. 1007(m).

Questions 1 - 18 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must complete

Questions 19 - 25. If the answer to an applicable question is "None," mark the box labeled "None." If additional space is needed for the answer

to any question, use and attach a separate sheet properly identified with the case name, case number (if known), and the number of the question.

DEFINITIONS

"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "in

business" for the purpose of this form if the debtor is or has been, within six years immediately preceding the filing of this bankruptcy case, any of

the following: an officer, director, managing executive, or owner of 5 percent or more of the voting or equity securities of a corporation; a partner,

other than a limited partner, of a partnership; a sole proprietor or self-employed full-time or part-time. An individual debtor also may be "in business"

for the purpose of this form if the debtor engages in a trade, business, or other activity, other than as an employee, to supplement income from the

debtor's primary employment.

"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives;

corporations of which the debtor is an officer, director, or person in control; officers, directors, and any owner of 5 percent or more of the voting or

equity securities of a corporate debtor and their relatives; affiliates of the debtor and insiders of such affiliates; any managing agent of the debtor. 11

U.S.C. § 101.

__________________________________________

None

o

1. Income from employment or operation of business

State the gross amount of income the debtor has received from employment, trade, or profession, or from operation of the debtor's

business, including part-time activities either as an employee or in independent trade or business, from the beginning of this calendar

year to the date this case was commenced. State also the gross amounts received during the two years immediately preceding this

calendar year. (A debtor that maintains, or has maintained, financial records on the basis of a fiscal rather than a calendar year may

report fiscal year income. Identify the beginning and ending dates of the debtor's fiscal year.) If a joint petition is filed, state income for

each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income of both spouses whether or not a joint

petition is filed, unless the spouses are separated and a joint petition is not filed.)

AMOUNT SOURCE

$50,003.00 Income 2008

$49,131.00 Income 2007

$1,639.23 Income 2009 YTD (Debtor)

$6,852.38 Income 2009 YTD (Spouse)

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2. Income other than from employment or operation of business

State the amount of income received by the debtor other than from employment, trade, profession, or operation of the debtor's business

during the two years immediately preceding the commencement of this case. Give particulars. If a joint petition is filed, state income for

each spouse separately. (Married debtors filing under chapter 12 or chapter 13 must state income for each spouse whether or not a joint

petition is filed, unless the spouses are separated and a joint petition is not filed.)

AMOUNT SOURCE

None

n

3. Payments to creditors

Complete a. or b., as appropriate, and c.

a. Individual or joint debtor(s) with primarily consumer debts. List all payments on loans, installment purchases of goods or services,

and other debts to any creditor made within 90 days immediately preceding the commencement of this case if the aggregate value of all

property that constitutes or is affected by such transfer is not less than $600. Indicate with an (*) any payments that were made to a

creditor on account of a domestic support obligation or as part of an alternative repayment schedule under a plan by an approved

nonprofit budgeting and creditor counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments by

either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS

OF CREDITOR

DATES OF

PAYMENTS AMOUNT PAID

AMOUNT STILL

OWING

None

n

b. Debtor whose debts are not primarily consumer debts: List each payment or other transfer to any creditor made within 90 days

immediately preceding the commencement of the case if the aggregate value of all property that constitutes or is affected by such

transfer is not less than $5,000. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both spouses

whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR

DATES OF

PAYMENTS/

TRANSFERS

AMOUNT

PAID OR

VALUE OF

TRANSFERS

AMOUNT STILL

OWING

None

n

c. All debtors: List all payments made within one year immediately preceding the commencement of this case to or for the benefit of

creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR AND

RELATIONSHIP TO DEBTOR DATE OF PAYMENT AMOUNT PAID

AMOUNT STILL

OWING

None

n

4. Suits and administrative proceedings, executions, garnishments and attachments

a. List all suits and administrative proceedings to which the debtor is or was a party within one year immediately preceding the filing of

this bankruptcy case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both spouses

whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

CAPTION OF SUIT

AND CASE NUMBER NATURE OF PROCEEDING

COURT OR AGENCY

AND LOCATION

STATUS OR

DISPOSITION

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b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one year immediately

preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning

property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS OF PERSON FOR WHOSE

BENEFIT PROPERTY WAS SEIZED DATE OF SEIZURE

DESCRIPTION AND VALUE OF

PROPERTY

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5. Repossessions, foreclosures and returns

List all property that has been repossessed by a creditor, sold at a foreclosure sale, transferred through a deed in lieu of foreclosure or

returned to the seller, within one year immediately preceding the commencement of this case. (Married debtors filing under chapter 12

or chapter 13 must include information concerning property of either or both spouses whether or not a joint petition is filed, unless the

spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF

CREDITOR OR SELLER

DATE OF REPOSSESSION,

FORECLOSURE SALE,

TRANSFER OR RETURN

DESCRIPTION AND VALUE OF

PROPERTY

American Suzuki Financial Services

P.O Box 380903

Bloomington, MN 55438

2006 Suzuki Grand Vitara

$ 15,231.04

None

n

6. Assignments and receiverships

a. Describe any assignment of property for the benefit of creditors made within 120 days immediately preceding the commencement of

this case. (Married debtors filing under chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a

joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF ASSIGNEE

DATE OF

ASSIGNMENT TERMS OF ASSIGNMENT OR SETTLEMENT

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b. List all property which has been in the hands of a custodian, receiver, or court-appointed official within one year immediately

preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning

property of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS

OF CUSTODIAN

NAME AND LOCATION

OF COURT

CASE TITLE & NUMBER

DATE OF

ORDER

DESCRIPTION AND VALUE OF

PROPERTY

None

n

7. Gifts

List all gifts or charitable contributions made within one year immediately preceding the commencement of this case except ordinary

and usual gifts to family members aggregating less than $200 in value per individual family member and charitable contributions

aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or chapter 13 must include gifts or contributions by

either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF

PERSON OR ORGANIZATION

RELATIONSHIP TO

DEBTOR, IF ANY DATE OF GIFT

DESCRIPTION AND

VALUE OF GIFT

None

n

8. Losses

List all losses from fire, theft, other casualty or gambling within one year immediately preceding the commencement of this case or

since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include losses by either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

DESCRIPTION AND VALUE

OF PROPERTY

DESCRIPTION OF CIRCUMSTANCES AND, IF

LOSS WAS COVERED IN WHOLE OR IN PART

BY INSURANCE, GIVE PARTICULARS DATE OF LOSS

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9. Payments related to debt counseling or bankruptcy

List all payments made or property transferred by or on behalf of the debtor to any persons, including attorneys, for consultation

concerning debt consolidation, relief under the bankruptcy law or preparation of the petition in bankruptcy within one year immediately

preceding the commencement of this case.

NAME AND ADDRESS

OF PAYEE

DATE OF PAYMENT,

NAME OF PAYOR IF OTHER

THAN DEBTOR

AMOUNT OF MONEY

OR DESCRIPTION AND VALUE

OF PROPERTY

Money Management International Inc.

9009 West Loop South

Westwego, LA 70096

November 4, 2009 $50.00

None

n

10. Other transfers

a. List all other property, other than property transferred in the ordinary course of the business or financial affairs of the debtor,

transferred either absolutely or as security within two years immediately preceding the commencement of this case. (Married debtors

filing under chapter 12 or chapter 13 must include transfers by either or both spouses whether or not a joint petition is filed, unless the

spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF TRANSFEREE,

RELATIONSHIP TO DEBTOR DATE

DESCRIBE PROPERTY TRANSFERRED

AND VALUE RECEIVED

None

n

b. List all property transferred by the debtor within ten years immediately preceding the commencement of this case to a self-settled

trust or similar device of which the debtor is a beneficiary.

NAME OF TRUST OR OTHER

DEVICE DATE(S) OF

TRANSFER(S)

AMOUNT OF MONEY OR DESCRIPTION AND

VALUE OF PROPERTY OR DEBTOR'S INTEREST

IN PROPERTY

None

o

11. Closed financial accounts

List all financial accounts and instruments held in the name of the debtor or for the benefit of the debtor which were closed, sold, or

otherwise transferred within one year immediately preceding the commencement of this case. Include checking, savings, or other

financial accounts, certificates of deposit, or other instruments; shares and share accounts held in banks, credit unions, pension funds,

cooperatives, associations, brokerage houses and other financial institutions. (Married debtors filing under chapter 12 or chapter 13 must

include information concerning accounts or instruments held by or for either or both spouses whether or not a joint petition is filed,

unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF INSTITUTION

TYPE OF ACCOUNT, LAST FOUR

DIGITS OF ACCOUNT NUMBER,

AND AMOUNT OF FINAL BALANCE

AMOUNT AND DATE OF SALE

OR CLOSING

Charter One Bank Checking 5607 $0.00 March 1, 2009

Charter One Bank Savings 2519 $0.00 MArch 1, 2009

None

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12. Safe deposit boxes

List each safe deposit or other box or depository in which the debtor has or had securities, cash, or other valuables within one year

immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include boxes or

depositories of either or both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not

filed.)

NAME AND ADDRESS OF BANK

OR OTHER DEPOSITORY

NAMES AND ADDRESSES

OF THOSE WITH ACCESS

TO BOX OR DEPOSITORY

DESCRIPTION

OF CONTENTS

DATE OF TRANSFER OR

SURRENDER, IF ANY

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13. Setoffs

List all setoffs made by any creditor, including a bank, against a debt or deposit of the debtor within 90 days preceding the

commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include information concerning either or both

spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)

NAME AND ADDRESS OF CREDITOR DATE OF SETOFF AMOUNT OF SETOFF

None

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14. Property held for another person

List all property owned by another person that the debtor holds or controls.

NAME AND ADDRESS OF OWNER

DESCRIPTION AND VALUE OF

PROPERTY LOCATION OF PROPERTY

None

n

15. Prior address of debtor

If the debtor has moved within three years immediately preceding the commencement of this case, list all premises which the debtor

occupied during that period and vacated prior to the commencement of this case. If a joint petition is filed, report also any separate

address of either spouse.

ADDRESS NAME USED DATES OF OCCUPANCY

None

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16. Spouses and Former Spouses

If the debtor resides or resided in a community property state, commonwealth, or territory (including Alaska, Arizona, California, Idaho,

Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, or Wisconsin) within eight years immediately preceding the

commencement of the case, identify the name of the debtor’s spouse and of any former spouse who resides or resided with the debtor in

the community property state.

NAME

17. Environmental Information.

For the purpose of this question, the following definitions apply:

"Environmental Law" means any federal, state, or local statute or regulation regulating pollution, contamination, releases of hazardous

or toxic substances, wastes or material into the air, land, soil, surface water, groundwater, or other medium, including, but not limited to,

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

"Site" means any location, facility, or property as defined under any Environmental Law, whether or not presently or formerly

owned or operated by the debtor, including, but not limited to, disposal sites.

"Hazardous Material" means anything defined as a hazardous waste, hazardous substance, toxic substance, hazardous material,

pollutant, or contaminant or similar term under an Environmental Law

None

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a. List the name and address of every site for which the debtor has received notice in writing by a governmental unit that it may be liable

or potentially liable under or in violation of an Environmental Law. Indicate the governmental unit, the date of the notice, and, if known,

the Environmental Law:

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

None

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b. List the name and address of every site for which the debtor provided notice to a governmental unit of a release of Hazardous

Material. Indicate the governmental unit to which the notice was sent and the date of the notice.

SITE NAME AND ADDRESS

NAME AND ADDRESS OF

GOVERNMENTAL UNIT

DATE OF

NOTICE

ENVIRONMENTAL

LAW

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c. List all judicial or administrative proceedings, including settlements or orders, under any Environmental Law with respect to which

the debtor is or was a party. Indicate the name and address of the governmental unit that is or was a party to the proceeding, and the

docket number.

NAME AND ADDRESS OF

GOVERNMENTAL UNIT DOCKET NUMBER STATUS OR DISPOSITION

None

o

18 . Nature, location and name of business

a. If the debtor is an individual, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was an officer, director, partner, or managing executive of a corporation, partner in a

partnership, sole proprietor, or was self-employed in a trade, profession, or other activity either full- or part-time within six years

immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the voting or equity securities

within six years immediately preceding the commencement of this case.

If the debtor is a partnership, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities, within six

years immediately preceding the commencement of this case.

If the debtor is a corporation, list the names, addresses, taxpayer identification numbers, nature of the businesses, and beginning and

ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the voting or equity securities within six

years immediately preceding the commencement of this case.

NAME

LAST FOUR DIGITS

OF SOC. SEC. NO./

COMPLETE EIN OR

OTHER TAXPAYER

I.D. NO. ADDRESS NATURE OF BUSINESS

BEGINNING AND

ENDING DATES

Pyburn Studios 26-4285417 107 S. Harvey Ave Apt. 1N

Oak Park, IL 60302

Graphic Design February 2009-

August 2009

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b. Identify any business listed in response to subdivision a., above, that is "single asset real estate" as defined in 11 U.S.C. § 101.

NAME ADDRESS

The following questions are to be completed by every debtor that is a corporation or partnership and by any individual debtor who is or has

been, within six years immediately preceding the commencement of this case, any of the following: an officer, director, managing executive, or

owner of more than 5 percent of the voting or equity securities of a corporation; a partner, other than a limited partner, of a partnership, a sole

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

(An individual or joint debtor should complete this portion of the statement only if the debtor is or has been in business, as defined above,

within six years immediately preceding the commencement of this case. A debtor who has not been in business within those six years should go

directly to the signature page.)

None

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19. Books, records and financial statements

a. List all bookkeepers and accountants who within two years immediately preceding the filing of this bankruptcy case kept or

supervised the keeping of books of account and records of the debtor.

NAME AND ADDRESS DATES SERVICES RENDERED

None

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b. List all firms or individuals who within the two years immediately preceding the filing of this bankruptcy case have audited the books

of account and records, or prepared a financial statement of the debtor.

NAME ADDRESS DATES SERVICES RENDERED

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c. List all firms or individuals who at the time of the commencement of this case were in possession of the books of account and records

of the debtor. If any of the books of account and records are not available, explain.

NAME ADDRESS

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d. List all financial institutions, creditors and other parties, including mercantile and trade agencies, to whom a financial statement was

issued by the debtor within two years immediately preceding the commencement of this case.

NAME AND ADDRESS DATE ISSUED

None

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20. Inventories

a. List the dates of the last two inventories taken of your property, the name of the person who supervised the taking of each inventory,

and the dollar amount and basis of each inventory.

DATE OF INVENTORY INVENTORY SUPERVISOR

DOLLAR AMOUNT OF INVENTORY

(Specify cost, market or other basis)

None

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b. List the name and address of the person having possession of the records of each of the two inventories reported in a., above.

DATE OF INVENTORY

NAME AND ADDRESSES OF CUSTODIAN OF INVENTORY

RECORDS

None

n

21 . Current Partners, Officers, Directors and Shareholders

a. If the debtor is a partnership, list the nature and percentage of partnership interest of each member of the partnership.

NAME AND ADDRESS NATURE OF INTEREST PERCENTAGE OF INTEREST

None

n

b. If the debtor is a corporation, list all officers and directors of the corporation, and each stockholder who directly or indirectly owns,

controls, or holds 5 percent or more of the voting or equity securities of the corporation.

NAME AND ADDRESS TITLE

NATURE AND PERCENTAGE

OF STOCK OWNERSHIP

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22 . Former partners, officers, directors and shareholders

a. If the debtor is a partnership, list each member who withdrew from the partnership within one year immediately preceding the

commencement of this case.

NAME ADDRESS DATE OF WITHDRAWAL

None

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b. If the debtor is a corporation, list all officers, or directors whose relationship with the corporation terminated within one year

immediately preceding the commencement of this case.

NAME AND ADDRESS TITLE DATE OF TERMINATION

None

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23 . Withdrawals from a partnership or distributions by a corporation

If the debtor is a partnership or corporation, list all withdrawals or distributions credited or given to an insider, including compensation

in any form, bonuses, loans, stock redemptions, options exercised and any other perquisite during one year immediately preceding the

commencement of this case.

NAME & ADDRESS

OF RECIPIENT,

RELATIONSHIP TO DEBTOR

DATE AND PURPOSE

OF WITHDRAWAL

AMOUNT OF MONEY

OR DESCRIPTION AND

VALUE OF PROPERTY

None

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24. Tax Consolidation Group.

If the debtor is a corporation, list the name and federal taxpayer identification number of the parent corporation of any consolidated

group for tax purposes of which the debtor has been a member at any time within six years immediately preceding the commencement

of the case.

NAME OF PARENT CORPORATION TAXPAYER IDENTIFICATION NUMBER (EIN)

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25. Pension Funds.

If the debtor is not an individual, list the name and federal taxpayer identification number of any pension fund to which the debtor, as an

employer, has been responsible for contributing at any time within six years immediately preceding the commencement of the case.

NAME OF PENSION FUND TAXPAYER IDENTIFICATION NUMBER (EIN)

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto

and that they are true and correct.

Date January 4, 2010 Signature /s/ Nathan Scott Pyburn

Nathan Scott Pyburn

Debtor

Date January 4, 2010 Signature /s/ Andrea Bernadette Pyburn

Andrea Bernadette Pyburn

Joint Debtor

Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years, or both. 18 U.S.C. §§ 152 and 3571

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Form 8

(10/05)

United States Bankruptcy Court

Northern District of Illinois

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s) Chapter 7

CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION

n I have filed a schedule of assets and liabilities which includes debts secured by property of the estate.

o I have filed a schedule of executory contracts and unexpired leases which includes personal property subject to an unexpired lease.

n I intend to do the following with respect to property of the estate which secures those debts or is subject to a lease:

Description of Secured Property Creditor's Name

Property will be

Surrendered

Property

is claimed

as exempt

Property will be

redeemed

pursuant to

11 U.S.C. § 722

Debt will be

reaffirmed

pursuant to

11 U.S.C. § 524(c)

Automobile-2006 Suzuki Grand Vitara American Suzuki

Financial Services

X

Automobile Capital One Auto

Finance

X

Automobile Wachovia Dealer

Services

X

Description of Leased

Property Lessor's Name

Lease will be

assumed pursuant

to 11 U.S.C. §

362(h)(1)(A)

-NONEDate January 4, 2010 Signature /s/ Nathan Scott Pyburn

Nathan Scott Pyburn

Debtor

Date January 4, 2010 Signature /s/ Andrea Bernadette Pyburn

Andrea Bernadette Pyburn

Joint Debtor

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United States Bankruptcy Court

Northern District of Illinois

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s) Chapter 7

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)

1. Pursuant to 11 U.S.C. § 329(a) and Bankruptcy Rule 2016(b), I certify that I am the attorney for the above-named debtor 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 $ 1,000.00

Prior to the filing of this statement I have received $ 700.00

Balance Due $ 300.00

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

n Debtor o Other (specify):

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

n Debtor o Other (specify):

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

o I have agreed to share the above-disclosed compensation with a 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, statement 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;

d. Representation of the debtor in adversary proceedings and other contested bankruptcy matters;

e. [Other provisions as needed]

Negotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of

reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 USC

522(f)(2)(A) for avoidance of liens on household goods.

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

Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or

any other adversary proceeding.

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.

Dated: January 4, 2010 /s/ Richard L. Goldner

Richard L. Goldner

Richard L. Goldner

605 East Ogden Avenue

Suite 2G

Naperville, IL 60563

630-717-8388 Fax: 630-717-0907

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B 201 (10/05)

UNITED STATES BANKRUPTCY COURT

NORTHERN DISTRICT OF ILLINOIS

NOTICE TO INDIVIDUAL CONSUMER DEBTOR UNDER § 342(b)

OF THE BANKRUPTCY CODE

In accordance with § 342(b) of the Bankruptcy Code, this notice: (1) Describes briefly the services available from

credit counseling services; (2) Describes briefly the purposes, benefits and costs of the four types of bankruptcy proceedings

you may commence; and (3) Informs you about bankruptcy crimes and notifies you that the Attorney General may examine all

information you supply in connection with a bankruptcy case. You are cautioned that bankruptcy law is complicated and not

easily described. Thus, you may wish to seek the advice of an attorney to learn of your rights and responsibilities should you

decide to file a petition. Court employees cannot give you legal advice.

1. Services Available from Credit Counseling Agencies

With limited exceptions, § 109(h) of the Bankruptcy Code requires that all individual debtors who file for bankruptcy

relief on or after October 17, 2005, receive a briefing that outlines the available opportunities for credit counseling and

provides assistance in performing a budget analysis. The briefing must be given within 180 days before the bankruptcy filing. The

briefing may be provided individually or in a group (including briefings conducted by telephone or on the Internet) and must be

provided by a nonprofit budget and credit counseling agency approved by the United States trustee or bankruptcy administrator. The

clerk of the bankruptcy court has a list that you may consult of the approved budget and credit counseling agencies.

In addition, after filing a bankruptcy case, an individual debtor generally must complete a financial management

instructional course before he or she can receive a discharge. The clerk also has a list of approved financial management

instructional courses.

2. The Four Chapters of the Bankruptcy Code Available to Individual Consumer Debtors

Chapter 7: Liquidation ($220 filing fee, $39 administrative fee, $15 trustee surcharge: Total Fee $274)

1. Chapter 7 is designed for debtors in financial difficulty who do not have the ability to pay their existing debts. Debtors

whose debts are primarily consumer debts are subject to a "means test" designed to determine whether the case should be permitted to

proceed under chapter 7. If your income is greater than the median income for your state of residence and family size, in some cases,

creditors have the right to file a motion requesting that the court dismiss your case under § 707(b) of the Code. It is up to the court to

decide whether the case should be dismissed.

2. Under chapter 7, you may claim certain of your property as exempt under governing law. A trustee may have the right to

take possession of and sell the remaining property that is not exempt and use the sale proceeds to pay your creditors.

3. The purpose of filing a chapter 7 case is to obtain a discharge of your existing debts. If, however, you are found to have

committed certain kinds of improper conduct described in the Bankruptcy Code, the court may deny your discharge and, if it does, the

purpose for which you filed the bankruptcy petition will be defeated.

4. Even if you receive a general discharge, some particular debts are not discharged under the law. Therefore, you may still

be responsible for most taxes and student loans; debts incurred to pay nondischargeable taxes; domestic support and property

settlement obligations; most fines, penalties, forfeitures, and criminal restitution obligations; certain debts which are not properly listed

in your bankruptcy papers; and debts for death or personal injury caused by operating a motor vehicle, vessel, or aircraft while

intoxicated from alcohol or drugs. Also, if a creditor can prove that a debt arose from fraud, breach of fiduciary duty, or theft, or from

a willful and malicious injury, the bankruptcy court may determine that the debt is not discharged.

Chapter 13: Repayment of All or Part of the Debts of an Individual with Regular Income ($150 filing fee,

$39 administrative fee: Total fee $189)

1. Chapter 13 is designed for individuals with regular income who would like to pay all or part of their debts in installments

over a period of time. You are only eligible for chapter 13 if your debts do not exceed certain dollar amounts set forth in the

Bankruptcy Code.

2. 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,

using your future earnings. The period allowed by the court to repay your debts may be three years or five years, depending upon your

income and other factors. The court must approve your plan before it can take effect.

3. After completing the payments under your plan, your debts are generally discharged except for domestic support

obligations; most student loans; certain taxes; most criminal fines and restitution obligations; certain debts which are not properly

listed in your bankruptcy papers; certain debts for acts that caused death or personal injury; and certain long term secured obligations.

Software Copyright (c) 1996-2005 Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

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B 201 (10/05)

Chapter 11: Reorganization ($1000 filing fee, $39 administrative fee: Total fee $1039)

Chapter 11 is designed for the reorganization of a business but is also available to consumer debtors. Its provisions are quite

complicated, and any decision by an individual to file a chapter 11 petition should be reviewed with an attorney.

Chapter 12: Family Farmer or Fisherman ($200 filing fee, $39 administrative fee: Total fee $239)

Chapter 12 is designed to permit family farmers and fishermen to repay their debts over a period of time from future earnings

and is similar to chapter 13. The eligibility requirements are restrictive, limiting its use to those whose income arises primarily from a

family-owned farm or commercial fishing operation.

3. Bankruptcy Crimes and Availability of Bankruptcy Papers to Law Enforcement Officials

A person who knowingly and fraudulently conceals assets or makes a false oath or statement under penalty of perjury, either

orally or in writing, in connection with a bankruptcy case is subject to a fine, imprisonment, or both. All information supplied by a

debtor in connection with a bankruptcy case is subject to examination by the Attorney General acting through the Office of the United

States Trustee, the Office of the United States Attorney, and other components and employees of the Department of Justice.

WARNING: Section 521(a)(1) of the Bankruptcy Code requires that you promptly file detailed information regarding your creditors,

assets, liabilities, income, expenses and general financial condition. Your bankruptcy case may be dismissed if this information is not

filed with the court within the time deadlines set by the Bankruptcy Code, the Bankruptcy Rules, and the local rules of the court.

Certificate of Attorney

I hereby certify that I delivered to the debtor this notice required by § 342(b) of the Bankruptcy Code.

Richard L. Goldner X /s/ Richard L. Goldner January 4, 2010

Printed Name of Attorney Signature of Attorney Date

Address:

605 East Ogden Avenue

Suite 2G

Naperville, IL 60563

630-717-8388

Certificate of Debtor

I (We), the debtor(s), affirm that I (we) have received and read this notice.

Nathan Scott Pyburn

Andrea Bernadette Pyburn X /s/ Nathan Scott Pyburn January 4, 2010

Printed Name of Debtor Signature of Debtor Date

Case No. (if known) X /s/ Andrea Bernadette Pyburn January 4, 2010

Signature of Joint Debtor (if any) Date

Software Copyright (c) 1996-2005 Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

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United States Bankruptcy Court

Northern District of Illinois

In re

Nathan Scott Pyburn

Andrea Bernadette Pyburn Case No.

Debtor(s) Chapter 7

VERIFICATION OF CREDITOR MATRIX

Number of Creditors: 15

The above-named Debtor(s) hereby verifies that the list of creditors is true and correct to the best of my

(our) knowledge.

Date: January 4, 2010 /s/ Nathan Scott Pyburn

Nathan Scott Pyburn

Signature of Debtor

Date: January 4, 2010 /s/ Andrea Bernadette Pyburn

Andrea Bernadette Pyburn

Signature of Debtor

Software Copyright (c) 1996-2003 Best Case Solutions, Inc. - Evanston, IL - (800) 492-8037 Best Case Bankruptcy

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}bk1{Credito AresMatix}bk{

American Suzuki Financial Services

P.O Box 380903

Bloomington, MN 55438

AT&T

PO Box 6428

Carol Stream, IL 60197

Capital One Auto Finance

3905 Dallas Parkway

Plano, TX 75093

Chase

PO Box 15153

Wilmington, DE 19886

GE Money Bank/ Care Credit

PO Box 960061

Orlando, FL 32896

HSBC

PO BOX 17051

Baltimore, MD 21297

Resurrection Health Care

3 Erie Court

Oak Park, IL 60302

Resurrection Health Care

3 Erie Court

Oak Park, IL 60302

Sallie Mae

PO Box 9533

Wilkes Barre, PA 18773-4600

Sallie Mae

PO Box 9500

Wilkes Barre, PA 18773-4600

Sallie Mae

PO Box 9555

Wilkes Barre, PA 18773-4600

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Wachovia Dealer Services

PO Box 25341

Santa Ana, CA 92799

Wells Fargo Education Financial Svc

PO Box 5185

Sioux Falls, SD 57117-5185

Wells Fargo Financial/Tempur Pedic

PO Box 98796

Las Vegas, NV 89193

Wells Fargo Financial/Tempur Pedic

PO Box 98796

Las Vegas, NV 89193

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