Lorenzo Jordan and Deloise Bosha Jordan
Bankruptcy Court Docket Sheet

Northern District of Alabama (Bankruptcy)

2:2018-bk-00259 (alnb)

Chapter 13 Voluntary Petition Individual. Fee Amount $310 Filed by Lorenzo Jordan, Deloise Bosha Jordan

Fill in this information to identify your case: United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Chapter you are filing under: Chapter 7 Chapter 11 Chapter 12 Chapter 13 Check if this an amended filing Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy 12/17 The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, "Do you own a car," the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in all of the forms. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Identify Yourself About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case): 1. Your full name Write the name that is on Lorenzo Deloise your government-issued First name First name picture identification (for example, your driver's Bosha license or passport). Middle name Middle name Bring your picture Jordan Jordan identification to your Last name and Suffix (Sr., Jr., II, III) Last name and Suffix (Sr., Jr., II, III) meeting with the trustee. 2. All other names you have used in the last 8 years Include your married or maiden names. 3. Only the last 4 digits of your Social Security number or federal xxx-xx-2499 xxx-xx-3989 Individual Taxpayer Identification number (ITIN) Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 1 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 1 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case): 4. Any business names and Employer Identification Numbers (EIN) you have I have not used any business name or EINs. I have not used any business name or EINs. used in the last 8 years Include trade names and Business name(s) Business name(s) doing business as names EINs EINs 5. Where you live If Debtor 2 lives at a different address: 5191 Shady Crest Road Adamsville, AL 35005 Number, Street, City, State & ZIP Code Number, Street, City, State & ZIP Code Jefferson County County If your mailing address is different from the one If Debtor 2's mailing address is different from yours, fill it above, fill it in here. Note that the court will send any in here. Note that the court will send any notices to this notices to you at this mailing address. mailing address. Number, P.O. Box, Street, City, State & ZIP Code Number, P.O. Box, Street, City, State & ZIP Code 6. Why you are choosing Check one: Check one: this district to file for bankruptcy Over the last 180 days before filing this Over the last 180 days before filing this petition, I petition, I have lived in this district longer than have lived in this district longer than in any other in any other district. district. I have another reason. I have another reason. Explain. (See 28 U.S.C. § 1408.) Explain. (See 28 U.S.C. § 1408.) Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 2 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 2 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 2: Tell the Court About Your Bankruptcy Case 7. The chapter of the Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy Bankruptcy Code you are (Form 2010)). Also, go to the top of page 1 and check the appropriate box. choosing to file under Chapter 7 Chapter 11 Chapter 12 Chapter 13 8. How you will pay the fee I will pay the entire fee when I file my petition. Please check with the clerk's office in your local court for more details about how you may pay. Typically, if you are paying the fee yourself, you may pay with cash, cashier's check, or money order. If your attorney is submitting your payment on your behalf, your attorney may pay with a credit card or check with a pre-printed address. I need to pay the fee in installments. If you choose this option, sign and attach the Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A). I request that my fee be waived (You may request this option only if you are filing for Chapter 7. By law, a judge may, but is not required to, waive your fee, and may do so only if your income is less than 150% of the official poverty line that applies to your family size and you are unable to pay the fee in installments). If you choose this option, you must fill out the Application to Have the Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition. 9. Have you filed for No. bankruptcy within the last 8 years? Yes. District When Case number District When Case number District When Case number 10. Are any bankruptcy No cases pending or being filed by a spouse who is Yes. not filing this case with you, or by a business partner, or by an affiliate? Debtor Relationship to you District When Case number, if known Debtor Relationship to you District When Case number, if known 11. Do you rent your No. Go to line 12. residence? Yes. Has your landlord obtained an eviction judgment against you? No. Go to line 12. Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it with this bankruptcy petition. Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 3 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 3 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 3: Report About Any Businesses You Own as a Sole Proprietor 12. Are you a sole proprietor of any full- or part-time No. Go to Part 4. business? Yes. Name and location of business A sole proprietorship is a business you operate as Name of business, if any an individual, and is not a separate legal entity such as a corporation, partnership, or LLC. If you have more than one Number, Street, City, State & ZIP Code sole proprietorship, use a separate sheet and attach it to this petition. Check the appropriate box to describe your business: Health Care Business (as defined in 11 U.S.C. § 101(27A)) Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B)) Stockbroker (as defined in 11 U.S.C. § 101(53A)) Commodity Broker (as defined in 11 U.S.C. § 101(6)) None of the above 13. Are you filing under If you are filing under Chapter 11, the court must know whether you are a small business debtor so that it can set appropriate Chapter 11 of the deadlines. If you indicate that you are a small business debtor, you must attach your most recent balance sheet, statement of Bankruptcy Code and are operations, cash-flow statement, and federal income tax return or if any of these documents do not exist, follow the procedure you a small business in 11 U.S.C. 1116(1)(B). debtor? No. I am not filing under Chapter 11. For a definition of small business debtor, see 11 No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in the Bankruptcy U.S.C. § 101(51D). Code. Yes. I am filing under Chapter 11 and I am a small business debtor according to the definition in the Bankruptcy Code. Part 4: Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention 14. Do you own or have any No. property that poses or is alleged to pose a threat Yes. of imminent and What is the hazard? identifiable hazard to public health or safety? Or do you own any property that needs If immediate attention is immediate attention? needed, why is it needed? For example, do you own perishable goods, or livestock that must be fed, Where is the property? or a building that needs urgent repairs? Number, Street, City, State & Zip Code Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 4 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 4 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 5: Explain Your Efforts to Receive a Briefing About Credit Counseling About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case): 15. Tell the court whether You must check one: You must check one: you have received a I received a briefing from an approved credit I received a briefing from an approved credit briefing about credit counseling agency within the 180 days before I counseling agency within the 180 days before I filed counseling. filed this bankruptcy petition, and I received a this bankruptcy petition, and I received a certificate of certificate of completion. completion. The law requires that you receive a briefing about Attach a copy of the certificate and the payment Attach a copy of the certificate and the payment plan, if credit counseling before plan, if any, that you developed with the agency. any, that you developed with the agency. you file for bankruptcy. You must truthfully check I received a briefing from an approved credit I received a briefing from an approved credit one of the following counseling agency within the 180 days before I counseling agency within the 180 days before I filed choices. If you cannot do filed this bankruptcy petition, but I do not have this bankruptcy petition, but I do not have a so, you are not eligible to a certificate of completion. certificate of completion. file. Within 14 days after you file this bankruptcy Within 14 days after you file this bankruptcy petition, you If you file anyway, the court petition, you MUST file a copy of the certificate and MUST file a copy of the certificate and payment plan, if can dismiss your case, you payment plan, if any. any. will lose whatever filing fee you paid, and your I certify that I asked for credit counseling I certify that I asked for credit counseling services creditors can begin services from an approved agency, but was from an approved agency, but was unable to obtain collection activities again. unable to obtain those services during the 7 those services during the 7 days after I made my days after I made my request, and exigent request, and exigent circumstances merit a 30-day circumstances merit a 30-day temporary waiver temporary waiver of the requirement. of the requirement. To ask for a 30-day temporary waiver of the requirement, To ask for a 30-day temporary waiver of the attach a separate sheet explaining what efforts you made requirement, attach a separate sheet explaining to obtain the briefing, why you were unable to obtain it what efforts you made to obtain the briefing, why before you filed for bankruptcy, and what exigent you were unable to obtain it before you filed for circumstances required you to file this case. bankruptcy, and what exigent circumstances required you to file this case. Your case may be dismissed if the court is dissatisfied with your reasons for not receiving a briefing before you Your case may be dismissed if the court is filed for bankruptcy. dissatisfied with your reasons for not receiving a briefing before you filed for bankruptcy. If the court is satisfied with your reasons, you must still If the court is satisfied with your reasons, you must receive a briefing within 30 days after you file. You must still receive a briefing within 30 days after you file. file a certificate from the approved agency, along with a You must file a certificate from the approved copy of the payment plan you developed, if any. If you do agency, along with a copy of the payment plan you not do so, your case may be dismissed. developed, if any. If you do not do so, your case Any extension of the 30-day deadline is granted only for may be dismissed. cause and is limited to a maximum of 15 days. Any extension of the 30-day deadline is granted only for cause and is limited to a maximum of 15 days. I am not required to receive a briefing about I am not required to receive a briefing about credit credit counseling because of: counseling because of: Incapacity. Incapacity. I have a mental illness or a mental deficiency I have a mental illness or a mental deficiency that that makes me incapable of realizing or makes me incapable of realizing or making rational making rational decisions about finances. decisions about finances. Disability. Disability. My physical disability causes me to be My physical disability causes me to be unable to unable to participate in a briefing in person, participate in a briefing in person, by phone, or by phone, or through the internet, even after through the internet, even after I reasonably tried to I reasonably tried to do so. do so. Active duty. Active duty. I am currently on active military duty in a I am currently on active military duty in a military military combat zone. combat zone. If you believe you are not required to receive a If you believe you are not required to receive a briefing briefing about credit counseling, you must file a about credit counseling, you must file a motion for waiver motion for waiver credit counseling with the court. of credit counseling with the court. Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 5 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 5 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 6: Answer These Questions for Reporting Purposes 16. What kind of debts do 16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8) as "incurred by an you have? individual primarily for a personal, family, or household purpose." No. Go to line 16b. Yes. Go to line 17. 16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain money for a business or investment or through the operation of the business or investment. No. Go to line 16c. Yes. Go to line 17. 16c. State the type of debts you owe that are not consumer debts or business debts 17. Are you filing under No. I am not filing under Chapter 7. Go to line 18. Chapter 7? Do you estimate that Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and administrative after any exempt expenses are paid that funds will be available to distribute to unsecured creditors? property is excluded and administrative expenses No are paid that funds will be available for Yes distribution to unsecured creditors? 18. How many Creditors do 1-49 1,000-5,000 25,001-50,000 you estimate that you 5001-10,000 50,001-100,000 owe? 50-99 100-199 10,001-25,000 More than100,000 200-999 19. How much do you $0 - $50,000 $1,000,001 - $10 million $500,000,001 - $1 billion estimate your assets to $50,001 - $100,000 $10,000,001 - $50 million $1,000,000,001 - $10 billion be worth? $100,001 - $500,000 $50,000,001 - $100 million $10,000,000,001 - $50 billion $500,001 - $1 million $100,000,001 - $500 million More than $50 billion 20. How much do you $0 - $50,000 $1,000,001 - $10 million $500,000,001 - $1 billion estimate your liabilities $50,001 - $100,000 $10,000,001 - $50 million $1,000,000,001 - $10 billion to be? $100,001 - $500,000 $50,000,001 - $100 million $10,000,000,001 - $50 billion $500,001 - $1 million $100,000,001 - $500 million More than $50 billion Part 7: Sign Below For you I have examined this petition, and I declare under penalty of perjury that the information provided is true and correct. If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13 of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed under Chapter 7. If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out this document, I have obtained and read the notice required by 11 U.S.C. § 342(b). I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. I understand making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. /s/ Lorenzo Jordan /s/ Deloise Bosha Jordan Lorenzo Jordan Deloise Bosha Jordan Signature of Debtor 1 Signature of Debtor 2 Executed on January 23, 2018 Executed on January 23, 2018 MM / DD / YYYY MM / DD / YYYY Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 6 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 6 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) For your attorney, if you are I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility to proceed represented by one under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s) the notice required by 11 U.S.C. § If you are not represented by 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no knowledge after an inquiry that the information an attorney, you do not need in the schedules filed with the petition is incorrect. to file this page. /s/ Robert D. Reese Date January 23, 2018 Signature of Attorney for Debtor MM / DD / YYYY Robert D. Reese Printed name Bond, Botes, Reese & Shinn, P.C. Firm name 600 University Park Place Suite 510 Birmingham, AL 35209 Number, Street, City, State & ZIP Code Contact phone (205) 802-2200 Email address ASB-6706-E63R Bar number & State Official Form 101 Voluntary Petition for Individuals Filing for Bankruptcy page 7 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 7 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Fill out all of your schedules first; then complete the information on this form. If you are filing amended schedules after you file your original forms, you must fill out a new Summary and check the box at the top of this page. Part 1: Summarize Your Assets Your assets Value of what you own 1. Schedule A/B: Property (Official Form 106A/B) 1a. Copy line 55, Total real estate, from Schedule A/B................................................................................................ $ 221,600.00 1b. Copy line 62, Total personal property, from Schedule A/B..................................................................................... $ 46,209.78 1c. Copy line 63, Total of all property on Schedule A/B............................................................................................... $ 267,809.78 Part 2: Summarize Your Liabilities Your liabilities Amount you owe 2. Schedule D: Creditors Who Have Claims Secured by Property (Official Form 106D) 2a. Copy the total you listed in Column A, Amount of claim, at the bottom of the last page of Part 1 of Schedule D... $ 254,794.00 3. Schedule E/F: Creditors Who Have Unsecured Claims (Official Form 106E/F) 3a. Copy the total claims from Part 1 (priority unsecured claims) from line 6e of Schedule E/F................................. $ 0.00 3b. Copy the total claims from Part 2 (nonpriority unsecured claims) from line 6j of Schedule E/F............................ $ 57,386.00 Your total liabilities $ 312,180.00 Part 3: Summarize Your Income and Expenses 4. Schedule I: Your Income (Official Form 106I) Copy your combined monthly income from line 12 of Schedule I................................................................................ $ 4,507.54 5. Schedule J: Your Expenses (Official Form 106J) Copy your monthly expenses from line 22c of Schedule J.......................................................................... $ 3,657.29 Part 4: Answer These Questions for Administrative and Statistical Records 6. Are you filing for bankruptcy under Chapters 7, 11, or 13? No. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules. Yes 7. What kind of debt do you have? Your debts are primarily consumer debts. Consumer debts are those "incurred by an individual primarily for a personal, family, or household purpose." 11 U.S.C. § 101(8). Fill out lines 8-9g for statistical purposes. 28 U.S.C. § 159. Your debts are not primarily consumer debts. You have nothing to report on this part of the form. Check this box and submit this form to the court with your other schedules. Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 1 of 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 8 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 8. From the Statement of Your Current Monthly Income: Copy your total current monthly income from Official Form 122A-1 Line 11; OR, Form 122B Line 11; OR, Form 122C-1 Line 14. $ 6,013.11 9. Copy the following special categories of claims from Part 4, line 6 of Schedule E/F: Total claim From Part 4 on Schedule E/F, copy the following: 9a. Domestic support obligations (Copy line 6a.) $ 0.00 9b. Taxes and certain other debts you owe the government. (Copy line 6b.) $ 0.00 9c. Claims for death or personal injury while you were intoxicated. (Copy line 6c.) $ 0.00 9d. Student loans. (Copy line 6f.) $ 0.00 9e. Obligations arising out of a separation agreement or divorce that you did not report as priority claims. (Copy line 6g.) $ 0.00 9f. Debts to pension or profit-sharing plans, and other similar debts. (Copy line 6h.) +$ 0.00 9g. Total. Add lines 9a through 9f. $ 0.00 Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information page 2 of 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 9 of 71 Fill in this information to identify your case and this filing: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse, if filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number Check if this is an amended filing Official Form 106A/B Schedule A/B: Property 12/15 In each category, separately list and describe items. List an asset only once. If an asset fits in more than one category, list the asset in the category where you think it fits best. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest In 1. Do you own or have any legal or equitable interest in any residence, building, land, or similar property? No. Go to Part 2. Yes. Where is the property? 1.1 What is the property? Check all that apply 1704 33rd Avenue North Single-family home Do not deduct secured claims or exemptions. Put the Street address, if available, or other description amount of any secured claims on Schedule D: Duplex or multi-unit building Creditors Who Have Claims Secured by Property. Condominium or cooperative Manufactured or mobile home Current value of the Current value of the Birmingham AL 35207-0000 Land entire property? portion you own? City State ZIP Code Investment property $54,800.00 $54,800.00 Timeshare Describe the nature of your ownership interest Other (such as fee simple, tenancy by the entireties, or Who has an interest in the property? Check one a life estate), if known. Debtor 1 only Fee Simple Jefferson Debtor 2 only County Debtor 1 and Debtor 2 only Check if this is community property At least one of the debtors and another (see instructions) Other information you wish to add about this item, such as local property identification number: (NON-HOMESTEAD) Official Form 106A/B Schedule A/B: Property page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 10 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) If you own or have more than one, list here: 1.2 What is the property? Check all that apply 5191 Shady Crest Road Single-family home Do not deduct secured claims or exemptions. Put the Street address, if available, or other description amount of any secured claims on Schedule D: Duplex or multi-unit building Creditors Who Have Claims Secured by Property. Condominium or cooperative Manufactured or mobile home Current value of the Current value of the Adamsville AL 35005-0000 Land entire property? portion you own? City State ZIP Code Investment property $166,800.00 $166,800.00 Timeshare Describe the nature of your ownership interest Other (such as fee simple, tenancy by the entireties, or Who has an interest in the property? Check one a life estate), if known. Debtor 1 only Fee Simple Jefferson Debtor 2 only County Debtor 1 and Debtor 2 only Check if this is community property At least one of the debtors and another (see instructions) Other information you wish to add about this item, such as local property identification number: 2. Add the dollar value of the portion you own for all of your entries from Part 1, including any entries for pages you have attached for Part 1. Write that number here...........................................................................=> $221,600.00 Part 2: Describe Your Vehicles Do you own, lease, or have legal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles you own that someone else drives. If you lease a vehicle, also report it on Schedule G: Executory Contracts and Unexpired Leases. 3. Cars, vans, trucks, tractors, sport utility vehicles, motorcycles No Yes 3.1 Make: FORD Who has an interest in the property? Check one Do not deduct secured claims or exemptions. Put the amount of any secured claims on Schedule D: Model: F-150 Debtor 1 only Creditors Who Have Claims Secured by Property. Year: 2012 Debtor 2 only Current value of the Current value of the Approximate mileage: 100,240 Debtor 1 and Debtor 2 only entire property? portion you own? Other information: At least one of the debtors and another Check if this is community property $16,025.00 $16,025.00 (see instructions) 3.2 Make: HYUNDAI Who has an interest in the property? Check one Do not deduct secured claims or exemptions. Put the amount of any secured claims on Schedule D: Model: ACCENT Debtor 1 only Creditors Who Have Claims Secured by Property. Year: 2016 Debtor 2 only Current value of the Current value of the Approximate mileage: 26,944 Debtor 1 and Debtor 2 only entire property? portion you own? Other information: At least one of the debtors and another Check if this is community property $11,375.00 $11,375.00 (see instructions) Official Form 106A/B Schedule A/B: Property page 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 11 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, other vehicles, and accessories Examples: Boats, trailers, motors, personal watercraft, fishing vessels, snowmobiles, motorcycle accessories No Yes 5 Add the dollar value of the portion you own for all of your entries from Part 2, including any entries for .pages you have attached for Part 2. Write that number here.............................................................................=> $27,400.00 Part 3: Describe Your Personal and Household Items Do you own or have any legal or equitable interest in any of the following items? Current value of the portion you own? Do not deduct secured claims or exemptions. 6. Household goods and furnishings Examples: Major appliances, furniture, linens, china, kitchenware No Yes. Describe..... FURNITURE, APPLIANCES AND HOUSEHOLD GOODS $2,500.00 7. Electronics Examples: Televisions and radios; audio, video, stereo, and digital equipment; computers, printers, scanners; music collections; electronic devices including cell phones, cameras, media players, games No Yes. Describe..... ELECTRONICS INCLUDING TVs, STEREOS AND COMPUTERS $500.00 8. Collectibles of value Examples: Antiques and figurines; paintings, prints, or other artwork; books, pictures, or other art objects; stamp, coin, or baseball card collections; other collections, memorabilia, collectibles No Yes. Describe..... 9. Equipment for sports and hobbies Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, golf clubs, skis; canoes and kayaks; carpentry tools; musical instruments No Yes. Describe..... 10. Firearms Examples: Pistols, rifles, shotguns, ammunition, and related equipment No Yes. Describe..... 11. Clothes Examples: Everyday clothes, furs, leather coats, designer wear, shoes, accessories No Yes. Describe..... CLOTHING $400.00 12. Jewelry Examples: Everyday jewelry, costume jewelry, engagement rings, wedding rings, heirloom jewelry, watches, gems, gold, silver No Yes. Describe..... Official Form 106A/B Schedule A/B: Property page 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 12 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 13. Non-farm animals Examples: Dogs, cats, birds, horses No Yes. Describe..... 14. Any other personal and household items you did not already list, including any health aids you did not list No Yes. Give specific information..... PERSONAL TOOLS AND LAWN EQUIPMENT $250.00 15. Add the dollar value of all of your entries from Part 3, including any entries for pages you have attached for Part 3. Write that number here .............................................................................. $3,650.00 Part 4: Describe Your Financial Assets Do you own or have any legal or equitable interest in any of the following? Current value of the portion you own? Do not deduct secured claims or exemptions. 16. Cash Examples: Money you have in your wallet, in your home, in a safe deposit box, and on hand when you file your petition No Yes................................................................................................................ 17. Deposits of money Examples: Checking, savings, or other financial accounts; certificates of deposit; shares in credit unions, brokerage houses, and other similar institutions. If you have multiple accounts with the same institution, list each. No Yes........................ Institution name: CHECKING 17.1. ACCOUNT WELLS FARGO BANK $20.00 CHECKING 17.2. ACCOUNT BBVA COMPASS BANK $60.00 1/2 INTEREST IN CHECKING 17.3. ACCOUNT WELLS FARGO BANK $20.00 18. Bonds, mutual funds, or publicly traded stocks Examples: Bond funds, investment accounts with brokerage firms, money market accounts No Yes.................. Institution or issuer name: 19. Non-publicly traded stock and interests in incorporated and unincorporated businesses, including an interest in an LLC, partnership, and joint venture No Yes. Give specific information about them................... Name of entity: % of ownership: 20. Government and corporate bonds and other negotiable and non-negotiable instruments Negotiable instruments include personal checks, cashiers' checks, promissory notes, and money orders. Non-negotiable instruments are those you cannot transfer to someone by signing or delivering them. No Yes. Give specific information about them Issuer name: Official Form 106A/B Schedule A/B: Property page 4 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 13 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 21. Retirement or pension accounts Examples: Interests in IRA, ERISA, Keogh, 401(k), 403(b), thrift savings accounts, or other pension or profit-sharing plans No Yes. List each account separately. Type of account: Institution name: RETIREMENT CITY OF BIRMINGHAM $13,841.21 401(K) BUFFALO ROCK $918.57 22. Security deposits and prepayments Your share of all unused deposits you have made so that you may continue service or use from a company Examples: Agreements with landlords, prepaid rent, public utilities (electric, gas, water), telecommunications companies, or others No Yes. ..................... Institution name or individual: 23. Annuities (A contract for a periodic payment of money to you, either for life or for a number of years) No Yes............. Issuer name and description. 24. Interests in an education IRA, in an account in a qualified ABLE program, or under a qualified state tuition program. 26 U.S.C. §§ 530(b)(1), 529A(b), and 529(b)(1). No Yes............. Institution name and description. Separately file the records of any interests.11 U.S.C. § 521(c): 25. Trusts, equitable or future interests in property (other than anything listed in line 1), and rights or powers exercisable for your benefit No Yes. Give specific information about them... 26. Patents, copyrights, trademarks, trade secrets, and other intellectual property Examples: Internet domain names, websites, proceeds from royalties and licensing agreements No Yes. Give specific information about them... 27. Licenses, franchises, and other general intangibles Examples: Building permits, exclusive licenses, cooperative association holdings, liquor licenses, professional licenses No Yes. Give specific information about them... Money or property owed to you? Current value of the portion you own? Do not deduct secured claims or exemptions. 28. Tax refunds owed to you No Yes. Give specific information about them, including whether you already filed the returns and the tax years....... 29. Family support Examples: Past due or lump sum alimony, spousal support, child support, maintenance, divorce settlement, property settlement No Yes. Give specific information...... 30. Other amounts someone owes you Examples: Unpaid wages, disability insurance payments, disability benefits, sick pay, vacation pay, workers' compensation, Social Security benefits; unpaid loans you made to someone else No Yes. Give specific information.. Official Form 106A/B Schedule A/B: Property page 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 14 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) GARNISHED WAGES $300.00 31. Interests in insurance policies Examples: Health, disability, or life insurance; health savings account (HSA); credit, homeowner's, or renter's insurance No Yes. Name the insurance company of each policy and list its value. Company name: Beneficiary: Surrender or refund value: WHOLE LIFE INSURANCE POLICY CORA JORDAN AND WITH MUTUAL OF OMAHA CARNELL BOSHA $0.00 32. Any interest in property that is due you from someone who has died If you are the beneficiary of a living trust, expect proceeds from a life insurance policy, or are currently entitled to receive property because someone has died. No Yes. Give specific information.. 33. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment Examples: Accidents, employment disputes, insurance claims, or rights to sue No Yes. Describe each claim......... 34. Other contingent and unliquidated claims of every nature, including counterclaims of the debtor and rights to set off claims No Yes. Describe each claim......... 35. Any financial assets you did not already list No Yes. Give specific information.. 36. Add the dollar value of all of your entries from Part 4, including any entries for pages you have attached for Part 4. Write that number here..................................................................................................................... $15,159.78 Part 5: Describe Any Business-Related Property You Own or Have an Interest In. List any real estate in Part 1. 37. Do you own or have any legal or equitable interest in any business-related property? No. Go to Part 6. Yes. Go to line 38. Part 6: Describe Any Farm- and Commercial Fishing-Related Property You Own or Have an Interest In. If you own or have an interest in farmland, list it in Part 1. 46. Do you own or have any legal or equitable interest in any farm- or commercial fishing-related property? No. Go to Part 7. Yes. Go to line 47. Part 7: Describe All Property You Own or Have an Interest in That You Did Not List Above 53. Do you have other property of any kind you did not already list? Examples: Season tickets, country club membership No Yes. Give specific information......... 54. Add the dollar value of all of your entries from Part 7. Write that number here .................................... $0.00 Official Form 106A/B Schedule A/B: Property page 6 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 15 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 8: List the Totals of Each Part of this Form 55. Part 1: Total real estate, line 2 ...................................................................................................................... $221,600.00 56. Part 2: Total vehicles, line 5 $27,400.00 57. Part 3: Total personal and household items, line 15 $3,650.00 58. Part 4: Total financial assets, line 36 $15,159.78 59. Part 5: Total business-related property, line 45 $0.00 60. Part 6: Total farm- and fishing-related property, line 52 $0.00 61. Part 7: Total other property not listed, line 54 + $0.00 62. Total personal property. Add lines 56 through 61... $46,209.78 Copy personal property total $46,209.78 63. Total of all property on Schedule A/B. Add line 55 + line 62 $267,809.78 Official Form 106A/B Schedule A/B: Property page 7 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 16 of 71 Lorenzo Jordan In re Deloise Bosha Jordan Case No. Debtor(s) SCHEDULE A/B - PROPERTY Attachment A The values listed with regard to all items represent the debtor's best estimate as to the amount the items could be sold for, used and "as is", to a willing buyer. None of the values are intended to represent the replacement value, actual cash value or any other value of the listed items as defined by the debtor's homeowner's insurance policy or any other insurance policy. Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 17 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106C Schedule C: The Property You Claim as Exempt 4/16 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Using the property you listed on Schedule A/B: Property (Official Form 106A/B) as your source, list the property that you claim as exempt. If more space is needed, fill out and attach to this page as many copies of Part 2: Additional Page as necessary. On the top of any additional pages, write your name and case number (if known). For each item of property you claim as exempt, you must specify the amount of the exemption you claim. One way of doing so is to state a specific dollar amount as exempt. Alternatively, you may claim the full fair market value of the property being exempted up to the amount of any applicable statutory limit. Some exemptions—such as those for health aids, rights to receive certain benefits, and tax-exempt retirement funds—may be unlimited in dollar amount. However, if you claim an exemption of 100% of fair market value under a law that limits the exemption to a particular dollar amount and the value of the property is determined to exceed that amount, your exemption would be limited to the applicable statutory amount. Part 1: Identify the Property You Claim as Exempt 1. Which set of exemptions are you claiming? Check one only, even if your spouse is filing with you. You are claiming state and federal nonbankruptcy exemptions. 11 U.S.C. § 522(b)(3) You are claiming federal exemptions. 11 U.S.C. § 522(b)(2) 2. For any property you list on Schedule A/B that you claim as exempt, fill in the information below. Brief description of the property and line on Current value of the Amount of the exemption you claim Specific laws that allow exemption Schedule A/B that lists this property portion you own Copy the value from Check only one box for each exemption. Schedule A/B 5191 Shady Crest Road Adamsville, $166,800.00 $30,000.00 Ala. Code §§ 6-10-2, 6-10-3, AL 35005 Jefferson County 6-10-4; Const. Art. X, § 205 Line from Schedule A/B: 1.2 100% of fair market value, up to any applicable statutory limit 2012 FORD F-150 100,240 miles $16,025.00 $7,390.00 Ala. Code § 6-10-6 Line from Schedule A/B: 3.1 100% of fair market value, up to any applicable statutory limit 2016 HYUNDAI ACCENT 26,944 miles $11,375.00 $3,560.00 Ala. Code § 6-10-6 Line from Schedule A/B: 3.2 100% of fair market value, up to any applicable statutory limit FURNITURE, APPLIANCES AND $2,500.00 $2,500.00 Ala. Code § 6-10-6 HOUSEHOLD GOODS Line from Schedule A/B: 6.1 100% of fair market value, up to any applicable statutory limit ELECTRONICS INCLUDING TVs, $500.00 $500.00 Ala. Code § 6-10-6 STEREOS AND COMPUTERS Line from Schedule A/B: 7.1 100% of fair market value, up to any applicable statutory limit Official Form 106C Schedule C: The Property You Claim as Exempt page 1 of 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 18 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Brief description of the property and line on Current value of the Amount of the exemption you claim Specific laws that allow exemption Schedule A/B that lists this property portion you own Copy the value from Check only one box for each exemption. Schedule A/B CLOTHING $400.00 $400.00 Ala. Code § 6-10-6 Line from Schedule A/B: 11.1 100% of fair market value, up to any applicable statutory limit PERSONAL TOOLS AND LAWN $250.00 $250.00 Ala. Code § 6-10-6 EQUIPMENT Line from Schedule A/B: 14.1 100% of fair market value, up to any applicable statutory limit CHECKING ACCOUNT: WELLS $20.00 $20.00 Ala. Code § 6-10-6 FARGO BANK Line from Schedule A/B: 17.1 100% of fair market value, up to any applicable statutory limit CHECKING ACCOUNT: BBVA $60.00 $60.00 Ala. Code § 6-10-6 COMPASS BANK Line from Schedule A/B: 17.2 100% of fair market value, up to any applicable statutory limit 1/2 INTEREST IN CHECKING $20.00 $20.00 Ala. Code § 6-10-6 ACCOUNT: WELLS FARGO BANK Line from Schedule A/B: 17.3 100% of fair market value, up to any applicable statutory limit RETIREMENT: CITY OF $13,841.21 $13,841.21 Ala. Code § 36-27-28 BIRMINGHAM Line from Schedule A/B: 21.1 100% of fair market value, up to any applicable statutory limit 401(K): BUFFALO ROCK $918.57 $918.57 Ala. Code § 19-3B-508 Line from Schedule A/B: 21.2 100% of fair market value, up to any applicable statutory limit GARNISHED WAGES $300.00 $300.00 Ala. Code § 6-10-6 Line from Schedule A/B: 30.1 100% of fair market value, up to any applicable statutory limit 3. Are you claiming a homestead exemption of more than $160,375? (Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment.) No Yes. Did you acquire the property covered by the exemption within 1,215 days before you filed this case? No Yes Official Form 106C Schedule C: The Property You Claim as Exempt page 2 of 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 19 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, number the entries, and attach it to this form. On the top of any additional pages, write your name and case number (if known). 1. Do any creditors have claims secured by your property? No. Check this box and submit this form to the court with your other schedules. You have nothing else to report on this form. Yes. Fill in all of the information below. Part 1: List All Secured Claims Column A Column B Column C 2. List all secured claims. If a creditor has more than one secured claim, list the creditor separately for each claim. If more than one creditor has a particular claim, list the other creditors in Part 2. As much Amount of claim Value of collateral Unsecured as possible, list the claims in alphabetical order according to the creditor's name. Do not deduct the that supports this portion value of collateral. claim If any 2.1 FLAGSTAR BANK Describe the property that secures the claim: $187,234.00 $166,800.00 $20,434.00 Creditor's Name 5191 Shady Crest Road Adamsville, ATTN: BANKRUPTCY AL 35005 Jefferson County DEPT As of the date you file, the claim is: Check all that 5151 CORPORATE DR apply. TROY, MI 48098 Contingent Number, Street, City, State & Zip Code Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. Debtor 1 only An agreement you made (such as mortgage or secured Debtor 2 only car loan) Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a Other (including a right to offset) community debt Opened Date debt was incurred 07/15 Last 4 digits of account number 3473 2.2 FORD MOTOR CREDIT Describe the property that secures the claim: $8,044.00 $16,025.00 $0.00 Creditor's Name 2012 FORD F-150 100,240 miles As of the date you file, the claim is: Check all that PO BOX BOX 542000 apply. OMAHA, NE 68154 Contingent Number, Street, City, State & Zip Code Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. Debtor 1 only An agreement you made (such as mortgage or secured Debtor 2 only car loan) Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a Other (including a right to offset) community debt Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property page 1 of 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 20 of 71 Debtor 1 Lorenzo Jordan Case number (if know) First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan First Name Middle Name Last Name Opened Date debt was incurred 12/12 Last 4 digits of account number 9987 2.3 HYUNDAI FINANCE Describe the property that secures the claim: $18,650.00 $11,375.00 $7,275.00 Creditor's Name 2016 HYUNDAI ACCENT 26,944 ATTN: BANKRUPTCY miles PO BOX 20809 As of the date you file, the claim is: Check all that FOUNTAIN CITY, CA apply. 92728 Contingent Number, Street, City, State & Zip Code Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. Debtor 1 only An agreement you made (such as mortgage or secured Debtor 2 only car loan) Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a Other (including a right to offset) community debt Opened Date debt was incurred 05/16 Last 4 digits of account number 0226 OCWEN LOAN 2.4 Describe the property that secures the claim: $35,866.00 $54,800.00 $0.00 SERVICING, LLC Creditor's Name 1704 33rd Avenue North ATTN: Birmingham, AL 35207 Jefferson RESEARCH/BANKRUPTC County Y (NON-HOMESTEAD) 1661 WORTHINGTON RD As of the date you file, the claim is: Check all that apply. STE 100 WEST PALM BCH, FL Contingent 33409 Number, Street, City, State & Zip Code Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. Debtor 1 only An agreement you made (such as mortgage or secured Debtor 2 only car loan) Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a Other (including a right to offset) community debt Opened Date debt was incurred 10/99 Last 4 digits of account number 6965 2.5 SPIRE Describe the property that secures the claim: $5,000.00 $5,000.00 $0.00 Creditor's Name HEAT SYSTEM 24-98 20TH STREET As of the date you file, the claim is: Check all that SOUTH apply. BIRMINGHAM, AL 35233 Contingent Number, Street, City, State & Zip Code Unliquidated Disputed Who owes the debt? Check one. Nature of lien. Check all that apply. Debtor 1 only An agreement you made (such as mortgage or secured Debtor 2 only car loan) Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 2 of 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 21 of 71 Debtor 1 Lorenzo Jordan Case number (if know) First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan First Name Middle Name Last Name Debtor 1 and Debtor 2 only Statutory lien (such as tax lien, mechanic's lien) At least one of the debtors and another Judgment lien from a lawsuit Check if this claim relates to a Other (including a right to offset) community debt UNKNOWN TO Date debt was incurred 2013 Last 4 digits of account number DEBTORS Add the dollar value of your entries in Column A on this page. Write that number here: $254,794.00 If this is the last page of your form, add the dollar value totals from all pages. Write that number here: $254,794.00 Part 2: List Others to Be Notified for a Debt That You Already Listed Use this page only if you have others to be notified about your bankruptcy for a debt that you already listed in Part 1. For example, if a collection agency is trying to collect from you for a debt you owe to someone else, list the creditor in Part 1, and then list the collection agency here. Similarly, if you have more than one creditor for any of the debts that you listed in Part 1, list the additional creditors here. If you do not have additional persons to be notified for any debts in Part 1, do not fill out or submit this page. Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.1 FLAGSTAR BANK PO BOX 660263 Last 4 digits of account number DALLAS, TX 75266-0263 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.2 FORD MOTOR CREDIT PO BOX 398034 Last 4 digits of account number MINNEAPOLIS, MN 55439 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.3 HYUNDAI FINANCE 10550 TALBERT AVENUE Last 4 digits of account number FOUNTAIN VALLEY, CA 92708 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.3 HYUNDAI FINANCE PO BOX 650805 Last 4 digits of account number DALLAS, TX 75265 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.4 OCWEN LOAN SERVICING, LLC 12650 INGENUITY DRIVE Last 4 digits of account number ORLANDO, FL 32826 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.4 OCWEN LOAN SERVICING, LLC PO BOX 24738 Last 4 digits of account number WEST PALM BEACH, FL 33416 Name, Number, Street, City, State & Zip Code On which line in Part 1 did you enter the creditor? 2.5 SPIRE/ALAGASCO 700 MARKET STREET Last 4 digits of account number SAINT LOUIS, MO 63101 Official Form 106D Additional Page of Schedule D: Creditors Who Have Claims Secured by Property page 3 of 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 22 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 12/15 Be as complete and accurate as possible. Use Part 1 for creditors with PRIORITY claims and Part 2 for creditors with NONPRIORITY claims. List the other party to any executory contracts or unexpired leases that could result in a claim. Also list executory contracts on Schedule A/B: Property (Official Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 106G). Do not include any creditors with partially secured claims that are listed in Schedule D: Creditors Who Have Claims Secured by Property. If more space is needed, copy the Part you need, fill it out, number the entries in the boxes on the left. Attach the Continuation Page to this page. If you have no information to report in a Part, do not file that Part. On the top of any additional pages, write your name and case number (if known). Part 1: List All of Your PRIORITY Unsecured Claims 1. Do any creditors have priority unsecured claims against you? No. Go to Part 2. Yes. Part 2: List All of Your NONPRIORITY Unsecured Claims 3. Do any creditors have nonpriority unsecured claims against you? No. You have nothing to report in this part. Submit this form to the court with your other schedules. Yes. 4. List all of your nonpriority unsecured claims in the alphabetical order of the creditor who holds each claim. If a creditor has more than one nonpriority unsecured claim, list the creditor separately for each claim. For each claim listed, identify what type of claim it is. Do not list claims already included in Part 1. If more than one creditor holds a particular claim, list the other creditors in Part 3.If you have more than three nonpriority unsecured claims fill out the Continuation Page of Part 2. Total claim 4.1 1ST FRANKLIN FINANCIAL Last 4 digits of account number 8008 $2,094.00 Nonpriority Creditor's Name 135 E TUGALO STREET When was the debt incurred? Opened 08/17 TOCCOA, GA 30577 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify SIGNATURE LOAN Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 1 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com 35257 Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 23 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.2 1ST FRANKLIN FINANCIAL Last 4 digits of account number 5907 $1,215.00 Nonpriority Creditor's Name 135 E TUGALO STREET When was the debt incurred? Opened 06/17 TOCCOA, GA 30577 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify SIGNATURE LOAN 4.3 BARCLAYS BANK DELAWARE Last 4 digits of account number 6289 $3,827.00 Nonpriority Creditor's Name 100 S WEST ST When was the debt incurred? Opened 11/13 WILMINGTON, DE 19801 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.4 BARCLAYS BANK DELAWARE Last 4 digits of account number 1556 $2,494.00 Nonpriority Creditor's Name 100 S WEST ST When was the debt incurred? Opened 08/15 WILMINGTON, DE 19801 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 2 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 24 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.5 BAY CLUB OF SANDESTIN Last 4 digits of account number 7599 $943.00 Nonpriority Creditor's Name %MERIDIAN FINANCIAL SVC When was the debt incurred? Opened 07/17 P.O. BOX 1410 ASHEVILLE, NC 28802 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify OPEN ACCOUNT 4.6 BHAM CITY CU Last 4 digits of account number 387B $814.00 Nonpriority Creditor's Name 708 17TH ST N When was the debt incurred? Opened 11/21/17 BIRMINGHAM, AL 35203 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify OPEN ACCOUNT 4.7 CAPITAL ONE Last 4 digits of account number 5011 $533.00 Nonpriority Creditor's Name ATTN: BANKRUPTCY When was the debt incurred? Opened 08/08 PO BOX 30285 SALT LAKE CITY, UT 84130 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 3 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 25 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.8 CITIBANK/BEST BUY Last 4 digits of account number 4173 $609.00 Nonpriority Creditor's Name CENTRALIZED BANKRUPTCY When was the debt incurred? Opened 12/13 PO BOX 790040 ST. LOUIS, MO 63179 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.9 CITIBANK/THE HOME DEPOT Last 4 digits of account number 1869 $6,160.00 Nonpriority Creditor's Name CENTRALIZED BANKRUPTCY When was the debt incurred? Opened 7/19/15 PO BOX 790040 ST LOUIS, MO 63129 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.10 COMENITY BANK/AVENUE Last 4 digits of account number 6240 $450.00 Nonpriority Creditor's Name PO BOX 182125 When was the debt incurred? Opened 02/07 COLUMBUS, OH 43218 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 4 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 26 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.11 COMENITY BANK/GOODYS Last 4 digits of account number 9498 $76.00 Nonpriority Creditor's Name ATTN: BANKRUPTCY When was the debt incurred? Opened 12/07 PO BOX 182125 COLUMBUS, OH 43218 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD COMENITY BANK/JESSICA 4.12 LONDON Last 4 digits of account number 0665 $145.00 Nonpriority Creditor's Name PO BOX 182125 When was the debt incurred? Opened 11/10 COLUMBUS, OH 43218 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD COMENITY 4.13 BANK/KINGSI/BRYLANE Last 4 digits of account number 1228 $741.00 Nonpriority Creditor's Name PO BOX 182125 When was the debt incurred? Opened 06/13 COLUMBUS, OH 43218 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 5 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 27 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.14 COMENITYBANK/CATHERINE Last 4 digits of account number 2075 $427.00 Nonpriority Creditor's Name PO BOX 182789 When was the debt incurred? Opened 10/08 COLUMBUS, OH 43218 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.15 MARINER FINANCE Last 4 digits of account number 2611 $3,964.00 Nonpriority Creditor's Name 8211 TOWN CENTER DR When was the debt incurred? Opened 1/13/17 NOTTINGHAM, MD 21236 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify SIGNATURE LOAN 4.16 PAYPAL CREDIT Last 4 digits of account number 8571 $2,715.00 Nonpriority Creditor's Name PO BOX 105658 When was the debt incurred? UNKNOWN TO DEBTOR ATLANTA, GA 30348-5658 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify OPEN ACCOUNT Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 6 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 28 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.17 REGIONAL FINANCE CORP. Last 4 digits of account number 6800 $3,992.00 Nonpriority Creditor's Name 306 PALISADES BLVD. STE. 4 When was the debt incurred? 2017 BIRMINGHAM, AL 35209 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify SIGNATURE LOAN 4.18 REPUBLIC FINANCE Last 4 digits of account number 6666 $5,171.00 Nonpriority Creditor's Name 655 FIELDSTOWN RD STE 10 When was the debt incurred? Opened 04/17 GARDENDALE, AL 35071 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify SIGNATURE LOAN 4.19 SYNCHRONY BANK/ JC PENNEYS Last 4 digits of account number 3784 $1,353.00 Nonpriority Creditor's Name ATTN: BANKRUPTCY When was the debt incurred? Opened 10/14 PO BOX 965060 ORLANDO, FL 32896 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 7 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 29 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.20 SYNCHRONY BANK/BELK Last 4 digits of account number 6902 $305.00 Nonpriority Creditor's Name ATTN: BANKRUPTCY When was the debt incurred? Opened 12/12 PO BOX 965060 ORLANDO, FL 32896 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.21 SYNCHRONY BANK/SAMS Last 4 digits of account number 0709 $691.00 Nonpriority Creditor's Name ATTN: BANKRUPTCY When was the debt incurred? Opened 10/16 PO BOX 965060 ORLANDO, FL 32896 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.22 TARGET Last 4 digits of account number 8872 $274.00 Nonpriority Creditor's Name C/O FINANCIAL & RETAIL SRVS When was the debt incurred? Opened 12/14 MAILSTOPN BT POB 9475 MINNEAPOLIS, MN 55440 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 8 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 30 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 4.23 WELLS FARGO BANK Last 4 digits of account number 3738 $15,284.00 Nonpriority Creditor's Name PO BOX 10438 When was the debt incurred? Opened 12/11 MACF8235-02F DES MOINES, IA 50306 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD 4.24 WELLS FARGO BANK Last 4 digits of account number 7308 $3,108.00 Nonpriority Creditor's Name PO BOX 10438 When was the debt incurred? Opened 09/17 MACF8235-02F DES MOINES, IA 50306 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify CREDIT CARD WYNDHAM VACATION RESORTS 4.25 INC Last 4 digits of account number 6818 $1.00 Nonpriority Creditor's Name TITLE SERVICES When was the debt incurred? 2017 6277 SEA HARBOR ORLANDO, FL 32821 Number Street City State ZIp Code As of the date you file, the claim is: Check all that apply Who incurred the debt? Check one. Contingent Debtor 1 only Unliquidated Debtor 2 only Disputed Debtor 1 and Debtor 2 only Type of NONPRIORITY unsecured claim: At least one of the debtors and another Student loans Check if this claim is for a community debt Obligations arising out of a separation agreement or divorce that you did not Is the claim subject to offset? report as priority claims No Debts to pension or profit-sharing plans, and other similar debts Yes Other. Specify HOMEOWNER'S ASSOCIATEION FEES Part 3: List Others to Be Notified About a Debt That You Already Listed 5. Use this page only if you have others to be notified about your bankruptcy, for a debt that you already listed in Parts 1 or 2. For example, if a collection agency is trying to collect from you for a debt you owe to someone else, list the original creditor in Parts 1 or 2, then list the collection agency here. Similarly, if you have more than one creditor for any of the debts that you listed in Parts 1 or 2, list the additional creditors here. If you do not have additional persons to be notified for any debts in Parts 1 or 2, do not fill out or submit this page. Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 9 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 31 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) 1ST FRANKLIN FINANCIAL Line 4.1 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 310518 Part 2: Creditors with Nonpriority Unsecured Claims BIRMINGHAM, AL 35231 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? 1ST FRANKLIN FINANCIAL Line 4.2 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 310518 Part 2: Creditors with Nonpriority Unsecured Claims BIRMINGHAM, AL 35231 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? BARCLAYS BANK DELAWARE Line 4.3 of (Check one): Part 1: Creditors with Priority Unsecured Claims P.O. BOX 8803 Part 2: Creditors with Nonpriority Unsecured Claims WILMINGTON, DE 19899 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? BARCLAYS BANK DELAWARE Line 4.3 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 8826 Part 2: Creditors with Nonpriority Unsecured Claims WILMINGTON, DE 19899-8826 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? BARCLAYS BANK DELAWARE Line 4.4 of (Check one): Part 1: Creditors with Priority Unsecured Claims P.O. BOX 8803 Part 2: Creditors with Nonpriority Unsecured Claims WILMINGTON, DE 19899 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? BARCLAYS BANK DELAWARE Line 4.4 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 8826 Part 2: Creditors with Nonpriority Unsecured Claims WILMINGTON, DE 19899-8826 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CAPITAL ONE Line 4.7 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 60599 Part 2: Creditors with Nonpriority Unsecured Claims CITY OF INDUSTRY, CA 91716-0599 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CAPITAL ONE Line 4.7 of (Check one): Part 1: Creditors with Priority Unsecured Claims 15000 CAPITAL ONE DRIVE Part 2: Creditors with Nonpriority Unsecured Claims HENRICO, VA 23238 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CITIBANK/BEST BUY Line 4.8 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 6497 Part 2: Creditors with Nonpriority Unsecured Claims SIOUX FALLS, SD 57117 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CITIBANK/BEST BUY Line 4.8 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 78009 Part 2: Creditors with Nonpriority Unsecured Claims PHOENIX, AZ 85062-8009 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CITIBANK/THE HOME DEPOT Line 4.9 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 6497 Part 2: Creditors with Nonpriority Unsecured Claims SIOUX FALLS, SD 57117 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? CITIBANK/THE HOME DEPOT Line 4.9 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 78011 Part 2: Creditors with Nonpriority Unsecured Claims PHOENIX, AZ 85062-8011 Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 10 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 32 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/AVENUE Line 4.10 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 182789 Part 2: Creditors with Nonpriority Unsecured Claims COLUMBUS, OH 43218 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/AVENUE Line 4.10 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 659584 Part 2: Creditors with Nonpriority Unsecured Claims SAN ANTONIO, TX 78265-9584 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/GOODYS Line 4.11 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 182789 Part 2: Creditors with Nonpriority Unsecured Claims COLUMBUS, OH 43218 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/GOODYS Line 4.11 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 659465 Part 2: Creditors with Nonpriority Unsecured Claims SAN ANTONIO, TX 78265-9465 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/JESSICA Line 4.12 of (Check one): Part 1: Creditors with Priority Unsecured Claims LONDON Part 2: Creditors with Nonpriority Unsecured Claims PO BOX 182789 COLUMBUS, OH 43218 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/JESSICA Line 4.12 of (Check one): Part 1: Creditors with Priority Unsecured Claims LONDON Part 2: Creditors with Nonpriority Unsecured Claims PO BOX 659728 SAN ANTONIO, TX 78265-9728 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/KINGSI/BRYLANE Line 4.13 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 182118 Part 2: Creditors with Nonpriority Unsecured Claims COLUMBUS, OH 43218-2118 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITY BANK/KINGSI/BRYLANE Line 4.13 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 182789 Part 2: Creditors with Nonpriority Unsecured Claims COLUMBUS, OH 43218 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? COMENITYBANK/CATHERINE Line 4.14 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 659728 Part 2: Creditors with Nonpriority Unsecured Claims SAN ANTONIO, TX 78265-9728 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? MARINER FINANCE Line 4.15 of (Check one): Part 1: Creditors with Priority Unsecured Claims 1725 DECATUR HIGHWAY STE. 101 Part 2: Creditors with Nonpriority Unsecured Claims FULTONDALE, AL 35068 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? REPUBLIC FINANCE Line 4.18 of (Check one): Part 1: Creditors with Priority Unsecured Claims 525 BROOKWAY BLVD. Part 2: Creditors with Nonpriority Unsecured Claims BROOKHAVEN, MS 39601 Last 4 digits of account number 5841 Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 11 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 33 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? SYNCHRONY BANK/ JC PENNEYS Line 4.19 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 965007 Part 2: Creditors with Nonpriority Unsecured Claims ORLANDO, FL 32896 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? SYNCHRONY BANK/ JC PENNEYS Line 4.19 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 965046 Part 2: Creditors with Nonpriority Unsecured Claims ORLANDO, FL 32896-5046 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? SYNCHRONY BANK/BELK Line 4.20 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 965028 Part 2: Creditors with Nonpriority Unsecured Claims ORLANDO, FL 32896 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? SYNCHRONY BANK/BELK Line 4.20 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 530940 Part 2: Creditors with Nonpriority Unsecured Claims ATLANTA, GA 30353 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? SYNCHRONY BANK/SAMS Line 4.21 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 965005 Part 2: Creditors with Nonpriority Unsecured Claims ORLANDO, FL 32896 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? TARGET Line 4.22 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 673 Part 2: Creditors with Nonpriority Unsecured Claims MINNEAPOLIS, MN 55440 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? TARGET Line 4.22 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 660170 Part 2: Creditors with Nonpriority Unsecured Claims DALLAS, TX 75266 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? WELLS FARGO BANK Line 4.23 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 14517 Part 2: Creditors with Nonpriority Unsecured Claims DES MOINES, IA 50306 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? WELLS FARGO BANK Line 4.23 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 10347 Part 2: Creditors with Nonpriority Unsecured Claims DES MOINES, IA 50306-0347 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? WELLS FARGO BANK Line 4.23 of (Check one): Part 1: Creditors with Priority Unsecured Claims %BARRY A. FRIEDMAN & ASSOC. Part 2: Creditors with Nonpriority Unsecured Claims PC PO BOX 2394 MOBILE, AL 36652 Last 4 digits of account number 5114 Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? WELLS FARGO BANK Line 4.24 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 10347 Part 2: Creditors with Nonpriority Unsecured Claims DES MOINES, IA 50306-0347 Last 4 digits of account number Name and Address On which entry in Part 1 or Part 2 did you list the original creditor? Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 12 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 34 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if know) WELLS FARGO BANK Line 4.24 of (Check one): Part 1: Creditors with Priority Unsecured Claims PO BOX 14517 Part 2: Creditors with Nonpriority Unsecured Claims DES MOINES, IA 50306 Last 4 digits of account number Part 4: Add the Amounts for Each Type of Unsecured Claim 6. Total the amounts of certain types of unsecured claims. This information is for statistical reporting purposes only. 28 U.S.C. §159. Add the amounts for each type of unsecured claim. Total Claim 6a. Domestic support obligations 6a. $ 0.00 Total claims from Part 1 6b. Taxes and certain other debts you owe the government 6b. $ 0.00 6c. Claims for death or personal injury while you were intoxicated 6c. $ 0.00 6d. Other. Add all other priority unsecured claims. Write that amount here. 6d. $ 0.00 6e. Total Priority. Add lines 6a through 6d. 6e. $ 0.00 Total Claim 6f. Student loans 6f. $ 0.00 Total claims from Part 2 6g. Obligations arising out of a separation agreement or divorce that you did not report as priority claims 6g. $ 0.00 6h. Debts to pension or profit-sharing plans, and other similar debts 6h. $ 0.00 6i. Other. Add all other nonpriority unsecured claims. Write that amount here. 6i. $ 57,386.00 6j. Total Nonpriority. Add lines 6f through 6i. 6j. $ 57,386.00 Official Form 106 E/F Schedule E/F: Creditors Who Have Unsecured Claims Page 13 of 13 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 35 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106G Schedule G: Executory Contracts and Unexpired Leases 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the additional page, fill it out, number the entries, and attach it to this page. On the top of any additional pages, write your name and case number (if known). 1. Do you have any executory contracts or unexpired leases? No. Check this box and file this form with the court with your other schedules. You have nothing else to report on this form. Yes. Fill in all of the information below even if the contacts of leases are listed on Schedule A/B:Property (Official Form 106 A/B). 2. List separately each person or company with whom you have the contract or lease. Then state what each contract or lease is for (for example, rent, vehicle lease, cell phone). See the instructions for this form in the instruction booklet for more examples of executory contracts and unexpired leases. Person or company with whom you have the contract or lease State what the contract or lease is for Name, Number, Street, City, State and ZIP Code 2.1 Name Number Street City State ZIP Code 2.2 Name Number Street City State ZIP Code 2.3 Name Number Street City State ZIP Code 2.4 Name Number Street City State ZIP Code 2.5 Name Number Street City State ZIP Code Official Form 106G Schedule G: Executory Contracts and Unexpired Leases Page 1 of 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 36 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106H Schedule H: Your Codebtors 12/15 Codebtors are people or entities who are also liable for any debts you may have. Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Page, fill it out, and number the entries in the boxes on the left. Attach the Additional Page to this page. On the top of any Additional Pages, write your name and case number (if known). Answer every question. 1. Do you have any codebtors? (If you are filing a joint case, do not list either spouse as a codebtor. No Yes 2. Within the last 8 years, have you lived in a community property state or territory? (Community property states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington, and Wisconsin.) No. Go to line 3. Yes. Did your spouse, former spouse, or legal equivalent live with you at the time? 3. In Column 1, list all of your codebtors. Do not include your spouse as a codebtor if your spouse is filing with you. List the person shown in line 2 again as a codebtor only if that person is a guarantor or cosigner. Make sure you have listed the creditor on Schedule D (Official Form 106D), Schedule E/F (Official Form 106E/F), or Schedule G (Official Form 106G). Use Schedule D, Schedule E/F, or Schedule G to fill out Column 2. Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Name, Number, Street, City, State and ZIP Code Check all schedules that apply: 3.1 Schedule D, line Name Schedule E/F, line Schedule G, line Number Street City State ZIP Code 3.2 Schedule D, line Name Schedule E/F, line Schedule G, line Number Street City State ZIP Code Official Form 106H Schedule H: Your Codebtors Page 1 of 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 37 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan (Spouse, if filing) United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number Check if this is: (If known) An amended filing A supplement showing postpetition chapter 13 income as of the following date: Official Form 106I MM / DD/ YYYY Schedule I: Your Income 12/15 Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for supplying correct information. If you are married and not filing jointly, and your spouse is living with you, include information about your spouse. If you are separated and your spouse is not filing with you, do not include information about your spouse. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Employment 1. Fill in your employment information. Debtor 1 Debtor 2 or non-filing spouse If you have more than one job, Employed Employed attach a separate page with Employment status* information about additional Not employed Not employed employers. Occupation LABORER ACCOUNTS PAYABLE CLERK Include part-time, seasonal, or self-employed work. Employer's name CITY OF BIRMINGHAM BUFFALO ROCK Occupation may include student Employer's address 710 NORTH 20TH STREET 111 OXMOOR ROAD or homemaker, if it applies. BIRMINGHAM, AL 35203 BIRMINGHAM, AL 35209 How long employed there? 8 YRS. & 7 MOS. 2 YRS. & 10 MOS. *See Attachment for Additional Employment Information Part 2: Give Details About Monthly Income Estimate monthly income as of the date you file this form. If you have nothing to report for any line, write $0 in the space. Include your non-filing spouse unless you are separated. If you or your non-filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need more space, attach a separate sheet to this form. For Debtor 1 For Debtor 2 or non-filing spouse List monthly gross wages, salary, and commissions (before all payroll 2. deductions). If not paid monthly, calculate what the monthly wage would be. 2. $ 2,393.73 $ 2,480.79 3. Estimate and list monthly overtime pay. 3. +$ 0.00 +$ 0.00 4. Calculate gross Income. Add line 2 + line 3. 4. $ 2,393.73 $ 2,480.79 Official Form 106I Schedule I: Your Income page 1 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 38 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) For Debtor 1 For Debtor 2 or non-filing spouse Copy line 4 here 4. $ 2,393.73 $ 2,480.79 5. List all payroll deductions: 5a. Tax, Medicare, and Social Security deductions 5a. $ 470.54 $ 547.56 5b. Mandatory contributions for retirement plans 5b. $ 167.57 $ 0.00 5c. Voluntary contributions for retirement plans 5c. $ 0.00 $ 0.00 5d. Required repayments of retirement fund loans 5d. $ 226.61 $ 0.00 5e. Insurance 5e. $ 388.61 $ 44.81 5f. Domestic support obligations 5f. $ 0.00 $ 0.00 5g. Union dues 5g. $ 0.00 $ 0.00 5h. Other deductions. Specify: UNITED WAY 5h.+ $ 10.83 + $ 8.67 6. Add the payroll deductions. Add lines 5a+5b+5c+5d+5e+5f+5g+5h. 6. $ 1,264.16 $ 601.04 7. Calculate total monthly take-home pay. Subtract line 6 from line 4. 7. $ 1,129.57 $ 1,879.75 8. List all other income regularly received: 8a. Net income from rental property and from operating a business, profession, or farm Attach a statement for each property and business showing gross receipts, ordinary and necessary business expenses, and the total monthly net income. 8a. $ 0.00 $ 0.00 8b. Interest and dividends 8b. $ 0.00 $ 0.00 8c. Family support payments that you, a non-filing spouse, or a dependent regularly receive Include alimony, spousal support, child support, maintenance, divorce settlement, and property settlement. 8c. $ 0.00 $ 0.00 8d. Unemployment compensation 8d. $ 0.00 $ 0.00 8e. Social Security 8e. $ 0.00 $ 0.00 8f. Other government assistance that you regularly receive Include cash assistance and the value (if known) of any non-cash assistance that you receive, such as food stamps (benefits under the Supplemental Nutrition Assistance Program) or housing subsidies. Specify: 8f. $ 0.00 $ 0.00 8g. Pension or retirement income 8g. $ 0.00 $ 0.00 8h. Other monthly income. Specify: Anticipated income tax refund 8h.+ $ 400.00 + $ 0.00 PART-TIME JOB $ 1,098.22 $ 0.00 9. Add all other income. Add lines 8a+8b+8c+8d+8e+8f+8g+8h. 9. $ 1,498.22 $ 0.00 10. Calculate monthly income. Add line 7 + line 9. 10. $ 2,627.79 + $ 1,879.75 = $ 4,507.54 Add the entries in line 10 for Debtor 1 and Debtor 2 or non-filing spouse. 11. State all other regular contributions to the expenses that you list in Schedule J. Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and other friends or relatives. Do not include any amounts already included in lines 2-10 or amounts that are not available to pay expenses listed in Schedule J. Specify: 11. +$ 0.00 12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly income. Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it applies 12. $ 4,507.54 Combined monthly income 13. Do you expect an increase or decrease within the year after you file this form? No. Yes. Explain: Official Form 106I Schedule I: Your Income page 2 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 39 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Official Form B 6I Attachment for Additional Employment Information Debtor Occupation Name of Employer CENTAUR BUILDING SOUTHEST INC How long employed Address of Employer 4401 RIDGEWOOD AVENUE SAINT LOUIS, MO 63116 Official Form 106I Schedule I: Your Income page 3 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 40 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan Check if this is: An amended filing Debtor 2 Deloise Bosha Jordan A supplement showing postpetition chapter (Spouse, if filing) 13 expenses as of the following date: United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA MM / DD / YYYY Case number (If known) Official Form 106J Schedule J: Your Expenses 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Your Household 1. Is this a joint case? No. Go to line 2. Yes. Does Debtor 2 live in a separate household? No Yes. Debtor 2 must file Official Form 106J-2, Expenses for Separate Household of Debtor 2. 2. Do you have dependents? No Do not list Debtor 1 Yes. Fill out this information for Dependent's relationship to Dependent's Does dependent and Debtor 2. each dependent.............. Debtor 1 or Debtor 2 age live with you? Do not state the No dependents names. Yes No Yes No Yes No Yes 3. Do your expenses include No expenses of people other than yourself and your dependents? Yes Part 2: Estimate Your Ongoing Monthly Expenses Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the applicable date. Include expenses paid for with non-cash government assistance if you know the value of such assistance and have included it on Schedule I: Your Income (Official Form 106I.) Your expenses 4. The rental or home ownership expenses for your residence. Include first mortgage payments and any rent for the ground or lot. 4. $ 1,117.29 If not included in line 4: 4a. Real estate taxes 4a. $ 0.00 4b. Property, homeowner's, or renter's insurance 4b. $ 0.00 4c. Home maintenance, repair, and upkeep expenses 4c. $ 0.00 4d. Homeowner's association or condominium dues 4d. $ 0.00 5. Additional mortgage payments for your residence, such as home equity loans 5. $ 335.00 Official Form 106J Schedule J: Your Expenses page 1 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 41 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 6. Utilities: 6a. Electricity, heat, natural gas 6a. $ 352.00 6b. Water, sewer, garbage collection 6b. $ 125.00 6c. Telephone, cell phone, Internet, satellite, and cable services 6c. $ 253.00 6d. Other. Specify: HOME SECURITY ALARM SYSTEM 6d. $ 47.00 7. Food and housekeeping supplies 7. $ 300.00 8. Childcare and children's education costs 8. $ 0.00 9. Clothing, laundry, and dry cleaning 9. $ 50.00 10. Personal care products and services 10. $ 0.00 11. Medical and dental expenses 11. $ 40.00 12. Transportation. Include gas, maintenance, bus or train fare. Do not include car payments. 12. $ 300.00 13. Entertainment, clubs, recreation, newspapers, magazines, and books 13. $ 0.00 14. Charitable contributions and religious donations 14. $ 400.00 15. Insurance. Do not include insurance deducted from your pay or included in lines 4 or 20. 15a. Life insurance 15a. $ 178.00 15b. Health insurance 15b. $ 0.00 15c. Vehicle insurance 15c. $ 160.00 15d. Other insurance. Specify: 15d. $ 0.00 16. Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20. Specify: 16. $ 0.00 17. Installment or lease payments: 17a. Car payments for Vehicle 1 17a. $ 0.00 17b. Car payments for Vehicle 2 17b. $ 0.00 17c. Other. Specify: 17c. $ 0.00 17d. Other. Specify: 17d. $ 0.00 18. Your payments of alimony, maintenance, and support that you did not report as deducted from your pay on line 5, Schedule I, Your Income (Official Form 106I). 18. $ 0.00 19. Other payments you make to support others who do not live with you. $ 0.00 Specify: 19. 20. Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income. 20a. Mortgages on other property 20a. $ 0.00 20b. Real estate taxes 20b. $ 0.00 20c. Property, homeowner's, or renter's insurance 20c. $ 0.00 20d. Maintenance, repair, and upkeep expenses 20d. $ 0.00 20e. Homeowner's association or condominium dues 20e. $ 0.00 21. Other: Specify: 21. +$ 0.00 22. Calculate your monthly expenses 22a. Add lines 4 through 21. $ 3,657.29 22b. Copy line 22 (monthly expenses for Debtor 2), if any, from Official Form 106J-2 $ 22c. Add line 22a and 22b. The result is your monthly expenses. $ 3,657.29 23. Calculate your monthly net income. 23a. Copy line 12 (your combined monthly income) from Schedule I. 23a. $ 4,507.54 23b. Copy your monthly expenses from line 22c above. 23b. -$ 3,657.29 23c. Subtract your monthly expenses from your monthly income. The result is your monthly net income. 23c. $ 850.25 24. Do you expect an increase or decrease in your expenses within the year after you file this form? For example, do you expect to finish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a modification to the terms of your mortgage? No. Yes. Explain here: Official Form 106J Schedule J: Your Expenses page 2 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 42 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 106Dec Declaration About an Individual Debtor's Schedules 12/15 If two married people are filing together, both are equally responsible for supplying correct information. You must file this form whenever you file bankruptcy schedules or amended schedules. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Sign Below Did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms? No Yes. Name of person Attach Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119) Under penalty of perjury, I declare that I have read the summary and schedules filed with this declaration and that they are true and correct. X /s/ Lorenzo Jordan X /s/ Deloise Bosha Jordan Lorenzo Jordan Deloise Bosha Jordan Signature of Debtor 1 Signature of Debtor 2 Date January 23, 2018 Date January 23, 2018 Official Form 106Dec Declaration About an Individual Debtor's Schedules Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 43 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan First Name Middle Name Last Name Debtor 2 Deloise Bosha Jordan (Spouse if, filing) First Name Middle Name Last Name United States Bankruptcy Court for the: NORTHERN DISTRICT OF ALABAMA Case number (if known) Check if this is an amended filing Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy 4/16 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Give Details About Your Marital Status and Where You Lived Before 1. What is your current marital status? Married Not married 2. During the last 3 years, have you lived anywhere other than where you live now? No Yes. List all of the places you lived in the last 3 years. Do not include where you live now. Debtor 1 Prior Address: Dates Debtor 1 Debtor 2 Prior Address: Dates Debtor 2 lived there lived there 1704 33RD AVENUE NORTH From-To: Same as Debtor 1 Same as Debtor 1 BIRMINGHAM, AL 35207 FROM 1986 TO From-To: 2015 3. Within the last 8 years, did you ever live with a spouse or legal equivalent in a community property state or territory? (Community property states and territories include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Puerto Rico, Texas, Washington and Wisconsin.) No Yes. Make sure you fill out Schedule H: Your Codebtors (Official Form 106H). Part 2 Explain the Sources of Your Income 4. Did you have any income from employment or from operating a business during this year or the two previous calendar years? Fill in the total amount of income you received from all jobs and all businesses, including part-time activities. If you are filing a joint case and you have income that you receive together, list it only once under Debtor 1. No Yes. Fill in the details. Debtor 1 Debtor 2 Sources of income Gross income Sources of income Gross income Check all that apply. (before deductions and Check all that apply. (before deductions exclusions) and exclusions) From January 1 of current year until Wages, commissions, $1,748.20 Wages, commissions, $1,760.60 the date you filed for bankruptcy: bonuses, tips bonuses, tips Operating a business Operating a business Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 44 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Debtor 1 Debtor 2 Sources of income Gross income Sources of income Gross income Check all that apply. (before deductions and Check all that apply. (before deductions exclusions) and exclusions) For last calendar year: Wages, commissions, $46,756.76 Wages, commissions, $30,618.49 (January 1 to December 31, 2017) bonuses, tips bonuses, tips Operating a business Operating a business For the calendar year before that: Wages, commissions, $42,674.00 Wages, commissions, $29,922.00 (January 1 to December 31, 2016) bonuses, tips bonuses, tips Operating a business Operating a business 5. Did you receive any other income during this year or the two previous calendar years? Include income regardless of whether that income is taxable. Examples of other income are alimony; child support; Social Security, unemployment, and other public benefit payments; pensions; rental income; interest; dividends; money collected from lawsuits; royalties; and gambling and lottery winnings. If you are filing a joint case and you have income that you received together, list it only once under Debtor 1. List each source and the gross income from each source separately. Do not include income that you listed in line 4. No Yes. Fill in the details. Debtor 1 Debtor 2 Sources of income Gross income from Sources of income Gross income Describe below. each source Describe below. (before deductions (before deductions and and exclusions) exclusions) Part 3: List Certain Payments You Made Before You Filed for Bankruptcy 6. Are either Debtor 1's or Debtor 2's debts primarily consumer debts? No. Neither Debtor 1 nor Debtor 2 has primarily consumer debts. Consumer debts are defined in 11 U.S.C. § 101(8) as "incurred by an individual primarily for a personal, family, or household purpose." During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $6,425* or more? No. Go to line 7. Yes List below each creditor to whom you paid a total of $6,425* or more in one or more payments and the total amount you paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to an attorney for this bankruptcy case. * Subject to adjustment on 4/01/19 and every 3 years after that for cases filed on or after the date of adjustment. Yes. Debtor 1 or Debtor 2 or both have primarily consumer debts. During the 90 days before you filed for bankruptcy, did you pay any creditor a total of $600 or more? No. Go to line 7. Yes List below each creditor to whom you paid a total of $600 or more and the total amount you paid that creditor. Do not include payments for domestic support obligations, such as child support and alimony. Also, do not include payments to an attorney for this bankruptcy case. Creditor's Name and Address Dates of payment Total amount Amount you Was this payment for ... paid still owe FORD MOTOR CREDIT 12/15/2017 $623.52 $0.00 Mortgage Car Credit Card Loan Repayment Suppliers or vendors Other Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 45 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 7. Within 1 year before you filed for bankruptcy, did you make a payment on a debt you owed anyone who was an insider? Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; corporations of which you are an officer, director, person in control, or owner of 20% or more of their voting securities; and any managing agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Include payments for domestic support obligations, such as child support and alimony. No Yes. List all payments to an insider. Insider's Name and Address Dates of payment Total amount Amount you Reason for this payment paid still owe 8. Within 1 year before you filed for bankruptcy, did you make any payments or transfer any property on account of a debt that benefited an insider? Include payments on debts guaranteed or cosigned by an insider. No Yes. List all payments to an insider Insider's Name and Address Dates of payment Total amount Amount you Reason for this payment paid still owe Include creditor's name Part 4: Identify Legal Actions, Repossessions, and Foreclosures 9. Within 1 year before you filed for bankruptcy, were you a party in any lawsuit, court action, or administrative proceeding? List all such matters, including personal injury cases, small claims actions, divorces, collection suits, paternity actions, support or custody modifications, and contract disputes. No Yes. Fill in the details. Case title Nature of the case Court or agency Status of the case Case number REPUBLIC FINANCE LLC VS. COLLECTION SMALL CLAIMS COURT OF Pending LORENZO JORDAN ET AL JEFFERSON COUNTY On appeal 01-SM-2017-905841.00 Concluded WELLS FARGO BANK, N.A. VS. COLLECTION CIVIL-CIRCUIT COURT OF Pending DELOISE B. JORDAN JEFFERSON COUNTY On appeal 01-CV-2017-905114.00 Concluded 10. Within 1 year before you filed for bankruptcy, was any of your property repossessed, foreclosed, garnished, attached, seized, or levied? Check all that apply and fill in the details below. No. Go to line 11. Yes. Fill in the information below. Creditor Name and Address Describe the Property Date Value of the property Explain what happened REPUBLIC FINANCE WAGES 01/2018 $300.00 655 FIELDSTOWN RD STE 10 GARDENDALE, AL 35071 Property was repossessed. Property was foreclosed. Property was garnished. Property was attached, seized or levied. Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 46 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 11. Within 90 days before you filed for bankruptcy, did any creditor, including a bank or financial institution, set off any amounts from your accounts or refuse to make a payment because you owed a debt? No Yes. Fill in the details. Creditor Name and Address Describe the action the creditor took Date action was Amount taken 12. Within 1 year before you filed for bankruptcy, was any of your property in the possession of an assignee for the benefit of creditors, a court-appointed receiver, a custodian, or another official? No Yes Part 5: List Certain Gifts and Contributions 13. Within 2 years before you filed for bankruptcy, did you give any gifts with a total value of more than $600 per person? No Yes. Fill in the details for each gift. Gifts with a total value of more than $600 Describe the gifts Dates you gave Value per person the gifts Person to Whom You Gave the Gift and Address: 14. Within 2 years before you filed for bankruptcy, did you give any gifts or contributions with a total value of more than $600 to any charity? No Yes. Fill in the details for each gift or contribution. Gifts or contributions to charities that total Describe what you contributed Dates you Value more than $600 contributed Charity's Name Address (Number, Street, City, State and ZIP Code) ST. LUKE MISSIONARY BAPTIST CASH WITHIN THE $10,400.00 CHURCH LAST 2 5409 WINTERGREEN AVENUE YEARS BIRMINGHAM, AL 35228 Part 6: List Certain Losses 15. Within 1 year before you filed for bankruptcy or since you filed for bankruptcy, did you lose anything because of theft, fire, other disaster, or gambling? No Yes. Fill in the details. Describe the property you lost and Describe any insurance coverage for the loss Date of your Value of property how the loss occurred Include the amount that insurance has paid. List loss lost pending insurance claims on line 33 of Schedule A/B: Property. Part 7: List Certain Payments or Transfers 16. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone you consulted about seeking bankruptcy or preparing a bankruptcy petition? Include any attorneys, bankruptcy petition preparers, or credit counseling agencies for services required in your bankruptcy. No Yes. Fill in the details. Person Who Was Paid Description and value of any property Date payment Amount of Address transferred or transfer was payment Email or website address made Person Who Made the Payment, if Not You Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 4 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 47 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Person Who Was Paid Description and value of any property Date payment Amount of Address transferred or transfer was payment Email or website address made Person Who Made the Payment, if Not You Bond, Botes, Reese & Shinn, P.C. $376.00 ($310.00 FILING FEE AND 01/15/2018 $376.00 600 University Park Place $66.00 CREDIT REPORT FEE) Suite 510 Birmingham, AL 35209 CC Advising, Inc. $19.52 CREDIT COUNSELING FEE 01/2018 $19.52 703 Washington Avenue Suite 200 Bay City, MI 48708 17. Within 1 year before you filed for bankruptcy, did you or anyone else acting on your behalf pay or transfer any property to anyone who promised to help you deal with your creditors or to make payments to your creditors? Do not include any payment or transfer that you listed on line 16. No Yes. Fill in the details. Person Who Was Paid Description and value of any property Date payment Amount of Address transferred or transfer was payment made FREEDOM DEBT RELIEF DEBT SETTLEMENT COMPANY PREVIOUS 12 $1,960.00 4940 SOUTH WENDLER DRIVE SUITE MOS. 101 TEMPE, AZ 85282 18. Within 2 years before you filed for bankruptcy, did you sell, trade, or otherwise transfer any property to anyone, other than property transferred in the ordinary course of your business or financial affairs? Include both outright transfers and transfers made as security (such as the granting of a security interest or mortgage on your property). Do not include gifts and transfers that you have already listed on this statement. No Yes. Fill in the details. Person Who Received Transfer Description and value of Describe any property or Date transfer was Address property transferred payments received or debts made paid in exchange Person's relationship to you 19. Within 10 years before you filed for bankruptcy, did you transfer any property to a self-settled trust or similar device of which you are a beneficiary? (These are often called asset-protection devices.) No Yes. Fill in the details. Name of trust Description and value of the property transferred Date Transfer was made Part 8: List of Certain Financial Accounts, Instruments, Safe Deposit Boxes, and Storage Units 20. Within 1 year before you filed for bankruptcy, were any financial accounts or instruments held in your name, or for your benefit, closed, sold, moved, or transferred? Include checking, savings, money market, or other financial accounts; certificates of deposit; shares in banks, credit unions, brokerage houses, pension funds, cooperatives, associations, and other financial institutions. No Yes. Fill in the details. Name of Financial Institution and Last 4 digits of Type of account or Date account was Last balance Address (Number, Street, City, State and ZIP account number instrument closed, sold, before closing or Code) moved, or transfer transferred Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 48 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 21. Do you now have, or did you have within 1 year before you filed for bankruptcy, any safe deposit box or other depository for securities, cash, or other valuables? No Yes. Fill in the details. Name of Financial Institution Who else had access to it? Describe the contents Do you still Address (Number, Street, City, State and ZIP Code) Address (Number, Street, City, have it? State and ZIP Code) 22. Have you stored property in a storage unit or place other than your home within 1 year before you filed for bankruptcy? No Yes. Fill in the details. Name of Storage Facility Who else has or had access Describe the contents Do you still Address (Number, Street, City, State and ZIP Code) to it? have it? Address (Number, Street, City, State and ZIP Code) Part 9: Identify Property You Hold or Control for Someone Else 23. Do you hold or control any property that someone else owns? Include any property you borrowed from, are storing for, or hold in trust for someone. No Yes. Fill in the details. Owner's Name Where is the property? Describe the property Value Address (Number, Street, City, State and ZIP Code) (Number, Street, City, State and ZIP Code) CORA MAE JORDAN WELLS FARGO BANK CHECKING ACCOUNT Unknown BIRMINGHAM, AL Part 10: Give Details About Environmental Information For the purpose of Part 10, the following definitions apply: Environmental law means any federal, state, or local statute or regulation concerning pollution, contamination, releases of hazardous or toxic substances, wastes, or material into the air, land, soil, surface water, groundwater, or other medium, including statutes or regulations controlling the cleanup of these substances, wastes, or material. Site means any location, facility, or property as defined under any environmental law, whether you now own, operate, or utilize it or used to own, operate, or utilize it, including disposal sites. Hazardous material means anything an environmental law defines as a hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, contaminant, or similar term. Report all notices, releases, and proceedings that you know about, regardless of when they occurred. 24. Has any governmental unit notified you that you may be liable or potentially liable under or in violation of an environmental law? No Yes. Fill in the details. Name of site Governmental unit Environmental law, if you Date of notice Address (Number, Street, City, State and ZIP Code) Address (Number, Street, City, State and know it ZIP Code) 25. Have you notified any governmental unit of any release of hazardous material? No Yes. Fill in the details. Name of site Governmental unit Environmental law, if you Date of notice Address (Number, Street, City, State and ZIP Code) Address (Number, Street, City, State and know it ZIP Code) Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 6 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 49 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 26. Have you been a party in any judicial or administrative proceeding under any environmental law? Include settlements and orders. No Yes. Fill in the details. Case Title Court or agency Nature of the case Status of the Case Number Name case Address (Number, Street, City, State and ZIP Code) Part 11: Give Details About Your Business or Connections to Any Business 27. Within 4 years before you filed for bankruptcy, did you own a business or have any of the following connections to any business? A sole proprietor or self-employed in a trade, profession, or other activity, either full-time or part-time A member of a limited liability company (LLC) or limited liability partnership (LLP) A partner in a partnership An officer, director, or managing executive of a corporation An owner of at least 5% of the voting or equity securities of a corporation No. None of the above applies. Go to Part 12. Yes. Check all that apply above and fill in the details below for each business. Business Name Describe the nature of the business Employer Identification number Address Do not include Social Security number or ITIN. (Number, Street, City, State and ZIP Code) Name of accountant or bookkeeper Dates business existed 28. Within 2 years before you filed for bankruptcy, did you give a financial statement to anyone about your business? Include all financial institutions, creditors, or other parties. No Yes. Fill in the details below. Name Date Issued Address (Number, Street, City, State and ZIP Code) Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 7 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 50 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 12: Sign Below I have read the answers on this Statement of Financial Affairs and any attachments, and I declare under penalty of perjury that the answers are true and correct. I understand that making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. /s/ Lorenzo Jordan /s/ Deloise Bosha Jordan Lorenzo Jordan Deloise Bosha Jordan Signature of Debtor 1 Signature of Debtor 2 Date January 23, 2018 Date January 23, 2018 Did you attach additional pages to Your Statement of Financial Affairs for Individuals Filing for Bankruptcy (Official Form 107)? No Yes Did you pay or agree to pay someone who is not an attorney to help you fill out bankruptcy forms? No Yes. Name of Person. Attach the Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119). Official Form 107 Statement of Financial Affairs for Individuals Filing for Bankruptcy page 8 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 51 of 71 Fill in this information to identify your case: Check as directed in lines 17 and 21: Debtor 1 Lorenzo Jordan According to the calculations required by this Statement: Debtor 2 Deloise Bosha Jordan 1. Disposable income is not determined under (Spouse, if filing) 11 U.S.C. § 1325(b)(3). United States Bankruptcy Court for the: Northern District of Alabama 2. Disposable income is determined under 11 U.S.C. § 1325(b)(3). Case number (if known) 3. The commitment period is 3 years. 4. The commitment period is 5 years. Check if this is an amended filing Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period 12/15 Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more space is needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any additional pages, write your name and case number (if known). Part 1: Calculate Your Average Monthly Income 1. What is your marital and filing status? Check one only. Not married. Fill out Column A, lines 2-11. Married. Fill out both Columns A and B, lines 2-11. Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy case. 11 U.S.C. § 101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount of your monthly income varied during the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any income amount more than once. For example, if both spouses own the same rental property, put the income from that property in one column only. If you have nothing to report for any line, write $0 in the space. Column A Column B Debtor 1 Debtor 2 or non-filing spouse 2. Your gross wages, salary, tips, bonuses, overtime, and commissions (before all payroll deductions). $ 3,515.59 $ 2,497.52 3. Alimony and maintenance payments. Do not include payments from a spouse if Column B is filled in. $ 0.00 $ 0.00 4. All amounts from any source which are regularly paid for household expenses of you or your dependents, including child support. Include regular contributions from an unmarried partner, members of your household, your dependents, parents, and roommates. Do not include payments from a spouse. Do not include payments you listed on line 3. $ 0.00 $ 0.00 5. Net income from operating a business, profession, or farm Debtor 1 Gross receipts (before all deductions) $ 0.00 Ordinary and necessary operating expenses -$ 0.00 Net monthly income from a business, profession, or farm $ 0.00 Copy here -> $ 0.00 $ 0.00 6. Net income from rental and other real property Debtor 1 Gross receipts (before all deductions) $ 0.00 Ordinary and necessary operating expenses -$ 0.00 Net monthly income from rental or other real property $ 0.00 Copy here -> $ 0.00 $ 0.00 Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 52 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Column A Column B Debtor 1 Debtor 2 or non-filing spouse $ 0.00 $ 0.00 7. Interest, dividends, and royalties 8. Unemployment compensation $ 0.00 $ 0.00 Do not enter the amount if you contend that the amount received was a benefit under the Social Security Act. Instead, list it here: For you $ 0.00 For your spouse $ 0.00 9. Pension or retirement income. Do not include any amount received that was a benefit under the Social Security Act. $ 0.00 $ 0.00 10. Income from all other sources not listed above. Specify the source and amount. Do not include any benefits received under the Social Security Act or payments received as a victim of a war crime, a crime against humanity, or international or domestic terrorism. If necessary, list other sources on a separate page and put the total below. $ 0.00 $ 0.00 $ 0.00 $ 0.00 Total amounts from separate pages, if any. + $ 0.00 $ 0.00 11. Calculate your total average monthly income. Add lines 2 through 10 for each column. Then add the total for Column A to the total for Column B. $ 3,515.59 +$ 2,497.52 =$ 6,013.11 Total average monthly income Part 2: Determine How to Measure Your Deductions from Income 12. Copy your total average monthly income from line 11. $ 6,013.11 13. Calculate the marital adjustment. Check one: You are not married. Fill in 0 below. You are married and your spouse is filing with you. Fill in 0 below. You are married and your spouse is not filing with you. Fill in the amount of the income listed in line 11, Column B, that was NOT regularly paid for the household expenses of you or your dependents, such as payment of the spouse's tax liability or the spouse's support of someone other than you or your dependents. Below, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list additional adjustments on a separate page. If this adjustment does not apply, enter 0 below. $ $ +$ Total $ 0.00 Copy here=> - 0.00 14. Your current monthly income. Subtract line 13 from line 12. $ 6,013.11 15. Calculate your current monthly income for the year. Follow these steps: 15a. Copy line 14 here=> $ 6,013.11 Multiply line 15a by 12 (the number of months in a year). x 12 15b. The result is your current monthly income for the year for this part of the form. ........................................... $ 72,157.32 Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 53 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 16. Calculate the median family income that applies to you. Follow these steps: 16a. Fill in the state in which you live. AL 16b. Fill in the number of people in your household. 2 16c. Fill in the median family income for your state and size of household. $ 53,206.00 To find a list of applicable median income amounts, go online using the link specified in the separate instructions for this form. This list may also be available at the bankruptcy clerk's office. 17. How do the lines compare? 17a. Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under 11 U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Your Disposable Income (Official Form 122C-2). 17b. Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under 11 U.S.C. § 1325(b)(3). Go to Part 3 and fill out Calculation of Your Disposable Income (Official Form 122C-2). On line 39 of that form, copy your current monthly income from line 14 above. Part 3: Calculate Your Commitment Period Under 11 U.S.C. § 1325(b)(4) 18. Copy your total average monthly income from line 11. $ 6,013.11 19. Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you contend that calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your spouse's income, copy the amount from line 13. 19a. If the marital adjustment does not apply, fill in 0 on line 19a. -$ 0.00 19b. Subtract line 19a from line 18. $ 6,013.11 20. Calculate your current monthly income for the year. Follow these steps: 20a. Copy line 19b $ 6,013.11 Multiply by 12 (the number of months in a year). x 12 20b. The result is your current monthly income for the year for this part of the form $ 72,157.32 20c. Copy the median family income for your state and size of household from line 16c $ 53,206.00 21. How do the lines compare? Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3, The commitment period is 3 years. Go to Part 4. Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 4, The commitment period is 5 years. Go to Part 4. Part 4: Sign Below By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct. X /s/ Lorenzo Jordan X /s/ Deloise Bosha Jordan Lorenzo Jordan Deloise Bosha Jordan Signature of Debtor 1 Signature of Debtor 2 Date January 23, 2018 Date January 23, 2018 MM / DD / YYYY MM / DD / YYYY If you checked 17a, do NOT fill out or file Form 122C-2. If you checked 17b, fill out Form 122C-2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above. Official Form 122C-1 Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period page 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 54 of 71 Fill in this information to identify your case: Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan (Spouse, if filing) United States Bankruptcy Court for the: Northern District of Alabama Case number (if known) Check if this is an amended filing Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income 04/16 To fill out this form, you will need your completed copy of Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period (Official Form 122C-1). Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more space is needed, attach a separate sheet to this form, Include the line number to which additional information applies. On the top any additional pages, write your name and case number (if known). Part 1: Calculate Your Deductions from Your Income The Internal Revenue Service (IRS) issues National and Local Standards for certain expense amounts. Use these amounts to answer the the questions in lines 6-15. To find the IRS standards, go online using the link specified in the separate instructions for this form. This information may also be available at the bankruptcy clerk's office. Deduct the expense amounts set out in lines 6-15 regardless of your actual expense. In later parts of the form, you will use some of your actual expenses if they are higher than the standards. Do not include any operating expenses that you subtracted from income in lines 5 and 6 of Form 122C–1, and do not deduct any amounts that you subtracted from your spouse's income in line 13 of Form 122C–1. If your expenses differ from month to month, enter the average expense. Note: Line numbers 1-4 are not used in this form. These numbers apply to information required by a similar form used in chapter 7 cases. 5. The number of people used in determining your deductions from income Fill in the number of people who could be claimed as exemptions on your federal income tax return, plus the number of any additional dependents whom you support. This number may be different from 2 the number of people in your household. National Standards You must use the IRS National Standards to answer the questions in lines 6-7. 6. Food, clothing, and other items: Using the number of people you entered in line 5 and the IRS National Standards, fill in the dollar amount for food, clothing, and other items. $ 1,132.00 7. Out-of-pocket health care allowance: Using the number of people you entered in line 5 and the IRS National Standards, fill in the dollar amount for out-of-pocket health care. The number of people is split into two categories--people who are under 65 and people who are 65 or older--because older people have a higher IRS allowance for health car costs. If your actual expenses are higher than this IRS amount, you may deduct the additional amount on line 22. Official Form 22C-2 Chapter 13 Calculation of Your Disposable Income page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 55 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) People who are under 65 years of age 7a. Out-of-pocket health care allowance per person $ 49 7b. Number of people who are under 65 X 2 7c. Subtotal. Multiply line 7a by line 7b. $ 98.00 Copy here=> $ 98.00 People who are 65 years of age or older 7d. Out-of-pocket health care allowance per person $ 117 7e. Number of people who are 65 or older X 0 7f. Subtotal. Multiply line 7d by line 7e. $ 0.00 Copy here=> $ 0.00 7g. Total. Add line 7c and line 7f $ 98.00 Copy total here=> $ 98.00 Local Standards You must use the IRS Local Standards to answer the questions in lines 8-15. Based on information from the IRS, the U.S. Trustee Program has divided the IRS Local Standard for housing for bankruptcy purposes into two parts: Housing and utilities - Insurance and operating expenses Housing and utilities - Mortgage or rent expenses To answer the questions in lines 8-9, use the U.S. Trustee Program chart. To find the chart, go online using the link specified in the separate instructions for this form. This chart may also be available at the bankruptcy clerk's office. 8. Housing and utilities - Insurance and operating expenses: Using the number of people you entered in line 5, fill in the dollar amount listed for your county for insurance and operating expenses. $ 593.00 9. Housing and utilities - Mortgage or rent expenses: 9a. Using the number of people you entered in line 5, fill in the dollar amount listed for your county for mortgage or rent expenses. $ 938.00 9b. Total average monthly payment for all mortgages and other debts secured by your home. To calculate the total average monthly payment, add all amounts that are contractually due to each secured creditor in the 60 months after you file for bankruptcy. Next divide by 60. Name of the creditor Average monthly payment FLAGSTAR BANK $ 1,117.29 OCWEN LOAN SERVICING, LLC $ 335.00 Copy Repeat this amount 9b. Total average monthly payment $ 1,452.29 here=> -$ 1,452.29 on line 33a. 9c. Net mortgage or rent expense. Subtract line 9b (total average monthly payment) from line 9a (mortgage Copy or rent expense). If this number is less than $0, enter $0. $ 0.00 here=> $ 0.00 10. If you claim that the U.S. Trustee Program's division of the IRS Local Standard for housing is incorrect and affects the calculation of your monthly expenses, fill in any additional amount you claim. $ 0.00 Explain why: Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 56 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 11. Local transportation expenses: Check the number of vehicles for which you claim an ownership or operating expense. 0. Go to line 14. 1. Go to line 12. 2 or more. Go to line 12. 12. Vehicle operation expense: Using the IRS Local Standards and the number of vehicles for which you claim the operating expenses, fill in the Operating Costs that apply for your Census region or metropolitan statistical area. $ 430.00 13. Vehicle ownership or lease expense: Using the IRS Local Standards, calculate the net ownership or lease expense for each vehicle below. You may not claim the expense if you do not make any loan or lease payments on the vehicle. In addition, you may not claim the expense for more than two vehicles. Vehicle 1 Describe Vehicle 1: 2012 FORD F-150 100,240 miles 13a. Ownership or leasing costs using IRS Local Standard.................................................. $ 485.00 13b. Average monthly payment for all debts secured by Vehicle 1. Do not include costs for leased vehicles. To calculate the average monthly payment here and on line 13e, add all amounts that are contractually due to each secured creditor in the 60 months after you file for bankruptcy. Then divide by 60. Name of each creditor for Vehicle 1 Average monthly payment FORD MOTOR CREDIT $ 135.10 Repeat this Copy amount on Total Average Monthly Payment $ 135.10 here => -$ 135.10 line 33b. 13c. Net Vehicle 1 ownership or lease expense Copy net Vehicle 1 Subtract line 13b from line 13a. if this number is less than $0, enter $0. ..................... expense here $ 349.90 => $ 349.90 Vehicle 2 Describe Vehicle 2: 2016 HYUNDAI ACCENT 26,944 miles 13d. Ownership or leasing costs using IRS Local Standard.................................................. $ 485.00 13e. Average monthly payment for all debts secured by Vehicle 2. Do not include costs for leased vehicles. Name of each creditor for Vehicle 2 Average monthly payment HYUNDAI FINANCE $ 313.03 Copy Repeat this here amount on line Total average monthly payment $ 313.03 313.03 33c. => -$ 13f. Net Vehicle 2 ownership or lease expense Copy net Vehicle 2 Subtract line 13e from line 13d. if this number is less than $0, enter $0. ....................... expense here $ 171.97 => $ 171.97 14. Public transportation expense: If you claimed 0 vehicles in line 11, using the IRS Local Standards, fill in the Public Transportation expense allowance regardless of whether you use public transportation. $ 0.00 15. Additional public transportation expense: If you claimed 1 or more vehicles in line 11 and if you claim that you may also deduct a public transportation expense, you may fill in what you believe is the appropriate expense, but you may not claim more than the IRS Local Standard for Public Transportation. $ 0.00 Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 57 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Other Necessary Expenses In addition to the expense deductions listed above, you are allowed your monthly expenses for the following IRS categories. 16. Taxes: The total monthly amount that you will actually pay for federal, state and local taxes, such as income taxes, self-employment taxes, social security taxes, and Medicare taxes. You may include the monthly amount withheld from your pay for these taxes. However, if you expect to receive a tax refund, you must divide the expected refund by 12 and subtract that number from the total monthly amount that is withheld to pay for taxes. Do not include real estate, sales, or use taxes. $ 1,365.62 17. Involuntary deductions: The total monthly payroll deductions that your job requires, such as retirement contributions, union dues, and uniform costs. Do not include amounts that are not required by your job, such as voluntary 401(k) contributions or payroll savings. $ 178.40 18. Life Insurance: The total monthly premiums that you pay for your own term life insurance. If two married people are filing together, include payments that you make for your spouse's term life insurance. Do not include premiums for life insurance on your dependents, for a non-filing spouse's life insurance, or for any form of life insurance other than term. $ 0.00 19. Court-ordered payments: The total monthly amount that you pay as required by the order of a court or administrative agency, such as spousal or child support payments. Do not include payments on past due obligations for spousal or child support. You will list these obligations in line 35. $ 0.00 20. Education: The total monthly amount that you pay for education that is either required: as a condition for your job, or for your physically or mentally challenged dependent child if no public education is available for similar services. $ 0.00 21. Childcare: The total monthly amount that you pay for childcare, such as babysitting, daycare, nursery, and preschool. Do not include payments for any elementary or secondary school education. $ 0.00 22. Additional health care expenses, excluding insurance costs: The monthly amount that you pay for health care that is required for the health and welfare of you or your dependents and that is not reimbursed by insurance or paid by a health savings account. Include only the amount that is more than the total entered in line 7. Payments for health insurance or health savings accounts should be listed only in line 25. $ 0.00 23. Optional telephone and telephone services: The total monthly amount that you pay for telecommunication services for you and your dependents, such as pagers, call waiting, caller identification, special long distance, or business cell phone service, to the extent necessary for your health and welfare or that of your dependents or for the production of income, if it is not reimbursed by your employer. Do not include payments for basic home telephone, internet and cell phone service. Do not include self-employment expenses, such as those reported on line 5 of Official Form 122C-1, or any amount you previously deducted. +$ 0.00 24. Add all of the expenses allowed under the IRS expense allowances. $ 4,318.89 Add lines 6 through 23. Additional Expense Deductions These are additional deductions allowed by the Means Test. Note: Do not include any expense allowances listed in lines 6-24. 25. Health insurance, disability insurance, and health savings account expenses. The monthly expenses for health insurance, disability insurance, and health savings accounts that are reasonably necessary for yourself, your spouse, or your dependents. Health insurance $ 388.61 Disability insurance $ 0.00 Health savings account +$ 0.00 Total $ 388.61 Copy total here=> $ 388.61 Do you actually spend this total amount? No. How much do you actually spend? Yes $ 26. Continued contributions to the care of household or family members. The actual monthly expenses that you will continue to pay for the reasonable and necessary care and support of an elderly, chronically ill, or disabled member of your household or member of your immediate family who is unable to pay for such expenses. These expenses may include contributions to an account of a qualified ABLE program. 26 U.S.C. § 529A(b) $ 0.00 27. Protection against family violence. The reasonably necessary monthly expenses that you incur to maintain the safety of you and your family under the Family Violence Prevention and Services Act or other federal laws that apply. By law, the court must keep the nature of these expenses confidential. $ 0.00 Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 4 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 58 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 28. Additional home energy costs. Your home energy costs are included in your insurance and operating expenses on line 8. If you believe that you have home energy costs that are more than the home energy costs included in expenses on line 8, then fill in the excess amount of home energy costs You must give your case trustee documentation of your actual expenses, and you must show that the additional amount claimed is reasonable and necessary. $ 0.00 29. Education expenses for dependent children who are younger than 18. The monthly expenses (not more than $160.42* per child) that you pay for your dependent children who are younger than 18 years old to attend a private or public elementary or secondary school. You must give your case trustee documentation of your actual expenses, and you must explain why the amount claimed is reasonable and necessary and not already accounted for in lines 6-23. * Subject to adjustment on 4/01/19, and every 3 years after that for cases begun on or after the date of adjustment. $ 0.00 30. Additional food and clothing expense. The monthly amount by which your actual food and clothing expenses are higher than the combined food and clothing allowances in the IRS National Standards. That amount cannot be more than 5% of the food and clothing allowances in the IRS National Standards. To find a chart showing the maximum additional allowance, go online using the link specified in the separate instructions for this form. This chart may also be available at the bankruptcy clerk's office. You must show that the additional amount claimed is reasonable and necessary. $ 0.00 31. Continuing charitable contributions. The amount that you will continue to contribute in the form of cash or financial instruments to a religious or charitable organization. 11 U.S.C. § 548(d)(3) and (4). Do not include any amount more than 15% of your gross monthly income. $ 400.00 32. Add all of the additional expense deductions. $ 788.61 Add lines 25 through 31. Deductions for Debt Payment 33. For debts that are secured by an interest in property that you own, including home mortgages, vehicle loans, and other secured debt, fill in lines 33a through 33e. To calculate the total average monthly payment, add all amounts that are contractually due to each secured creditor in the 60 months after you file for bankruptcy. Then divide by 60. Mortgages on your home Average monthly payment 33a. Copy line 9b here => $ 1,452.29 Loans on your first two vehicles 33b. Copy line 13b here => $ 135.10 33c. Copy line 13e here => $ 313.03 33d. List other secured debts: Name of each creditor for other secured debt Identify property that secures the debt Does payment include taxes or insurance? No SPIRE HEAT SYSTEM Yes $ 83.33 No Yes $ No Yes +$ Copy total 33e Total average monthly payment. Add lines 33a through 33d $ 1,983.75 here=> $ 1,983.75 Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 59 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) 34. Are any debts that you listed in line 33 secured by your primary residence, a vehicle, or other property necessary for your support or the support of your dependents? No. Go to line 35. Yes. State any amount that you must pay to a creditor, in addition to the payments listed in line 33, to keep possession of your property (called the cure amount). Next, divide by 60 and fill in the information below. Name of the creditor Identify property that secures the debt Total cure amount Monthly cure amount HYUNDAI FINANCE 2016 HYUNDAI ACCENT 26,944 miles $ 737.00 ÷ 60 = $ 12.28 1704 33rd Avenue North Birmingham, OCWEN LOAN SERVICING, AL 35207 Jefferson County LLC (NON-HOMESTEAD) $ 800.00 ÷ 60 = $ 13.33 $ ÷ 60 = +$ Copy total Total $ 25.61 here=> $ 25.61 35. Do you owe any priority claims - such as a priority tax, child support, or alimony - that are past due as of the filing date of your bankruptcy case? 11 U.S.C. § 507. No. Go to line 36. Yes. Fill in the total amount of all of these priority claims. Do not include current or ongoing priority claims, such as those you listed in line 19. Total amount of all past-due priority claims $ 0.00 ÷ 60 $ 0.00 36. Projected monthly Chapter 13 plan payment $ Current multiplier for your district as stated on the list issued by the Administrative Office of the United States Courts (for districts in Alabama and North Carolina) or by the Executive Office for United States Trustees (for all other districts). X To find a list of district multipliers that includes your district, go online using the link specified in the separate instructions for this form. This list may also be available at the bankruptcy clerk's office. Copy total Average monthly administrative expense $ here=> $ 37. Add all of the deductions for debt payment. $ 2,009.36 Add lines 33e through 36. Total Deductions from Income 38. Add all of the allowed deductions. Copy line 24, All of the expenses allowed under IRS expense allowances $ 4,318.89 Copy line 32, All of the additional expense deductions $ 788.61 Copy line 37, All of the deductions for debt payment +$ 2,009.36 Total deductions.................................................................... $ 7,116.86 Copy total here=> $ 7,116.86 Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 6 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 60 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 2: Determine Your Disposable Income Under 11 U.S.C. § 1325(b)(2) 39. Copy your total current monthly income from line 14 of Form 122C-1, Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period. $ 6,013.11 40. Fill in any reasonably necessary income you receive for support for dependent children. The monthly average of any child support payments, foster care payments, or disability payments for a dependent child, reported in Part I of Form 122C-1, that you received in accordance with applicable nonbankruptcy law to the extent reasonably necessary to be expended for such child. $ 0.00 41. Fill in all qualified retirement deductions. The monthly total of all amounts that your employer withheld from wages as contributions for qualified retirement plans, as specified in 11 U.S.C. § 541(b)(7) plus all required repayments of loans from retirement plans, as specified in 11 U.S.C. § 362(b)(19). $ 0.00 42. Total of all deductions allowed under 11 U.S.C. § 707(b)(2)(A). Copy line 38 here => $ 7,116.86 43. Deduction for special circumstances. If special circumstances justify additional expenses and you have no reasonable alternative, describe the special circumstances and their expenses. You must give your case trustee a detailed explanation of the special circumstances and documentation for the expenses. Describe the special circumstances Amount of expense $ $ $ Copy Total $ 0.00 here=> $ 0.00 Copy 44. Total adjustments. Add lines 40 through 43. => $ 7,116.86 here=> -$ 7,116.86 45. Calculate your monthly disposable income under § 1325(b)(2). Subtract line 44 from line 39. $ -1,103.75 Part 3: Change in Income or Expenses 46. Change in income or expenses. If the income in Form 122C-1 or the expenses you reported in this form have changed or are virtually certain to change after the date you filed your bankruptcy petition and during the time your case will be open, fill in the information below. For example, if the wages reported increased after you filed your petition, check 122C-1 in the first column, enter line 2 in the second column, explain why the wages increased, fill in when the increase occurred, and fill in the amount of the increase. Form Line Reason for change Date of change Increase or Amount of change decrease? 122C-1 Increase 122C-2 Decrease $ 122C-1 Increase 122C-2 Decrease $ 122C-1 Increase 122C-2 Decrease $ 122C-1 Increase 122C-2 Decrease $ Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 7 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 61 of 71 Debtor 1 Lorenzo Jordan Debtor 2 Deloise Bosha Jordan Case number (if known) Part 4: Sign Below By signing here, under penalty of perjury you declare that the information on this statement and in any attachments is true and correct. X /s/ Lorenzo Jordan X /s/ Deloise Bosha Jordan Lorenzo Jordan Deloise Bosha Jordan Signature of Debtor 1 Signature of Debtor 2 Date January 23, 2018 Date January 23, 2018 MM / DD / YYYY MM / DD / YYYY Official Form 122C-2 Chapter 13 Calculation of Your Disposable Income page 8 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 62 of 71 B2030 (Form 2030) (12/15) United States Bankruptcy Court Northern District of Alabama Lorenzo Jordan In re Deloise Bosha Jordan Case No. Debtor(s) Chapter 13 DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S) 1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above named debtor(s) and that compensation paid to me within one year before the filing of the petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows: For legal services, I have agreed to accept $ 3,750.00 Prior to the filing of this statement I have received $ 0.00 Balance Due $ 3,750.00 2. The source of the compensation paid to me was: Debtor Other (specify): NONE PAID 3. The source of compensation to be paid to me is: Debtor Other (specify): CHAPTER 13 TRUSTEE 4. I have not agreed to share the above-disclosed compensation with any other person unless they are members and associates of my law firm. I have agreed to share the above-disclosed compensation with a 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. [Other provisions as needed] 6. By agreement with the debtor(s), the above-disclosed fee does not include the following service: 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. January 23, 2018 /s/ Robert D. Reese Date Robert D. Reese Signature of Attorney Bond, Botes, Reese & Shinn, P.C. 600 University Park Place Suite 510 Birmingham, AL 35209 (205) 802-2200 Fax: (205) 802-2209 Name of law firm Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 63 of 71 United States Bankruptcy Court Northern District of Alabama Lorenzo Jordan In re Deloise Bosha Jordan Case No. Debtor(s) Chapter 13 VERIFICATION OF CREDITOR MATRIX The above-named Debtors hereby verify that the attached list of creditors is true and correct to the best of their knowledge. Date: January 23, 2018 /s/ Lorenzo Jordan Lorenzo Jordan Signature of Debtor Date: January 23, 2018 /s/ Deloise Bosha Jordan Deloise Bosha Jordan Signature of Debtor Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 64 of 71 1ST FRANKLIN FINANCIAL CITIBANK/BEST BUY COMENITY BANK/GOODYS 135 E TUGALO STREET CENTRALIZED BANKRUPTCY PO BOX 182789 TOCCOA GA 30577 PO BOX 790040 COLUMBUS OH 43218 ST. LOUIS MO 63179 } b k 1 { C r e d i t o A s M a x 1ST FRANKLIN FINANCIAL CITIBANK/BEST BUY COMENITY BANK/GOODYS PO BOX 310518 PO BOX 6497 PO BOX 659465 BIRMINGHAM AL 35231 SIOUX FALLS SD 57117 SAN ANTONIO TX 78265-9465 BARCLAYS BANK DELAWARE CITIBANK/BEST BUY COMENITY BANK/JESSICA LONDO 100 S WEST ST PO BOX 78009 PO BOX 182125 WILMINGTON DE 19801 PHOENIX AZ 85062-8009 COLUMBUS OH 43218 BARCLAYS BANK DELAWARE CITIBANK/THE HOME DEPOT COMENITY BANK/JESSICA LONDO P.O. BOX 8803 CENTRALIZED BANKRUPTCY PO BOX 182789 WILMINGTON DE 19899 PO BOX 790040 COLUMBUS OH 43218 ST LOUIS MO 63129 BARCLAYS BANK DELAWARE CITIBANK/THE HOME DEPOT COMENITY BANK/JESSICA LONDO PO BOX 8826 PO BOX 6497 PO BOX 659728 WILMINGTON DE 19899-8826 SIOUX FALLS SD 57117 SAN ANTONIO TX 78265-9728 BAY CLUB OF SANDESTIN CITIBANK/THE HOME DEPOT COMENITY BANK/KINGSI/BRYLAN %MERIDIAN FINANCIAL SVC PO BOX 78011 PO BOX 182125 P.O. BOX 1410 PHOENIX AZ 85062-8011 COLUMBUS OH 43218 ASHEVILLE NC 28802 BHAM CITY CU COMENITY BANK/AVENUE COMENITY BANK/KINGSI/BRYLAN 708 17TH ST N PO BOX 182125 PO BOX 182118 BIRMINGHAM AL 35203 COLUMBUS OH 43218 COLUMBUS OH 43218-2118 CAPITAL ONE COMENITY BANK/AVENUE COMENITY BANK/KINGSI/BRYLAN ATTN: BANKRUPTCY PO BOX 182789 PO BOX 182789 PO BOX 30285 COLUMBUS OH 43218 COLUMBUS OH 43218 SALT LAKE CITY UT 84130 CAPITAL ONE COMENITY BANK/AVENUE COMENITYBANK/CATHERINE PO BOX 60599 PO BOX 659584 PO BOX 182789 CITY OF INDUSTRY CA 91716-0599 SAN ANTONIO TX 78265-9584 COLUMBUS OH 43218 CAPITAL ONE COMENITY BANK/GOODYS COMENITYBANK/CATHERINE 15000 CAPITAL ONE DRIVE ATTN: BANKRUPTCY PO BOX 659728 HENRICO VA 23238 PO BOX 182125 SAN ANTONIO TX 78265-9728 COLUMBUS OH 43218 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 65 of 71 FLAGSTAR BANK OCWEN LOAN SERVICING, LLC SYNCHRONY BANK/ JC PENNEY ATTN: BANKRUPTCY DEPT 12650 INGENUITY DRIVE PO BOX 965046 5151 CORPORATE DR ORLANDO FL 32826 ORLANDO FL 32896-5046 TROY MI 48098 FLAGSTAR BANK OCWEN LOAN SERVICING, LLC SYNCHRONY BANK/BELK PO BOX 660263 PO BOX 24738 ATTN: BANKRUPTCY DALLAS TX 75266-0263 WEST PALM BEACH FL 33416 PO BOX 965060 ORLANDO FL 32896 FORD MOTOR CREDIT PAYPAL CREDIT SYNCHRONY BANK/BELK PO BOX BOX 542000 PO BOX 105658 PO BOX 965028 OMAHA NE 68154 ATLANTA GA 30348-5658 ORLANDO FL 32896 FORD MOTOR CREDIT REGIONAL FINANCE CORP. SYNCHRONY BANK/BELK PO BOX 398034 306 PALISADES BLVD. STE. 4 PO BOX 530940 MINNEAPOLIS MN 55439 BIRMINGHAM AL 35209 ATLANTA GA 30353 HYUNDAI FINANCE REPUBLIC FINANCE SYNCHRONY BANK/SAMS ATTN: BANKRUPTCY 655 FIELDSTOWN RD STE 10 ATTN: BANKRUPTCY PO BOX 20809 GARDENDALE AL 35071 PO BOX 965060 FOUNTAIN CITY CA 92728 ORLANDO FL 32896 HYUNDAI FINANCE REPUBLIC FINANCE SYNCHRONY BANK/SAMS 10550 TALBERT AVENUE 525 BROOKWAY BLVD. PO BOX 965005 FOUNTAIN VALLEY CA 92708 BROOKHAVEN MS 39601 ORLANDO FL 32896 HYUNDAI FINANCE SPIRE TARGET PO BOX 650805 24-98 20TH STREET SOUTH C/O FINANCIAL & RETAIL SRVS DALLAS TX 75265 BIRMINGHAM AL 35233 MAILSTOPN BT POB 9475 MINNEAPOLIS MN 55440 MARINER FINANCE SPIRE/ALAGASCO TARGET 8211 TOWN CENTER DR 700 MARKET STREET PO BOX 673 NOTTINGHAM MD 21236 SAINT LOUIS MO 63101 MINNEAPOLIS MN 55440 MARINER FINANCE SYNCHRONY BANK/ JC PENNEYS TARGET 1725 DECATUR HIGHWAY STE. 101 ATTN: BANKRUPTCY PO BOX 660170 FULTONDALE AL 35068 PO BOX 965060 DALLAS TX 75266 ORLANDO FL 32896 OCWEN LOAN SERVICING, LLC SYNCHRONY BANK/ JC PENNEYS WELLS FARGO BANK ATTN: RESEARCH/BANKRUPTCY PO BOX 965007 PO BOX 10438 1661 WORTHINGTON RD STE 100 ORLANDO FL 32896 MACF8235-02F WEST PALM BCH FL 33409 DES MOINES IA 50306 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 66 of 71 WELLS FARGO BANK PO BOX 14517 DES MOINES IA 50306 WELLS FARGO BANK PO BOX 10347 DES MOINES IA 50306-0347 WELLS FARGO BANK %BARRY A. FRIEDMAN & ASSOC. PC PO BOX 2394 MOBILE AL 36652 WYNDHAM VACATION RESORTS INC TITLE SERVICES 6277 SEA HARBOR ORLANDO FL 32821 Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 67 of 71 Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) Chapter 7: Liquidation This notice is for you if: $245 filing fee You are an individual filing for bankruptcy, and $75 administrative fee Your debts are primarily consumer debts. + $15 trustee surcharge Consumer debts are defined in 11 U.S.C. § 101(8) as "incurred by an individual $335 total fee primarily for a personal, family, or household purpose." Chapter 7 is for individuals who have financial difficulty preventing them from paying their debts and who are willing to allow their nonexempt The types of bankruptcy that are available to property to be used to pay their creditors. The individuals primary purpose of filing under chapter 7 is to have your debts discharged. The bankruptcy discharge Individuals who meet the qualifications may file under relieves you after bankruptcy from having to pay one of four different chapters of Bankruptcy Code: many of your pre-bankruptcy debts. Exceptions exist for particular debts, and liens on property may still Chapter 7 - Liquidation be enforced after discharge. For example, a creditor may have the right to foreclose a home mortgage or Chapter 11 - Reorganization repossess an automobile. Chapter 12 - Voluntary repayment plan However, if the court finds that you have committed for family farmers or certain kinds of improper conduct described in the fishermen Bankruptcy Code, the court may deny your discharge. Chapter 13 - Voluntary repayment plan for individuals with regular You should know that even if you file chapter 7 and income you receive a discharge, some debts are not discharged under the law. Therefore, you may still be responsible to pay: You should have an attorney review your decision to file for bankruptcy and the choice of most taxes; chapter. most student loans; domestic support and property settlement obligations; Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 68 of 71 most fines, penalties, forfeitures, and criminal your income is more than the median income for your restitution obligations; and state of residence and family size, depending on the results of the Means Test, the U.S. trustee, bankruptcy certain debts that are not listed in your bankruptcy administrator, or creditors can file a motion to dismiss papers. your case under § 707(b) of the Bankruptcy Code. If a motion is filed, the court will decide if your case should You may also be required to pay debts arising from: be dismissed. To avoid dismissal, you may choose to proceed under another chapter of the Bankruptcy fraud or theft; Code. fraud or defalcation while acting in breach of If you are an individual filing for chapter 7 bankruptcy, fiduciary capacity; the trustee may sell your property to pay your debts, subject to your right to exempt the property or a portion intentional injuries that you inflicted; and of the proceeds from the sale of the property. The property, and the proceeds from property that your death or personal injury caused by operating a bankruptcy trustee sells or liquidates that you are motor vehicle, vessel, or aircraft while intoxicated entitled to, is called exempt property. Exemptions may from alcohol or drugs. enable you to keep your home, a car, clothing, and household items or to receive some of the proceeds if If your debts are primarily consumer debts, the court the property is sold. can dismiss your chapter 7 case if it finds that you have enough income to repay creditors a certain amount. Exemptions are not automatic. To exempt property, you You must file Chapter 7 Statement of Your Current must list it on Schedule C: The Property You Claim as Monthly Income (Official Form 122A–1) if you are an Exempt (Official Form 106C). If you do not list the individual filing for bankruptcy under chapter 7. This property, the trustee may sell it and pay all of the form will determine your current monthly income and proceeds to your creditors. compare whether your income is more than the median income that applies in your state. If your income is not above the median for your state, you will not have to complete the other chapter 7 form, Chapter 11: Reorganization the Chapter 7 Means Test Calculation (Official Form 122A–2). $1,167 filing fee If your income is above the median for your state, you must file a second form —the Chapter 7 Means Test + $550 administrative fee Calculation (Official Form 122A–2). The calculations on $1,717 total fee the form— sometimes called the Means Test—deduct from your income living expenses and payments on Chapter 11 is often used for reorganizing a business, certain debts to determine any amount available to pay but is also available to individuals. The provisions of unsecured creditors. If chapter 11 are too complicated to summarize briefly. Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 2 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 69 of 71 Read These Important Warnings Because bankruptcy can have serious long-term financial and legal consequences, including loss of your property, you should hire an attorney and carefully consider all of your options before you file. Only an attorney can give you legal advice about what can happen as a result of filing for bankruptcy and what your options are. If you do file for bankruptcy, an attorney can help you fill out the forms properly and protect you, your family, your home, and your possessions. Although the law allows you to represent yourself in bankruptcy court, you should understand that many people find it difficult to represent themselves successfully. The rules are technical, and a mistake or inaction may harm you. If you file without an attorney, you are still responsible for knowing and following all of the legal requirements. You should not file for bankruptcy if you are not eligible to file or if you do not intend to file the necessary documents. Bankruptcy fraud is a serious crime; you could be fined and imprisoned if you commit fraud in your bankruptcy case. Making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to $250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571. Under chapter 13, you must file with the court a plan to Chapter 12: Repayment plan for family repay your creditors all or part of the money that you farmers or fishermen owe them, usually using your future earnings. If the court approves your plan, the court will allow you to repay your debts, as adjusted by the plan, within 3 $200 filing fee years or 5 years, depending on your income and other + $75 administrative fee factors. $275 total fee After you make all the payments under your plan, Similar to chapter 13, chapter 12 permits family farmers many of your debts are discharged. The debts that are and fishermen to repay their debts over a period of time not discharged and that you may still be responsible to using future earnings and to discharge some debts that pay include: are not paid. domestic support obligations, most student loans, Chapter 13: Repayment plan for individuals with regular certain taxes, income debts for fraud or theft, $235 filing fee debts for fraud or defalcation while acting in a + $75 administrative fee fiduciary capacity, $310 total fee most criminal fines and restitution obligations, Chapter 13 is for individuals who have regular income and would like to pay all or part of their debts in certain debts that are not listed in your installments over a period of time and to discharge some bankruptcy papers, debts that are not paid. You are eligible for chapter 13 only if your debts are not more than certain dollar certain debts for acts that caused death or amounts set forth in 11 U.S.C. § 109. personal injury, and certain long-term secured debts. Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 3 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 70 of 71 A married couple may file a bankruptcy case Warning: File Your Forms on Time together—called a joint case. If you file a joint case and each spouse lists the same mailing address on the Section 521(a)(1) of the Bankruptcy Code requires that bankruptcy petition, the bankruptcy court generally will you promptly file detailed information about your mail you and your spouse one copy of each notice, creditors, assets, liabilities, income, expenses and unless you file a statement with the court asking that general financial condition. The court may dismiss your each spouse receive separate copies. bankruptcy case if you do not file this information within the deadlines set by the Bankruptcy Code, the Understand which services you could receive from Bankruptcy Rules, and the local rules of the court. credit counseling agencies For more information about the documents and The law generally requires that you receive a credit their deadlines, go to: counseling briefing from an approved credit counseling http://www.uscourts.gov/bkforms/bankruptcy_form agency. 11 U.S.C. § 109(h). If you are filing a joint case, s.html#procedure. both spouses must receive the briefing. With limited exceptions, you must receive it within the 180 days before you file your bankruptcy petition. This briefing is Bankruptcy crimes have serious consequences usually conducted by telephone or on the Internet. If you knowingly and fraudulently conceal assets In addition, after filing a bankruptcy case, you generally or make a false oath or statement under penalty of must complete a financial management instructional perjury—either orally or in writing—in connection course before you can receive a discharge. If you are with a bankruptcy case, you may be fined, filing a joint case, both spouses must complete the imprisoned, or both. course. All information you supply in connection with a You can obtain the list of agencies approved to provide bankruptcy case is subject to examination by the both the briefing and the instructional course from: Attorney General acting through the Office of the http://justice.gov/ust/eo/hapcpa/ccde/cc_approved.html. U.S. Trustee, the Office of the U.S. Attorney, and other offices and employees of the U.S. In Alabama and North Carolina, go to: Department of Justice. http://www.uscourts.gov/FederalCourts/Bankruptcy/ BankruptcyResources/ApprovedCredit Make sure the court has your mailing address AndDebtCounselors.aspx. The bankruptcy court sends notices to the mailing If you do not have access to a computer, the clerk of address you list on Voluntary Petition for Individuals the bankruptcy court may be able to help you obtain the Filing for Bankruptcy (Official Form 101). To ensure list. that you receive information about your case, Bankruptcy Rule 4002 requires that you notify the court of any changes in your address. Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010) page 4 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 1 Filed 01/23/18 Entered 01/23/18 08:32:05 Desc Main Document Page 71 of 71

Chapter 13 Plan, and Request to Surrender Collateral. Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.

IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF ALABAMA Fill in this information to identify your case: Debtor 1 Lorenzo Jordan Check if this is an amended plan Name: First Middle Last Amends plan dated: Debtor 2 Deloise Bosha Jordan Part(s) amended: (Spouse, if filing) Name: First Middle Last Part 1 Part 5 Part 2 Part 6 Case number: Part 3 Part 8 (If known) Part 4 Part 9 Failure to check a box identifying a Part amended hereby may render that amendment ineffective. Chapter 13 Plan Part 1: Notices To Debtor(s): This form sets out options that may be appropriate in some cases, but the presence of an option on the form does not indicate that the option is appropriate in your circumstances. Plans that do not comply with local rules, administrative orders, and judicial rulings may not be confirmable. In the following notice to creditors, you must check each box that applies. Your failure to check a box that applies renders that provision ineffective. To Creditors: Your rights may be affected by this plan. Your claim may be reduced, modified, or eliminated. You should read this plan carefully and discuss it with your attorney, if you have one in this bankruptcy case. If you do not have an attorney, you may wish to consult one. If you oppose the plan's treatment of your claim or any provision of this plan, you or your attorney must file an objection to confirmation at least 7 days before the confirmation hearing, unless otherwise ordered. The Bankruptcy Court may confirm this plan without further notice if no objection to confirmation is made. See Bankruptcy Rule 3015. In addition, a proper proof of claim must be filed in order to be paid under this plan. The following matters may be of particular importance to you. Debtor(s) must check each box that applies. Debtor(s)' failure to check a box that applies renders that provision ineffective. The plan seeks to limit the amount of a secured claim, as set out in Part 3, § 3.2, which may result in a partial payment or no payment at all to the secured creditor. The plan requests the avoidance of a judicial lien or nonpossessory, nonpurchase-money security interest as set out in Part 3, § 3.4. The plan sets out nonstandard provision(s) in Part 9. Part 2: Plan Payments and Length of Plan 2.1 Debtor(s) will make regular payments to the trustee as follows: $850.00 per Month for 60 months Debtor(s) shall commence payments within thirty (30) days of the petition date. 2.2 Regular payments to the trustee will be made from future income in the following manner (check all that apply): Debtor(s) will make payments pursuant to a payroll deduction. Debtor(s) request a payroll deduction be issued to Debtor(s) will make payments directly to the trustee. Other (specify method of payment) Chapter 13 Plan Page 1 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 2 Filed 01/23/18 Entered 01/23/18 08:44:43 Desc Main Document Page 1 of 5 Debtor Lorenzo Jordan Case number Eff (12/01/2017) Deloise Bosha Jordan 2.3 Income tax refunds and returns. Check one. Debtor(s) will retain any income tax refunds received during the plan term. Debtor(s) will supply the trustee with a copy of each income tax return filed during the plan term within 14 days of filing the return and will turn over to the trustee income tax refunds received during the plan term, if any. Debtor(s) will treat income refunds as follows: Debtor(s) believe they are not required to file income tax returns and do not expect to receive tax refunds during the plan term. 2.4 Additional payment (Check all that apply): Debtors will increase the Chapter 13 payment in September, 2019 to $1,075.00 per month when retirement loan is paid off. 2.5 Adequate Protection Payments Any adequate protection payments shall be made as part of this plan; see Part 3 or Part 9 for details. The secured creditor must file a proof of claim in order to receive payment. Unless otherwise ordered, adequate protection payments through the trustee shall be made as funds are available after the proof of claim is properly filed. Part 3: Treatment of Secured Claims 3.1 Maintenance of payments and cure of defaults, if any, on long-term secured debts. Check one. None. If "None" is checked, the rest of § 3.1 need not be completed or reproduced. Debtor(s) or trustee will maintain the current contractual installment payments on the secured claims listed below. These payments will be disbursed either by the trustee or paid directly by Debtor(s), as specified below. Any existing arrearage on a listed claim will be paid in full through disbursements by the trustee. Unless otherwise ordered, the amounts listed on a proof of claim, amended proof of claim, or notice of payment change control over any contrary amounts listed below as to the estimated amount of creditor's total claim, current installment payment, and arrearage. Name of Collateral Estimated Current Amount of Months Monthly Fixed Monthly Fixed Creditor Amount of Installment Arrearage (if Included in Payment on Payment to Creditor's Payment any) Arrearage Arrearage Begin Total Claim (Including Escrow) FLAGSTAR RESIDENTIAL REAL $187,234.00 $1,117.29 N/A N/A N/A N/A BANK PROPERTY Disbursed by: Trustee Debtor(s) OCWEN RESIDENTIAL REAL $35,866.00 $335.00 $800.00 THRU 01/18 $25.00 07/2018 LOAN PROPERTY Disbursed by: SERVICING, (NON-HOMESTEAD) Trustee LLC Debtor(s) 3.2 Request for valuation of security, claim modification, and hearing on valuation. Check one. None. If "None" is checked, the rest of § 3.2 need not be completed or reproduced. 3.3 Secured claims excluded from 11 U.S.C. § 506 and fully secured claims. Check one. None. If "None" is checked, the rest of § 3.3 need not be completed or reproduced. The claims listed below: 1. were incurred within 910 days before the petition date and secured by a purchase-money security interest in a motor vehicle acquired for the personal use of Debtor(s), or 2. were incurred within 1 year of the petition date and secured by a purchase-money security interest in any other thing of value, or 3. are fully secured. These claims will be paid in full under the plan with interest at the rate stated below. These payments will be disbursed by the trustee as specified below. Unless otherwise ordered, the amount stated on a proof of claim or amended proof of claim controls Chapter 13 Plan Page 2 of 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 2 Filed 01/23/18 Entered 01/23/18 08:44:43 Desc Main Document Page 2 of 5 Debtor Lorenzo Jordan Case number Eff (12/01/2017) Deloise Bosha Jordan over any contrary amount listed below as to the estimated amount of the creditor's total claim, but the interest rate is controlled by the plan. Name of Creditor Monthly Estimated Collateral Value of Interest Monthly Fixed Monthly Fixed Adequate Amount of Collateral Rate Payment to Payment to Begin Protection Creditor's Total Creditor Payment Claim FORD MOTOR $160.00 $8,044.00 2012 FORD $16,025.00 5.00% $170.00 07/18 CREDIT F-150 HYUNDAI $114.00 $18,650.00 2016 $11,375.00 5.00% $390.00 07/18 FINANCE HYUNDAI ACCENT SPIRE $50.00 $5,000.00 HEAT $5,000.00 5.00% $105.00 07/18 PUMP 3.4 Section 522(f) judicial lien and nonpossessory, nonpurchase-money ("Non-PPM") security interest avoidance. Check all that apply. None. If "None" is checked, the rest of § 3.4 need not be completed or reproduced. 3.5 Surrender of collateral. Check one. None. If "None" is checked, the rest of § 3.5 need not be completed or reproduced. Debtor(s) elect to surrender to each creditor listed below the collateral that secures the creditor's claim. Debtor(s) request that upon confirmation of this plan, the stay under 11 U.S.C. § 362(a) be terminated as to the collateral only and that the stay under § 1301 be terminated in all respects. Any allowed unsecured claim resulting from the surrender of the collateral will be treated in Part 5 below. Name of Creditor Collateral REPUBLIC FINANCE PERSONAL PROPERTY PLEDGED REGIONAL FINANCE PERSONAL PROPERTY PLEDGED Part 4: Treatment of Fees and Priority Claims 4.1 General Trustee's fees will be paid in full. Except as set forth in § 4.5, allowed priority claims also will be paid in full, without interest. 4.2 Chapter 13 case filing fee. Check one. Debtor(s) intend to pay the Chapter 13 case filing fee through the plan. Debtor(s) intend to pay the Chapter 13 case filing fee directly to the Clerk of Court. 4.3 Attorney's fees. The total fee requested by Debtor(s)' attorney is $3,750.00. The amount of the attorney fee paid prepetition is $0.00. The balance of the fee owed to Debtor(s)' attorney is $3,750.00, payable as follows (check one): $ 925.00 at confirmation, then $ 500.00 per month until 07/2018 and $150.00 per month thereafter until paid in full, or in accordance with any applicable administrative order regarding fees entered in the division where the case is pending. 4.4 Priority claims other than attorney's fees and domestic support obligations. Check one. None. If "None" is checked, the rest of § 4.4 need not be completed or reproduced. 4.5 Domestic support obligations. Check one. None. If "None" is checked, the rest of § 4.5 need not be completed or reproduced. Part 5: Treatment of Nonpriority Unsecured Claims 5.1 Nonpriority unsecured claims not separately classified. Chapter 13 Plan Page 3 of 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 2 Filed 01/23/18 Entered 01/23/18 08:44:43 Desc Main Document Page 3 of 5 Debtor Lorenzo Jordan Case number Eff (12/01/2017) Deloise Bosha Jordan Allowed nonpriority unsecured claims that are not separately classified will be paid pro rata. 5.2 Percentage, Base, or Pot Plan. Check one. 100% Repayment Plan. This plan proposes to pay 100% of each allowed nonpriority unsecured claim. Percentage Plan. This plan proposes to pay % of each allowed nonpriority unsecured claim. Pot Plan. This plan proposes to pay $ 13,500.00, distributed pro rata to holders of allowed nonpriority unsecured claims. Base Plan. This plan proposes to pay $ to the trustee (plus any tax refunds, lawsuit proceeds, or additional payments pursuant to §§ 2.3 and 2.4). Holders of allowed nonpriority unsecured claims will receive the funds remaining, if any, after disbursements have been made to all other creditors provided for in this plan 5.3 Interest on allowed nonpriority unsecured claims not separately classified. Check one. None. If "None" is checked, the rest of § 5.3 need not be completed or reproduced. 5.4 Maintenance of payments and cure of any default on long-term nonpriority unsecured claims. Check one. None. If "None" is checked, the rest of § 5.4 need not be completed or reproduced. 5.5 Other separately classified nonpriority unsecured claims. Check one. None. If "None" is checked, the rest of § 5.5 need not be completed or reproduced. Part 6: Executory Contracts and Unexpired Leases 6.1 The executory contracts and unexpired leases listed below are assumed, will be treated as specified, and any defaults cured. Check one. None. If "None" is checked, the rest of § 6.1 need not be completed or reproduced. 6.2 The executory contracts and unexpired leases listed below are rejected: -NONE- Part 7: Sequence of Payments 7.1 Unless otherwise ordered, the trustee will make the monthly payments required in Parts 3 through 6 in the sequence of payments set forth in the administrative order for the division in which this case is pending. Part 8: Vesting of Property of the Estate 8.1 Property of the estate will vest in Debtor(s) (check one): Upon plan confirmation. Upon entry of Discharge Part 9: Nonstandard Plan Provisions None. If "None" is checked, the rest of Part 9 need not be completed or reproduced. Part 10: Signatures: Signature(s) of Debtor(s) required. Signature(s) of Debtor(s) (required): X /s/ Lorenzo Jordan Date January 23, 2018 Lorenzo Jordan X /s/ Deloise Bosha Jordan Date January 23, 2018 Deloise Bosha Jordan Chapter 13 Plan Page 4 of 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 2 Filed 01/23/18 Entered 01/23/18 08:44:43 Desc Main Document Page 4 of 5 Debtor Lorenzo Jordan Case number Eff (12/01/2017) Deloise Bosha Jordan Signature of Attorney for Debtor(s): X /s/ Robert D. Reese Date January 23, 2018 Robert D. Reese 600 University Park Place Suite 510 Birmingham, AL 35209 (205) 802-2200 Name/Address/Telephone/Attorney for Debtor(s): By filing this document, Debtor(s), if not represented by an attorney, or the Attorney for Debtor(s) certif(ies) that the wording and order of the provisions in this Chapter 13 plan are identical to those contained in this district's Local Form, other than any nonstandard provisions included in Part 9. Chapter 13 Plan Page 5 of 5 Software Copyright (c) 1996-2017 Best Case, LLC - www.bestcase.com Best Case Bankruptcy Case 18-00259-13 Doc 2 Filed 01/23/18 Entered 01/23/18 08:44:43 Desc Main Document Page 5 of 5

Employee Income Records Filed by Debtor Lorenzo Jordan.

City of Birmingham - 710 20th Street North, Birmingham AL 35203 Name Proc Level Employeet | User Level | Pay Period End 11 / 10 / 2017 | Advice Number 07551971 Advice Date | 11 / 22 / 2017 Direct Dep Acct X00000XXXX9646 PENSION CONTRIBUTIONS Pension Plan Before Tax LTD After Tax LTD Retirement & Relief Plan 13601. 89 2222 Jordan, Lorenzo | 0001 DeptDiv 18341 TAX WITHHOLDING Status Exemptions Federal Additional Amt 0. 00 0. 00 State EARNINGS HOURS 72. 00 14. 87 10. 08 8. 00 RATE 13. 6400 24. 0000 16. 0000 13. 6400 CURRENT 982. 08 356. 88 161. 28 109. 12 Regular P & A - PAT P & R - PAT Holiday Vac SickFam SickEmp PdAdmin OTT: 1. 5 Bday OTS: 1. 0 YTD AMOUNT 21992. 46 356. 88 2495. 52 1091. 20 1309. 44 771. 75 654. 72 260. 11 220. 56 | 109. 12 15. 28 DEDUCTIONS | FED: Federal Tax withheld | FED: Employee Soc Sec FED: Employee Medicare AL: Alabama Income Tax BHM City Occ Tad Jeff County RR3: PTEE BN - HL1: EE Premier Pre - Tax BN - DN2: EE value Pre - Tax Vision PL: Pension Loan Principal BW PL: Pension Loan Interest BW BN - UNUM: Vol Group Accident BN - UNUM: Vol Short - Tem Dis CU: Gen Emp Credit Union - BW MS: United Way of Cen AL CURRENT 175. 14 90. 02 21. 05 57. 89 14. 52 76. 38 149. 96 2. 68 4. 72 95. 97 8. 62 14. 28 7. 72 96. 00 5. 00 YTD AMOUNT 2858. 96 1580. 11 369. 54 978. 24 254. 88 1833. 12 3599. 04 72. 12 120. 17 2316. 80 238. 47 342. 70 178. 26 2304. 00 120. 00 Plan Name LEAVE BALANCES Beg Bal Bal Used 96. 00 80. 00 151. 63 104. 58 | Vacation Accrued 0. 00 0. 00 End Bal 16. 00 · 47. 05 SICK CITY - PAID CONTRIBUTIONS TOWARD BENEFITS City Contribution Amount YTD Amount FED: Employer Soc Sec 90. 02 1580. 11 FED: Employer Medicare 21. 05 369. 54 R & R3 - ER 79. 11 1863. 15 BN - HLI: ER Premier Health Plan 507. 69 13412. 41 BN - DN2: ER Value Dental Plan 8. 77 210. 48 ER - GLIFE 9. 18 220. 32 ER - AD & D 0. 46 11. 04 PENSION LOAN INFORMATION Pension Loan No. Balance | $ 3, 934. 60 CURRENT YTD AMOUNT | Check Message Area TOTAL GROSS 1609. 36 29277. 04 TAXABLE GROSS 1375. 62 23652. 59 TOTAL PRE - TAX 233. 74 5824. 45 TOTAL TAX 358. 62 6041. 73 TOTAL OTHER 943. 87 23167. 28 TOTAL DEDUCTIONS 819. 95 17166. 41 NET PAY 789. 41 12110. 63 NET PAY 789. 41 DIRECT DEPOSIT ADVICE Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 1 of 10 (2 .)), City of Birmingham - 710 20th Street North, Birmingham AL 35203 | Name Pay Period End | 11 / 24 / 2017 Advice Number 07556001 Advice Date | 12 / 08 / 2017 Direct Dep Acct XOXXOOOoo9646 PENSION CONTRIBUTIONS Pension Plan Before Tax LTD After Tax LTD Retirement & Relief Pian 13678. 27 | Proc Level 2222 Jordan, Lorenzo Employee # | 0001 Dept / Div 8341 User Level TAX WITHHOLDING Status Exemptions Additional Amt 0. 00 0. 00 Federal State EARNINGS Regular Holiday PdAdmin P & R - PA1 HOURS 61. 95 16. 00 2. 05 RATE 13. 6400 13. 6400 13. 6400 | CURRENT 845. 00 218. 24 27. 96 YTD AMOUNT 22837. 46 1309. 44 288. 07 2852. 40 1309. 44 771. 75 654. 72 220. 56 109. 12 15. 28 Vac SickFam CURRENT 97. 42 57. 90 13. 54 35. 29 9. 34 76. 38 149. 96 2. 68 DEDUCTIONS FED: Federal Tax Withheld FED: Employee Soc Sec FED: Employee Medicare AL: Alabama Income Tax BHM City Occ Tax / Jeff County RR3: PTEE BN - HL1: EE Premier Pre - Tax | BN - DN2: EE value Pre - Tax Vision PL: Pension Loan Principal BW | PL: Pension Loan Interest BW BN - UNUM: Vol Group Accident BN - UNUM: Vol Short - Tem Dis | cu: Gen Emp Credit Union - BW MS: United Way of Cen AL SickEmp OTI: 1. 5 Bday OTS: 1. 0 YTD AMOUNT 2956. 38 1638. 01 383. 08 1013. 53 264. 22 1909. 50 3749. 00 74. 80 124. 89 2412. 77 248. 82 356. 98 185. 98 2400. 00 125. 00) 4. 72 95. 97 10. 35 14. 28 7. 72 96. 00 5. 00 Plan Name LEAVE BALANCES Beg Bal Used 104. 00 80. 00 159. 63 104. 58 Vacation SICK Accrued 0. 00 0. 00 End Bal 24. 00 55. 05 cTY - PAID CONTRIBUTIONS TOWARD BENEFITS City Contribution Amount YTD Amount | FED: Employer Soc Sec 57. 90 1638. 01 FED: Employer Medicare 383. 08 R & A3 - ER 79. 11 1942. 26 BN - HLT: ER Premier Health Plan 507. 69 13920. 10 ON - DN2: ER Value Dental Plan 8. 77 219. 25 ER - GLIFE 9, 18 229. 50 ER - AD & D 0. 46 | 11. 50 13. 54 PENSION LOAN INFORMATION Penslon Loan No. Balance $ 3, 838. 63 CURRENT YTD AMOUNT Check Message Area TOTAL GROSS 1091. 20 30368. 24 12: TAXABLE GROSS 857. 46 24510. 05 TOTAL PRE - TAX 233. 74 5858. 19 TOTAL TAX 213. 49 6255. 22 TOTAL OTHER 905. 97 24073. 25 TOTAL DEDUCTIONS 676. 55 17842. 96 NET PAY 414. 65 12525. 28 NET PAY 414. 65 DIRECT DEPOSIT ADVICE Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 2 of 10 (te) City of Birmingham - 710 20th Street North, Birmingham AL 35203 | Name Pay Period End | 12 / 08 / 2017 | Advice Number 107559995 Advice Date | 12 / 22 / 2017 Direct Dep Acct XXXXXXXXXXXX9646 PENSION CONTRIBUTIONS Pension Plan Before Tax LTD After Tax LTD Retirement & Relief Plan 13754. 65 Proc Level | Jordan, Lorenzo Employee # 0001 DepuDlv 8341 User Level 1 2222 TAX WITHHOLDING Status Exemptions Additional Amt 0. 00 0. 00 Federal State EARNINGS Regular SickEmp P & R - PA1 PdAdmin Holiday Vac SickFam OT1: 1. 5 HOURS 59. 97 12. 03 9. 22 8. 00 RATE 13. 6400 13. 6400 16. 0000 13. 6400 CURRENT 817. 99 164. 09 147. 52 109. 12 YTD AMOUNT 23655. 45 818. 81 2999. 92 397. 19 1309. 44 1309. 44 771. 75 220. 56 109. 12 15. 28 DEDUCTIONS | FED: Federal Tax Withheld FED: Employee Soc Sec FED: Employee Medicare | AL: Alabama Income Tax BHM City Occ Tax) Jeff County RR3: PTEE BN - HLT: EE Premier Pre - Tax BN - DN2: EE Value Pre - Tax Vision PL: Pension Loan Principal BW | PL: Pension Loan Interest B / W BN - UNUM: Vol Group Accident BN - UNUM: Vol Short - Term Dis CU: Gen Emp Credit Union - BW MS: United Way of Cen AL CURRENT 119. 55 67. 05 15. 68 41. 94 10. 81 76. 38 149. 96 2. 68 4. 72 95. 97 8. 84 14. 28 7. 72 96. 00 5. 00 YTD AMOUNT 3075. 93 1705. 06 398. 76 1055. 47 275. 03 1985. 88 3898. 96 T7. 48 129. 61 2508. 74 257. 66 371. 26 193. 70 2496. 00 130. 00 Bday OTS: 1. 0 Plan Name LEAVE BALANCES Beg Bal Used 104. 00 80. 00 159. 63 116. 61 Vacation SICK Accrued 0. 00 0. 00 End Bal 24. 00 43. 02 CITY - PAID CONTRIBUTIONS TOWARD BENEFITS City Contribution Amount YTD Amount FED: Employer Soc Sec 67. 05 1705. 06 FED: Employer Medicare 15. 68 398. 76 R & A3 - ER 79. 11 2021. 37 BN - HL1: ER Premier Health Plan 507. 69 14427. 79 BN - ON2: ER Value Dental Plan 8. 77 228. 02 ER - GLIFE 9. 18 238. 68 ER - AD & D 0. 46 11. 96 PENSION LOAN INFORMATION Pension Loan No. Balance $ 3, 742. 66 CURRENT YTD AMOUNT Check Message Area TOTAL GROSS 1238. 72 31606. 98 TAXABLE GROSS 1004. 98 25515. 03 TOTAL PRE - TAX 233. 74 6091. 93 TOTAL TAX 255. 03 6510. 25 TOTAL OTHER 915. 75 24989. 00 TOTAL DEDUCTIONS 716. 58 18559. 54 NET PAY 522. 14 13047. 42 NET PAY 522. 14 DIRECT DEPOSIT ADVICE Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 3 of 10 (C. city of Birmingham - 710 20th Street North, Birmingham AL 35203 | Name Proc Level Pay Period End 12 / 22 / 2017 | Advice Number 07573638 Advice Date J01 / 05 / 2018 | Direct Dep Acct XOOOOOOXx9646 PENSION CONTRIBUTIONS Pension Plan Before Tax LTD After Tax LTD | Retirement & Relief Plan 13841. 21 2222 Jordan, Lorenzo Employee # 0001 DepuDiy 8341 User Level TAX WITHHOLDING Status Exemptions Additional Amt 0. 00 0. 00 Federal State S EARNINGS Regular PdAdmin HOURS 77. 97 2. 03 RATE CURRENT RATE | CURRENT I YTD AMOUNT DEDUCTIONS 13. 8100 1076. 77 1076. 77 FED: Federal Tax Withheld 13. 8100 28. 03 28. 03 | | FED: Employee Soc Sec FED: Employee Medicare AL: Alabama Income Tax BHM City Occ TaJeff County AR3: PTEE BN - HL 1: EE Premier Pra - Tax | BN - ON2: EE value Pre - Tax Vision PL: Pension Loan Principal BW PL: Pension Loan Interest BW BN - UNUM: Vol Group Accident BN - UNUM: Vol Short - Tem Dis CU: Gen Emp Credit Union - BW MS: United Way of Can AL CURRENT 99. 31 58. 74 13. 74 35. 91 9. 47 77. 34 149. 96 2. 68 4. 72 95. 97 8. 62 14. 28 7. 72 96. 00 | 5. 00 | YTD AMOUNT 99. 31 58. 74 13. 74 35. 91 9. 47 77. 34 149. 96 2. 68 4. 72 95. 97 8. 62 14. 28 7. 72 96. 00 5. 00 - - - - - - - - . * L - a. Plan Name LEAVE BALANCES Beg Bal Used 32. 00 | | 0. 00 51. 02 0. 00 Vacation SICK Accrued 0. 00 0. 00 End Bal 32. 00 51. 02 CITY - PAID CONTRIBUTIONS TOWARD BENEFITS City Contribution Amount YTD Amount FED: Employer Soc Sec 58. 74 58. 74 FED: Employer Medicare 13. 74 13. 74 R & R3 - ER 80. 10 80. 10 | BN - HL1: ER Premier Health Plan 507. 69 507. 69 | BN - ON2: EA Value Dental Plan 8. 77 8. 77 ER - GLIFE 9. 18 9. 18 ER - AD & D 0. 46 0. 46 PENSION LOAN INFORMATION Pension Loan No. Balance $ 3, 646. 69 CURRENT YTD AMOUNT Check Message Area TOTAL GROSS 1104. 80 1104. 80 TAXABLE GROSS 870. 10 870. 10 TOTAL PRE - TAX 234. 70 234. 70 TOTAL TAX 217. 17 217. 17 TOTAL OTHER 906. 27 906. 27 TOTAL DEDUCTIONS 679. 46 679. 46 NET PAY ! 425. 34 425. 34 NET PAY 425. 34 DIRECT DEPOSIT ADVICE Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 4 of 10 (key) City of Birmingham - 710 20th Street North, Birmingham AL 35203 Name Employee # User Level Pay Period End 01 / 05 / 2018 | Advice Number 07577589 Advice Date | 01 / 19 / 2018 | Direct Dep Acct | XXXXXXXXXX9646 PENSION CONTRIBUTIONS Pension Plan Before Tax LTD After Tax LTD Retirement & Relief Plan 13918. 55 Proc Level Jordan, Lorenzo o001 | DepuDiv | 8341 TAX WITHHOLDING Status | Exemptions 2222 Federal State Additional Amt 0. 00 0. 00 EARNINGS CURRENT Regular Holiday P & R - PA1 PdAdmin HOURS 56. 00 24. 00 8. 28 RATE 13. 8100 13. 8100 16. 0000 773. 36 331. 44 132. 48 YTD AMOUNT 1850. 13 331. 44 132. 48 28. 03 DEDUCTIONS FED: Federal Tax Withheld FED: Employee Soc Sec FED: Employee Medicare AL: Alabama Income Tax BHM City Occ Taxd Jett County RR3: PTEE BN - HLI: EE Premier Pre - Tax BN - DN2: EE value Pre - Tax Vision PL: Pension Loan Principal BW PL: Pension Loan Interest BW BN - UNUM: Vol Group Accident BN - UNUM: Vol Short - Tem Dis | CU: Gen Emp Credit Union - BW MS: United Way of Cen AL CURRENT 119. 19 66. 96 15. 66 41. 88 10. 80 77. 34 149. 96 2. 68 4. 72 95. 97 8. 40 14. 28 7. 72 96. 00 | 5. 00 YTD AMOUNT 218. 50 125. 70 29. 40 77. 79 20. 27 154. 68 299. 92 5. 36 9. 44 191. 94 17. 02 28. 56 15. 44 192. 00 | | 10. 00 Plan Name LEAVE BALANCES Beg Bal Used 32. 00 0. 00 51. 02 0. 00 Vacation SICK Accrued 0. 00 0. 00 End Bal 32. 00 51. 02 CITY - PAID CONTRIBUTIONS TOWARD BENEFITS City Contribution Amount YTD Amount FED: Employer Soc Sec 66. 96 125. 70 ! FED: Employer Medicare 15. 66 29. 40 | R & R3 - ER 80. 10 160. 20 BN - HLI: ER Premier Health Plan 507. 69 1015. 38 BN - DN2: ER Value Dental Plan 8. 77 17. 54 ER - GLIFE 9. 18 18. 36 EA - AD & D 0. 46 0. 92 PENSION LOAN INFORMATION ་ ས་ ་ A 9 SE Pension Loan No. Balance $ 3, 550. 72 CURRENT YTD AMOUNT | Check Message Area TOTAL GROSS 1237. 28 2342. 08 TAXABLE GROSS 1002. 58 1872. 68 TOTAL PRE - TAX 234. 70 469. 40 TOTAL TAX 254. 49 471. 66 TOTAL OTHER 916. 19 1822. 46 TOTAL DEDUCTIONS 716. 56 1396. 02 NET PAY 520. 72 946. 06 NET PAY 520. 72 DIRECT DEPOSIT ADVICE Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 5 of 10 Vouter #: 388002 Sort Order: 240 Centaur Building Services Southeast, Inc. - St. Louis, M0 63116 - Lorenzo Jordan SSN # Period Start date10 - 29 - 2017 Check Date 11 - 17 - 2017 Federal FHing Status MWNONE EMP # Perlod End Date 11 - 11 - 2017 Check Number 164250 State FINng Status MYNONE Earnings - Current & Year To Date Deductions / Taxes 1 - . . AEA N - . - . . - - . . . . . . . . ., 4 - -, . . . . . + . . . + + r, au Y 4. . . . . . . . . . . Data Pay Description YTD Amount Description YTO 11 - il - 2017 11 - 11 - 2017 Pay Rate Hrs / Units Pay Amount 10. 0000 50. 30 503. 00 10. 0000 6. 50 65. 00 HOLIDAY BEREAVEMENT PERSONL TIME VACATION Amount 23. 53 8. 24 35. 22 4. 86 5. 68 11871, 10 FEDERAL TAX 390. 00 MEDICARE 65. 00 SOC SECURITY 65. 00 AL INCOME TAX 975. 00 BIRMINGHAM, AL C: 571. 40 193. 81 828. 70 122. 57 127. 94 TOTAL. 568. 00. . . $ 13, 366, 10. . 56. 80. Net Pay Distribution. . . . . . . . . . . . . . . . . . . . . . Тре CHECK DIRECT DEPOSIT Paid Time Off Amount Type Amount TOTAL NET PAY $ 490. 47 $ 490. 47 TOTAL NET PAY YID $ 11, 521. 68 TOTAL 7. 53 1, 844. 42 Direct Deposit Detail Employer Contributions. . . . . - . . . . typu II u L. + . . . A. - - LI. . . . . riw. . . LAN. . . - . . . - . . . . . . . Pascopton Balance Account Type CHECKING Arnaut Description 490. 47 CENTAUR - EMPLO ANOUnt 1. 71 8. 84 TOTAL DEPOSITED SA90. 47 TOTAL 1. 71 8. 84 - - - - . . . dat via - - Check No. 184250 Pay Date 11 - 17 - 2017 Centaur Buitding Services Southeast, Inc. 4401 Ridgewood Ave. St Louis, MO 831 18 Pay Non - negotiable $ 0. 00 To The Lorenzo Jordan Order 6191 Shady Crest Rd. OM ADAMSVILLE, AL 35005 * * * Non - Negotiable * * * Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave. St Louts, MO 83118 810211 - 01 610211 0G383 Lorenzo Jordan 5191 Shady Crost Rd. ADAMSILLE, AL 36006 Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 6 of 10 Voucher #: 394459 Sort Order: 234 Centaur Building Services Southeast, Inc. - St. Louis, MO 63116 - Lorenzo Jordan SSN # Period Start date11 - 12 - 2017 Check Date 12 - 01 - 2017 Federal Fling status MWNONE EMP # Period End Date 11 - 25 - 2017 Check Number 172009 State FIing Status M / NONE Earnings - Current & Year To Date Deductions / Taxes - - . - - - - . . . . . . . . . . . . . . . . . . + - Amount YTD Data 11 - 25 - 2017 11 - 25 - 2017 Pay Description REGULAR PAY HOLIDAY BEREAVEMENT PERSONL TIME VACATION Pay Rate Ho / Units Pay Amount 10. 0000 47. 12 471. 20 10. 0000 13. 00 130. 00 YTD Amount Description 12342. 30 FEDERAL TAX 520. 00 MEDICARE 65. 00 SOC SECURITY 65. 00 AL INCOME TAX 975. 00 BIRMINGHAM, AL C ! + + + 26. 85 8. 72 3727 6. 0S 6. 01 598. 25 202. 53 865. 97 128. 62 133. 95 TOTAL. . . . $ 13. 967. 30. 60. 12 601. 20 Net Pay Distribution Type CHECK DIRECT DEPOSTT Amount Type Amount $ 0. 00 TOTAL NET PAY $ 516. 30 $ 516. 30 TOTAL NET PAY YOD $ 12, 037. 98 TOTAL 84. 90 1, 929. 32 Direct Deposit Detail Employer Contributions Paid Time Of - - - - Description Balonco Account Туро CHECKING Armount Description 518. 30 CENTAUR - EMPLO Armount 1. 71 YD 8. 55 TOTAL DEPOSITED S518. 30 TOTAL 1. 71 8. 55 Check No. 172009 Pay Date 12 - 01 - 2017 Centaur Building Services Southeast, Inc, 4401 Ridgewood Ave. St. Louis, MO 831 18 Pay Non - negotiable $ 0. 00 To The Lorenzo Jordan Order 5191 Shady Crest Rd. Of ADAMSVILLE, AL 35005 * * * Non - Negotiable * * * Centaur Building Services Southeast, inc. 4401 Ridgewood Ave. St. Louis, M0 63118 810211 - 01 810211 OG383 Lorenzo Jordan 5191 Shady Crest Rd. ADAMSVILLE, AL 35005 Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 7 of 10 Voucher #: 401736 Sort Order: 228 Centaur Building Services Southeast, Inc. - St. Louis, MO 63116 - Lorenzo Jordan SSN # Period Start date11 - 26 - 2017 Check Date EMP # Period End Date 12 - 09 - 2017 Check Number Earnings - Current & Year To Date 12 - 15 - 2017 Federal Fillng Status M / NONE 180771 State Fling Status MVNONE Deductions / Taxes Pay Rate Mrs / Units Pay Amount 10. 0000 SA. 80 SA0. 00 Amoant YTD 1 1 1 1 Data Pay Description 12 - 09 - 2017 REGULAR PAY HOLIDAY BEREAVEMENT PERSONL TIME VACATION YTD Amount Description 12890. 30 FEDERAL TAX 520. 00 MEDICARE 65. 00 SOC SECURITY 65. 00 AL INCOME TAX 975. 00 BIRMINGHAM, AL C. . . .: 21. 53 7. 94 33. 98 4, 14 5. 48 619. 78 210. 47 899. 95 132. 76 139. 43 II TOTAL. 54. 80. . . . . . . . . . 54B. p. Net Pay Distribution. . $ 14, 515. 30 Тура CHECK DIRECT DEPOSIT Paid Time Off Amount Type Amount $ 0. 00 TOTAL NET PAY $ 474. 93 $ 474. 93 TOTAL NET PAY YOD $ 12, 512. 91 TOTAL 73. 07 2, 002. 39 Direct Deposit Detail Employer Contributions Description Balance Account Тура CHECKING Amount Description 474. 93 CENTAUR - EMPLO Amount 1. 71 YID 10. 28 TOTAL DEPOSTED $ 474. 93 TOTAL 1. 71 10. 28 Check No. 180771 Pay Date 12 - 15 - 2017 Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave. St Louis, MO 63116 Pay Non - negotiable $ 0. 00 To The Lorenzo Jordan Order 5191 Shady Crest Rd. OF ADAMSVILLE, AL 35005 * * * Non - Negotiable * * * Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave. SL Louis, MO 83116 610211 - 01 610211 06383 Lorenzo Jordan 6191 Shady Crest Rd. ADAMSVILLE, AL 35005 Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 8 of 10 Voudher #: 408264 Sort Order: 231 Centaur Building Services Southeast, Inc. - St. Louis, MO 63116 - Lorenzo Jordan SSN # Period Start date12 - 10 - 2017 Check Date 12 - 29 - 2017 Federal Flling Status MVNONE EMP4 Period End Date 12 - 23 - 2017 Check Number 189032 State Filing status M / NONE Earnings - Current & Year To Date Deductions / Taxes * * * * * * * * * * - - - . . . . . . . . . . . . . . . . . . . . . . . ., . . . . . . . . . . . Date Pay Rate Hrs / Unlts Pay Amount 10. 0000 63. 45 634. 50 12 - 23 - 2017 Pay Description REGULAR PAY HOLIDAY BEREAVEMENT PERSONL TIME VACATION. . . . YTD Amount Description 13524. 80 FEDERAL TAX 520. 00 MEDICARE 65. 00 SOC SECURITY 65. 00 AL INCOME TAX 975. 00 BIRMINGHAM, AL C: ! O ! I Amount 30. 18 9. 20 39. 34 7. 25 6. 35 | + 1 649. 96 219. 67 939. 29 140. 01 145. 78 TOTAL. . . . . . 63, 45. . . . . . 634. 50 Net Pay Distribution. . $ 15, 149. 80 Type CHECK DIRECT DEPOST Paid Time Off Amount Type Amount $ 0. 00 TOTAL NET PAY $ 542. 18 $ 542. 18 TOTAL NET PAY YOD $ 13, 055. 09 TOTAL 92. 32 2, 094. 71 Direct Deposit Detail Employer Contributions Balance Account Type Armount Descriptlon Amount * YD CHECKING 542. 18 CENTAUR - EMPLO 1. 71 Description 11. 97 TOTAL DEPOSITED $ 542. 18 TOTAL 1. 71 11. 87 Chack No. 189032 Pay Date 12 - 28 - 2017 Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave. St. Louis, MO 83118 Pay Non - negotiable $ 0. 00 To The Lorenzo Jordan Order 5191 Shady Crest Rd. Of ADAMSILLE, AL 35005 * * * Non - Negotiable * * * Centaur Bullding Services Southeast, Inc. 4401 Ridgewood Ave. St Louis, MO 831 18 B10211 - 01 810211 OG383 Lorenzo Jordan 5191 Shady Crest Rd. ADAMSVILLE, AL 35005 Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 9 of 10 Voucher #: 416773 Sort Order: 224 Centaur Building Services Southeast, Inc. - St. Louis, MO 63116 - Lorenzo Jordan SSN # Perlod Start date12 - 24 - 2017 Check Date 01 - 12 - 2018 Federal FIHng Status M / NONE EMP # Perlod End Date 01 - 06 - 2018 Check Number 197481 State Filing Status MWNONE Earnings - Current & Year To Date Deductions / Taxes YTD Date Pay Description 01 - 05 - 2018 REGULAR PAY OL - 06 - 2018 HOLIDAY Pay Rate Hrs / Units Pay Amount 10. 0000 44. 84 449. 40 10, 0000 19. 50 195. 00 YTD Amount Description 146. 40 FEDERAL TAX 195. 00 MEDICARE SOC SECURITY AL INCOME TAX BIRMINGHAM, AL C Amount 31. 07 9. 33 39. 89 7. 57 6. 43 31. 07 9. 33 39. 89 7. 57 6. 43. . . TOTAL. . L $ 643, 40 64, 34. . . . . 643, 40. . . Net Pay Distribution, . . . . . . . . . . . . . . . . . ., Type Amount CHECK DIRECT DEPOSIT Amount Type $ 0. 00 TOTAL NET PAY $ 549. 11 TOTAL NET PAY YID Direct Deposit Detail S $ 549. 11 $ 549. 11 TOTAL 94. 29 Employer Contributions 94. 29 Paid Time Off Description Batance Account Typo Amount Description 549, 11 CENTAUR - EMPLO Amount 1. 71 CHECKING 1. 71 TOTAL DEPOSITED $ 649. 11 TOTAL 1. 71 1. 71. . . - . . . Check No, 197481 Pay Date 01 - 12 - 2010 Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave. St. Louis, MO 831 18 Pay Non - negotiable $ 0. 00 To The Lorenzo Jordan Order 5191 Shady Crest Rd. OF ADAMSVILLE, AL 35005 * * * Non - Negotiable * * * Centaur Building Services Southeast, Inc. 4401 Ridgewood Ave, SL Louis, MO 831 18 810211 - 01 B10211 0383 Lorenzo Jordan 5191 Shady Creat Rd. ADAMSVILLE, AL 35005 Case 18 - 00259 - 13 Doc 5 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 21 Desc Main Document Page 10 of 10

Employee Income Records Filed by Joint Debtor Deloise Bosha Jordan.

REFEREORRAS PANNEXISTENCIA STECKTSRE KERN juutissa BanKUNAKETA ADMINISTRACIJE. NEURTZACCOUNTY DAYSIAHLREACCountMümbØRRE ENNFAHunter Wells Fargo XXXXXXXXX9646 447. 62 PLZE: EPIFYTYRYLAIzaury1. li AIDAT BANDIADDRESSEXINELHEITINIAN EMPLOYEENUMBER - ORGANIZZATONINKIT SEULE 01060305 Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 AIHINPERIOD BEGIN 11 / 06 / 17 ENPERIOD END DATE INSTITUERETULNYUPAYADATELINGAISMES DE TABASESLEARKTA 11 / 12 / 17 11 / 17 / 17 14. 33 ELATICLEESSA Alabama Federal INIHIMOFEEVITIIFILINCI STATUS ASEXYLITT EXEMPTIONS " MS " Claiming $ 1500 Exemption Single SAISOMIDDINHLE ER 0. 00 0. 00 LI STESSIFRETILIS: ENKELTE SICH HEUTE INTRESS DESCRIPTION BRC TIME ENTRY WAGE BRC OVERTIME HOURS BRC OVERTIME PREM BRC VAC HRS TKN BRC PER HRS TKN BRC HOL HRS TKN BRC FLD HRS TKN EARNINGSIDINTILIONI ITALITILMIITITUTESKINLIJKE dorilaNSITA SINTETIT UNITS RATE AMT YTD DESCRIPTION AMOUNT YTD 40. 00 14. 33 573. 20 22541. 74 Federal Tax 65. 06 2693. 04 2. 86 14. 33 40. 99 895. 57 Social Security 39. 35 1670. 71 9. 20 7. 17 Medicare 20. 50 2. 86 390. 73 447. 89 AL State Tax 23. 39 986. 23 0. 00 1244. 24 Birmingham 6. 35 269. 47 0. 00 743. 76 BR 401K DED 19. 04 808. 43 0. 00 567. 60 BR AFLAC GRP ACC 11. 42 262. 66 BR UNIFORMS 0. 00 5. 64 0. 00 506. 08 BR UNITED WAY 4. 00 92. 00 BR VOL LIFE EE 4. 34 99. 82 BR VSP GROUP VISION 113. 16 4. 92 MESSAGE KEURINARSUMMARYIKILEASYARAKAT YANOURRENTINEATAINAKTDI GROSS EARNINGS 634. 69 26946. 88 PRE - TAX DEDUCTIONS 19. 04 808. 43 TAX DEDUCTIONS 143. 35 6010. 18 OTHER DEDUCTIONS 24. 68 573. 28 NET PAY 447. 62 19554. 99 E DA Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 1 of 10 AEREORRAK BEVERAGES SE ÄVIC. Wells Fargo XXXXXXXXX9646 440. 62 LEKSIENELOYEENAME AND ADDRESSTE OYEENUMBER ORGANIZATIONIBILITIETEELLINEN Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 01060305 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 FRESKI I NIEM FAITEKE: TERMAALSE BEGINDAK AnarkiFAYNDATEITIES MIRTIES BASESAPARKERIVALES DBASE STAL 11 / 13 / 17 1719 / 17 11 / 24 / 17 14. 33 ELULASELEBRITIES THAT BRITAINIARRHYTE SE FAITU Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 Kuli A XXI. T ' I CSAK A ETIETEESETTE FIKSIEN TIETEISLERS EN DESCRIPTION BRC TIME ENTRY WAGE BRC OVERTIME HOURS BRC OVERTIME PREM BRC VAC HRS TKN BRC PER HRS TKN BRC HOL HRS TKN BRC FLD HRS TKN BENVIETNAMITASIYLA GARA AHKERAAMINKLATES ALBANESKERSMENS LYSTERILAISIA TENTA EARNINGSTITI INFINITIEF NINETEENTIELETIRANEXEZE DEDUCTIONS ENTRE UNITS RATE AMT YTD DESCRIPTION AMOUNT 40. 00 14. 33 573. 20 23114. 94 Federal Tax 61. 03 1. 57 14. 33 22. 50 918. 07 Social Security 37. 63 Medicare 8. 80 1. 57 7. 17 11. 25 459. 14 AL State Tax 22. 25 0. 00 1244. 24 Birmingham 6. 07 0. 00 743. 76 BR 401K DED 18. 21 0. 00 567. 60 BR AFLAC GRP ACC 5. 71 BR UNIFORMS 0. 00 0. 00 506. 08 BR UNITED WAY 2. 00 BR VOL LIFE EE 2. 17 BR VSP GROUP VISION 2. 46 YTD 2754. 07 1708. 34 399. 53 1008. 48 275. 54 826. 64 268. 37 5. 64 94. 00 101. 99 115. 62 MESSAGE AL TITLES IN V IMMARY GROSS EARNINGS PRE - TAX DEDUCTIONS TAX DEDUCTIONS OTHER DEDUCTIONS NET PAY A 606. 95 18. 21 135. 78 12. 34 440. 62 27553. 83 826. 64 6145. 96 585. 62 19995. 61 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 2 of 10 PIEuoneer S E R VIC BERKELEY THIESIEMSLITTEET BAKONAMENTIKLINALES ECULAGIARIS Wells Fargo ΑΥΤΗΠΤΑΣΤΕΙΑξοδuntTypeTE KELKACcauntxibati ISTAT HULLERES E AMOUNT XXXXXXXXX9646 428. 78 THEILAUATEENANEANDJADDRESS MNEMPLOYEENUMBERTY ORGANIZATION AANTASTISKAS Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 01060305 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 YA: TIETEET PERIE CYFEIHTEEVAIXE TERPERIODE BEGINDADEKAKE PERIOD END DATERA 11 / 20 / 17 11 / 26 / 17 12 / 01 / 17 14. 33 YAKUMEESTE NATIONALE IAITUALERNOZINTEILUNGISTATUS TILATTIINTELLEXEMPIONSLIETUVAS DISTRIK ABDEWAN Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 YTD IAITHEANTAISIERÄNINGSLEHURITSUALA KANONOODWULETNIE BEDUGNONSERTITEL AF DUGAONS DESCRIPTION UNITS RATE АМТ YTD DESCRIPTION AMOUNT BRC TIME ENTRY WAGE 25. 17 14. 33 360. 69 23475. 63 Federal Tax 58. 56 2812. 63 BRC OVERTIME HOURS 0. 00 918. 07 Social Security 36. 58 1744. 92 8. 56 Medicare 0. 00 BRC OVERTIME PREM 459. 14 408. 09 AL State Tax 21. 55 1030. 03 BRC VAC HRS TKN 0. 00 1244. 24 Birmingham 5. 90 281. 44 BRC PER HRS TKN 0. 00 743. 76 BR 401K DED 17. 70 844. 34 BRC HOL HRS TKN 16. 00 14. 33 229. 28 796. 88 BR AFLAC GRP ACC 5. 71 274. 08 BR UNIFORMS 0. 00 5. 64 BRC FLD HRS TKN 0. 00 506. 08 BR UNITED WAY 2. 00 96. 00 BR VOL LIFE EE 2. 17 104. 16 BR VSP GROUP VISION 2. 46 118. 08 MESSAGE FRIHETEN SUMMARYINTERENIE CURRENTAGYISYEITLAUT MTD GROSS EARNINGS 589. 97 28143. 80 PRE - TAX DEDUCTIONS 17. 70 844. 34 TAX DEDUCTIONS 131. 15 6277. 11 OTHER DEDUCTIONS 12. 34 597. 96 NET PAY 428. 78 20424. 39 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 3 of 10 I SVE பழகான BareNames ABRANJE ANTISINAMA Wells Fargo BITTER EN FIKTIF TREYST WHITELIACCoun. XXXXXXXXX9646 456. 51 STJCI STOCCOLTE ANTIDIADDRES zpryCTOR Ig PYYNIKI LESENELOYEENAMEAND. ADDRESS TRITTISKERAK EMINEMPLOYEE NUMBER ORGANIZATION AND KILLEKRIITIT 01060305 Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 PENTRU A RIO DI SECONDA 11 / 27 / 17 KANALEN PERIOD END DATEN GARAIAK PAY DATELINGE. ALLEY 12 / 03 / 17 12 / 08 / 17 BASESALKKYYSGITAN 14. 33 NOSSILINCSIANICNI YA ' CHR Alabama Federal " MS " Claiming $ 1500 Exemption Single MITTWEILIGENTEADDTV 0. 00 0. 00 ARENESISATSISAKETE ESHITIS SAESNEG PRETITLEFTHERIONALE. DE HEERDENSKRIFA EARNINGSINSTANTANEAMENTE MILITARRAREKIN BATERAIDEDUCTIONS ENTRE LES DESCRIPTION UNITS RATE AMT YTD DESCRIPTION AMOUNT YTD BRC TIME ENTRY WAGE 40. 00 14. 33 573. 20 24048. 83 Federal Tax 64. 34 2876. 97 BRC OVERTIME HOURS 2. 63 14. 33 37. 69 955. 76 Social Security 39. 04 1783. 98 9. 13 Medicare BRC OVERTIME PREM 7. 17 2. 63 417. 22 477. 99 18. 85 AL State Tax 23. 19 1053. 22 BRC VAC HRS TKN 0. 00 1244. 24 Birmingham 6. 30 28774 BRC PER HRS TKN 743. 76 BR 401K DED 18. 89 863. 23 BRC HOL HRS TKN 796. 88 BR AFLAC GRP ACC 279. 79 BR UNIFORMS 0. 00 5. 64 BRC FLD HRS TKN 0. 00 506. 08 BR UNITED WAY 2. 00 98. 00 BR VOL LIFE EE 2. 17 106. 33 BR VSP GROUP VISION 2. 46 120. 54 0. 00 0. 00 5. 71 MESSAGE SANGGUNNARSSMENTANCURRENTARTIREDITATE MAIDI GROSS EARNINGS 629. 74 28773. 54 PRE - TAX DEDUCTIONS 18. 89 863. 23 TAX DEDUCTIONS 142. 00 6419. 11 OTHER DEDUCTIONS 12. 34 610. 30 NET PAY 456. 51 20880. 90 三 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 4 of 10 RELIEFILOSOFT EFVESELFS Ssenal See S T R V CES CCOUN HINEIHBISS ' SITEITI:: BANKNAME E DKPName = SAλέξεις ΑκραξAccountTyB Wells Fargo. YUYULMAMA XXXXXXXXX9646 454. 41 隐藏的SE JA112 UMBERTHE ORGANIZATIONEN KAN ARASLLADARE: FI AD: Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 01060305 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 EKSERYXY7 APGICKLYGaius SECARA BEGINDA EZEKAZAL - £km MESTIEN YA: 12 / 04 / 17 12 / 10 / 17 12 / 15 / 17 14. 33 ETAXANPETENTSITATEAN ESTREILEAKFICINGSTATUSMUISTAS FAMATEURCEXEMPTIONSFIEIEINITEISME EADBEVIH Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 STTY AX3. 15X5XHEATREFFE CYMREDYGONSIN YTD FINALEMENT SEIN. IL DESCRIPTION BRC TIME ENTRY WAGE BRC OVERTIME HOURS BRC OVERTIME PREM BRC VAC HRS TKN BRC PER HRS TKN BRC HOL HRS TKN BRC FLD HRS TKN 2146 ENCALULUI RENKAMI RENGUS UNITS RATE АМТ 40. 00 14. 33 573. 20 2. 49 14. 33 35. 69 2. 49 7. 17 17. 85 0. 00 0. 00 0. 00 0. 00 YTD DESCRIPTION 24622. 03 Federal Tax 991. 45 Social Security Medicare 495. 84 AL State Tax 1244. 24 Birmingham 743. 76 BR 401K DED 796. 88 BR AFLAC GRP ACC BR UNIFORMS 506. 08 BR UNITED WAY BR VOL LIFE EE BR VSP GROUP VISION AMOUNT 63. 91 38. 86 9. 08 23. 07 6. 27 18. 80 5. 71 0. 00 2. 00 2. 17 2. 46 2940. 88 1822. 82 426. 30 1076. 29 294. 01 882. 03 285. 50 5. 64 100. 00 108. 50 123. 00 MESSAGE KAY SAKTI TEISTE TRIBUS SEBAIK ETA GROSS EARNINGS PRE - TAX DEDUCTIONS TAX DEDUCTIONS OTHER DEDUCTIONS NET PAY 626. 74 18. 80 141. 19 12. 34 454, 41 29400. 28 882. 03 6560. 30 622. 64 21335. 31 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 5 of 10 AFTFRAGES EVEREIupnet) EADEKS FACTS EESTI KEELES SESETT } THIS IS FOR ACEH LAN FUERAK 17183: HHI Cat. RMF 2 Wells Fargo XXXXXXXXX9646 446. 77 ELEM HAI EMPLOYEENAMEANDIADDRESSILEHLSHABERKEMPLOYEENUMBER ORGANIZATIONS INTER ELIR ! 01060305 Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 EN PLACE LIEUE Ruraxar persone Asya MTAKATI SETTISTENERE SITESTATEM REKTAI: EKZEMES JITEKE ETTER 12 / 11 / 17 12 / 17 / 17 12 / 22 / 17 14. 33 MTAXEYRETTIIN KUITENKIN SAANEEILINGSTATUSITIMITATAJEXEMPTIONSKRANKENHEAPADOVIH PFAlains Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 TITI TIL LE IN DIE YTD TERESSANTE DESCRIPTION BRC TIME ENTRY WAGE BRC OVERTIME HOURS BRC OVERTIME PREM BRC VAC HRS TKN BRC PER HRS TKN BRC HOL HRS TKN BRC FLD HRS TKN EARNINGSHELIALETTI UNITS RATE AMT 40. 00 14. 33 573. 20 1. 98 14. 33 28. 38 1. 98 7. 17 14. 19 0. 00 0. 00 0. 00 THE EXISTITZEN DEDUCTIONSTABATIALENHAA ESPAYPASS REFEREN ' T TELAH PERTEMISIA HEITETE SEINESSE YTD DESCRIPTION AMOUNT 25195. 23 Federal Tax 62. 31 3003. 19 Social Security 38. 18 1861. 00 510. 03 Medicare 8. 93 435. 23 AL State Tax 22. 61 1098. 90 1244. 24 Birmingham 6. 16 300. 17 743. 76 BR 401K DED 18. 47 900. 50 796. 88 BR AFLAC GRP ACC 5. 71 291. 21 BR UNIFORMS 0. 00 5. 64 506. 08 BR UNITED WAY 2. 00 102. 00 BR VOL LIFE EE 2. 17 110. 67 BR VSP GROUP VISION 2. 46 125. 46 0. 00 MESSAGE TIRLEITT I Werkesamaa, Y ENTRY HANTIFUNKCI GROSS EARNINGS PRE - TAX DEDUCTIONS TAX DEDUCTIONS OTHER DEDUCTIONS NET PAY 615. 77 18. 47 138. 19 12. 34 446. 77 30016. 05 900. 50 6698. 49 634. 98 21782. 08 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 6 of 10 RIIHILAT KBänkName AANTA MARIA ITSAccountType MIHRAFNSSAccountNSMbei Amburg XXXXXXXXX9646 GN la) Wells Fargo 437. 48 1. LENROYEE TEKEMHLOYEENAME AND ADDRESSENGERNATURAEMPLOYEE NUMBER TRIKORGANIZATION WHERE THEYDRA 01060305 Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 yn 1794: RYABR 12 / 18 / 17 12 / 24 / 17 12 / 29 / 17 14. 33 ETA CILJEM KLAYPERIMENTAIRE STATEN MIMETIKFIEING STATUS RIIHTOALUEILLEXEMPTIONSILIERIIN HILABDEWIHRA Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 SEURAAVAT: YTD DESCRIPTION BRC TIME ENTRY WAGE BRC OVERTIME HOURS BRC OVERTIME PREM BRC VAC HRS TKN BRC PER HRS TKN BRC HOL HRS TKN BRC FLD HRS TKN ARNINGSMENETETTIIN LENTTIHADA SE PRETENDEDUCTIONSIDA UNITS RATE AMT YTD DESCRIPTION AMOUNT 40. 00 14. 33 573. 20 25768. 43 Federal Tax 60. 37 1. 36 14. 33 19. 49 1039. 32 Social Security 37. 35 Medicare 8. 74 1. 36 7. 17 9. 75 519. 78 AL State Tax 22. 07 0. 00 1244. 24 Birmingham 6. 02 0. 00 743. 76 BR 401K DED 18. 07 0. 00 796. 88 BR AFLAC GRP ACC 5. 71 BR UNIFORMS 0. 00 0. 00 506. 08 BR UNITED WAY 2. 00 BR VOL LIFE EE 2. 17 BR VSP GROUP VISION 2. 46 3063. 56 1898. 35 443. 97 1120. 97 306. 19 918. 57 296. 92 5. 64 104. 00 112. 84 127. 92 MESSAGE PRETTES ESTEHT RIET SUMMARY ANNE EINHEITCURRENTIELLEMEURTENAYUDT GROSS EARNINGS 602. 44 30618. 49 PRE - TAX DEDUCTIONS 18. 07 918. 57 TAX DEDUCTIONS 134. 55 6833. 04 OTHER DEDUCTIONS 12. 34 647. 32 NET PAY 437. 48 22219. 56 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 7 of 10 RIPRENDERED FA S4. KES THE FLERE CCOULS. Bankname AHAMIYATINDAN AYITIEKALALINEACCountTypeIDINACCóunHNYmba FELDAmdunia Wells Fargo XXXXXXXXX9646 424. 49 BELFS MITLESS GILEAN EMPLOYEE NUMBER ORGANIZATIONS INTERLIGARE ENTIRE Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 01060305 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 FIX; 97. EFEKTIIVSCYKYANG HAR HAERIODIBEGIN BAIERATION PERIODEND: DATE RELATIEVE EMPAYDATEKINLARINET 12 / 25 / 17 12 / 31 / 17 01 / 05 / 18 KONEENRAAVANA HELFLINGSTATUS: INSEERENVEEN Hz | | EXEMPTIONS _ Alabama " MS " Claiming $ 1500 Exemption Federal Single RATSAITEESTA BASESAWAR 14. 33 PANKREADDAWR 0. 00 0. 00 PARTITISSET: SICS CATEFFAN PAYASOFA 14 astEIMAKKAANAFANYA EARNINGSVERK USS LEARNINGS EARNINGSTEKELIAMIENTRAMVARAINER VERDEDIGIONSTEORINIAM DESCRIPTION UNITS RATE AMT YTD DESCRIPTION AMOUNT YTD BRC TIME ENTRY WAGE 32. 74 14. 33 469. 17 469. 17 Federal Tax 57. 66 57. 66 BRC HOL HRS TKN 8. 00 14. 33 114. 64 114. 64 Social Security 36. 20 36. 20 Medicare 8. 47 8. 47 AL State Tax 21. 30 21. 30 Birmingham 5. 84 5. 84 BR 401K DED 17. 51 17. 51 BR AFLAC GRP ACC 5. 71 5. 71 BR UNITED WAY 2. 00 2. 00 BR VOL LIFE EE 2. 17 BR VSP GROUP VISION 2. 46 2. 46 2. 17 MESSAGE NAN SUMNARYSTOTA CURRENT INTELLIGER IHNILDYTD GROSS EARNINGS 583. 81 583. 81 PRE - TAX DEDUCTIONS 17. 51 17. 51 TAX DEDUCTIONS 129. 47 OTHER DEDUCTIONS 12. 34 12. 34 NET PAY 424. 49 424. 49 II 129. 47 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 8 of 10 S TVENA CES SERVICES ACCURSIOPEIA AT: 2 PerYL ZRZYPANTHERIFFS AGԵԹԵՍԸ XXXXXXXXX9646 Wells Fargo HAYAmantes 438. 79 ESCRITA EKKI SAYAP TELAyrwpa: ESC 2 MATERIALSZANANLANDEADORES ANDVADDRESS RETULIITETTIIN TEMPLOYEENUHI ERITORGANIZZAZIONE & BTEXTILELAKIHANGA ONIKOITUSMEETKUNDINN Deloise Jordan 5191 Shady Crest Rd, Adamsville, AL 35005 01060305 COR Corp Accounts Payable 111 Oxmoor Road, Birmingham, AL 35209 adelik is minus: ELYSTNERYAL. A IX SESALEIFAR ATLANTITESTPERIODENDO PERIOD BEGINIDAE 01 / 01 / 18 01 / 07 / 18 01 / 12 / 18 14. 33 TAKAYBETI NEGLIGENTINIENET TANTIS FILING STATUS EVAKSIYALARNHEXEMPTONSHIRE IN MINIATIIVNADEN VIRKE Alabama " MS " Claiming $ 1500 Exemption 0. 00 Federal Single 0. 00 TITLESHENSHIRE DESCRIPTION BRC TIME ENTRY WAGE BRC HOL HRS TKN 100, as 950. 18 EVEZTEIERSTRASSEKTE IKISO 34 SRSTATES * F ! RYTTERE ALLANVANKNITTEISENDEBUGTONSHIP WIE PARNINGSVIS BLAESIERITYISEN AINEEL4PENTíTTENDAISYKLE SEE ON UNITS RATE AMT YTD DESCRIPTION AMOUNT YTD 34. 17 14. 33 489. 66 958. 83 Federal Tax 60. 64 118. 30 8. 00 14. 33 114. 64 229. 28 Social Security 37. 46 73. 06 Medicare 8. 76 17. 23 AL State Tax 22. 14 43. 44 Birmingham 6. 04 11. 88 BR 401K DED 18. 13 35. 64 BR AFLAC GRP ACC 5. 71 11. 42 BR UNITED WAY 2. 00 4. 00 BR VOL LIFE EE 4. 34 BR VSP GROUP VISION 2. 46 4. 92 2. 17 MESSAGE REKREATSUMMARYADARIMLHtCURRENTIE INNIHALALIIKIDI GROSS EARNINGS 604. 30 1188. 11 PRE - TAX DEDUCTIONS 18. 13 35. 64 TAX DEDUCTIONS 135. 04 264. 51 OTHER DEDUCTIONS 12. 34 24. 68 NET PAY 438. 79 863. 28 III Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 9 of 10 EMPLOYEE NAME EMPLOYEE SOCIAL SECURITY NO. TEMPLOYEE NO. TORGANIZATION Deloise Jordan | PERIOD START XXX - XX - 3989 CHECK NO. 01060305 COR Corp Accounts Payable | BASE SALARY PER HOURS VAC. HOURS PERIOD END PAYMENT DATE L01 / 08 / 48 O1I14 / 18 FEDERAL FLING INFORMATION 01 / 19 / 18 353594 14 33. STATE FILING INFORMATION Federal Single Alabama | 0 EARNINGS UNITS " MS " Claiming $ 1500 Exemption DEDUCTIONS DESCRIPTION AMOUNT DESCRIPTION AMOUNT YEAR - TO - DATE YEAR - TO - DATE BRC HOL HRS TKN BRC TIME ENTRY WAGE 0. 00 572. 49 229. 28 1531. 32 39. 95 Federal Tax Medicare Social Security AL State Tax BR VOL LIFE EE BR 401K DED BR UNITED WAY BR VSP GROUP VISION BR AFLAC GRP ACC Birmingham 56. 01 8. 30 35. 50 20. 83 2. 17 17. 17 2. 00 2. 46 5. 71 5. 72 174. 31 25. 53 109. 16 64. 27 6. 51 52. 81 6. 00 7. 38 17. 13 17. 60 Bu falio Rocle MESSAGE: GROSS PAY PRE - TAX DEDUCTIONS TAX DEDUCTIONS OTHER DEDUCTIONS NET PAY 572. 49 17. 17 126. 36 12. 34 416. 62 1760. 60 52. 81 390. 87 37. 02 1279. 90 Case 18 - 00259 - 13 Doc 6 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 35 Desc Main Document Page 10 of 10

Certificate of Credit Counseling for Debtor and Joint Debtor Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.

X ? * ADVISING CC Advising, Inc. CERTIFICATE OF CREDIT COUNSELING 16199 - ALN - CC - 000226228 LORENZO JORDAN I CERTIFY that on January 8, 2018, at 11: 51 PM EST, LORENZO JORDAN received from CC Advising, Inc ., an agency approved pursuant to 11U.S. C. S 111 to provide credit couseling in the Northern District of Alabama, an individual (or group) briefing that complied with provisions of 11U.S. C. SS 109 (h) and 111. A debt repayment plan was not prepared. If a debt repayment plan was prepared, a copy of the debt repayment plan is attached to this certificate. This counseling session was conducted by telephone and / or by internet. By: Monica De Loria Title: Credit Counselor Date: January 8, 2018 Monica de Larra * Individuals who wish to file a bankruptcy case under title 11 of the United States Bankruptcy Code are required to file with the United States Bankruptcy Court a completed certificate of counseling from the nonprofit budget and credit counseling agency that provided the individual the counseling services and a copy of the debt repayment plan, if any, developed through the credit counseling agency. See 11U.S. C. SS 109 (h) and 521 (b) . Case 18 - 00259 - 13 Doc 4 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 08 Desc Main Document Page 1 of 2 ' R E ADVISING CC Advising, Inc. CERTIFICATE OF CREDIT COUNSELING 16199 - ALN - CC - 000226229 DELOISE JORDAN I CERTIFY that on January 8, 2018, at 11: 51 PM EST, DELOISE JORDAN received from CC Advising, Inc ., an agency approved pursuant to 11U.S. C. & 111 to provide credit couseling in the Northern District of Alabama, an individual (or group ] briefing that complied with provisions of 11U.S. C. 88 109 (h) and 111. A debt repayment plan was not prepared. If a debt repayment plan was prepared, a copy of the debt repayment plan is attached to this certificate. This counseling session was conducted by telephone and / or by internet. By: Monica De Loria Title: Credit Counselor Date: January 8, 2018 Monica de Luna * Individuals who wish to file a bankruptcy case under title 11 of the United States Bankruptcy Code are required to file with the United States Bankruptcy Court a completed certificate of counseling from the nonprofit budget and credit counseling agency that provided the individual the counseling services and a copy of the debt repayment plan, if any, developed through the credit counseling agency. See 11U.S. C. SS 109 (h) and 521 (b) . Case 18 - 00259 - 13 Doc 4 Filed 01 / 23 / 18 Entered 01 / 23 / 18 08: 45: 08 Desc Main Document Page 2 of 2

Appraisal Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.

1 / 2 / 2018 CITIZEN ACCESS PORTAL PARCEL #: 22 00 15 4 031 007. 000 OWNER: JORDAN LORENZO & DELOISE ADDRESS: 5191 SHADY CREST RD ADAMSVILLE AL 35005 LOCATION: 1704 33RD AVEN BHAM AL 35207 (111 - D0 ] 09 - 012. 0 Land: 5, 100 Acres: 0. 000 Baths: 1. 0 H / C Sqft: 1, 323 Bed Rooms: 3 Land Sch: L1 Imp: 49, 700 Total: 54, 800 Sales Info: 11 / 01 / 1986 $ 35, 000 < < Prev Next > > [ 1 / 2 Records ] Tax Year: 2017 Y SUMMARY - - - VALUE - - ASSESSMENT - PROPERTY CLASS: 2 EXEMPT CODE: MUN CODE: 36 BIRMINGHAM SCHOOL DIST: OVR ASD VALUE: $ 0. 00 OVER 65 CODE: DISABILITY CODE: HS YEAR: EXM OVERRIDE AMT: $ 0. 00 TOTAL MILLAGE: 72. 5 LAND VALUE 10 % LAND VALUE 20 % CURRENT USE VALUE $ 0 $ 5, 100 [ DEACTIVATED) $ 0 CLASS 2 GARAGE WOOD OR BLDG 001 24WCBNL 111 $ 1, 300 $ 48, 400 CLASS USE: FOREST ACRES: PREV YEAR VALUE: $ 53, 000. 00 O TAX SALE: BOE VALUE: CLASS 3 $ 54, 800 TOTAL MARKET VALUE [ APPR, VALUE: $ 54, 800 ]: Assesment Override: MARKET VALUE: CU VALUE: PENALTY: ASSESSED VALUE: TAX INFO CLASS MUNCODE EXEMPTION TOTAL TAX 36 $ 0 TAX EXEMPTION $ 0. 00 $ 0. 00 $ 0. 00 36 STATE COUNTY SCHOOL DIST SCHOOL $ 0 36 $ o 36 ASSD. VALUE TAX $ 10, 960 $ 71. 24 $ 10, 960 $ 147. 96 $ 10, 960 $ 89. 87 $ 10, 960 $ 0. 00 $ 10, 960 $ 312. 36 $ 0. 00 $ 10, 960 $ 62. 47 $ 10, 960 $ 110. 70 $ 0 $ 0. 00 $ 71. 24 $ 147. 96 $ 89. 87 $ 0. 00 $ 312. 36 $ 0. 00 $ 62. 47 $ 110. 70 CITY 36 36 $ 0 $ o FOREST SPC SCHOOLI SPC SCHOOL2 $ 0. 00 $ 0. 00 $ 0. 00 $ 0. 00 36 $ 0 36 $ 0 ASSD. VALUE: $ 10, 960. 00 $ 794. 60 TOTAL FEE & INTEREST: (Detail) $ 2. 69 GRAND TOTAL: $ 797. 29 FULLY PAID DEEDS INSTRUMENT NUMBER 3030 - 574 DATE 11 / 13 / 1986 AMOUNT $ 797. 29 $ 771. 19 * * * PAYMENT INFO PAY DATE TAX YEAR PAID BY 11 / 17 / 2017 2017 CORE LOGIC INC 11 / 21 / 2016 2016 CORELOGIC 3 / 8 / 2016 2015 JORDAN LORENZO 2 / 17 / 2015 2014 2 / 26 / 2014 2013 3 / 1 / 2013 2012 JORDAN LORENZO & DELOISE 20111229 2011 20110301 2010 * * * 20100222 2009 20090210 2008 20080204 2007 20070214 2006 20060218 2005 20041021 2004 20040212 2003 20030212 2002 20020104 2001 20010105 2000 * * * * * * * * * * * * * $ 334. 55 $ 305. 85 $ 306. 63 $ 306. 24 $ 301. 65 $ 317. 68 $ 312. 38 $ 328. 41 $ 308. 07 $ 297. 16 $ 278. 81 $ 251. 62 $ 245. 74 $ 209. 24 $ 206. 49 $ 206. 56 $ 201. 22 $ 199. 34 $ 199. 34 $ 194. 34 * * * * * * * * * * * * * * * * * * 19991117 1999 * * * 19981115 1998 * * * 1997 * * * 19971231 19961231 1996 * * * 2 / 3 http: / leringcaptvaatal. drg / capan5BAPärtat _ ManPage. aspNeskôPALELFametintereerdparkakfearatip8: 43 Desc Main Document Page 1 of 3 213 1 / 2 / 2018 2UUU $ / 08. 02 1999 * * * CITIZEN ACCESS PORTAL ZUUU1024 19991208 19981108 19971127 19961116 1998 * * * $ 708. 02 $ 534. 81 $ 534. 81 $ 529. 81 1997 * * * 1996 * * * I VISAI TOK DESC " VER * . . . . . . . . . . . . http: / / leringcaptureTSA. & cpOAREA Aortal _ RaiPage. asfiksigeS23litamenteketopHAalsaraisp2: 43 Desc Main 212 Document Page 2 of 3 1 / 2 / 2018 CITIZEN ACCESS PORTAL - - - - - - . ., - . . . - . .: . . . . A. . TMP. Citizen Access 3 + . A * . . Baku. . . . . . Fe ' ' JEFFERSON COUNTY, ALABAMA. CITIZEN ACCESS PORTAL PARCEL #: 16 00 36 4 000 051. 000 OWNER: JORDAN LORENZO & DELOISE ADDRESS: 5191 SHADY CREST RD ADAMSVILLE AL 35005 LOCATION: 5191 SHADY CREST RD AL 35005 [ 111 - C - 1 03 - 010. 0 Land: 35, 900 Acres: 0. 000 Baths: 4. 0 H / C Sqft: 2, 468 Bed Rooms: 3 Land Sch: A133 Imp: 130, 900 Total: 166, 800 Sales Info: 07 / 10 / 2015 $ 192, 000 < < Prev Next > > (2 / 2 Records ] Tax Year: 2017 Y SUMMARY CASSESSMENT PROPERTY CLASS: EXEMPT CODE: MUN CODE: SCHOOL DIST: OVR ASD VALUE: - VALUE LAND VALUE 10 % LAND VALUE 20 % CURRENT USE VALUE OVER 65 CODE: DISABILITY CODE: HS YEAR: EXM OVERRIDE AMT: TOTAL MILLAGE: 2 - 2 01 COUNTY $ 35, 870 $ 0 $ 0 (DEACTIVATED ] 2016 $ 0. 00 50. 1 $ 0. 00 CLASS 2 CLASS USE: FOREST ACRES: TAX SALE: PREV YEAR VALUE: $ 166, 800. 00 BOE VALUE: CLASS 3 POOL VINYL 500 CARPORT WOOD F GARAGE WD. FR. BLDG 001 29VP500 25WDWFL 24WFSMF 111 $ 3, 900 $ 2, 300 $ 7, 800 $ 116, 900 $ 166, 770 Disclaimer: Information and data provided by any section of this website are being provided " as - is " without warranty of any kind. The information and data may be subject to errors and omissions. TOTAL MARKET VALUE (APPR. VALUE: $ 166, 800): s Assesment Override: MARKET VALUE: CU VALUE: PENALTY: ASSESSED VALUE: ETAX INFO CLASS MUNCODE EXEMPTION TAX EXEMPTION STATE $ 4, 000 $ 2, 000 $ 0 COUNTY SCHOOL DIST SCHOOL CITY FOREST SPC SCHOOLI SPC SCHOOL2 سا سا سا لها لا لا لا سا + + + + + + + ASSD. VALUE TAX $ 16, 680 $ 108. 42 $ 16, 680 $ 225. 18 $ 16, 680 $ 136. 78 $ 16, 680 $ 0. 00 $ 16, 680 $ 0. 00 $ 0 $ 0. 00 $ 16, 680 $ 85, 07 $ 16, 680 $ 280. 22 $ 0 $ o $ 26. 00 $ 27. 00 $ 0. 00 $ 0. 00 $ 0. 00 $ 0. 00 $ 0. 00 $ 0. 00 TOTAL TAX $ 82. 42 $ 198. 18 $ 136. 78 $ 0. 00 $ 0. 00 $ 0. 00 $ 85. 07 $ 280. 22 $ 0 $ 0 $ o ASSD. VALUE: $ 16, 680. 00 $ 835. 67 TOTAL FEE & INTEREST: (Detail) $ 5. 00 GRAND TOTAL: $ 787. 67 FULLY PAID - PAYMENT INFO DATE PAY DATE TAX YEAR - DEEDS INSTRUMENT NUMBER 201563 - 18768 200710: 22397 9513 - 2079 7 / 9 / 2015 06 / 28 / 2007 11 / 17 / 1995 2017 2016 2015 PAID BY CORE LOGIC INC CORELOGIC CORELOGIC INC CORELOGIC INC CORELOGIC INC CORELOGIC INC 2014 11 / 17 / 2011 11 / 21 / 2016 12 / 1 / 2015 12 / 2 / 2014 11 / 19 / 2013 11 / 21 / 2012 20111216 20101201 20091021 20081120 20071219 2013 2012 * * * 2011 2010 * * * E AMOUNT $ 787. 67 $ 787. 67 $ 764. 62 $ 669. 43 $ 752. 60 $ 752. 11 $ 947. 50 $ 947. 50 $ 947. 50 $ 970. 54 $ 965. 02 $ 934. 96 $ 937. 39 $ 869. 34 $ 833. 27 $ 708. 02 $ 708. 02 2009 * * * 2008 * * * 2007 * * * 20061222 2006 * * * 2005 * * * 2004 * * * 20060124 20041216 20031215 20021103 20011116 2003 * * * 2002 * * * 2001 * * * nan \ man http: / / eringcapturadar. arg / capaz OAÞartal _ MainPage. aspilesherbZGLFametERLteresspartyzałkaralip8: 43 Desc Main Document Page 3 of 3

Meeting of Creditors with 341(a) meeting to be held on 02/21/2018 at 09:30 AM at Creditor Meeting Room Birmingham. Confirmation hearing to be held on 04/03/2018 at 11:00 AM at Courtroom 1 (DSC) Birmingham. Proof of Claim due by 04/03/2018. Government Proof of Claim due by 07/23/2018 Objection to Dischargeability of Certain Debts due by 04/23/2018.

Information to identify the case: Debtor 1 Lorenzo Jordan Social Security number or ITIN xxx−xx−2499 First Name Middle Name Last Name EIN _ _−_ _ _ _ _ _ _ Debtor 2 Deloise Bosha Jordan Social Security number or ITIN xxx−xx−3989 (Spouse, if filing) First Name Middle Name Last Name EIN _ _−_ _ _ _ _ _ _ UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF ALABAMA, SOUTHERN DIVISION Date case filed for chapter 13 1/23/18 Case number: 18−00259−DSC13 Official Form 309I Notice of Chapter 13 Bankruptcy Case 12/17 For the debtors listed above, a case has been filed under chapter 13 of the Bankruptcy Code. An order for relief has been entered. This notice has important information about the case for creditors, debtors, and trustees, including information about the meeting of creditors and deadlines. Read both pages carefully. The filing of the case imposed an automatic stay against most collection activities. This means that creditors generally may not take action to collect debts from the debtors, the debtors' property, and certain codebtors. For example, while the stay is in effect, creditors cannot sue, garnish wages, assert a deficiency, repossess property, or otherwise try to collect from the debtors. Creditors cannot demand repayment from debtors by mail, phone, or otherwise. Creditors who violate the stay can be required to pay actual and punitive damages and attorney's fees. Under certain circumstances, the stay may be limited to 30 days or not exist at all, although debtors can ask the court to extend or impose a stay. Confirmation of a chapter 13 plan may result in a discharge. Creditors who assert that the debtors are not entitled to a discharge under 11 U.S.C. § 1328(f) must file a motion objecting to discharge in the bankruptcy clerk's office within the deadline specified in this notice. Creditors who want to have their debt excepted from discharge may be required to file a complaint in the bankruptcy clerk's office by the same deadline. (See line 13 below for more information.) To protect your rights, consult an attorney. All documents filed in the case may be inspected at the bankruptcy clerk's office at the address listed below or through PACER (Public Access to Court Electronic Records at www.pacer.gov). The staff of the bankruptcy clerk's office cannot give legal advice. To help creditors correctly identify debtors, debtors submit full Social Security or Individual Taxpayer Identification Numbers, which may appear on a version of this notice. However, the full numbers must not appear on any document filed with the court. Do not file this notice with any proof of claim or other filing in the case. Do not include more than the last four digits of a Social Security or Individual Taxpayer Identification Number in any document, including attachments, that you file with the court. About Debtor 1: About Debtor 2: 1. Debtor's full name Lorenzo Jordan Deloise Bosha Jordan 2. All other names used in the last 8 years 5191 Shady Crest Road 5191 Shady Crest Road 3. Address Adamsville, AL 35005 Adamsville, AL 35005 Robert D. Reese Contact phone 205−802−2200 Bond, Botes, Reese & Shinn, PC 4. Debtor's attorney Name and address 600 University Park Place Email: ecfbirmingham@bondnbotes.com Suite 510 Birmingham, AL 35209 5. Bankruptcy trustee Bradford W. Caraway Contact phone 205 323−4631 Name and address Chapter 13 Standing Trustee P O Box 10848 Birmingham, AL 35202−0848 6. Bankruptcy clerk's office Hours open: Documents in this case may be filed at this address. 8:00 a.m. − 4:00 p.m. Monday−Friday You may inspect all records filed in Robert S. Vance Federal Building this case at this office or online at 1800 5th Avenue North www.pacer.gov. Birmingham, AL 35203 Contact phone 205−714−4000 Date: 1/23/18 For more information, see page 2 > Official Form 309I Notice of Chapter 13 Bankruptcy Case page 1 Case 18-00259-DSC13 Doc 9 Filed 01/23/18 Entered 01/23/18 09:00:04 Desc Ch 13 First Mtg Page 1 of 2 Debtor Lorenzo Jordan and Deloise Bosha Jordan Case number 18−00259−DSC13 7. Meeting of creditors Debtors must attend the meeting to February 21, 2018 at 09:30 AM Location: be questioned under oath. In a joint Robert S. Vance Federal Building, 1800 5th case, both spouses must attend. Avenue North, Birmingham, AL 35203 Creditors may attend, but are not The meeting may be continued or adjourned to a required to do so. later date. If so, the date will be on the court docket. 8. Deadlines Deadline to file a complaint to challenge Filing deadline: 4/23/18 The bankruptcy clerk's office must dischargeability of certain debts: receive these documents and any required filing fee by the following deadlines. You must file: • a motion if you assert that the debtors are not entitled to receive a discharge under U.S.C. § 1328(f) or • a complaint if you want to have a particular debt excepted from discharge under 11 U.S.C. § 523(a)(2) or (4). Deadline for all creditors to file a proof of claim Filing deadline: 4/3/18 (except governmental units): Deadline for governmental units to file a proof of Filing deadline: 7/23/18 claim: Deadlines for filing proof of claim: A proof of claim is a signed statement describing a creditor's claim. A proof of claim form may be obtained at www.uscourts.gov or any bankruptcy clerk's office. If you do not file a proof of claim by the deadline, you might not be paid on your claim. To be paid, you must file a proof of claim even if your claim is listed in the schedules that the debtor filed. Claims can be filed electronically through the court's website at: www.alnb.uscourts.gov/electronic−proof−claim. Secured creditors retain rights in their collateral regardless of whether they file a proof of claim. Filing a proof of claim submits the creditor to the jurisdiction of the bankruptcy court, with consequences a lawyer can explain. For example, a secured creditor who files a proof of claim may surrender important nonmonetary rights, including the right to a jury trial. Deadline to object to exemptions: Filing deadline: 30 days after the The law permits debtors to keep certain property as exempt. If you conclusion of the believe that the law does not authorize an exemption claimed, you meeting of creditors may file an objection. 9. Filing of plan The debtor has filed a plan. The plan is enclosed. The hearing on confirmation will be held on: 4/3/18 at 11:00 AM, Location: Robert S. Vance Federal Bldg, 1800 5th Ave No, Courtroom 1, Birmingham, AL 35203 10. Creditors with a foreign If you are a creditor receiving a notice mailed to a foreign address, you may file a motion asking the court to address extend the deadline in this notice. Consult an attorney familiar with United States bankruptcy law if you have any questions about your rights in this case. 11. Filing a chapter 13 Chapter 13 allows an individual with regular income and debts below a specified amount to adjust debts bankruptcy case according to a plan. A plan is not effective unless the court confirms it. You may object to confirmation of the plan and appear at the confirmation hearing. A copy of the plan, if not enclosed, will be sent to you later, and if the confirmation hearing is not indicated on this notice, you will be sent notice of the confirmation hearing. The debtor will remain in possession of the property and may continue to operate the business, if any, unless the court orders otherwise. 12. Exempt property The law allows debtors to keep certain property as exempt. Fully exempt property will not be sold and distributed to creditors, even if the case is converted to chapter 7. Debtors must file a list of property claimed as exempt. You may inspect that list at the bankruptcy clerk's office or online at www.pacer.gov. If you believe that the law does not authorize an exemption that debtors claimed, you may file an objection by the deadline. 13. Discharge of debts Confirmation of a chapter 13 plan may result in a discharge of debts, which may include all or part of a debt. However, unless the court orders otherwise, the debts will not be discharged until all payments under the plan are made. A discharge means that creditors may never try to collect the debt from the debtors personally except as provided in the plan. If you want to have a particular debt excepted from discharge under 11 U.S.C. § 523(a)(2) or (4), you must file a complaint and pay the filing fee in the bankruptcy clerk's office by the deadline. If you believe that the debtors are not entitled to a discharge of any of their debts under 11 U.S.C. § 1328(f), you must file a motion by the deadline. Official Form 309I Notice of Chapter 13 Bankruptcy Case page 2 Case 18-00259-DSC13 Doc 9 Filed 01/23/18 Entered 01/23/18 09:00:04 Desc Ch 13 First Mtg Page 2 of 2

Notice of Requirement to Complete Course in Financial Management. (Admin)

Def-005 [Notice to File Certification] (Rev. 12/15) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF ALABAMA, SOUTHERN DIVISION In re: Case No. 18-00259-DSC13 Lorenzo Jordan Chapter 13 SSN: xxx-xx-2499 Deloise Bosha Jordan SSN: xxx-xx-3989 Debtor(s) NOTICE OF REQUIREMENT TO FILE A CERTIFICATION ABOUT A FINANCIAL MANAGEMENT COURSE (Official Form 423) Notice is hereby given that, subject to limited exceptions, a Debtor must complete an instructional course in personal financial management in order to receive a discharge under chapter 7 (11 U.S.C. § 727) or chapter 13 (11 U.S.C. § 1328). Generally, financial course providers will file a certificate with the Court to indicate that the Debtor has completed the course. If the course provider fails to file the certificate, a Debtor must complete and file Certification About a Personal Financial Management Course (Official Form 423) pursuant to Federal Rule of Bankruptcy Procedure 1007(b)(7). If Rule 1007(b)(7) requires a Debtor to file Official Form 423 and a Debtor fails to do so, the Court will not enter a discharge and will close the case. If a Debtor subsequently files a Motion to Reopen the Case to allow for the filing of the Official Form 423, the full reopening fee must be paid for filing the motion, and the fee cannot be waived. Depending on the circumstances, the Court may order the Debtor's attorney to pay the reopening fee instead of the Debtor. Dated: 01/24/2018 By: Joseph E. Bulgarella, Clerk United States Bankruptcy Court Case 18-00259-DSC13 Doc 10 Filed 01/24/18 Entered 01/24/18 11:00:01 Desc Main Document Page 1 of 1

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Description
1
01/23/2018
Chapter 13 Voluntary Petition Individual. Fee Amount $310 Filed by Lorenzo Jordan, Deloise Bosha Jordan
2
01/23/2018
Chapter 13 Plan, and Request to Surrender Collateral. Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.
4
01/23/2018
Certificate of Credit Counseling for Debtor and Joint Debtor Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.
5
01/23/2018
Employee Income Records Filed by Debtor Lorenzo Jordan.
6
01/23/2018
Employee Income Records Filed by Joint Debtor Deloise Bosha Jordan.
7
01/23/2018
Appraisal Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.
8
01/23/2018
Tax Documents for the Year for 2016 Filed by Joint Debtor Deloise Bosha Jordan, Debtor Lorenzo Jordan.
9
01/23/2018
Meeting of Creditors with 341(a) meeting to be held on 02/21/2018 at 09:30 AM at Creditor Meeting Room Birmingham. Confirmation hearing to be held on 04/03/2018 at 11:00 AM at Courtroom 1 (DSC) Birmingham. Proof of Claim due by 04/03/2018. Government Proof of Claim due by 07/23/2018 Objection to Dischargeability of Certain Debts due by 04/23/2018.
01/24/2018
Notice of Debtor's Prior Filings for joint debtors Lorenzo Jordan and Deloise Bosha Jordan Case Number 01-00422, Chapter 13 filed in Alabama Northern Bankruptcy Court on 01/19/2001, Standard Discharge on 09/14/2006; Case Number 01-00422, Chapter 13 filed in Alabama Northern Bankruptcy Court on 01/19/2001.(Admin) (Text entry; no document attached.)
10
01/24/2018
Notice of Requirement to Complete Course in Financial Management. (Admin)
doc
05/25/2018
BNC Certificate of Notice
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