Source: https://www.scribd.com/document/106409015/John-L-Smith-Bankruptcy-Documents
Timestamp: 2016-08-24 09:47:39
Document Index: 626307809

Matched Legal Cases: ['§112', '§ 530', '§ 529', '§ 521', '§ 101', '§522', '§522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§ 522', '§112', '§112', 'art 6040', 'art 6040', 'art 6040', 'art 6040', '§ 329', '§ 342', '§ 707', '§ 342', '§ 342', '§ 342', '§ 342', '§ 707', '§ 707', '§ 707', '§ 707', '§ 170', '§ 707', '§ 707', '§ 707', '§ 707', '§ 707', '§ 707']

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5:12-bk-73427 7
NO. OF SHEETS 1 4 1 1 2 6 1 3 2 2 23
ASSETS 2,000.00 1,219,404.15
0.00 0.00 25,679,882.76
9,277.79 27,620.00
1,221,404.15 25,679,882.76
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5:12-bk-73427
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, both, or the marital community 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. Current Value of Husband, Debtor's Interest in Wife, Property, without Joint, or Community Deducting any Secured Claim or Exemption 2,000.00
1/4 interest in deceased parents real estate 8 acres in Iona, Idaho worth $8,000.00 (total)
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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, both, or the marital community 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." If the property is being held for a minor child, simply state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Type of Property N O N E pocket money Signature Bank checking account Commonwealth Bank - debtor had funds at this bank, and he has been trying to obtain these funds, but has been denied access to the funds. Debtor assumes that the funds have been offset standard utility deposits Description and Location of Property Husband, Current Value of Wife, Debtor's Interest in Property, Joint, or without Deducting any Community Secured Claim or Exemption 300.00 500.00 Unknown
home furnishings and personal property household goods and personal property at wife's home, as valued by Cecil Phillips 9/17/12 books, pictures
5,000.00 Unknown 900.00
Books, pictures and other art objects, antiques, stamp, coin, record, tape, compact disc, and other collections or collectibles. Wearing apparel. Furs and jewelry. Firearms and sports, photographic, and other hobby equipment. Interests in insurance policies. Name insurance company of each policy and itemize surrender or refund value of each. X
Debtor's clothing and accessories Memorabilia rings and watches shotgun, golf clubs $50k term life insurance with U of A $1million Genworth term life insurance - owned by debtor's insurance trust - no cash value
950.00 2,500.00 200.00 0.00 0.00
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Description and Location of Property debtor's interest in 529 plan (joint with non debtor wife); held FBO Samuel T. Smith;not property of the estate per 11 USC Sec 541(b)(5); last contribution more than six years prior to file date. Half interest is $1,150.00
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).) 12. Interests in IRA, ERISA, Keogh, or other pension or profit sharing plans. Give particulars.
Fidelity IRA (the funds in this account were rolled over from debtors 403(b) account in August, 2010) Deferred Comp Plan - empty, set up in JLS Consulting, LLC) to receive contributions TIAA-CREF pays $226 per month, and pays in to 403 (b) Fidelity account , below U of A 403 (b) Fidelity
602,475.00 0.00 7,049.15 599,430.00
13. Stock and interests in incorporated and unincorporated businesses. Itemize. 14. Interests in partnerships or joint ventures. Itemize.
(See no. 18, Statement of Affairs; Debtor holds minority ownership in most of the entities listed. In each case, however, outstanding liabilities exceed assets, thus, Debtor's interest is worthless. Tax returns available for Trustee's review) JLS Consulting, LLC (shown on Statement of Affairs, no. 18) maintains an ERISA qualified defined benefit pension plan; not property of the estate. Also, is a party to the contract with the University of Arkansas, JLS Enterprises II, LLC - this entity owns Southfield Co-Investment - 1.118934% of this entity Incredible Dave's LLC, which is in Ch 11 1.666667% of this entity
15. Government and corporate bonds and other negotiable and nonnegotiable instruments. 16. Accounts receivable. 17. Alimony, maintenance, support, and property settlements to which the debtor is or may be entitled. Give particulars.
6 days of paycheck from U of A X
1,208,954.15
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(Continuation Sheet) N O N E Husband, Current Value of Wife, Debtor's Interest in Property, Joint, or without Deducting any Community Secured Claim or Exemption
18. Other liquidated debts owed to debtor X including tax refunds. Give particulars. 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. 20. Contingent and noncontingent interests in estate of a decedent, death benefit plan, life insurance policy, or trust. 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. 22. Patents, copyrights, and other intellectual property. Give particulars. 23. Licenses, franchises, and other general intangibles. Give particulars. 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. 25. Automobiles, trucks, trailers, and other vehicles and accessories. 26. Boats, motors, and accessories. 27. Aircraft and accessories. 28. Office equipment, furnishings, and supplies. 29. Machinery, fixtures, equipment, and supplies used in business. X X X
1/4 interest in 8 acres of Idaho real estate owned by deceased parent; desert property; likely nominal value see Sch. A Pending counterclaim asserted in Terra Springs LLC vs Debtor
X X X computer and printer 100.00
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(Continuation Sheet) N O N E X X X X X Debtor established a Life Insurance trust which may own the policies described in # 9 above - in addition, it may hold a term life insurance policy on debtor's spouse in the face amount of $100,000, with no cash value. Personal Service Contract with the University of Arkansas Personal Service Contract with the Razorback Foundation Debtor has a Living Trust established 7/9/08 No assets have ever been put into this trust 0.00 Husband, Current Value of Wife, Debtor's Interest in Property, Joint, or without Deducting any Community Secured Claim or Exemption
30. Inventory. 31. Animals. 32. Crops - growing or harvested. Give particulars. 33. Farming equipment and implements. 34. Farm supplies, chemicals, and feed. 35. Other personal property of any kind not already listed. Itemize.
0.00 1,219,404.15
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Debtor claims the exemptions to which debtor is entitled under: (Check one box) 11 U.S.C. §522(b)(2) 11 U.S.C. §522(b)(3) Description of Property Cash on Hand pocket money Check if debtor claims a homestead exemption that exceeds $146,450. (Amount subject to adjustment on 4/1/13, and every three years thereafter
Specify Law Providing Each Exemption 11 U.S.C. § 522(d)(5)
Value of Claimed Exemption 300.00
Current Value of Property Without Deducting Exemption 300.00
Checking, Savings, or Other Financial Accounts, Certificates of Deposit Signature Bank checking account 11 U.S.C. § 522(d)(5) Household Goods and Furnishings home furnishings and personal property Books, Pictures and Other Art Objects; Collectibles books, pictures Wearing Apparel Debtor's clothing and accessories Furs and Jewelry Memorabilia rings and watches
11 U.S.C. § 522(d)(3)
11 U.S.C. § 522(d)(4) 11 U.S.C. § 522(d)(5)
1,450.00 1,050.00
Firearms and Sports, Photographic and Other Hobby Equipment shotgun, golf clubs 11 U.S.C. § 522(d)(5) Interests in Insurance Policies $50k term life insurance with U of A $1million Genworth term life insurance - owned by debtor's insurance trust - no cash value
11 U.S.C. § 522(d)(7) 11 U.S.C. § 522(d)(7)
Interests in IRA, ERISA, Keogh, or Other Pension or Profit Sharing Plans Fidelity IRA (the funds in this account were rolled 11 U.S.C. § 522(d)(12) over from debtors 403(b) account in August, 2010) 11 U.S.C. § 522(d)(10)(E) Deferred Comp Plan - empty, set up in JLS Consulting, LLC) to receive contributions TIAA-CREF pays $226 per month, and pays in to 403 (b) Fidelity account , below U of A 403 (b) Fidelity 11 U.S.C. § 522(d)(10)(E) 11 U.S.C. § 522(d)(10)(E) 11 U.S.C. § 522(d)(10)(E) 11 U.S.C. § 522(d)(10)(E) 11 U.S.C. § 522(d)(10)(E) 11 U.S.C. § 522(d)(12)
602,475.00 602,475.00 100% 100% 100% 100% 599,430.00 599,430.00
Office Equipment, Furnishings and Supplies computer and printer
11 U.S.C. § 522(d)(6)
2,430,858.30
1,219,404.15
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(Continuation Sheet) Taxes and Certain Other Debts Owed to Governmental Units TYPE OF PRIORITY CREDITOR'S NAME, AND MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions.) Account No. Department Finance & Admin P O Box 2144 Little Rock, AR 72203-2144
Debtor is unaware of any outstanding tax liability but lists the State as a precaution and for purpose of notice -
Unknown Account No. Internal Revenue Service Special Procedures 700 West Capitol Stop 5700 LIT Little Rock, AR 72201 Account No. Kentucky Department of Revenue 501 High Street Frankfort, KY 40620 Debtor is unaware of any outstanding tax liability but lists the USA as a precaution and for purpose of notice
Unknown Unknown Debtor is unaware of any outstanding tax liability but lists the State as a precaution and for purpose of notice Unknown Unknown Unknown Unknown
Account No. Utah State Tax Commission 210 N 1950 West Salt Lake City, UT 84134
Debtor is unaware of any outstanding tax liability but lists the State as a precaution and for purpose of notice Unknown Unknown Unknown
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. ***1006 American Express P O Box 981535 El Paso, TX 79998-1535
10,810.43 Account No. Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202 debt of Terra Springs, with debtor's personal guarantee X X X X
Unknown Account No. Canfield Development 11800 Brinley #201 Louisville, KY 40243
Unknown Account No. Citizens Union Bank 11436 Cronhill Drive Owings Mills, MD 21117
Unknown _____ continuation sheets attached 5 Subtotal (Total of this page) 10,810.43
S/N:24487-120806
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. CMS c/o Canfield Dev 11800 Brinley #201 Louisville, KY 40243
DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, SO STATE. listed here pursuant to his co-liability on certain debts with Debtor.
Unknown Account No. Commonwealth Bank & Trust 4912 US Hwy 42 Louisville, KY 40222 secured by property owned by non-debtor spouse
490,359.00 Account No. Fahar Juneja 6510 Glenridge Park Place Suite 8 Louisville, KY 40222 Account No. Fifth Third Bank P O Box 740778 Cincinnati, OH 45274-0778 Notice Only
50,000.00 Account No. First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630
233,000.00 Sheet no. _____ of _____ sheets attached to Schedule of 1 5 Creditors Holding Unsecured Nonpriority Claims Subtotal (Total of this page) 773,359.00
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. GJ Hart Wolfpen Branch Road Prospect, KY 40059
0.00 Account No. J.P. Morgan 270 Park Avenue New York, NY 10017 co- guarantor on investments
0.00 Account No. John D. Rhodes III 11800 Brinley Louisville, KY 40243 listed here pursuant to his co-liability on certain debts with Debtor. X X X
0.00 Account No. John D. Rhodes Trustee of the John D Rhodes Trust 3615 Woodside Place Louisville, KY 40222 Account No. John R. Mason 5109 Spring Farm Road Prospect, KY 40059 judgment entered April 2012
865,197.68 listed here pursuant to his co-liability on certain debts with Debtor. - Mason filed his own Ch 7 bankruptcy in Kentucky and has received a - discharge of his debts
0.00 Sheet no. _____ of _____ sheets attached to Schedule of 2 5 Creditors Holding Unsecured Nonpriority Claims Subtotal (Total of this page) 865,197.68
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. John Rhodes Ltd Fam Part c/o William G Strench 400 W Market Street, 32nd Floo Louisville, KY 40202-3363
DATE CLAIM WAS INCURRED AND CONSIDERATION FOR CLAIM. IF CLAIM IS SUBJECT TO SETOFF, SO STATE. listed here pursuant to the Partnership's co-liability on certain debts with Debtor.
0.00 Account No. John S. Bouchillon 25 Stonebridge Rod Louisville, KY 40207 listed here pursuant to his co-liability on certain debts with Debtor X X X
0.00 Account No. Judy Hoge Lloyd & McDaniel, PLC P.O. Box 23200 Louisville, KY 40223-0306 Account No. King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243 listed for Notice purposes..........she serves as attorney for Stock Yards Bank in litigation against debtor X X X
0.00 liability of Terra Acquisitions, with personal guarantee of debtor and others X -
902,000.00 Account No. Mushtaque Juneja c/o Richard Segal 500 West Jefferson Street Suite 2100 Louisville, KY 40202 Sheet no. _____ of _____ sheets attached to Schedule of 3 5 Creditors Holding Unsecured Nonpriority Claims debtor acknowledges debt of $200,000, but disputes any amount over that X X X
200,000.00 Subtotal (Total of this page) 1,102,000.00
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. R Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059
0.00 Account No. Republic Bank P O Box 90119 Louisville, KY 40295 debtor of Terra Acquisitions, personally guaranteed by debtor and others X -
2,000,000.00 Account No. RLBB Acquisition, LLC c/o Stoll Keenon Ogden PLLC 500 W Jefferson Suite 2000 Louisville, KY 40202 Account No. Stockyards Bank & Trust P O Box 39511 Louisville, KY 40233
600,000.00 debt of Terra Acquisitions, personally guaranteed by debtor and others X -
328,515.65 Account No. Terra Acquistions II, LLC 11800 Brinley Suite 201 Louisville, KY 40243 Notice Only (involving debts to Branch Banking Trust and Republic Bank) -
0.00 Sheet no. _____ of _____ sheets attached to Schedule of 4 5 Creditors Holding Unsecured Nonpriority Claims Subtotal (Total of this page) 2,928,515.65
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CREDITOR'S NAME, MAILING ADDRESS INCLUDING ZIP CODE, AND ACCOUNT NUMBER (See instructions above.) Account No. Terra Springs, LLC c/o P Cummins & M Winters Frost Brown Todd 400 W Market St, 32nd Floor Louisville, KY 40202 Account No. Wells Fargo P.O. Box 6412 Carol Stream, IL 60197
20,000,000.00 credit card - not used
0.00 Account No.
Sheet no. _____ of _____ sheets attached to Schedule of 5 5 Creditors Holding Unsecured Nonpriority Claims
25,679,882.76
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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, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and 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 Board of Trustees of U of A P O Box 7777 Fayetteville, AR 72702 Chris & Kerry Bradley Lindsey & Associates 1200 E. Joyce Blvd. Fayetteville, AR 72703 Razorback Foundation 1295 South Razorback Road Suite A Fayetteville, AR 72701 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. personal service contract
lease of 4586 Caddo Lane, Fayetteville, AR 72704, at $3,500 per month - expires February 28, 2012 residential lease for 1717 Pasatiempo, Apt. 2, Springdale, AR Personal services contract
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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, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Check this box if debtor has no codebtors. NAME AND ADDRESS OF CODEBTOR GJ Hart 6040 Dutchman's Lane Suite 200 Louisville, KY 40205 GJ Hart 6040 Dutchman's Lane Suite 200 Louisville, KY 40205 GJ Hart 6040 Dutchman's Lane Suite 200 Louisville, KY 40205 GJ Hart 6040 Dutchman's Lane Suite 200 Louisville, KY 40205 John D Rhodes Trustee 3615 Woodside Place Louisville, KY 40222 John D Rhodes Trustee 3615 Woodside Place Louisville, KY 40222 John D Rhodes Trustee 3615 Woodside Place Louisville, KY 40222 John D Rhodes Trustee 3615 Woodside Place Louisville, KY 40222 John R. Mason 519 Spring Farm Road Prospect, KY 40059 John R. Mason 519 Spring Farm Road Prospect, KY 40059 John R. Mason 519 Spring Farm Road Prospect, KY 40059 NAME AND ADDRESS OF CREDITOR First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630 Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202 King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243 Republic Bank P O Box 90119 Louisville, KY 40295 First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630 Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202 King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243 Republic Bank P O Box 90119 Louisville, KY 40295 First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630 Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202 King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243
2 continuation sheets attached to Schedule of Codebtors
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(Continuation Sheet) NAME AND ADDRESS OF CODEBTOR John R. Mason 519 Spring Farm Road Prospect, KY 40059 John R. Mason 519 Spring Farm Road Prospect, KY 40059 Kayse C. Smith 10210 Springmere Drive, #301 Louisville, KY 40241 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 Mushtaque Juneja c/o RIchard G Segal Lynch Cox Gilman & Goodman 500 W Jefferson, Suite 2100 Louisville, KY 40202 R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 NAME AND ADDRESS OF CREDITOR Republic Bank P O Box 90119 Louisville, KY 40295 Stockyards Bank & Trust P O Box 39511 Louisville, KY 40233 Fifth Third Bank P O Box 740778 Cincinnati, OH 45274-0778 First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630
Stockyards Bank & Trust P O Box 39511 Louisville, KY 40233
Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202
Citizens Union Bank 11436 Cronhill Drive Owings Mills, MD 21117
King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243
Republic Bank P O Box 90119 Louisville, KY 40295
First Citizens Bank P O Box 1630 Elizabethtown, KY 42702-1630
continuation sheets attached to the Schedule of Codebtors
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(Continuation Sheet) NAME AND ADDRESS OF CODEBTOR R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 R. Stephen Canfield 7501 Wolf Pen Branch Road Prospect, KY 40059 Terra Acquisitions LLC 9100 Shelbyville Road Suite 205 Louisville, KY 40222 Terra Acquisitions LLC 9100 Shelbyville Road Suite 205 Louisville, KY 40222 Terra Ventures III Hldgs LLC 9100 Shelbyville Road Suite 205 Louisville, KY 40222 NAME AND ADDRESS OF CREDITOR Stockyards Bank & Trust P O Box 39511 Louisville, KY 40233 Branch Banking & Trust One Riverfront Plaza Louisville, KY 40202 Citizens Union Bank 11436 Cronhill Drive Owings Mills, MD 21117 King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243 Republic Bank P O Box 90119 Louisville, KY 40295 King Southern Bank 911 Blankenbaker Parkway Louisville, KY 40243 Republic Bank P O Box 90119 Louisville, KY 40295 Stockyards Bank & Trust P O Box 39511 Louisville, KY 40233
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John Lawrence Smith Debtor(s)
Married Employment: Occupation Name of Employer How long employed Address of Employer
None. SPOUSE
DEBTOR Football Coach University of Arkansas 4 months Broyles Center Fayetteville, AR 72703 INCOME: (Estimate of average or projected monthly income at time case filed) 1. Monthly gross wages, salary, and commissions (Prorate if not paid monthly) 2. Estimate monthly overtime 3. SUBTOTAL 4. LESS PAYROLL DEDUCTIONS a. Payroll taxes and social security b. Insurance c. Union dues See Detailed Income Attachment d. Other (Specify) 5. SUBTOTAL OF PAYROLL DEDUCTIONS 6. TOTAL NET MONTHLY TAKE HOME PAY 7. Regular income from operation of business or profession or farm (Attach detailed statement) 8. Income from real property 9. Interest and dividends 10. Alimony, maintenance or support payments payable to the debtor for the debtor's use or that of dependents listed above 11. Social security or government assistance (Specify): 12. Pension or retirement income 13. Other monthly income (Specify):
DEBTOR 19,856.58 0.00 19,856.58
7,964.20 0.00 0.00 2,614.59 10,578.79 9,277.79 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 9,277.79 $
$ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ 9,277.79
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SCHEDULE I - CURRENT INCOME OF INDIVIDUAL DEBTOR(S) Detailed Income Attachment
Other Payroll Deductions: Vision Fidelity TaxDef 403M Medical - Tax Exempt Optional LTD Dental - Tax Exempt Flex Med - Tax Exempt Total Other Payroll Deductions $ $ $ $ $ $ $ 22.98 1,985.66 222.78 38.67 32.00 312.50 2,614.59 $ $ $ $ $ $ $ N/A N/A N/A N/A N/A N/A N/A
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Complete this schedule by estimating the average or projected monthly expenses of the debtor and the debtor's family at time case filed. Prorate any payments made bi-weekly, quarterly, semi-annually, or annually to show monthly rate. The average monthly expenses calculated on this form may differ from the deductions from income allowed on Form 22A or 22C. 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) a. Are real estate taxes included? Yes No X b. Is property insurance included? Yes No X 2. Utilities: a. Electricity and heating fuel b. Water and sewer c. Telephone d. Other 3. Home maintenance (repairs and upkeep) 4. Food 5. Clothing 6. Laundry and dry cleaning 7. Medical and dental expenses 8. Transportation (not including car payments) 9. Recreation, clubs and entertainment, newspapers, magazines, etc. 10. Charitable contributions 11. Insurance (not deducted from wages or included in home mortgage payments) a. Homeowner's or renter's b. Life c. Health d. Auto e. Other Umbrella 12. Taxes (not deducted from wages or included in home mortgage payments) (Specify) vehicle registration (monthly average) 13. Installment payments: (In chapter 11, 12, and 13 cases, do not list payments to be included in the plan) a. Auto b. Other See Detailed Expense Attachment 14. Alimony, maintenance, and support paid to others 15. Payments for support of additional dependents not living at your home 16. Regular expenses from operation of business, profession, or farm (attach detailed statement) 17. Other See Detailed Expense Attachment 18. AVERAGE MONTHLY EXPENSES (Total lines 1-17. Report also on Summary of Schedules and, if applicable, on the Statistical Summary of Certain Liabilities and Related Data.) 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. Average monthly income from Line 15 of Schedule I b. Average monthly expenses from Line 18 above c. Monthly net income (a. minus b.) $
0.00 0.00 0.00 0.00 0.00 2,000.00 200.00 0.00 245.00 450.00 1,000.00 800.00 0.00 0.00 0.00 649.00 33.00 25.00
0.00 7,177.00 0.00 0.00 300.00 14,196.00 27,620.00
9,277.79 27,620.00 -18,342.21
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Other Installment Payments:
attorney fees (4 different law firms) credit protection credit card fees credit card (American Express)
5,000.00 60.00 117.00 2,000.00 7,177.00
Total Other Installment Payments Other Expenditures:
Dr. Juneja note Fifth Third $50K loan Holiday expenses (decor, entertainment, etc) cpa fees gifts (holiday, b'day; bridal, annivers, gratitude) flowers (hospital and funeral, etc) pest control home computer (antivirus, toner, paper, etc) prof grooming (haircuts, manicures, etc) eye care (glasses, exams, etc) emergency fund (car and household expenses) lawn care
11,666.00 100.00 200.00 300.00 1,000.00 50.00 40.00 35.00 290.00 75.00 200.00 240.00 14,196.00
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In re John Lawrence Smith Debtor(s) Case No. Chapter 5:12-bk-73427 7
/s/ John Lawrence Smith John Lawrence Smith
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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 $115,000.00 $215,922.62 $268,748.00 $35,643.52 $9,146.83 SOURCE 2012 YTD: U of Arkansas 2011: U of Arkansas 2010: U of Arkansas was $206,324; joint tax return for debtor and his wife showed total income of 2012 YTD: Weber State University 2011: Weber State University
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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 $0.00 $9,703.00 $25,000.00 SOURCE 2012 - distribution from annuity ?????? 2011-interest of $336; dividends of $1,057, football camp + Nike $9,810, business losses of $1,500 2011- received from Republic Bank - re-issue of original check issued in 2007 which was never tendered to debor.........this was NOT income
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 unless the aggregate value of all property that constitutes or is affected by such transfer is less than $5,850*. If the debtor is an individual, indicate with an asterisk (*) 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 credit counseling agency. (Married debtors filing under chapter 12 or chapter 13 must include payments and other 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.) DATES OF PAYMENTS/ TRANSFERS AMOUNT PAID OR VALUE OF TRANSFERS $0.00
NAME AND ADDRESS OF CREDITOR SHOWN ON SCHEDULE J
AMOUNT STILL OWING $0.00
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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.) NATURE OF PROCEEDING collection COURT OR AGENCY AND LOCATION Circuit Court of Jefferson County, Kentucky STATUS OR DISPOSITION judgment rendered on April 30, 2012, for $865.197.68 pending pending pending filed August 20, 2012; summons issued 8/21/12, served on debtor 8/23/12; stayed by filing of bankruptcy petition
CAPTION OF SUIT AND CASE NUMBER Rhodes, Trustee of John D Rhodes III Revocable Living Trust v Debtor 11-CI-03102
Terra Springs LLC, vs. Debtor no. 11-CI-008214 Citizens Union Bank of Shelbyville v Smith et al No. 11-CI-5600 RLBB Acquisition, LLC v Smith 11-CI-5580 Stock Yards Bank & Trust Company vs Terra Ventures III Holdings, LLC, Mushtaque Juneja, R. Stephen Canfield and John L. Smith
Circuit Court of Jefferson County, Kentucky Circuit Court of Jefferson County, Kentucky Circuit Court of Jefferson County, Kentucky
suit on personal guarantee
Jefferson County Kentucky Circuit Court; case # 12-CI-04500
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.) DESCRIPTION AND VALUE OF DATE OF SEIZURE PROPERTY University of Arkansas judgment entered April 2012 served Sept. 10, 2012
NAME AND ADDRESS OF PERSON FOR WHOSE BENEFIT PROPERTY WAS SEIZED John D. Rhodes Trustee of the John D Rhodes Trust 3615 Woodside Place Louisville, KY 40222 5. Repossessions, foreclosures and returns
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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.) RELATIONSHIP TO DEBTOR, IF ANY DATE OF GIFT Spring of 2012 2012 DESCRIPTION AND VALUE OF GIFT $500 stuff valued at $1000
NAME AND ADDRESS OF PERSON OR ORGANIZATION Weber State Athletic Foundation Goodwill
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 OF CIRCUMSTANCES AND, IF LOSS WAS COVERED IN WHOLE OR IN PART BY INSURANCE, GIVE PARTICULARS he owed me $250,000, which debt was discharged by KY bankruptcy court
DESCRIPTION AND VALUE OF PROPERTY My "Partner" in business venture, John R. Mason, filed a personal Ch 7 bankruptcy proceeding in the Western District of Kentucky, on 12/30/11, case number 11-26174.
DATE OF LOSS Spring 2012
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. DATE OF PAYMENT, NAME OF PAYOR IF OTHER THAN DEBTOR June 2012 AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY $5000
NAME AND ADDRESS OF PAYEE James F. Dowden 212 Center Street, Tenth Floor Little Rock, AR 72201 Jacoway Law Firm, Ltd. 223 S. East Avenue P.O. Drawer 3456 Fayetteville, AR 72702 American Consumer Credit Counseling, Inc
8/10/2012 + 9/5/12
$20,000.00 for legal services rendered, plus $306.00 filing fee $49
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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.) DATE March 21, 2012 DESCRIBE PROPERTY TRANSFERRED AND VALUE RECEIVED Debtor cancelled and cashed in his AXA Flexible Premium Variable Life Insurance policy with a face value of $100,000, and received the Net Cash SUrrender Value of $5,416.20 debtor and his wife had a Joint Annuity with Fideltiy in the amount of $141,715. In August, 2012, they cashed in this annuity and split the proceeds 50/50. The debtor then used his $70,786.96 to pay various obligations, including attorney fees, taxes, _________________ Debtor and his wife had an account at Computershare which held the following stocks, with the following values: AT&T $17.83 LSI 40.00 TXDRH 47,275.80 They sold these stock to $47,333.63, and divided the proceeds 50/50, with each receiving $23,666.82. debtor sold all of the Wellpoint stock held in this account, titled solely in his name, for $2,735.62, and then closed this account debtor cashing in the surrender value of this policy for $11,605.47
NAME AND ADDRESS OF TRANSFEREE, RELATIONSHIP TO DEBTOR Debtor
Jackson National Life Ins. Lansing, MI 48951 none
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. DATE(S) OF TRANSFER(S) AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY OR DEBTOR'S INTEREST IN PROPERTY nothing was ever transferred into this trust
NAME OF TRUST OR OTHER DEVICE John L Smith Living Trust
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.) TYPE OF ACCOUNT, LAST FOUR DIGITS OF ACCOUNT NUMBER, AND AMOUNT OF FINAL BALANCE Wellpoint stock AMOUNT AND DATE OF SALE OR CLOSING August ___ 2012
NAME AND ADDRESS OF INSTITUTION Computershare P O BOx 43078 Providence, RI 02940-3078
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NAME AND ADDRESS OF INSTITUTION Weber State Credit Union Signature Bank Fayetteville, AR 72701 Fidleity Annuity
TYPE OF ACCOUNT, LAST FOUR DIGITS OF ACCOUNT NUMBER, AND AMOUNT OF FINAL BALANCE joint account $500 see # 10 above...........the debtor and his wife had a joint annuity in the face amount of $141,715. In August, 2012, they cashed in the annuity and split the proceeds, 50/50
AMOUNT AND DATE OF SALE OR CLOSING closed July 1, 2012 final balance $1000 Winter of 2012 August, 2012 $_______________
WA. St. Emp. C. U. P O Box WSECU Olympia, WA 98507 Shareowner Services P O Box 64856 Saint Paul, MN 55164-0856 Computershare stock shares
August 2012 - $180.74
brokerage account - sold stock held in this account, and closed account - see # 10 above
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.) DATE OF SETOFF don't know - debtor has been trying to get funds from his account held at this bank (as shown on Sch. B) for quite some time, but has been denied access to the funds, so he assumes that the funds have been offset AMOUNT OF SETOFF see Sch B -
NAME AND ADDRESS OF CREDITOR Commonwealth Bank & Trust 4912 US Hwy 42 Louisville, KY 40222
List all property owned by another person that the debtor holds or controls. DESCRIPTION AND VALUE OF PROPERTY debtor has access to two 2012 Chevy Tahoes LOCATION OF PROPERTY Debtor's Residence
NAME AND ADDRESS OF OWNER University of Arkansas Fayetteville, AR 72701
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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. NAME USED same same DATES OF OCCUPANCY Dec 5, 2011 - Apr 23, 2012 January 2009 - December 2011
ADDRESS 2241 Woodland Drive Ogden, UT 84403 1345 Merion Way #104 Fayetteville, AR 72704 16. Spouses and Former Spouses
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NAME Terra Acquisitions II, LLC JLS Enterprises II, LLC Shakes Run, LLC Terra Ventures III, LLC
ADDRESS 11800 Brinkley Ave, Suite 201 Louisville, KY 40243 1717 Pasatiempo, Apt 2 Rogers, AR 72756 661 S Hurstbourne Louisville, KY 40222 661 S Hurstbourne Parkway Louisville, KY 40222
NATURE OF BUSINESS real estate development debtor held 10% of this entity investments - see Sch B real estate development real estate development debtor held 25% of this entity
BEGINNING AND ENDING DATES 2005-2011
2006 to filing 2007 to present 2007 to filing of petition
Terra Ventures II, LLC
land development - this 2009-2011 entity owns 37.5% of Spring Farm Glen, LLC - + 40% of Beech Spring Farms, LLC real estate development and restaurant land development (condo and restaurant) this entity owns 30.33 % of Spring Farm, LLC John Mason's operating account; real estate development debtor held 25% of this entity land development 2007 to present 2002 to 2010
Terra Ventures II Holdings, LLC Terra Ventures, LLC
661 S Hurstbourne Parkway Louisville, KY 40222 5924 Timber Ridge Drive Prospect, KY 40059
Terra Ventures III Holdings, LLC
661 S Hurstbourne Parkway Louisville, KY 40222
2006 to filing of petition
Beech Spring Farms, LLC Terra Acquisitions, LLC Summit Creek, LLC
11800 Brinley Ave, Suite 201 Louisville, KY 40243 11800 Brinley Avenue, Suite 201 Louisville, KY 40243 11800 Brinley Avenue, Suite 201 Louisville, KY 40243 11800 Brinley Avenue, Suite 201 Louisville, KY 40243
land development - debtor 2005 to 2011 held 10% of this entity land development 2008 to present
Spring Farm Pointe, LLC
land development - debtor 2008 to filing of held 12.5% of this entity petition
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NAME Spring Farm, LLC
LAST FOUR DIGITS OF SOCIAL-SECURITY OR OTHER INDIVIDUAL TAXPAYER-I.D. NO. (ITIN)/ COMPLETE EIN
ADDRESS 11800 Brinley Avenue, Suite 201 Louisville, KY 40243 11800 Brinley Avenue, Suite 201 Louisville, KY 40243 11800 Brinley Avenue, Suite 201 Louisville, KY 40243
NATURE OF BUSINESS land development - see Terra Ventures, LLC land development
BEGINNING AND ENDING DATES 2007 to filing of petition 2005 to 2001
Spring Farm Glen, LLC
CMS Properties, LLC
land development - debtor 2008 to filing of has a 1/3 interest in this petition entity this entity held 33.3% of Summit Creek, LLC restaurant amusement equipment (Owned by JLS Enterprises, LLC which merged into JLS Enterprises II, LLC) investments (1.118934% of this entity is owned by JLS Enterprises , LLC) consulting - ???? which one survives???? this one is operating co w/ contracts??? real estate development consulting 2009 to present (in Chapter 11)
Incredible Dave's LLC
3149 NE 163rd Street North Miami Beach, FL 33160
Southfield Co Investments, LLC
53 Greenwich Avenue Greenwich, CT 06830
JLS Enterprises, LLC
1717 Pasa Tiempo Springdale, AR 72764
1998 until it rolled into JLS Enterprises II, LLC, in 2006 2002-2008 2012 to present
Terra Landis LLC JLS Consulting, LLC
11800 Brinley, Suite 201 Louisville, KY 40243 1717 Pasa Tiempo Springdale, AR 72764
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. DATES SERVICES RENDERED 1998 to present
NAME AND ADDRESS Ben R Edelen & Sons Inc 2115 Bruce Avenue Louisville, KY 40218
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NAME AND ADDRESS Diana J Smith 4586 Caddo Lane Fayetteville, AR 72704
DATES SERVICES RENDERED 1970 to present
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. ADDRESS 4586 Caddo Lane Fayetteville, AR 72704
NAME Diana J Smith
NAME AND ADDRESS Citizens Union Bank 1854 Midland Trail Shelbyville, KY 40666 20. Inventories
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I declare under penalty of perjury that the above indicates my intention as to any property of my estate securing a debt and/or personal property subject to an unexpired lease. Date September 17, 2012 Signature
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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 Prior to the filing of this statement I have received Balance Due 2. 3. $ 306.00 of the filing fee has been paid. $ $ $ 20,000.00 20,000.00 0.00
In return for the above-disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy case, including: a. b. c. d. Analysis of the debtor's financial situation, and rendering advice to the debtor in determining whether to file a petition in bankruptcy; Preparation and filing of any petition, schedules, statement of affairs and plan which may be required; Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned hearings thereof; [Other provisions as needed] Debtor(s) and attorney agree that the fee set forth above is fully earned upon the filing of the petition.
By agreement with the debtor(s), the above-disclosed fee does not include the following service: Adversary proceedings, contested matters, objections. Attorney does not anticipate any of these actions. 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: September 17, 2012 /s/ Jill Jacoway Jill Jacoway Jacoway Law Firm, Ltd. 223 S. East Avenue P.O. Drawer 3456 Fayetteville, AR 72702 (479) 521-2621 Fax: (479) 521-1465 jacowaylaw@sbcglobal.net
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UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF ARKANSAS NOTICE TO CONSUMER DEBTOR(S) UNDER § 342(b) OF THE BANKRUPTCY CODE
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, the United States trustee (or bankruptcy administrator), the trustee, or 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. 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. 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. 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.
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Form B 201A, Notice to Consumer Debtor(s) Page 2
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CERTIFICATION OF NOTICE TO CONSUMER DEBTOR(S) UNDER § 342(b) OF THE BANKRUPTCY CODE
I (We), the debtor(s), affirm that I (we) have received and read the attached notice, as required by § 342(b) of the Bankruptcy Code.
Printed Name(s) of Debtor(s) Case No. (if known) 5:12-bk-73427
X /s/ John Lawrence Smith Signature of Debtor X Signature of Joint Debtor (if any)
Instructions: Attach a copy of Form B 201 A, Notice to Consumer Debtor(s) Under § 342(b) of the Bankruptcy Code. Use this form to certify that the debtor has received the notice required by 11 U.S.C. § 342(b) only if the certification has NOT been made on the Voluntary Petition, Official Form B1. Exhibit B on page 2 of Form B1 contains a certification by the debtor's attorney that the attorney has given the notice to the debtor. The Declarations made by debtors and bankruptcy petition preparers on page 3 of Form B1 also include this certification.
Software Copyright (c) 1996-2012 CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy
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B22A (Official Form 22A) (Chapter 7) (12/10) John Lawrence Smith Debtor(s) 5:12-bk-73427 Case Number: (If known) In re According to the information required to be entered on this statement (check one box as directed in Part I, III, or VI of this statement): The presumption arises. The presumption does not arise. The presumption is temporarily inapplicable.
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B22A (Official Form 22A) (Chapter 7) (12/10) 2
Marital/filing status. Check the box that applies and complete the balance of this part of this statement as directed. a. Unmarried. Complete only Column A ("Debtor's Income") for Lines 3-11. b. Married, not filing jointly, with declaration of separate households. By checking this box, debtor declares under penalty of perjury: "My spouse and I are legally separated under applicable non-bankruptcy law or my spouse and I are living apart other than for the purpose of evading the requirements of § 707(b)(2)(A) of the Bankruptcy Code." Complete only column A ("Debtor's Income") for Lines 3-11. c. Married, not filing jointly, without the declaration of separate households set out in Line 2.b above. Complete both Column A ("Debtor's Income") and Column B ("Spouse's Income") for Lines 3-11. d. Married, filing jointly. Complete both Column A ("Debtor's Income") and Column B ("Spouse's Income") for Lines 3-11. All figures must reflect average monthly income received from all sources, derived during the six Column A Column B calendar months prior to filing the bankruptcy case, ending on the last day of the month before Debtor's Spouse's the filing. If the amount of monthly income varied during the six months, you must divide the Income Income six-month total by six, and enter the result on the appropriate line. Gross wages, salary, tips, bonuses, overtime, commissions. $ $
Income from the operation of a business, profession or farm. Subtract Line b from Line a and enter the difference in the appropriate column(s) of Line 4. If you operate more than one business, profession or farm, enter aggregate numbers and provide details on an attachment. Do not enter a number less than zero. Do not include any part of the business expenses entered on Line b as a deduction in Part V. Debtor Spouse a. Gross receipts $ $ b. Ordinary and necessary business expenses $ $ c. Business income Subtract Line b from Line a $ Rents and other real property income. Subtract Line b from Line a and enter the difference in the appropriate column(s) of Line 5. Do not enter a number less than zero. Do not include any part of the operating expenses entered on Line b as a deduction in Part V. Debtor Spouse a. Gross receipts $ $ b. Ordinary and necessary operating expenses $ $ c. Rent and other real property income Subtract Line b from Line a Interest, dividends, and royalties. Pension and retirement income. Any amounts paid by another person or entity, on a regular basis, for the household expenses of the debtor or the debtor's dependents, including child support paid for that purpose. Do not include alimony or separate maintenance payments or amounts paid by your spouse if Column B is completed. Each regular payment should be reported in only one column; if a payment is listed in Column A, do not report that payment in Column B. Unemployment compensation. Enter the amount in the appropriate column(s) of Line 9. However, if you contend that unemployment compensation received by you or your spouse was a benefit under the Social Security Act, do not list the amount of such compensation in Column A or B, but instead state the amount in the space below: Unemployment compensation claimed to be a benefit under the Social Security Act Debtor $ Spouse $
Income from all other sources. Specify source and amount. If necessary, list additional sources on a separate page. Do not include alimony or separate maintenance payments paid by your spouse if Column B is completed, but include all other payments of alimony or separate maintenance. Do not include any benefits received under the Social Security Act or payments received as a victim of a war crime, crime against humanity, or as a victim of international or domestic terrorism. Debtor Spouse a. $ $ b. $ $ Total and enter on Line 10 $ $ $ Subtotal of Current Monthly Income for § 707(b)(7). Add Lines 3 thru 10 in Column A, and, if $ Column B is completed, add Lines 3 through 10 in Column B. Enter the total(s).
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B22A (Official Form 22A) (Chapter 7) (12/10) 12 Total Current Monthly Income for § 707(b)(7). If Column B has been completed, add Line 11, Column A to Line 11, Column B, and enter the total. If Column B has not been completed, enter the amount from Line 11, Column A. 3
13 Annualized Current Monthly Income for § 707(b)(7). Multiply the amount from Line 12 by the number 12 and enter the result. Applicable median family income. Enter the median family income for the applicable state and household size. (This information is available by family size at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) a. Enter debtor's state of residence: 15 b. Enter debtor's household size: $
16 Enter the amount from Line 12. Marital adjustment. If you checked the box at Line 2.c, enter on Line 17 the total of any income listed in Line 11, Column B that was NOT paid on a regular basis for the household expenses of the debtor or the debtor's dependents. Specify in the lines below the basis for excluding the Column B income (such as payment of the spouse's tax liability or the spouse's support of persons other than the debtor or the debtor's dependents) and the amount of income devoted to each purpose. If necessary, list additional adjustments on a separate page. If you did not check box at Line 2.c, enter zero. a. b. c. d. Total and enter on Line 17 18 $ $ $ $ $ $ $
National Standards: food, clothing and other items. Enter in Line 19A the "Total" amount from IRS National Standards for Food, Clothing and Other Items for the applicable number of persons. (This information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) The applicable number of persons is the number that would currently be allowed as exemptions on your federal income tax return, plus the number of any $ additional dependents whom you support. National Standards: health care. Enter in Line a1 below the amount from IRS National Standards for Out-of-Pocket Health Care for persons under 65 years of age, and in Line a2 the IRS National Standards for Out-of-Pocket Health Care for persons 65 years of age or older. (This information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) Enter in Line b1 the applicable number of persons who are under 65 years of age, and enter in Line b2 the applicable number of persons who are 65 years of age or older. (The applicable number of persons in each age category is the number in that category that would currently be allowed as exemptions on your federal income tax return, plus the number of any additional dependents whom you support.) Multiply Line a1 by Line b1 to obtain a total amount for persons under 65, and enter the result in Line c1. Multiply Line a2 by Line b2 to obtain a total amount for persons 65 and older, and enter the result in Line c2. Add Lines c1 and c2 to obtain a total health care amount, and enter the result in Line 19B. Persons under 65 years of age Persons 65 years of age or older a1. Allowance per person a2. Allowance per person b1. Number of persons b2. Number of persons c1. Subtotal c2. Subtotal $ Local Standards: housing and utilities; non-mortgage expenses. Enter the amount of the IRS Housing and Utilities Standards; non-mortgage expenses for the applicable county and family size. (This information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court). The applicable family size consists of the number that would currently be allowed as exemptions on your federal income tax return, plus the number of any additional dependents whom you support.
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B22A (Official Form 22A) (Chapter 7) (12/10) Local Standards: housing and utilities; mortgage/rent expense. Enter, in Line a below, the amount of the IRS Housing and Utilities Standards; mortgage/rent expense for your county and family size (this information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court) (the applicable family size consists of the number that would currently be allowed as exemptions on your federal income tax return, plus the number of any additional dependents whom you support); enter on Line b the total of the Average Monthly Payments for any debts secured by your home, as stated in Line 42; subtract Line b from Line a and enter the result in Line 20B. Do not enter an amount less than zero. a. IRS Housing and Utilities Standards; mortgage/rental expense $ b. Average Monthly Payment for any debts secured by your $ home, if any, as stated in Line 42 c. Net mortgage/rental expense Subtract Line b from Line a. Local Standards: housing and utilities; adjustment. If you contend that the process set out in Lines 20A and 20B does not accurately compute the allowance to which you are entitled under the IRS Housing and Utilities Standards, enter any additional amount to which you contend you are entitled, and state the basis for your contention in the space below: $ Local Standards: transportation; vehicle operation/public transportation expense. You are entitled to an expense allowance in this category regardless of whether you pay the expenses of operating a vehicle and regardless of whether you use public transportation. Check the number of vehicles for which you pay the operating expenses or for which the operating expenses are included as a contribution to your household expenses in Line 8. 0 1 2 or more. If you checked 0, enter on Line 22A the "Public Transportation" amount from IRS Local Standards: Transportation. If you checked 1 or 2 or more, enter on Line 22A the "Operating Costs" amount from IRS Local Standards: Transportation for the applicable number of vehicles in the applicable Metropolitan Statistical Area or Census Region. (These amounts are available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) 4
Local Standards: transportation; additional public transportation expense. If you pay the operating expenses for a vehicle and also use public transportation, and you contend that you are entitled to an additional deduction for you public transportation expenses, enter on Line 22B the "Public Transportation" amount from IRS Local Standards: Transportation. (This amount is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy $ court.) Local Standards: transportation ownership/lease expense; Vehicle 1. Check the number of vehicles for which you claim an ownership/lease expense. (You may not claim an ownership/lease expense for more than two vehicles.) 1 2 or more. Enter, in Line a below, the "Ownership Costs" for "One Car" from the IRS Local Standards: Transportation (available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court); enter in Line b the total of the Average Monthly Payments for any debts secured by Vehicle 1, as stated in Line 42; subtract Line b from Line a and enter the result in Line 23. Do not enter an amount less than zero. a. b. c. IRS Transportation Standards, Ownership Costs Average Monthly Payment for any debts secured by Vehicle 1, as stated in Line 42 Net ownership/lease expense for Vehicle 1 $ $ Subtract Line b from Line a.
Local Standards: transportation ownership/lease expense; Vehicle 2. Complete this Line only if you checked the "2 or more" Box in Line 23. Enter, in Line a below, the "Ownership Costs" for "One Car" from the IRS Local Standards: Transportation (available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court); enter in Line b the total of the Average Monthly Payments for any debts secured by Vehicle 2, as stated in Line 42; subtract Line b from Line a and enter the result in Line 24. Do not enter an amount less than zero. a. b. c. IRS Transportation Standards, Ownership Costs Average Monthly Payment for any debts secured by Vehicle 2, as stated in Line 42 Net ownership/lease expense for Vehicle 2 $ $ Subtract Line b from Line a.
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B22A (Official Form 22A) (Chapter 7) (12/10) 26 Other Necessary Expenses: involuntary deductions for employment. Enter the total average monthly payroll deductions that are required for your employment, such as retirement contributions, union dues, and uniform costs. Do not include discretionary amounts, such as voluntary 401(k) contributions. $ Other Necessary Expenses: life insurance. Enter total average monthly premiums that you actually pay for term life insurance for yourself. Do not include premiums for insurance on your dependents, for whole life or for any other form of insurance. Other Necessary Expenses: court-ordered payments. Enter the total monthly amount that you are required to pay pursuant to the order of a court or administrative agency, such as spousal or child support payments. Do not include payments on past due obligations included in Line 44. 5
Health Insurance, Disability Insurance, and Health Savings Account Expenses. List the monthly expenses in the categories set out in lines a-c below that are reasonably necessary for yourself, your spouse, or your dependents. 34 a. b. c. Health Insurance Disability Insurance Health Savings Account $ $ $ $
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B22A (Official Form 22A) (Chapter 7) (12/10) Additional food and clothing expense. Enter the total average monthly amount by which your food and clothing expenses exceed the combined allowances for food and clothing (apparel and services) in the IRS National Standards, not to exceed 5% of those combined allowances. (This information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) You must demonstrate that the additional amount claimed is reasonable and necessary. Continued charitable contributions. Enter the amount that you will continue to contribute in the form of cash or financial instruments to a charitable organization as defined in 26 U.S.C. § 170(c)(1)-(2). Total Additional Expense Deductions under § 707(b). Enter the total of Lines 34 through 40 6
Future payments on secured claims. For each of your debts that is secured by an interest in property that you own, list the name of the creditor, identify the property securing the debt, and state the Average Monthly Payment, and check whether the payment includes taxes or insurance. The Average Monthly Payment is the total of all amounts scheduled as contractually due to each Secured Creditor in the 60 months following the filing of the bankruptcy case, divided by 60. If necessary, list additional entries on a separate page. Enter the total of the Average Monthly Payments on Line 42. Name of Creditor Property Securing the Debt Average Monthly Does payment Payment include taxes or insurance? $ a. yes no Total: Add Lines Other payments on secured claims. If any of debts listed in Line 42 are secured by your primary residence, a motor vehicle, or other property necessary for your support or the support of your dependents, you may include in your deduction 1/60th of any amount (the "cure amount") that you must pay the creditor in addition to the payments listed in Line 42, in order to maintain possession of the property. The cure amount would include any sums in default that must be paid in order to avoid repossession or foreclosure. List and total any such amounts in the following chart. If necessary, list additional entries on a separate page. Name of Creditor Property Securing the Debt 1/60th of the Cure Amount $ a. Total: Add Lines Payments on prepetition priority claims. Enter the total amount, divided by 60, of all priority claims, such as priority tax, child support and alimony claims, for which you were liable at the time of your bankruptcy filing. Do not include current obligations, such as those set out in Line 28. Chapter 13 administrative expenses. If you are eligible to file a case under Chapter 13, complete the following chart, multiply the amount in line a by the amount in line b, and enter the resulting administrative expense. 45 a. b. Projected average monthly Chapter 13 plan payment. Current multiplier for your district as determined under schedules issued by the Executive Office for United States Trustees. (This information is available at www.usdoj.gov/ust/ or from the clerk of the bankruptcy court.) Average monthly administrative expense of Chapter 13 case $ $
x Total: Multiply Lines a and b
47 Total of all deductions allowed under § 707(b)(2). Enter the total of Lines 33, 41, and 46. $
48 49 50 51 Enter the amount from Line 18 (Current monthly income for § 707(b)(2)) Enter the amount from Line 47 (Total of all deductions allowed under § 707(b)(2)) Monthly disposable income under § 707(b)(2). Subtract Line 49 from Line 48 and enter the result. 60-month disposable income under § 707(b)(2). Multiply the amount in Line 50 by the number 60 and enter the result. $ $ $ $
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B22A (Official Form 22A) (Chapter 7) (12/10) Initial presumption determination. Check the applicable box and proceed as directed. 52 The amount on Line 51 is less than $7,025*. Check the box for "The presumption does not arise" at the top of page 1 of this statement, and complete the verification in Part VIII. Do not complete the remainder of Part VI. The amount set forth on Line 51 is more than $11,725* Check the box for "The presumption arises" at the top of page 1 of this statement, and complete the verification in Part VIII. You may also complete Part VII. Do not complete the remainder of Part VI. The amount on Line 51 is at least $7,025*, but not more than $11,725*. Complete the remainder of Part VI (Lines 53 through 55). 53 54 Enter the amount of your total non-priority unsecured debt Threshold debt payment amount. Multiply the amount in Line 53 by the number 0.25 and enter the result. Secondary presumption determination. Check the applicable box and proceed as directed. 55 The amount on Line 51 is less than the amount on Line 54. Check the box for "The presumption does not arise" at the top of page 1 of this statement, and complete the verification in Part VIII. The amount on Line 51 is equal to or greater than the amount on Line 54. Check the box for "The presumption arises" at the top of page 1 of this statement, and complete the verification in Part VIII. You may also complete Part VII. $ $ 7
I declare under penalty of perjury that the information provided in this statement is true and correct. (If this is a joint case, both debtors must sign.) Date: September 17, 2012 Signature: /s/ John Lawrence Smith John Lawrence Smith (Debtor)
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