Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 1 of 70 Fill in this information to identify your case and this filing: Debtor + lard Lee McCusker FrstName och Nae Caste Debtor 2 (Spouse, It ling) FisTName GER Rare xa United States Bankruptcy Court forthe: NORTHERN DISTRICT OF TEXAS case number 17443815-7 Whenown} 1 creck tis is an ‘amended fing Official Form 1064/8 Schedule A/B: Property 12115 Ineach category, separately list and describe items. List an asset only once, Wan 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, Iftwo married people are fling together, both are equally responsible for supplying correct information, ifmore space is needed, attach a separate sheet to this form. On the top of any additonal pages, write your name and case number (if known). Answer every question FERREIEE vescrite Each Residence, Building, Land, or Other Real Estate You Own or Have an Interest in 1, Doyou own or have any legal or equitable interest in any residence, bulding, and, or similar property? BZ No. Goto Pan 2, Yes. Where is the property? 2. Add the dollar value of the portion you own forall f your enties from Part, including any entries for pages you have attached for Part 1. Write that number here. [ERREIEE vescrite Your Vehicles Do you own, lease, or have logal or equitable interest in any vehicles, whether they are registered or not? Include any vehicles you own that someone ese dives. Ifyou lease a vehicle, also report it on Schodule G: Executory Contracts and Unexpired Leases. 3. Cars, vans, trucks, tractors, sport utlity vehicles, motorcycles ON aves aa ‘Whe has an interest inthe property? Donat deduct soured claims or exemations. Put he Nate: Lexus Check oe. amount of any secred cams on Sched cee _ Gres Whe Have Clams Secured by Prope Neder AxG50 1 Debtors ony Propet a FB oebior2eniy Current value ofthe Curent value ofthe Year 2016 Q 206__F) ebior1 ane Debtor 2 ony tre property? portion you own? Approximate mileage: 10,000 toast ne ofthe debtors and anther s0.00 $0.00 ter infomation —___#200 _ 2046 Lexus RX350 {Check fii is community property (lease vehicle) (coe nstucton) a2 Who hav anlnterestin the propery? Do ot dda secured dain or oronplons_ Pure Make Mercedes Check one. erount of any seared dime on Schedule D Medel 3550 1 Detter ty Creditors Who Have Clams Secured by Proper ee Ty betior2 ony Current value ofthe x 2013 Debtor 1 and Debtor 2 only ‘entire property? portion you own? Q ‘Approximate mileage: 9,000 [J Atleast one of the debtors and another $61,00¢ $61,000.00 the information 2013 Mercedes $550 [Z| Check if this is community property (G0 instructions) Official Form 1068. ‘Schedule A/B: Property page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 2 of 70 Debior1 Willard Loe McCusker cave number i known) _17-49815-7 4. Watercraft, aircraft, motor homes, ATVs and other recreational vehicles, thor vehicles, and access: Exams: Boats alors, motors, personal watercraft, ishing vessels, snowmobiles, motorcycle accessories No Ove: '5. Add the dollar value of the portion you own forall of your entries from Part, including any ‘entries for pages you have attached for Part 2. Write that number here. Deseri four Personal and Household Items Current value ofthe portion you own? Bo not deduct secured Claims or exemptions Do you own or have any legal or equitable interest in any ofthe following items? 6, Household goods and furnishings Examples? Major appliances, fume, linens, china kitchenware DN Yes. Dsserte.... household goods and furnishings 7. Electronics Examples: Televisions and radios; audio, vdeo, stereo, and cgitalequipment; computers, printers, scanners; ‘music collections; electronic devices including cel phones, cameras, media players, games Ne Yes. Describe... television, computer, verledidvd stereo component $1,500.00 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; ath collections, memerabilia, collectibles TN HZ Yes. Deserbe... artwork, dvds, books, pictures & art objects, records, tapes, cds $415.00 9. Equipment for sports and hobbies Examples: Sports, photographic, exercise, and other hobby equipment; bicycles, pool tables, gol clubs, sks eanoes and kayaks; carpenty tools; musical instruments TN Yes. Describe... See continuation page(s) $225.00 40. Firearms Examples: Pistols ils, shotguns, ammunition, and related equipment a No LO Yes. Describe 11. Clothes Examples: Everday clothes, furs, leather coats, designer wear, shoes, accessories ON Yes. Describe... See continuation pagets). $350.00 12, Jewotry Examples: Everday jowolty, costume jewelry, engagement ngs, wedding rings, hetlom jewelry, watches, gems old siver ON Yes. Desert... See continuation page(s). $325.00 13. Nonfarm animals Examples: Dogs, cas, bres, horses fa No LO Yes. Describe Official Form 1068. ‘Schedule A/B: Property page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 3 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 14, Any other personal and household items you did not already lis, including any health aids you did not tst No LD Yes. Give specie information 415. Add the dollar value ofall of your entries from Part 3, including any entries for pages you have attached for Part 3. Write the number here. > FERRZIEI vescrite Your Financial Assets Current value ofthe portion you own? Bo not deduct secured claims or exemptions Do you own or have any legal or equitabie interest in any of the following? 16. Cash Examples: Money you have in your walle, in yout home, in a safe deposit bex, and on hand when you file your peaition TN i Yes. cash: $150.00 17. Deposits of money Examples: Checking, savings, or other nancial accounts; certfieates of deposit: shares in crect unions, brokerage houses, and other similar institutions. Ifyou have muliple accounts with the same institution ist each Ne Yes. Institution name 17.1. Checking account: First Internet Bank of Indiana; checking account ending 200 $143.00 172, Checking account: Capital One Bank; checking account ending 213; Non-Filing ‘Spouse's sole management community property; therefore, not property of the estate; estimated value 231.00 $0.00 17.3. Savings account| _—First Internet Bank of Indiana; 2 savings accounts ending 001 & 002 $22.00 174, Savings account; Capital One Bank; savings account ending 063; Non-Filing Spouse's sole management community property; therefore, not value $33.00 $0.00 18. Bonds, mutual funds, or publicly traded stocks Examples: Bond funds, invesiment accounts with brokerage fms, money markel accounts No ves. Institution or issuer name 418, Non-publicly traded stock and interests in incorporated and unincorporated businesses, including an interest in an LLC, partnership, and joint venture TN Hy Yes. Give specific them. Name of entity: 9% of ownership: McCuster & Company, Inc. 100% $0.00 Service USA, Inc $0.00 McCusker Service Group, Ine $0.00 McCusker West, Inc. (not operating) $0.00 ffeil Form 1068. ‘Schedule A/B: Property pagesCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 4 of 70 Debior1 Willard Loe McCusker case number it known) _17-49815-7 20. Government and corporate bonds and other negotiable and non-negotiable instruments "Nogotiabl instruments incl personal checks, cashiers’ checks, promissory notes, and money orders, "Non-negatiaie instruments are those you cannot transfer to someone by signing or delvering them. No LO Yes. Give specific information about them, lesuer name: 21, Retirement or pension accounts Examples: Iniresis in IRA, ERISA, Keogh, 401(k), 403(b), that savings accounts, or otter pension or profitsharing plans Ne Yes. List each account separately, Type of account: Institution name: 401(4) or similar plan: Empire Today profit sharing plan: Non-Filing Spouse's sole management community property; therefore, not property of the estate; estimated value $28,260.54 $0.00 22, Security deposits and prepayments ‘Your share of all uused deposits you have made that you may continue service or use from a company’ Examples: Agroements with landlords, prepaid rent, pubic ules (electric, gas, ater, tlecommunications companies, or thers DN i vee. Institution name or invidval: Electric: TriGounty Coop $500.00 Other: residental lease: Jan Debeuckdaer $3,400.00 23. Annuities (A contract fora specie periodic payment of money to you, ether orf or for a numberof years) No ves. Issuer name and description 24, Interests in an education IRA, in an account ina qualified ABLE program, or under a qualified state tuition program. 26 USS. §§ 580(by(1), 529A(b), and 529(0)1), No ves, Institution name and desexption. Separately fle the records of any ins muse. gs2te) 25, Trusts, equitable or future interests in property (ther than anything isted in line 1), and rights oF powers exercisable for your bonefit fa No TD Yes. Give specie information about them 26, Patents, copyrights, trademarks, trade secrets, and other intellectual property; Examples: Inlemet domain names, website, proceeds from royalies and licensing agreements fa No LD Yes. Give specie information about them 27. Liconses, franchises, and other general intangibles Examples: Building permis, exclusive licenses, cooperative association holdings, iquorlconses, professional licenses fa No LD Yes. Give specific information about them Official Form 10608 ‘Schodule A/B: Property page 4Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 5 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 Money or property owed to you? Current value ofthe portion you own? De not deduet secured claims or exemptions, 28, Tax refunds owed to you fa No 1 Yes. Give speci information Federal about them, including whether you already led the returns State: ‘nd tho tax yoars, Local 28. Family support Examples: Past due or lump sum alimony, spousal suppor, child support, maintenance, dvorce setlament, property setlamant a No Yes. Give speci information ‘Alimony: Maintenance: ‘Support: Divorce eotlement Proportysetlement 30. Other amounts someone owes you Examples: Unpaid wages, disabllty insurance payments, disability benefits, sick pay, vacation pay, workers! compensation, Social Securty benets; unpaid loans you made to someone else No 1 Yes. Give speci information 31, Interests in insurance policies Examples: Healt, disbilly, or If insurance; health savings account (HSA); credit, homeowner's, or renter’ insurance TN BZ Yes. Name the insurance company of each policy and Ist its value, ‘Company name: Beneficiary ‘Surrender or refund value ‘American Life; term life life policy insuring the life of Non-Filing Spouse; $200,000.00 face value; no cash 1° $0.00 32. Any interest in property that is due you from someone who has died IF you are the beneficiary ofa Iving trust, expect proceeds froma ifs insurance policy or are currently centile to receive property because someone has died No 1 Yes. Give specie information 38. Claims against third parties, whether or not you have filed a lawsuit or made a demand for payment Examples: Accidents, employment cisputes, insurance claims, oF ights to sve No Yes. Describe each claim 34, Other contingent and unliquidated claims of every nature, Including counterclaims of the debtor and rights to set of claims Ne ] Yes. Describe each claim... See continuation page(s). $0.00 ffeil Form 1060/8 ‘Schedule A/B: Property pagesCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 6 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-49815-7 35, Any financial assets you did not already list fa No Yes. ive speci 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. > PE oes crite any Business-Related Property You Own or Have an Interest In. List any real estate in Part 37. Do you own or have any 31 oF equitable interest in any business-related property? 1 No. Goto Pars, 1 Yes. Gotoline 38 Current value ofthe portion you own? Do not deduct secured claims or exemptions. 38, Accounts racelvable or commissions you already earned No Yes. Deseribe 38, Office equipment, furnishings, and supplios Examples: Business-related computers, software, modems, printers, copier, fax machines, rugs, telephones, desks, chairs, electronic devices No HZ Yes. Describe.. chairs, desk, computers, printer scanner $1,150.00 40. Machinery, fixtures, equipment, supplies you use in business, and tools of your trade No LD Yes. Describe 41, Inventory fa No LO Yes. Describe 42. Interests in partnerships or joint ventures fa No ‘Yes. Descrive,.... Name of enti % of ownership: a 43. Customer lists, malling lists, or other compilations. No 1 Yes. D0 your ists inctude personally identifiable information (as defined in 11 U.S.C. § 101(41))? No Bi Yes. Describe 44, Any business-related property you did not already list a No Yes. Give speciti information 45. Add the dollar value of all of your entries from Part 5, including any entries for pages you have attached for Part . Write that number here. Official Form 1068. ‘Schedule A/B: Property page 6Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 7 of 70 Debior1 Willard Loe McCusker cave number i known) _17-49815-7 Describe Any Farm- and Commercial Hyou own or have an interest in farmland, hing-Related Property You Own or Have an Interest In. tin Part 46, Do you own or have any tegal oF equitable Interest In any farm or commercial fishing-telated property? WZ Ne. Goto Pan. 1 Yes. Gototine 47, Current value ofthe portion you own? Bo not deduct secured claims or exemptions. 47, Farm animals Examples: Livestock, poultry, famsaised fish Ne ves. 48. Crops-sither growing or harvested No LD Yes. Give specie information 48, Farm and fishing equipment, implements, machinery, fixtures, and tools of trade No ves. 50. Farm and fishing suppl No ves, ‘51. Any farm- and commercial fshing-elated property you did nota chemicals, and feed No Yes. cive specite Information 52. Add the dollar value of all of your entries from Part 6, including any entries for pages you have attached for Part 6. Write that number here. > PR oes crive ait Property You Own or Have an Interest in That You Did Not List Above ady lst? '53. Do you have other property of any kind you did net al Examples: Season tickets, country chib membership Ba No Yes. Give speci information. 54, Add tho dollar value of all of your entries from Part 7, Write that number her Official Form 1068. ‘Schodule A/B: Property page 7Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 8 of 70 Debtor! Willard Loo MeCusker case number i known) _17-43818+7 t the Totals of Each Part of this Form 85, Part 1: Total realestate, $0.00 56, Part 2: Tota vehicles, $61,000.00 57. Part 3: Total personal and household tems, tine 15 $9,315.00 58, Part 4 Total financial assets, tine 36 $4,215.00 59, Part: Total business-related property, line 45 $1,150.00 60. Part 6: Total farm- and fishing-elated property, tine 52 $0.00 61. Part 7: Total other property not iste, ine 54 $0.00 62, Total personal property. Add lines 56 through 1 $75,680.00 | Gopery oul > 65, Total ofall property on Schedule AIB, Add line 55 + ine 62, Official Form 1068. ‘Schedule A/B: Property page 8Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 9 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 8. Equipment for sports and hobbies (details camera, exercise equipment ‘Sporting equipment; Non-Filing Spouse's sole management community property; therefore, not property of the estate; estimated value $1,200.00 11, Clothes (details clothing and personal effects clothing and personal effects: Non-Filing Spouse's separate property or sole management ‘community property; therefore, not property of the estate; estimated value $2000.00, 7 42. Jewelry high school ring, watches, wedding band jewerly: Non-Filing Spouse's sole management community property; therefor the estate; estimated value $1588.00 not property of 34. Other contingent and unliquidated claims of every nature (details): relmbursement of expenses McCusker & Company, Inc. $29,000.00 unpaid salary from McCusker & Company, Inc, $43,750.00 Official Form 1068. ‘Schodule A/B: Property $225.00 $0.00 $350.00 $0.00 $325.00 $0.00 $0.00 $0.00 page 9Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 10 of 70 Gites Debtor lard Lee MeCusker Fines Hs ae testNare Debtor 2 (Spouse, ing) Fans Tae Taster Unted States Bankupley Court forthe: NORTHERN DISTRICT OF TEXAS 1 croxesicten case number 47-49815-7 amend fing texnom) Official Form 106C ‘Schedule C: The Property You Claim as Exempt oats Bo as complete and accurate as possible. Iwo matted people ar fing together, both are equally responsible for supplying correct Information Using the property you Isted on Schodule A/B: Property (Oficial Form 106AVB) as your source, Ist he property that you claim as exomat. mare space is needed, fil out and attach to this page as many copes of Part 2: Additional Page as necessary. On the top of any adational pages, write your name and ease number (f known) For each item of property you claim as exempt, you must specify the amount ofthe 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 ofthe property being ‘exempted upto 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 dllar amount. However, if you claim an ‘exemption of 100% of far market value under a law that limits the exemption to a particular dollar amount and the value ofthe property is determined to exceed that amount, your exemption would be limited tothe applicable statutory amount. TEEREEEE centity the Property You Claim as Exempt 1, Which set of exemptions are you claiming? Check one only, even ifyour spouse is ing with you You are claiming state and federal nonbankruptey exemptions. 11 U.S.C. §522(0K3) FZ] You ara claiming focoral exemptions. 11 U.S.C. § 522162) 2. For any property youlist on Schedule 4/B that you claim as exempt, illin the information below. Bret description ofthe property and lineon _Currentvalu of Amount ofthe Specific ws that allow exemption ‘Schedule AB that st this propery the portion you. exemption you claim Copy the value rom Check only ane box for Schedule NB each exemption Bit desertion $6500.00 US. § 522183) household goods and furnishings Wow otter mart Line fom Schedule A: _ 6 value, upto any polcable staitory tit Bit desertion o TUS. § 5221013) television, computer, verledldva stereo TOO ofa marek component value, upto any Line fom Schedule A: _7 polcable staitory 3, Are you claiming a homestead exemption of more than $160,378? (Subject to adjustment on 4/01/19 and every 3 years after that for cases fled on or after the date of adjustment) No Yes. Dis you acquire the property covered by the exemption within 1,215 days before you fled this case? Oe O ves Official Form 1080 ‘Schedule C: The Property You Claim as Exempt page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 11 of 70 Debior1 Willard Lee McCusker case number i rown) _17243815-7 FEEREIEE Acaitionat page Brief description ofthe property andiine on Currentvalue of Amount ofthe ‘Specific laws that allow exemption ‘Schedule A/B that ists this property tho portion you. exemption you claim Copy th value from Chackonty one box or Schedule AB each exemption Bio desertion sas00 og 11 US.C. § 522(6)(3) artwork, dvds, books, pictures & art Wm of Tar mart objects, records, tapes, cds valu, up to any Line from Senedule 7B: @ appicabe staitory tit Brief description $2500 11 US.C. § 522(4)(3) camera, exercise equipment Tbe ar maner value, up to any applicable statutory Tmt Line from Schedule A/@: 9 Bit description $350.00 clothing and personal effects Line from Schedule A/8-_ 44 T1US.C. § 522(€)(3) 700% of far market value, up to any applicabe statutory Hit Bit description $325.00 high school ring, watches, wedding band Line from Schedule A/B:_ 42 11 US.C. § 522(€)(4) 700% of far market value, up to any applicable statutory Hit Bit description Jewerly: Non-Filing Spouse's sole 11 US.C. § 522(€)(4) 700% of far market ‘management community property; value, up to any therefore, not property of the estat applicable statutory estimated value $1588.00 Tit Line trom Schedule A/B: 12 Bit aoscipton $150.00 THUS. § 5221015) cash on hand W0O% oT farmanet Line rom Schedule A/@:_ 16 valu, up to any a applicable staitory iit Biot desertion $13.00 TUS. § S225) First internet Bank of indiana; checking WOH oar market account ending 200, valu, up to any Line fom Schedule A _A7A applicable staitry it Biel doscrption sm200 0 HUSE. § 5221018) First Internet Bank of indiana; 2 savings Woe far market accounts ending 001 & 002 valuo, upto any Line trom Sohedule AB: _ 17.3 apolcabe staitry tit Official Form 108 ‘Schedule C: The Property You Claim as Exempt page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 12 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 FEEREIEE Acaitionat page Brief description of the property and ine on Currentvalue of Amount of the Specific laws that allow exemption ‘Schedule A/B that lists this property the portion you exemption you claim Copy the value from Check only one box for Schedule /B each exemption Bit description sooo 11 U.S.C. § 522(4\(5) Capital One Bank; checking account FA) 100% of far market ending 213; Non-Filing Spouse's sole value, up to any ‘management community property; applicable statutory therefore, not property of the estate; Tit estimated value $231.00 Line from Schedule A/@: 17.2 Bret aesenption 3000 TUS. § 52210185) Capital One Bank; savings account ending Wow oFfarmarat 063; Non-Filing Spouse's sole value, upto any management community property; palable staitory thorefore, not property of the estate; lit estimated value $33.00 Line trom Schedule A/8:_ 17.4 Bie description 3000 TT US.C. § 522(6(12) Empire Today profit sharing plan: Non- Won offarmara Filing Spouse's sole management vale, up to any community property; therefore, not apoleable statitory property ofthe estate; estimated value lit $28,260.54 Lino trom Schedule A/B:_24 Biot doscrption a TUS. § 5221015) residental lease: Jan Debeuckdaer WOR Tar market valuo, up to any applicable statutory Hit Line from Schedule A/8:_22 Bit description $50 TriCounty Coop Line from Schedule A/8:__22 11 US.C. § 522(8(5) 700% of far marker value, up to any applicable statutory tit iit description American Life; term lfe life policy insuring 700% af far marker the life of Non-iling Spouse; $200,000.00 value, up to any face value; no cash value applicable statutory Line trom Schedule A/B:_ 34 limit 11 US.C. § 522(8(7) Brit description chairs, desk, computers, printer scanner Line from Schedule A/@: 39 1 US.C. § 522(8)(6) go 700% af far marke value, up to any applicable statutory Tit Otfcial Form 108 ‘Schedule C: The Property You Claim as Exempt page 3Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 13 of 70 Gites Debtor + Willard Lee McCusker FrstName osh Nare Caste Debtor 2 (Spouse, It ling) FisTName GER Rare Tarn United States Bankruptcy Court fr the: NORTHERN DISTRICT OF TEXAS case number 17443815-7 Case nur Wres3848-7 1 creck tis is an (own) ‘amended fing Official Form 106D Schedule D: Creditors Who Have Claims Secured by Property 1245 Be as complete and accurate as possible. f two marred people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the Additional Pago, fil tout, number the entrlas, and attach itt this form, (On the top of any addtional pages, write your name and case number (f known), 4. Doany creditors have clalms secured by your property? No. Check this box and submitthis frm to the court with your other schedules, You have nothing else to repart on this frm BZ] Yes. Flin all of the information below. FEEEEEBE st ait secured ciaims croarran a paralorcum,btfe ser eredlow mPa. Aa [amounts] |Vatiefceasieal |Ueseoued mucnanponbie,iltechineh cphubeicelerersccodnoote | Bapatdaetse) (iatsippars tis) lponton cesta nore aunts [oaks Fy : Describe tho propery that 2 secures the claim: $61,092.83, $61,000.00 Ally Francia 2013 Mercedes S550 Po Box 9001951 [As of the date you file, the claim is: Check all that apply 5 contingent Lousiville ky_40290 LD Uniquicatea oy SAFC — FF oyapites Who owes the debt? Check one, By Debtor + only 1 Detter 2 only D] Debtor + and Debior2 only Bl Atteast one of the debtors and another Nature of len. Check al that apaly ‘An agreement you made (euch as mortgage ot secured ear loan) 1 Statutory lon (such as taxi, mechanic's Hon) Judgment lien from a lawsuit Other (including aright to offset) D1 Check i this claim relates to. community debt Date debt was incurred ofaccountnumber 23 5 4 [Add the dollar value of your entries in Column A on this page. Write that number here $61,092.83, ffeil Form 1080 Schedule D: Creditors Who Have Claims Secured by Property page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 14 of 70 Debior1 Willard Loe McCusker ave number (t known) 17-438 18-7 column A coun Colurn ¢ umber them ‘Amount of claim Value of collateral Unsecured Dorotdedictihe that supports this portion aquertially tom te previous page. ee eee Gee Describe the property that eee ey $53,788.55 $0.00 $53,788.55 Lexus Financial Services __ 2916 Lexus RX350 PO Box 4102 as tthe date you tl, te claim it: Cree al that apy —___ 5 contingent Carol Stream IL 60197-4102} Uniquiated oy Sarees OS Whe owes the debt? Check one Nature offen. Check al that apo. Debtor + only [2] An agrooment you made (such as mortgage or secured car loan) [J Debtor 2 only Ly Statutory in (such as taxlien, mechanic's lien) 1D Dobler 1 and Debtor 2 ony Judgment on fom a lawsuit 1] Alleast one ofthe debtors and another FF other ncluting aight to oft) [Check this claim relates ContractiLease tea community debt Date debt was Incured Last aigs of account number [Add the dolar value of your entries in Column Aon this page. Write that number here: $53,788.55 A this the last page of your form, ade the dollar vale totals from all pages, Write that umber here: Offical Fm 1080 [Additonal Page of Schedule: Creditors Who Have Claims Secured by Property page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 15 of 70 fiers Debtor 1 lard Lee McCusker FrstName och Nae ast Nae Debtor 2 (Spouse, It ling) FisTName Ga Nae xa United States Bankruptcy Court forthe: NORTHERN DISTRIGT OF TEXAS case number 17-43815-7 Wienown} 1 check tis is an ‘amended fing Official Form 106E/F Schedule E/F: Creditors Who Have Unsecured Claims 12115 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 (Oficial Form 106A/B) and on Schedule G: Executory Contracts and Unexpired Leases (Official Form 1066). Do not include any ereditors with partially secured claims that are listed In Schedule D: Creditors Who Hold Claims Secured by Property. more space Is needed, copy the Part you need, fill it out, number the entries inthe boxes on the left. Attach the Continuation Page to this page, On the top of any additional pages, write your name and ease number (if known). FERRET ist 1 of Your PRIORITY Unsecured Claims 4. Doany creditors have priority unsecured claims against you? 1 No. Goto Par 2 Yes. 2. Listallof your priority unsecured claims, if creditor has more than ane priority unsecured claim, lst the creditor separately for each aim. For each claim listed, ienty what type of claim its. Ha claim has both priory and nonprioriy amounts, list that claim here and ‘show both priory and nonpriorty amounts, AS much as possible, st he claims in alphabetical order according tothe cecitors name, if ‘more space is needed for priory unsecured claims, fil out the Continuation Page of Part 1. I mare than one erecltor hols a peticular claim, list the ether creditors in Par 3. (For an explanation of each type of claim, sve the instructions fortis frm inthe instruction booklet. Total claim Priory Nonprioity amount amount ai $0.00 $4,25e hic Department of Taxation __ 444 gigits of account number PO Box 16678 When was the debt incured? sot tne date yout, the claim is: Chock a tat poy By Contingent Gf Unidas Who incurred the debt? Check one. “Type of PRIORITY unsecured claim Debtor * only Domestic suppor ablgatons g port obi Debtor 2 only [F Taxes and cata oler debts you owe the government Debtor § and Debtor 2 only Claims for death or personal injury wile you ware ‘AtTeas one of te delors and another intone Check this claim is for a community debt Other. Specify 1s the claim subject to offset? No Eves 2018 State corporate property taxes; its being listed out of an abundance of caution Official Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 16 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your PRIORITY Unsecured Claims -- Continuation Page Seapets atone etc ie PO Box 16678 When was the debt incurred? pum _ou_ suze} Dn 5] Deter 2 only E] Debtor + and Debior 2 only By Alleast one of the debtors and another FZ] Taxes and certam other debts you owe the government EF Claims for death or personal injury wile you ware itnetee [ Checkif this claimis fora community dabt Omer. Specty Ie the claim subject to ofeat? we Aves 2016 State corporate property taxes; its being listed out of an abundance of caution ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 17 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 TERRES ist a of Your NONPRIORITY Unsecured Claims 3. Doany creditors have nonprioity unsecured claims against you? No. You have nothing to reportin this part. Submit his form tothe court wth your other schedules. Yes 4. List all of your nonpriorty unsecured claims in the alphabetical order ofthe creditor who holds each claim. If a ereditor as more than one nenpriorty unsecured claim, Ist the creditor separately for each claim. For each claim sted, identity what ype of claim tis. Do not st clams alreacy included in Part‘, If more than one creditor holds a paricular claim, Ist the other creators in Part 3. if more space is needed for nonpriotty unsecured claims, fl out the Continuation Page of Part 2 ‘otal claim “4 $20,833.00 ‘American Express. Last 4 digits of account number __ Ronproniy reser Name vena the dabt eure? PO Box 650445, When was the debt Incurred? _ Nab [As of the date you fl, the claim i: Chock all hat apply. Contingent 1 Uniauidstos Disputed Tx__ 75265 4 Sa 2h ‘Type of NONPRIORITY unsecured cli redthe debt? Check one ‘Suen loane ony "i tor on By Odigaions arising out of a separation agreement or divorce 1 Debior2oniy that you dil ot opera pty clams Debtor # and Debtor 2 only [Debts to pension or poftsharng plan, and other similar dobis [FJ Atleast one of te debtors and anotrer Door spect Check it this claims tora community debt Credit Account 15 the claim subject to offset? No DD ves 42 Unknown ater Last 4digts of account number Noereny oa When was the debt incurred? Tuner Seq As ofthe dato you filo, tho claim is: Chock al thal apps FZ Contingent 1 Uniauidetos spite Garol Stream u__soror-cass ow Sie OP Cod “Type of NONPRIORITY unsecured claim: Who incurred the debt? Check one. Ty Stuieeicane Debtor + onty ] Odigations arising out o a separation agreement or divorce Debtor 2 oniy that you id not roport as pricy claims 1 Dobie to pension or profitsharing plans, and other similar debts FZ Other. Specity D1 Check if this claim is for a community debt ContractiLease 1s the claim subject to oftset? Ey Debtor + and Debtor 2 only BZ Alleast one of te debtors and another corporate cell phone service contract, ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 3Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 18 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them sequentially from the tim previous page. Total etal 43 $9,862.85 Barclay Card Last 4 digits of account number 9 — Terry ors When was the debt Incured? Tuner Stsq As ofthe date you fla, the claim is: Check al that apy 1 Contingent Fy Unicaotea F ispitest Wilmington DE 19899 a Cy Sale DP Code ‘Type of NONPRIORITY unsecured claim: Wo incured the debt? Check one cee 1 Debor ny EF Obtgetons arising out ofa seperation agreement or avorce Deoter2 ony that you didnot report as poy clams 1] Debora Debio 2 oy Debts to pension ar pro-shann pans, and ater similar bts Fy Alleast one ofthe debtors and another i Eroetoun 1 Check tthis claim s for communty debt Cree account 15 the claim subject to offaet? wx By ves a4 $1,125.00 ‘etly Sue Robinson Last 4 digits of account number Nonprrey Crests Name 502 Moss Hill Lane Whon was the debt incurred? im is: Check al tat apply. HeeMoss au dao the dale you fle te hy sens a Euless x 7oaso ee Sas TPC — Type of NONPRIORITY unascured al Mite euredtha det? Checkove crnoNPR to oenor’ ony Obigations arising out of a separation agreement or dvorce that you did rat report as priory claims 7 Debtor + and Debtor 2 only Debts to pension or profit-sharing plans, and other similar debts BZ Attoast one of tho debtors and anothor FF oer. Spey D1 Check if this claim is for community debt wages 1] Debtor 2 only 's the claim subject to offset? fa No ves strictly corporate debt; itis being listed out of an abundance of caution ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 4Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 19 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [EEREIEI Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. eae as $3141 Capital One Bank NA Last 4 digits of account number 8 Nororerty Cosa Name When was the debt incurred? unoar"— Seat A ofthe date you fila, tho claim is: Check al hat app 1 Contingen tricia a Bi Disp City of industry ca 91716 q oy Sate 2 Code ‘Type of NONPRIORITY unsecured claim: Who incurred the debt? Check one. ‘Steen loans Z Debior 3 only Obligations arising out of @ separation agreement or divorce {Debtor 2 ony Onn 3 yc eet ony that you dd not report as pony clams F Deblor * and Debtor 2 ony Debs to pension or profit-sharing plans, and other similar debis Atleast one of te debtors and another ores Speers 1 Check this claim s fora community debt Great account Is the claim subject to offset? wn Ove 46 $3,057.86 Capital One Bank NA Last 4 digits of acount number 6 NonprrayGrestars Name Nevprerty rose When was the debt incurred? inter Sra As ofthe date you file, the claim is: Check al that apis FF oontngent Untgudeted ———_________ 5 jspites y of industry cA 91716 O ose oy Sau —2P Coa ‘Type of NONPRIORITY unsecured eli Who Incurred the debt? Chock one. peahanniiie Debtor * ony Obigations arising out of a separation agreement or dvorce that you drat report as priory claims Debts to pension or profit-sharing plans, and other similar debts Debtor 2 only J Debtor + and Debtor 2 only LB] Attoast one of tho debtors and another aes at ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims pagesCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 20 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [EEREIE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. Tene st $4,282.06 Gapifal One Bank NA Last 4 digits of account number 4 Nexprony Coser Nae When was the debt incured? unbar Seat A ofthe date you file, tho claim is: Check al hat app 1 Contngen Fy Untaaidates Disputes ity of industry cA 91716 q oy She 2 Code “Type of NONPRIORITY unsecured claim: We incured the debt? Check one Soventienve Debtors ont [FJ Ontgatons arising out ofa separation agreement or vorce {Fy Debtor 2 ony that you dd not report as pronty clams {Debtor and Debtor 2 ony Dobis io pension ar prefi-shanng plans, and ater similar debts [Z] Atast one ofthe debtors and another Cae epee 1 Check if this claims ora community debt Credit account 1s the claim subject to offset? BN ives 48 $4391.81 Capital One Bank NA Last 4 digits of account number NonproreyGrestars Name Nevprery Grose When was the debt incurred? Winker Sra As ofthe date you file, the claim is: Check a that apply: contingent Untgudeted ———_________ 5 pjspites y of industry cA 91716 O ose oy Sau —2P Coa ‘Type of NONPRIORITY unsecured eli Who Incurred the debt? Chock one. Siete Debtor * ony Obigations arising out of a separation agreement or dvorce. that you drat report as priory claims Debis to pension or profit-sharing plans, and other similar debts Debtor 2 only J Debtor + and Debtor 2 only EB] Attoast one of tho debtors and another ae aN ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 6Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 21 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [ERREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the ai previous page. ‘Total cla 4a $36,294.73 hase card Last 4 digits of account number 0 — Nonprony Gear Hae When was the debt Incured? Rammer yest As o the date you fil, the claim iar Check al ha apply 1 Contingent Fy Uncadotec Disputed Wilmington DE 19850 a 7 is 2-C=a5 ~~ Type of NONPRIORITY unsecured claim: We incured the debt? Check one orton 1 Debor ny EF Obtgatons arising out ofa seperation agreement or avorce Ty Debr2y that you de not report as priory clams {Fy Debtor t and Debior2 oy Debts to pension or prefi-shanng plans, and oer sma debis Fy Alleast one of he debtors and another Debi pene 1 Checkitthis claim's fora community debt © Creaie account Inthe claim subject to offset? we By ves 410 $481.86 Chase Slate Card Last digits of account number 6 a Kanpory Cases ae eon caine PO Box 152988 wh the debt it rn Tamar Sees As of the date you fil, te claim ar Check al ha apply contingent Untaadted Erte Wilmington DE 19850 a Baye Es BP tats —— type of NONPRIORITY unsecured ca Whe incured the debt? Check one. sermon Debtor ony Obigations arising out of a separation agreement or dvorce. that you di rat report as priory claims Debts to pension or profit-sharing plans, and other similar debts Debtor 2 only Debtor + and Debtor 2 only ] Attoast one of the debtors and another aes ay ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 7Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 22 of 70 Debior1 Willard Loe McCusker 17-43815-7 ase number i known) [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them: provious page. ait Last 4 digits of account number 3707 Cypress Creek Pkwy Ste 450 Houston Tx__77088, Who incurred the debt? Check ono Debtor + ony FE] Debtor 2 only [BJ Debtor + and Debtor 2 only EB] Atteast one of the debtors and another Check this claim is for community debt Js the claim subject to offset? No ves sequentially rom the Total claim Unknown When was the debt incurred? [As ofthe date you file, the EZ Contingent fe Uniquidatos FZ Disputed im is; Check all hat apply. ‘Type of NONPRIORITY unsecured claim Student loans [Ey Obligations arising out of @ separation agreement or divorce ‘that you di not report as prio claims Debts to pansion or prof-sharng plans, and other similar debts Other. Specity Co-Defendent in pending lawsuit Dallas National Insurance Company vs. McCusker & Co., Inc., Willard L. McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 4:2 Gort Business Service Corp PO Box 17401 Number Ses Baltimore, MD 1297 $1,511.00 Last 4 digits of account number When was the debt incurred? [As of tho date you fil, the claim is: Check all hat apply. HZ Continger FA Unicuidaten a9 s5 9 ‘Type of NONPRIORITY unsecured claim Dy Stent loans [EJ Obiigatons arising cut of@ separation agreement or divorce — F istutes yaa Who incurred the debt? Check one, Debtor 1 only LD Debtor 2 ony Debtor‘ and Debtor2 only BZ Avleast one of te debtors and another D1 Check if this claim is for a community debt 1s th claim subject to oftsot? tfc Form 108E1F Schedule E/F: Creditors Who Have Unsecured Ciaime that you did rot report as pricy claims 1] Debi to pension or profitsharng plans, and other similar debts FZ] Other. Specity Corporate Debt - possible personal liability page 8Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 23 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. ‘Total claim 443 $1,000,000.00 Dallas National Insurance Company Last digits of account number nprary Crostrs Nae re fo Willlam E Reld & John M. Frick When was the debtincurred? Narper Siesta ofthe date you fila, the claim is: Check all that apply. Tollway Towers South EZ Contingent 115660 Dallas Parkway, Suite 1400 2 Uniquidated FZ Disputed Dallas Tx__ 75248-3328 a ins — iP Code ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check ono Seutentione 1 Debt + ony Ey Obligations arising ut of @ separation agreement or divorce ‘that you di not report as prioity claims. Debts to pansion or profi-sharng plans, and other similar debts Other. Specity Debtor 2 nly [B] Debtor + and Debtor 2 only Atleast one ofthe debtors and another 1 Check if this claim is for community debt Lawsuit Is the claim subject to offset? No ves Dallas National Insurance Company vs. McCusker & Co., Inc., Willard L. McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 414 $1,298.00 David Degenhardt Last 4 digits of account number Rovere creas ar When was the debt incurred? Taner Siar As of the date you file, the claim iar Check al nat apply Bf ont A Unicuidaten © ispter Farmers Branch Tx__75234 a ow Sao 2P Case ‘Type of NONPRIORITY unsecured cla Who incurred the debt? Check one, Ty Stueneicane Debtor 1 only Digalons arising out of a separation agreement or divorce LD Debtor 2 ony OF Obiaat 19 out of 2 separation agreement ord that you did rot report as pricy claims Debtor * and Debior2 only 1] Debi to pension or profitsharng plans, and other similar debts BZ Avleast one of te debtors and another D1 Check if this claim is for a community debt 1s the claim subject to oftsot? No ves Strictly corporate debt; itis being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 9Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 24 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the aim previous page. Total etal 415 $6,995.00 Dawn Westergard Last 4 digits of account number ——— Norpro cestr as ve Sonor Ger ar When was the debt Incured? amos Sret As ofthe date you fla, the claim is: Check al tet app Contingent Uninc a i Roanoke TX__ 76262 a iy ate Code ‘Type of NONPRIORITY unsecured claim: We incured the debt? Check one cee 1 Debtor ny EF Ontgatons arising out ofa seperation agreement or avorce Ty Debr2 y that you didnot report as poy clams {F] Deoter + and Debtor 2 ony Dobie to pension or proft-shanng pans, and ater similar ebts BB Alleast one ofthe debtors and another Bent evens Check this caim is for communty dat 4 Sis 15 the claim subject to offaet? wx By ves strictly corporate debt; itis being listed out ofan abundance of caution 48 $6,249.00 Emile Marit Last 4 gis of account umber Norpro CrestraName Serpe Case When was the debt incurred? im is: Check al tat apply. unser" Syea-— As ofthe date you ile, the Fr contingent Unicudeted ———_—————___— & pispites Grapevine TX__76054 Om oy Sas OF Coa ‘Type of NONPRIORITY unsecured claim: Who Incurred the debt? Check one. Dy Student loans Obigations arising out ofa separation agreement or vorce that you rat report as pricy claims 1 Debts ta pension or profitsharing plans, and other similar debts BZ Other. Speciy Dd Check if this claim is for a community debt Salary 1 Debtor + only Debtor 2 only J Debtor + and Debtor 2 only BZ Aleast one of the debtors and another Is the claim subject to offset? fa No ves Strictly corporate debt; itis being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 10Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 25 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the lal previous page. Total cla “a7 $485.00 Farmers Insurance Last 4 digits ofaccount number 4 Nonprory + Whon was the debt incurred? ‘10560 Barkley —_____ Naber Sree [As ofthe date you fila, the claim is: Check all that apply. EZ Contingens fe] Uniquidaton 7 Disputes Overland Park. KS 66212 iy ais — ZIP Code ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check ono. 1 Debt + ony Debtor 2 only [E] Debtor + and Debtor 2 only BZ Atleast one of the debtors and another Student loans Ey Obligations arising out of @ separation agreement or divorce ‘that you di not report as prio claims Debts to pansion or prof-sharng plans, and other similar debts Bl Other. Speciy D1 Check this claim is for community debt Corporate Debt - Notice Only Is the claim subject to offset? No ves 418 Federal Express. Last 4 digits of account number Neel Coser ae Whon was the debt incurred? BO Box scout _ re eee ee ‘As ofthe date you fle the lim i Check a al a 1 Contogen Grrr Diuted Daas TX rags oe Saw—2PCS™—— Type of NONPRIORITY unsecured a Vine ncured the debt? Chuck one eouwonrnie 1 Desorony Obigations arising out of a separation agreement or dvorce. 2 that you drat report as priory claims 7 Debtor + and Debtor 2 only Debis to pension or profit-sharing plans, and other similar debts BZ Attoast one of tho debtors and another FF omer. Speaty Ld Check if this claim is for a community debt Corporate Debt - Notice Only 's the claim subject to offset? fa No ves 1] Debtor 2 only tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 11Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 26 of 70 Debior1 Willard Loe McCusker sage number i known) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After listing any entries on this page, number them sequentially from the aim previous page. Total etal 410 $766.00 Gladden Water Last 4 digits of account number —_— terry crate When was the debt Incured? Ranier Sra ‘As ofthe dat you fila the claim ier Gheck a tet apy. A Contingent Gy Unicaotec Disputed Excelsior MN 55334 a iy ate Code ‘Type of NONPRIORITY unsecured claim: We incurred the debt? Check one scene 1) Debtor ony EF Obtgatons arising out ofa seperation agreement or avorce 1] Debr20 y that you didnot report as poy clams Devt a str 2 Dobie to pension ar pro'shann pans, and ater similar eots BB Alleast one of he debtors and another Dole ean 1 Check if this claim is ora community debt Corporate Debt -Notice Only 15 the claim subject ooffaet? wx By ves 420 Unknown, Health Care Services Corp. Last digits of account number 7 ~~ Nivea Cremors Ham Whon was the debt incurred? ‘14800 Frye Road, 2nd Floor Tambor Set a of the date you fle, the im is: Check al tat apply. HI Contngon Gere Dinuted FortWoth tx ress & Saw—2PCS—— typeof NONPRIORITY unsecured a Vive Incurd the debt? Chuck one eouwonrnie Debtor only Ostgatons arising ou ofa seperation agreement or divorce 1 Debtor 2 only that ou is nat reper as pry clams G7 Debtor + and Debtor 2 only Debts to pension or profit-sharing plans, and other similar debts LB] Attoast one of tho debtors and another Foner. Spey Ey Check if this claim is for a community debt Non-Consumer Debt 1s the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 12Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 27 of 70 Debior1 Willard Loe McCusker 17-43815-7 ase number i known) [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them: provious page. 424 Home Pro Operating, LLC Nenprary Crostrs Nave 1325 Capital Plewy #117 sequentially rom the Total claim $260.17 Last 4 digits of account number _— Whon was the debt incurred? ‘As ofthe date you file, the 6 im is; Check all that apply. 5 Uniquidatos HZ Disputes LO Contingens Carrollton Tx__75006. Who incurred the debt? Check ono I Debtor + only FE] Debtor 2 only BJ Debtor + and Debtor 2 only EB] Atteast one of te debtors and another 1 Check this claim is for community debt Is the claim subject to offset? No ves 422 Human Touch Nonprany Crestor Nano 4600 E, Conant Street ‘Type of NONPRIORITY unsecured claim Student loans EJ Obligations arising out of @ separation agreement or dvorce ‘that you di not report as prioity claims Debts to pansion or prof-sharng plans, and other similar debts Bl Other. Speciy Services Rendered Unknown Last 4 digits of account number Whon was the debt incurred? {As ofthe date you file, the. im is: Check all tat apply. Untgudated Disputed ‘Type of NONPRIORITY unsecured cla Student loans Fo Contingent Long Beach cA 90808, Who Incurred the debt? Check one 1 Debtor + only 1] Debtor 2 only J Debtor + and Debtor 2 only BZ Attoast one of tho debtors and anothor Check if this claim is for a community debt 's the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime Obigations arising out of a separation agreement or dvorce that you di rat report as priory claims Debts to pension or profit-sharing plans, and other similar debts Other. Spectty Corporate Debt - Notice Only page 13Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 28 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page Tetat claim 423 $2,345.00 James Murphy. Esq Last digits of account number — Tannery Cena are vate te debt neon Lewis Johs Avallone Aviles, LLP Whe the debt it a Fates tg ayatione Aviles, LP 4 tne dat youl, the elim in: Check al hat apy Gne GA Plaza, Suite 225 Ty contngen ties Bi Islandia NY 11749 a Gy Sas BP Cate Type of NONPRIORITY unsecured claim Who incurred the debt? Check one orton Q Debtor bon y J Obligations arising out of a separation agreement or divorce Debtor 2 ony that you didnot report as pron claims {Fy Debtor t and Debior2 ony Debi to pension or prt shary plane, an thar ima dobis Bf Aileast one of re debtors and another Debi pene I Checkifthis claimie ora communty debt Aetorneye foes te he cli subject to feat? wN veo 424 Unknown Jeffrey B, Gold Last 4 digits of acount number a Nonprony Crests Nae isrmayenee ron wae dt neue? ene ttn dale ou fle, the cain as Cheo a Pal apy MBCpeimoreave congas ces i Belmore NY tain ee Sis IF Cots — Type of NONPRIORITY unsecured ca Whe euredtha debt? Checker ecrnoNPR ty Denon’ ony Obigations arising out of a separation agreement or dvorce. that you drat report as priory claims Debis ta pension or profit-sharing plans, and other similar debts Debtor 2 only J Debtor + and Debtor 2 only LB] Attoast one of the debtors and another Other. Spectty Ey Check if this claim is for a community debt ‘Attomeys fees 1s the claim subject to offset? fa No ves Starr Surplus Lines Insurance Company and Starr indemnity & Liability Company vs. Mack Camera and Video Services, Inc., ‘Mack Worldwide Warranty and McCusker & Company; Case No, Case No. 651497/2013 tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 14Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 29 of 70 Debior1 Willard Loe McCusker sage number i known) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. Total claim 425 $709.00 Jennifer MeKinniey Last4 digits of account number —_— omprony crest ars ve Nanprody Gore Name When was the debt Incured? Tams Stes As ofthe date you fla, the claim is: Check al tet apply Contingent i Unins Bi ‘Saginaw TX__76179 a Cy Sale DP Code ‘Type of NONPRIORITY unsecured claim: We incured the debt? Check one sonore 1) Debtor ny EF Obtgatons arising out ofa seperation agreement or avorce Ty Debr2t y that you didnot report as poy clams oot a air 2 Dobie to pension or proft'shann pans, and ater similar bts BB Aleast one of he debtors and another Dole any 1 Check this claim's for community debt © Naog 15 the claim subject to offaet? wx By ves strictly corporate debt; itis being listed out ofan abundance of caution 428 $5,633.00 ‘Karen London Last 4 digits of account number orpraty Costa's Nae Norpro Cesiers ae When was the debt incurred? im is: Check al tat apply. Number Sees [As of the date you file, the. Fr Contingent Unicudated —_—_————___—— & pispites Euless 1X 76039 3 Om oy Sas OP Case “Type of NONPRIORITY unsecured claim: Who Incurred the debt? Check one. ‘Sudan rs 1 Student toans [Debtor + only Obigations arising out ofa separation agreement or vores that you drat report as pricy claims 1] Debi ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Dd Check if this claim is for a community debt wages 1 Debtor 2 only J Debtor + and Debtor 2 only Z| Aleast one of the debtors and another Is the claim subject to offset? fa No ves Strictly corporate debt; its being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 15Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 30 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [ERREIE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the cla provious page. as 427 $6,154.00 Kelly Brands Last digits of account number onprony Costa Nana wre Norprarny Costar Nar When was the debt incurred? Humoor Ses As ofthe date you fla, the claim is: Check al tet apply HZ Contingent By Uniadetes oe Disratet Artington Tx 76017 a Say Sais 2 Case ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check one. Sertentioane Dero Ey Odigstions arising out ofa separation agreement or évoree Deblor 2 oon that you didnot repr as prio claims Debtor + and Debtor 2 only Debis io pension or proft-sharng plans, and ther similar debts Atleast one ofthe debtors and another Ores Spears Check if this claim s fora community debt Salary 15 the claim subject to offset? No Dyes strictly corporate debt; its being listed out of an abundance of caution 42 $967.00 Kevin Chain Last 4 digits of account number __ Roni restr Nae ven was the debt incur 3209 Delaford Or. When was the debt incurred? _ Nimbor See [As of the date you file, the claim is: Check al that apply. Fr contingent Uniguldeted Br input Carroliton Tx__ 75007 Om ow Sas OP cose “Type of NONPRIORITY unsecured claim: Who incurred the debt? Check one Strdentioare 1 Detior* only q Obigations arising out of a separation agreement or dvorce that you rat report as pricy claims 1] Debi ta pension or profitsharing plans, and other similar debts BZ Other. Speciy Dd Check if this claim is for community debt wages 1 Debtor 2 nly J Debtor + and Debtor 2 only Z| Aleast one of the debtors and another 's the claim subject to offset? fa No ves Strictly corporate debt; its being listed out of an abundance of caution tfc Form 10861F Schedule ElF: Creditors Who Have Unsecured Claims page 16Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 31 of 70 Debior1 Willard Loe McCusker sage number i known) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. Total claim Unknown Last 4 digits of account number Ware Crore Nae Oe Whon was the debt incurred? im is; Check al tat apply. Wunber——Srst —~—- --_— A of the data you file, the Ff Contin fe Uniquidatos ee on iter Spring Tx__77388, a a 2 Gade ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check ono ‘Student lane A Debtor + ony Ey Obligations arising out of @ separation agreement or divorce ‘that you di not report as prio claims. Debts to pansion or prof-sharng plans, and other similar debts Other. Specity FE] Debtor 2 only [BJ Debtor + and Debtor 2 only EB] Atteast one of the debtors and another Check this claim is for 3 community debt Co-Defendent in pending lawsuit Is the claim subject to offset? No ves Dallas National Insurance Company vs. McCusker & Co., Inc., Willard L. McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 40 $1,076.00 nena Brown Last sof ecount number a ae eprom non was he dot incre? Neca arr yo, he em in Chock a ety © Continger B Seaea a Soueyvite Tx tena ey Tae —2rts — type of NONPRIORITY uncured ln: Weimured te? chem Tore nonen Teo D stcatonetsingcutf« sepaaton agreement dverce that you did rot report as pricy claims 1] Debi to pension or profit-sharing plans, and other similar debts FZ] Other. Specity D1 Check if this claim is for a community debt wages Debtor + and Debtor2 only BZ Avleast one of te debtors and another 1s the claim subject to oftsot? No ves Strictly corporate debt; itis being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claim page 17Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 32 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them sequentially from the claim previous page. ae 43t Unknown Living Spaces Last digits of account number A Norpro rostrsRame ven was the debt incute 114400 Arminta Stroot When was the debt incurred? __ Ramoer "Sweet [As of the date you fl, the claim is: Check all hat apply. 1 Contingent By Uniqudetes oa 0 Distt Panorama City cA 91402 a oir Shi 2 cade ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check one. Sertentleone Dero Ey Onision: arising out of a separation agreement or évoree Debtor 2 oon that you didnot repr as prio claims Boblr aredDeir 2 ony Debis io pension or proft-sharng plans, and ther similar debts Atleast one ofthe debtors and another Fy omer: specty Check if this claim is for a community debt Corporate Debt - Notice Only 1s the claim subject to offset? No Dyes 432 Unknown Coan Grisan Lumini Last 4 digits of account number __ Nonpronty croaers vsnwats the dubt neureea 550 Clermont Gt. When was the debt incurred? __ ise ra As ofthe date you file, the claim is: Check all ht aps Contingent Uniguidated 5 pisputed Colleyville Tx 76034 Q oy Saw OP cose ‘Type of NONPRIORITY unsecured eli Who incurred the debt? Check one. Sertentioare [Debtor + oniy Obligations arising out o separation agreement or divorce 1] Debtor 2 only J Debtor + and Debtor 2 only BZ Attoast one of tho debtors and anothor that you di rat report as priory claims Debts to pension or profit-sharing plans, and other similar debts Other. Spectty Check if this claim is for a community debt ContractiLease 's the claim subject to offset? fa No ves residential Lease: 2707 San Jacinto Euless, Texas tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 18Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 33 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous pag Totatctaim 433, $0.00 MW Gaddy Wells Last 4 digits of account number Nonprorty crostors Nama ne Downs & Stanford, PC Whon was the debt incurred? im is; Check al tat apply. Tina Sie As ofthe date you ile, the 2004 Bryan Street, Ste 4000 EA Contngen Fy Unicudatoa Disputed Dallas TX__75204 a ci Tae AP Coe ‘Type of NONPRIORITY unsecured claim: Whe incured the debt? Check one eee Debtor ony Ey Obligations arising out of separation agreement or divorce ‘that you di not report as prioity claims [1] Debi to pension or profisharng plans, and other siiar debts Bl Other. Specity Ey Debtor 2 only [BJ Debtor + and Debtor 2 only EB] Atteast one of te debtors and another 1 Check this claim is for community debt ‘Attorneys fees Is the claim subject to offset? No ves Dallas National Insurance Company vs. McCusker & Co., Inc., Willard L. McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 434 Unknown Mack Camera & Video Service: Ine. Last 4 digits of account number When was the debt incurred? 200 Morris Ave —___ Number Set [As of tho date you file, the claim is: Check all hat apply. Springflold, N FA contingent FA Uniquidaten Disputed ty Sisis ZF Cade_~ Type of NONPRIORITY unsecured claim Who incurred the debt? Check one, Ty Stuereicane Debtor 1 only ligation arising out of a separation agreement or divorce LD Debtor 2 ony OF Obiaat 19 out of 2 separation agreement ord that you did rot report as pricy claims 1] Debi to pension or profitsharng plans, and other similar debts FZ] Other. Specity D1 Check if this claim is for a community debt Co-Defendent in pending lawsuit 1s the claim subject to oftsot? No ves Starr Surplus Lines Insurance Company and Starr Indemnity & Liability Company vs, Mack Camera and ‘Mack Worldwide Warranty and McCusker & Company; Case No. Case No. 651497/2013 Ey Debtor 1 and Debtor 2 only BZ Aileast one of te debtors and another tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 19Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 34 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. Total claim 435 Unknown Wckieston€VAC Vinny, LLC asta ofecourtmimbor ew TPR sar Nien was the dotneured? conse —— ee Er Columbi SC___ 29209 a : Se SFOS —— Typo NONPRIORITY antec l Debior 3 only Dligations arising out of @ separation agreement or divorce F Sanoraony G osanons asa ot fase a ‘that you di not report as prio claims Debts to pansion or prof-sharng plans, and other similar debts Other. Specity [BJ Debtor + and Debtor 2 only HZ Atleast one of the debtors and another 1 Check this claim is for a community debt Co-Defendent in pending lawsuit Is the claim subject to offset? No ves Dallas National Insurance Company vs. McCusker & Co., Inc., Willard L. McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 436 ‘Mack Worldwide Warranty Last 4 digits of account number Nonprriy Crests Narie Won wae the debt neurredta 200 Morris Ave —____ Numbers Ses [As of tho date you fil, the claim is: Check all hat apply. Unknown Springfield Now Jersey Contrge eT Bf os Gy disput cys ass — type of NONPRIORITY unsecure ca Ve incurred the debt? Chock one Pr euentise LD Debtor 2 ony OD pee oetepeny canes that you did rot report as pricey claims Debtor * and Debtor 2 only 1] Debi to pension or profitsharng plans, an other similar debts BZ Atleast one of te debtors and another FZ] Other. Specity D1 Check if this claim is for a community debt Co-Defendent in pending lawsuit 1s the claim subject to oftsot? No ves Starr Surplus Lines Insurance Company and Starr Indemnity & Liability Company vs, Mack Gamera and Video Services, Inc., ‘Mack Worldwide Warranty and McCusker & Company; Case No. Case No. 651497/2013 tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 20Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 35 of 70 Debior1 Willard Loe McCusker sage number i known) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page After isting any entries on this page, number them sequentially from the previous page. Total claim 437 $1,552.00 Mayra Martinez Last 4 digits of account number Norpro crestor as ve Nonaony Cra a When was the debtineured? fimo Stet As ofthe date you fle, the claim is: Check al tet apy Contingent Gy Unicaotec irate Fort Werth Tx__76135 iy fate Code ‘Type of NONPRIORITY unsecured claim: We incured the debt? Check one sonore 1 Debtor ny EF Ontgatone arising out ofa seperation agreement or avorce J Deoter2 ony that you didnot report as poy clams Debora Debio 2 oy Dobie to pension or prot-shann pans, and other similar bts BB Alleast one of he debtors and another Doin any 1 Check tthis claim's for community debt Naog 15 the claim subject to offaet? wx By ves strictly corporate debt; itis being listed out of an abundance of caution 438 $77.00 MeCarthy Burgess Wolff Last 4 digits of account number US H U_ 26000 Cannon Road wn he debt ot im is: Check al tat apply. Fe ann Ren ar dl you fe te TF centnge Bi —__ Cleveland OM aatgs ee Sat — IFC) — Type of NONPRIORITY unsecured ca: Mie neuradthe debt? Checkone screw By Debtor’ only a Obigations arising out ofa separation agreement or vores that you rat report as priory claims 1 Debts ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Ey Check if this claim is for a community debt Non-Consumer Debt ] Debtor 2 only J Debtor + and Debtor 2 only Aleast one of the debtors and another Is the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 21Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 36 of 70 Debior1 Willard Loe McCusker sage number i known) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the aim previous page. Total etal $016.00 Last4 digits of account number Nonpony Greaar a When was the debt Incured? fimoor Sis As ofthe date you fla, the claim is: Check al tet apy Contingent & Unicaotec $$ Bisnis Fort Worth Tx __76116 iy ate Code ‘Type of NONPRIORITY unsecured claim: We incured the debt? Check one cee 1) Debtor ony EF Ontgatons arising out ofa seperation agreement or avorce a ¥ that you didnot report as poy clams Debora Debio 2 oy Debts to pension or proft'shann pans, and other similar bts BB Alleast one ofthe debtors and another Doe ean 1 Check this claim's for community abt ao 15 the claim subject ooffaet? wx By ves strictly corporate debt; itis being listed out ofan abundance of caution 4a $1,431.00 Paige Warrick Last 4 digits of account umber __ Renton crorsan vnaven the debt metre 5501 Finian Lane whe the debt ———— aor Shet ‘As ofthe date you fle the claim ier Check a tal apy. i contin gone Unaated ee rcs North Richland Hills TX _76180 Dn Cy Sule —ZPCeae—— Type of NONPRIORITY unsecured claim: We incured the debt? Check one Seances [1 Debtor + only q Obigations arising out ofa separation agreement or vores that you rat report as priory claims 1 Debi ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Dd Check if this claim is for community debt wages 1 Debtor 2 only J Debtor + and Debtor 2 only BZ Aleast one of the debtors and another Js the claim subject to offset? fa No Bi ves strictly corporate debt; itis being listed out of an abundance of caution ffeil Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims page 22Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 37 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them sequentially from the claim previous page. ae 4at Unknown Priniipal Life Insurance Last digits of account number Ree Seer us When was the debt incured? Humber Seat" —— As of the date you file, tho claim is: Check all hat app Contingen Hy Uniaadates Se Biswas Des Moines ta goog 7 ie 2 Cade “Type of NONPRIORITY unsecured claim: We incured the debt? Check one Suventisane 1] Debtors ont [FJ Ontgetonsansing out ofa separation agreement or vorce ] Debtor orto that you dd rot report as proty clams Boblr aredDeir 2 ny Dobis io pension or prei-shanng plans, and oer similar dois [Alteast one ofthe dblors and another Oar epeon Check this claims fora community debt Corporate Debt -Notice Only 1s the claim subject to offset? wx ves 442 $7,710.00 Ray Milbern & Co. Last 4 digits of account number Yoreeem Creer are Whon was the debt incurred? Ste 320 —__ ‘As ofthe date you fle, the claim is: Check al that app Coningent Ungadted Eire Grapevine TX__76095 a et ks RP CSts —— typo of NONPRIORITY unsecure ea Who incured the debt? Check one. Student loans Obigations arising out of a separation agreement or dvorce that you di rat report as priory claims Debts to pension or profit-sharing plans, and other similar debts 1 Debtor + only 1] Debtor 2 only J Debtor + and Debtor 2 only BZ Attoast one of tho debtors and anothor Other. Spectty Check if this claim is for a community debt Non-Consumer Debt 's the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 23Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 38 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. ‘Total claim 443 Unknown Regina Sergiyenko. Last digits of account number Nonprrey Cross Nave re Borer Gresers Name Whon was the debt incurred? Ranber — Sree {As ofthe date you fila, the claim is: Check all rat apply. EZ Contingens Fe Uniquidatos Disputed ‘Overland Park KS__ 66209 a 7 jas — 2 Cole ‘Type of NONPRIORITY unsecured claim Who incurred the debt? Check ono A Debtor + only Ey Debtor 2 only EJ Debtor + and Debtor 2 only EB] Atteast one of te debtors and another Student loans Ey Obligations arising out of @ separation agreement or divorce ‘that you di not report as prio claims Debts to pansion or prof-sharng plans, and other similar debts Bl Other. Speciy 1 Check i this claim is for community debt wages Is the claim subject to offset? No ves Regina Sergiyenko and Russell Joly vs. McCusker Holding Corp. and Willard L. McCusker; Case No. 17-CV.02321 444 $802.00 Robert Brown Last 4 digits of account number Nonprony Gresto'sNae Nera Cs a When was the debt incurred? Tino ‘As ofthe date you fil, the claim ss Check al hat ap. Contingent By Unieudtoe Disputed Euless TX__76039 a Gay Ss PCat Type of NONPRIORITY unsecured claim Wo incurred the debt? Check one Sunt . [7 Stort oans [1 Destroy Obigations arising out ofa separation agreement or vores that you rat report as pricy claims 1 Debts ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Dd Check if this claim is for a community debt wages 1 Debtor 2 nly J Debtor + and Debtor 2 only Z| Aleast one of the debtors and another 's the claim subject to offset? fa No ves strictly corporate debt; itis being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 24Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 39 of 70 Debior1 Willard Loe McCusker 17-43815-7 fase number i known) [ERREIE Your NonPRIORITY Unsecured Claims ~- Continuation Page After listing any entries on this page, number them sequentially from the provious page. 445 Roxann McCusker Norpro crostsrs Name 41741 Fountain Pass EZ Contingens Colleyville Tx__76034) Who incurred the debt? Check one. Debt + any Debtor 2 only B] Debtor + and Debtor 2 only BZ Atleast one of the debtors and another 1 Check this claim is for a community debt Is the claim subject to offset? No ves strictly corporate debt; itis being listed out of an abundance of caution 446 Russell Joly Nonprory Great Name RJoly Service Consultant Numer 7 ‘174 Maple Leaf Trail Elgin Tx__78624 Wht Incurred the debt? Check one. Hq Debtor + only J Debtor 2 only J Debtor + and Debtor 2 only Atleast one of the debtors and another Ey Check if this claim is for community debt Js the claim subject to offset? fa No ves Total claim $16,249.00 Last digits of account number Whon was the debt incurred? [As ofthe date you file, the claim is: Check all that apply. fe Uniquidatos FZ Disputed ‘Type of NONPRIORITY unsecured claim Student loans [Ey Obligations arising out of @ separation agreement or divorce ‘that you di not report as prio claims Debts to pansion or prof-sharng plans, and other similar debts Other. Specity Salary $0.00 Last 4 digits of account number Whon was the debt incurred? [As ofthe date you file, the Contingent Untgudated Disputed im is: Check al tat apply. ‘Type of NONPRIORITY unsecured claim: Dy Student loans Obigations arising out ofa separation agreement or vores that you rat report as pricy claims 1] Debi ta pension or profitsharing plans, and other similar debts FZ Other. Speciy wages Regina Sergiyenko and Russell Joly vs. McCusker Holding Corp. and Willard L. McCusker; Case No. 17-CV.02321 tfc Form 108E1F Schedule E/F: Creditors Who Have Unsecured Ciaime page 25Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 40 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page iret ciety 447 Unknown Scaron Dauglas Lang ofacout numer tenn Sif Laurel Oake Lane When was the debt incurred? Colleyville TX__76034 a Cy ‘Sisto ZIP Code ‘Type of NONPRIORITY unsecured claim: ebtor % only ations arising out of a separation agreement or divorce T] Debtor a Debtor 2 oy DDebis to pension or profit-sharing plans, and other similar debts es aN, sas $9,906.66 Colleyville TX__76034 a that yu dd rot report as pricy claims 1] Debi to pension or profitsharng plans, and other similar debts Other. Spectty Check t this claim ifora community dest Want Debtor + and Debtor2 only BZ Avleast one of te debtors and another Is the claim subject to oftsot? No ves ‘Solomon Dauglas vs, Willard and Roxann McCusker; Case number:JP03-17-SC00022676 tfc Form 108E1F Schedule E/F: Creditors Who Have Unsecured Ciaime page 26Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 41 of 70 Debior1 Willard Loe McCusker 17-43815-7 ase number i known) [ERREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After listing any entries on this page, number them. provious page. 449 ‘Starr Surplus Lines Insurance Company Renprary Crests Nae Starr Indemnity & Liability Company clo Gold Benes, LLP 1854 Bollmore Ave Bellmore NY 11710) Who incurred the debt? Check ono 1 Debt + only Debtor 2 nly [E] Debtor + and Debtor 2 only BZ Atleast one of the debtors and another 1 Check this claim is for a community debt Is the claim subject to offset? No ves sequentially rom the Total claim Unknown Last 4 digits of account number _— Whon was the debt incurred? {As ofthe date you fila, the EZ Contingens fe Uniquidatos FZ Disputed im is; Check al tat apply. ‘Type of NONPRIORITY unsecured claim Student loans [Ey Obligations arising out of @ separation agreement or dvorce ‘that you di not report as prioity claims Debts to pansion or rof-sharng plans, and other similar debts Other. Specity Corporate Debt - possible personal liability Starr Surplus Lines Insurance Company and Starr Indemnity & Liability Company vs. Mack Camera and Video Services, Inc., ‘Mack Worldwide Warranty and McCusker & Company; Case No, Case No. 651497/2013, 450 ‘State Farm Insurance PO Box 68001 $1,566.00 Last 4 digits of account number When was the debs incurred? [As ofthe date you file, the claim is: Check all hal apply. o Unigudated Disputea Number Sree Fo Contingent Dallas Tx__75368 Who Incurred the debt? Check one 1 Debtor + only Debtor 2 only ] Debtor + and Debtor 2 only Z| Aleast one of the debtors and another Check if this claim is for a community debt 1s the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime ‘Type of NONPRIORITY unsecured cll Dy Student loans [EJ Obligations arising cut of @ separation agreement or divorce that you id rot report as pricy claims [1] Debts to pension or profitsharing plans, and other sinilar debts FZ Other. Specity Corporate Debt - Notice Only page 27Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 42 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them sequentially from the claim previous page. ‘Total cla 451 $225.00 Stryker Reporting Lat digits of account number A ——_ Repenreeners Na wath debt ncune 1452 Hughes Road, Ste 200 Whe the debt it a Fanaa Ste 200 ——___ the dato you il, the elim io: Check al hat aly. contin Gy Grimasetos 8 oissites Grapevine TX__76051 a iy Sale DP Code ‘Type of NONPRIORITY unsecured claim: Who incurred the debt? Check one of NONPRIC Beit ony Fy Ostgatone arising out ofa separation agreement or divorce Fy Debtor Zon that you di not report a poy came 1 Bebo and Deir 2 ny Debio pension or prt shary plane, an thar ima dobis Atleast one of te dblore and another Doane tree 1 Checkit this claim fora community debt Non consumer Debt te he clim subject to feat? wx ves 452 $932.00 Syivia Rios Last 4 digits of acount number _— Ronprory Cresta Nae {9009 Stone Park Dr. #1914 When was the debt incurred? im is: Check all tat apply. eg Stone dnote dal you fe te hy ces i FonWorh x__7etos_— fe Bas TPCT — Type of NONPRIORITY unascued cal We euredtha det? Checkove ornoNPR Coenen’ ony Obigations arising out of a separation agreement or dvorce that you di rat report as priory claims 7 Debtor + and Debtor 2 only Debis to pension or profit-sharing plans, and other similar debts BZ Attoast one of tho debtors and anothor FF ote. Spealy Check if this claim is for a community debt wages 1] Debtor 2 only 's the claim subject to offset? fa No ves strictly corporate debt; itis being listed out of an abundance of caution tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 28Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 43 of 70 Debior1 Willard Loe McCusker sage number i kown) _17-43815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the cla provius page. ea 459 $4,900.00 SYNGB/Amazon Corp Last 4 digits of account number Nexon Coser Nae When was the debt incured? Ranuer Set ‘As ofthe dato you fila, the claim sr Check a tet aly. Coningen Uniaadates Disputed atlanta GA 30353 a 7 eZ Cade “Type of NONPRIORITY unsecured claim: Whe incured the debt? Check one Sodentienve 1] Debtors ont [FJ Ontgatons arising out ofa separation agreement or vorce ] Debtor oro that you dd rot report as pony clams obtain Dobis io pension ar prefi-shanng plans, and oer similar dbs {2 Aas! one ofthe debtors and another Oa Omer epeon 1] Check if this caimis fora community debt —™ Corporate debt- personal guarantor 15 the claim subject to offset? BN ves 454 $3,095.00 Synchrony Bank Last 4 digits of account number Nonprory Crestors Nae PO Box 965013, Whon was the debt incurred? im is: Check al tat apply. ee ‘As ofthe date you fle, the Hl Contngon Sera Dinuted Orlando Langs & Sus—2PCa™—— Type of NONPRIORITY unsecured ea Vine ncured the debt? Chuck one eouwonrnie i Desorony Obigations arising out of a separation agreement or dvorce that you drat report as priory claims Debis ta pension or profit-sharing plans, and other similar debts Debtor 2 only J Debtor + and Debtor 2 only LB Attoast one of tho debtors and another aes ai tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 28Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 44 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page Total claim S88 aT Vmieeke atten Sota Gers Shane R Gropp Mena te dettincured? | ‘ite carn Hae, Se 20 conse Ojai CA 93023 a ity Sale DP Code ‘Type of NONPRIORITY unsecured claim: 1 ett 2 ony 1 eryou de otrepe an pty cme ]obtr aredDeir 2 ory DDebis to pension or proft-shanng plans, and other similar debts oe ae 458 $128.82 Terminex Last digits of account number 9 2 5 4 Norprory CrosiraName ssn wat the debt incur 360 Ridge Lake Bivd. wn the debt incurred? im is: Check al tat apply. Number Sees [As of the date you file, the. contingent Untcudeted ———___ Fy jspites Memphis TN 36120 O ose oy Sie 2 Code ‘Type of NONPRIORITY unsecured claim Who Incurred the debt? Check one. sualentioons By Debtor + only p Obigations arising out of a separation agreement or vorce that you rat report as pricey claims 1] Debts ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Ey Check if this claim is for a community debt Services Rendered Is the claim subject to offset? fa No ves Debtor 2 only J Debtor + and Debtor 2 only LE] Atleast one of tre debtors and another tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 30Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 45 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After listing any entries on this page, number them sequentially from the previous pag: Total claim ast Unknown ‘The Hodgson Law Firm, PLLC Last digits of account number ero Gross Name re NonponyCreaors ane Whon was the debt incurred? im is: Check al tat apply. Target {As ofthe date you fil the ‘kee's Summit, MO 6482 Contig & Unicatec Gy dieses iyi 2 Cals —— Type of NONPRIORITY unsecured claim: Wo incurred the debt? Check one Sulontienve Debtor ony Fy Ostgatone arising out ofa separation agreement or dvoree FE] Debter2 only [EJ Debtor + and Debtor 2 only EB] Atteast one of te debtors and another ‘that you di not report as prio claims, Debts to pension or profi-shanng plans, and other similar debts Bl Other. Speciy 1 Check this claim is for community debt ‘Attorneys fees Is the claim subject to offset? No ves Regina Sergiyenko and Russell Joly vs. McCusker Holding Corp. and Willard L. McCusker; Case No. 17-CV.02321 458 Unknown Tier One Consumer Products Services, LLC Last digits of account number __ Nonprory Gress Name ssn wat the debt incur clo Tim Maynard Schuur wn the debt incurred? Number" Steet {As ofthe date you file, the claim is: Check all that apply. 6202 Laver Love Drive ‘Contingent Spring, 1X 77379 Untiguidated Disputed iy ——_—__Sisie “ZF Cade_—~ Type of NONPRIORITY unsecured claim Who Incurred the debt? Check one ‘Student loans Debtor * only q gq Obigations arising out ofa separation agreement or dvorce Debtor 2 only ] Debtor + and Debtor 2 only Atleast one of the debtors and another that you rat report as pricy claims 1 Debi ta pension or profitsharing plans, and other similar debts FZ Other. Speciy Ey Check if this claim is for community debt Co-Defandent in pending lawsuit 's the claim subject to offset? fa No ves Dallas National insurance Company vs. McCusker & Co., Inc., Willard L, McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton tfc Form 108E1F Schedule E/F: Creditors Who Have Unsecured Ciaime page 31Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 46 of 70 Debior1 Willard Loe McCusker 17-43815-7 fase number i known) [ERREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After listing any entries on this page, number them. provious page. 458 Tim Maynard Schuur Nonrrory Crostors Nave 6202 Laver Love Drive sequentially rom the Feat Unknown Last 4 digits of account number Whon was the debt incurred? {As ofthe date you fila, the claim is: Check all that apply. fe Uniquidatos FZ Disputed ‘Type of NONPRIORITY unsecured claim Student loans EZ Contingent Spring Tx_77379) Who incurred the debt? Check ono A Debtor + ony Ey Debtor 2 nly [BJ Debtor + and Debtor 2 only EB] Atteast one of te debtors and another 1 Check if this claim is for a community debt Is the claim subject to offset? No ves Dallas National Insurance Company vs. MeCus [Ey Obligations arising ut of @ separation agreement or divorce ‘that you di not report as prio claims Debts to pension or prof-sharng plans, and other similar debts Other. Specity Co-Defendent in pending lawsuit isker & Co,, Inc., Willard L, McCusker, Tier One Consumer Products Services, LLC aka Cornerstone Consumer Products Services, LLC Lance Davis, Tim Maynard Schuur, HVAC Warranty LLC & Mack Heaton 460 Time Payment Systems 11600 District Ave,, Ste 200 Nombor Stet Burlington, MA 1803, $8,919.00, Last 4 digits of account number When was the debt incurred? [As of tho date you file, the claim is: Check all hat apply. HZ Continger FA Unicuidaten S3SA3 ‘Type of NONPRIORITY unsecured claim: Dy Stent loans EJ Obligations arising cut of @ separation agreement or divorce — F istutes ya ase Who incurred the debt? Check one, Debtor 1 only Debtor 2 ony Debtor 1 and Debtor2 only BZ Aleast one of the debtors and another D1 Check if this claim is for a community debt 1s th claim subject to oftsot? tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Claims that you did rot report as pricy claims 1] Debi to pension or profitsharng plans, and other similar debts FZ] Other. Specity Corporate Debt - possible personal liability page 32Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 47 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 [ERREIEE Your NonPRIORITY Unsecured Claims -- Continuation Page ‘After listing any entries on this page, number them sequentially from the previous page. Total claim 4st $203.00 Last 4 digits of account number 8 clo Access Receivables Whon was the debt incurred? im is; Check all that apply. Taner Set As ofthe data you il, the POBox1377 a Contnger Hy Uniaadates ST Disputes Cockeysville MD__ 21030 OD 7 ls 2 Gs Type of NONPRIORITY unsecured claim Wo incured the debt? Check one cee Debtor + only EJ Obligations arising out of @ separation agreement or dvorce ‘that you di not report as prioity claims Debts to pansion or prof-sharng plans, and other similar debts Bl Other. Speciy Debtor 2 only B] Debtor + and Debtor 2 only BZ Atleast one of te debtors and another 1 Check if this claim is for community debt Corporate Debt - Notice Only Is the claim subject to offset? No ves 462 Transworld Systems, inc. Last 4 digits of account number Nereeet Creare are Whon was the debt incurred? $300 Virginia Dr. Sto 514 Himoo Seat As ofthe date you fle, the im is: Check all tat apply. ee Cetincen ntadeted Nee Fai Fort Washington PA 19034 a ey Ssis_—2P'Cols — Typo of NONPRIORITY unsecured cli Who incurred the debt? Chock one asirt cone I Destroy Obigations arising out of a separation agreement or dvorce that you di rat report as priory claims Debts to pension or profit-sharing plans, and other similar debts Debtor 2 only J Debtor + and Debtor 2 anly LB] Attoast one of tho debtors and another Other. Spectty Ed Check i this claim is for a community debt Services Rendered 's the claim subject to offset? fa No ves tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 33Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 48 of 70 Debior1 Willard Loe McCusker 17-43815-7 ase number i known) [EEREIEE Your NonPRIORITY Unsecured Claims ~- Continuation Page After isting any entries on this page, number them sequentially from the previous page. 453 US Bank Card Norpro PO Box 790408. LO Contingens St.Louis Mo 63179 Cheek one. Who incurred the debt? 1 Debt + only 1 Debtor 2 nly [B] Debtor + and Debtor 2 only BZ Atleast one of the debtors and another 1 Check if this claim is for community debt Is the claim subject to offset? No ves 464 Wells Fargo Dealer Services Norpro Crestor Name POBox 25341 Soe Sie Total claim $22,954.95 Last 4 digits of account number 8 4 Whon was the debt incurred? {As ofthe date you fila, the claim is: Check all nat apply. By Uniquidatos 1 Disputes ‘Type of NONPRIORITY unsecured claim Student loans [Ey Obligations arising out of «separation agreement or divorce ‘that you di not report as prioity claims, Debts to pansion or profi-sharng plans, and other similar debts Other. Specity Non-Consumer Debt Unknown Last 4 digits of account number _6_ Whon was the debt incurred? {As ofthe date you file, the. im is: Check al tat apply. Santa Ana, CA 92799-5341 Contingent WEDS-MAGT9017.026 Ey Untguidated AEDS MACTOONT 026 eputed cy Sais “ZFCale_~ Type of NONPRIORITY unsecured cla Who Incurred the debt? Check one I Debtor + only 1] Debtor 2 only J Debtor + and Debtor 2 only LB] Attoast one of tho debtors and another Ey Check i this claim is for a community debt 's the claim subject to offset? fa No ves 2005 Bentley Continental GT tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime Student loans Obigations arising out ofa separation agreement or vorce that you drat report as priory claims Debts to pension or profit-sharing plans, and other similar debts BZ Other. Specty Deficiency balance on previously secured account page 34Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 49 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 FEERZIEE Ace the amounts for Each Type of Unsecured Claim 5. Total the amounts of certain types of unsecured claims. This Information Is for statistical reporting purposes only. 2BUS.C, § 159, Add the amounts for each type of unsecured claim, Total claim Totalcloms 69, Domest suppor obligations o $0.00 from Part >, Taxes and cartin otter des you owe te government & $9013.19 {Claim for dash or parson nr while you wore Intonlated te $0.00 4, Other, Add all ober prory unsecured clans. Witethat amount her. 8 $000 0, Total Ads tines 6a trough 6 os Jain Totactains 6 $0.00 from Part 2 5, Obligation arising out of «separation agreement or dlvoree a $0.00 that youd nt rport as pony claims Sh, Debt to pension or profitsharng plans, and other similar on $0.00 debts 61, Other. Add all ether nonpiony unsecured claims. Write that amounthere. 1. 4 _ $4,228,919.19 6), Total, Add ines 6f through 6 4. | __s1.228.919.19 tfc Form 10861F Schedule E/F: Creditors Who Have Unsecured Ciaime page 35Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 50 of 70 Gites Debtor + Willard Lee McCusker FrstName ooh Nae Caste Debtor 2 (Spouse, It ling) FisTName GER Nae Tarn United States Bankruptcy Court forthe: NORTHERN DISTRICT OF TEXAS Case mbar | ATek98467 1 creck tis is an ‘amended fling Official Form 106G ‘Schedule G: Executory Contracts and Unexpired Leases 1245 Be as complete and accurate as possible. f two marred people are filing together, both are equally responsible for supplying correct information. If more space is needed, copy the adaltional page, fil tout, number the entries, and attach itto this page. (On the top of any additional pages, write your name and case number (f known), 1. Doyou have any executory contracts or unexpired leases? No. Check his box and file this form wth the court with your other schedules, You have nothing else to report on this form, FZ] Yes. Flin all of te information below even ifthe contacts oF leases are Usted on Schedule AVB: Property (Offical Form 106AV8), 2. List soparately each person or company with whom you have the contract or lease. Then stato what each contract or leaso is for (for example, rent, vehicle lease, cll phone). See the instructions fr this form n the instucton booklet for more examples of ‘executory contracts and Unexpired leages. Person or company wth whom youhave the contractor lease State what the contacto ass for 2a corporate coll phone service contract Contract to bo REJECTED Carol stream L__s197-5463 22 residential Lease: 2707 San Jacinto Euless, Taxes Contract te be REJECTED Contracts ind erautr Cotlewile 76034 23 Janda residential ease: $806 Normandy Dr. Contract to be ASSUMED Cotewille Tx__yens4 & BS 24 Lexus Financial Services 2016 Loxus RX380 Name Contract to be REJECTED POBox 4102 Corsets in DEFAULT Carel Seam IL sote7-e102 Official Form 1086. Schedule G: Executory Contracts and Unexpired Leases, page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 51 of 70 Debior1 Willard Loe McCusker a - Person or company with whom you have the contract or lease fila! Ons ane yee ___r_tnt__ Peon ces otame Rca $i are Rod 20 27 Ting Pament Suton 1600 District Ave,, Ste 200 Burlington, MA 1803, Offcial Form 1086. Schedule G: Executory Contracts and Unexpired Leases. case number i known) _17-49815-7 nal Page if You Have More Contracts or Leases What the contractor lease is for residential lease: 811 Laurel Oaks Colleyville, Texas, Contract to be REJECTED Contract is in DEFAULT call desk digital sorvice contract Contract to be REJECTED Contract is in DEFAULT point of sale system: 2 point of sale (all | one) units 2 printers receipts 2 cash drawers Contract to be REJECTED Contract is in DEFAULT page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 52 of 70 Gites Debtor t lard Lee McCusker FrstName osh Nare Caste Debtor 2 (Spouse, It ling) FisTName GER Rare xa United States Bankruptcy Court fr the: NORTHERN DISTRICT OF TEXAS case number 17443815-7 Wienown) 0 creck itis is an ‘amended fing Official Form 106H ‘Schedule H: Your Codebtors 12115 CCodebters are people or entities who are also lable 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, fl tout, and number the entries In the boxes on the left. Attach the Adaltional Page to this, page. On the top of any Additional Pages, write your name and ease number (if known). Answer every question. 4. Doyou have any codebtors? (Ifyou are fling ajint case, do not st either spouse as a codebtor. Oo Ne Yes 2, Within the last 8 years, have you lived in a community property state or territory? (Community property states and temtores Include Arizona, Calfomia,Iaho, Louisiana, Nevada, New Moxico, Puerto Reo, Toxas, Washington, and Wisconsin) LD No. Goto tine IZ] Yes. Dic your spouse, former spouse, or legal equivalant lve with you atthe me? Oe Yes Inwhicn community state orteritory di youve? _Texas___ Flin te name and current adress ofthat person. Roxann Lee McCusker 1741 Fountains Pass Dr. Number Sree! Colleyville ™ 76034 3. In Column 1, list ll of your codebtors, Do not include your spouse as a codebtor if your spouse Is fling with you. List the person shown inline 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 1060), Schedule E/F (Oficial Form 106EIF}, or Schedule G (Official Form 1066). Use ‘Schedule D, Schedule EiF, or Schedule G to ll out Column 2 Column 1: Your eodebtor Column 2: ‘The ereditor to whom you owe the debt Check all schedules that apoly 31 | McCusker & Company, ine. Official Form 106H H: Your Codebtors page tDebt Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 53 of 70 ‘or Willard Loe McCusker case number i known) _17-49815-7 [HB ccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly 32 | McCusker & Companyine, sched in 4741 Fountain Pass BZ Schedule Enea Schott Colleyville %. 76034 Beatty Sue Robinson 33 | McCusker & Company,ine. sett in 4741 Foun BD Schedule Ei, ne 4.42 1 Sonedule 6, ne coteyla TK tampa or Buns Serva Cop 34 | McCusker & Company,ine, sett ne 4741 Fountain Pass Dr. BA Schedule BF, ne 4.43 Schedule 6 ie coteyun Tx tase ‘Daas National isirance Company 355 | McCusker & Company,in, sche 0, tn 4741 Fountain Pass HZ Schedule EF, tne 4.44 Schott 6 ine Colleyville %. 76034 David Degenhardt oy Sis 2a 36 | McCusker &Company.ine. geht in 4741 Foun BD Schedule Ene 4.45 Scheie coleyilo TK 70g Dawn Westorgara 3 Sas Cae 37_] McCusker & Company in 1 setetie Dine 41741 Fountain Pass Dr BD Schedule Ene 4.46 LD Schedule 6 ie coteyan Tx rapa Ere Mart Official Frm 1064 Schedule H: Your Codebtors page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 54 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [HBB ccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly 4741 Fountain Pass D Ey Scredle EF, ne 4.9 i Sched 6. Colleyville ™ 76034 Gladden Water 41744 Foun Schule EF, ie_ 42 Sched. e Colleyville ™ 76034 Human Touch 37] MeCustar & Company, ne 1p sere ne 4741 Fountain Passe. Sermon _ 428 Lr Seed 6. fe Collet 7034 James Murphy, E5q 27] Mecusker & Company, ne 1p sere ne Noor ene Scheie EF e425 Li Sched 6. Colleyville ™ 76034 Jennifer McKinnley & Ses Tree BAe] MeCusher & Company, ne 1p sete ne 4741 Fount Hy Scredie EF, ne 4.26 Lr Sere. Colleyville ™ 76034 Karen London see —____,. Tia] Mecusker & Company. ne Official Frm 1064 1741 Fountain Pass Dr. Colleyville % 76036 Ty Schedule Dytine WZ) Schedule EF, tno 4.27 Schedule tine Kelly Brands Schedule H: Your Codebtors page 3Debtor 1 Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 55 of 70 Willard Lee McCusker case number i known) _17-49815-7 [HBB ccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly Tia] McCusker & Company, ne 1D sent 0, ine 4741 Fountain Pass i By Schedule EF, ne 4.28 Ly senodt te Colleyville ™ 76034 Kevin Chafin 375)] Mecusker & Company, ne 1a seed, na #741 Fount Schedule EF, ine 430 Ty Sene ,e Colleyville ™ 76034 Leneana Brown 3]] Mecusker & company, ne 1D serio, oe 4741 Fountain Pass br. By Sched EF, ine 434 1 Sthedle 6, oteyvite rem Mack Camera & Video Services, ne. 27] MeCusker & company, ne serie, ne Tere ee Schedule EF, ine_ 4.35 Lr sehen Cottey Teo Mack Heston & HVAG Warranty, LC & fae roe 2]] Mecusker & Company, ne 1D sees, na 4741 Fount By Sthele EF, ine 438 1 Sched 6, colteyite reo Mack Worldwide Warranty See fees 37a] Mecusker & Company, Ine Official Frm 1064 1741 Fountain Pass Dr. Colleyville % 76036 ‘Schedule H: Your Codebtors Ty Schedule Dytine [Schedule EMF, ino 4.37 Schedule tine Mayra Martinez page 4Debtor 1 Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 56 of 70 Willard Lee McCusker case number if known) _17-49815-7 [HBB ccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly rag Fountain Pass O HA Seredule EF, tne 4.39 474 Foun I somiic Em oo 2a Teron Pass Br HD Schedule GIF, oo 22 json i sewer yen Bh Sere cree a Official Frm 1064 1741 Fountain Pass Dr. Colleyville % 76036 Schedule H: Your Codebtors Ty Schedule Dytine BZ) Schedule EF, no 4.44 Schedule G, tine Robert Brown pagesDebtor 1 Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 57 of 70 Willard Lee McCusker cave number i known) _17-49815-7 [HRI sc citionai page to List More Codebtors Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly jeg Rountain Poss De WZ Scredule EFF, ne 4.45 eau Seni Fea Tere ee Schedule EF, tne 451 $26 emia an Seale oo a2 Otfcial Form 106H Schedule H: Your Codebtors page 6Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 58 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [HBB sccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly 3.32] MeCusker &Company.ine cnet ine 4741 Fountain Pass BZ Schedule Er, ne 4.60 Senet 6 tne Colleyville 1K 76034 Time Payment Systems 3.35] McCusker & Company, ine cma ine 4741 Foun BD Schedule Ene 4.61 D1 Schedule 6, ne colleyilo Xana Timo Warmer oF Sue 2 Coe 3.34 ] McCusker & Company, ne. cnet, ine 4741 Fountain Pass Dr. HA Schedule EI, tne 4.63 Schedule 6 ie coupe tampa US Bank Card 3.35 ‘McCusker Holding Corp. DD Schedule D,tine 4508 ColleyileBvd. ay sched Fre 4.28, 1 Schott 6 ine Colleyville x 76034 James Murphy, Esq, oy Sis 2a 3.36 ] Service USA ne. D1 Schedule 0, tne A745 Wont 136th Sr BD Schedule Ene 4.31 LD Scheie Leawood ks. 66224 Living Spaces oF Sao Coe 37 | Service USAIne. Otfcial Form 106H TAS West 136th Street, Sto 77 Leawood ks 65226 Ty Schedule Dytine WZ) Schedule EF, tno 4.47 Schedule tine Farmers Insurance Schedule H: Your Codebtors page 7Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 59 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [HB sc citionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The creditor to whom you owe the debt Check all schedules that apoly 3:36 ] Service USA me, 1D sche ine 4745 West 136th Street, Ste 77 By Schedule ne 4a Sern 6, te Leawood ks 66224 Ray Milbern & Co. 330 ] Service USA Ine. DD SehetiteD tine 4745 Wost 136th Street, Ste 77 By Schedule EF, tne 4.18 Ly Sehete6 ne Leawood KS oars Federal Express 340 ] Service USA, Ine. sere 0 tne 4508 Colleyville Biv By Schedule tne 4.85 Sched 6, ie Colleyville ™ 76034 Talkdesk, inc. GAT] Spouse Name Not Entered 1D serie, ne i Be By Scheie ne 423 Serato, ie James Murphy, Esq. ay sas 2 3a | Spouse Name Not Entered 1D sees, ne — By Schedule EF, ne 432 Ly Sehete6,e loan Grisan Lumintas Gran ow sass 3a] Spouse Name Not Entered 1p sawteo,ne a By Seheduo , ine_ 447 Ly Sched, ie Solomon Dauslas Otfcial Form 106H Schedule H: Your Codebtors pagesCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 60 of 70 Debior1 Willard Loe McCusker case number i known) _17-49815-7 [HBB ccitionai page to List More Codebtors ‘Column 1: Your codebtor Column 2: The ereditor fo whom you owe the debt Check all schedules that apoly Otfcial Form 106H Schedule H: Your Codebtors page 9Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 61 of 70 Gites Debtor 4 Willard Lee McCusker: Frater Mech Name ant Nere check ith is Debtor 2 (Spouse, fing) FatNare aaa ———tastWare —————— ] 0) Ar amended ing [_ Asupplement showing postpettion United States Bankruptcy Cout forthe: NORTHERN DISTRICT OF TEXAS ee ee er eterng date Case number —-17-43818-7 (known). Official Form 1061 Schedule I: Your Income 12115 imo Be as complete and accurate as possible. iftwo marred people are fling 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 spoust Is not fling 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. FEEEEEIE bescrive Employment 4. _Fillin your employment information Debtor 4 Debtor 2 or non-ling spo if you nave more than one jb, atach a separate page Employment status []_ Employed 1 Employed vith information about Not ompoyea FZ Not employed adational emplayers Occupation PresidentiConsultant Include parttime, seasonal or selt-employed work. Employer's name MeCusker & Company, Inc. Occupation may include Employer's address PO Box 2072 student or homemaker, iit Number Stest Nambar Set apples. Colleyville Tx _76034 oy ‘Sale ZipCode Gly How long employed there? 18 years FEBEEINE sive Detalis about Monthly Income Estimate monthly income a8 ofthe date you file this form. If you have nothing to repor for any line, write $0 in the space. Include your nor-fling spouse unless you are separated, Iyou or your norefling spouse have more than one employer, combine the information forall employer fr that person onthe lines below. If you need more space, atach a separate sheet to this form. For Debtor? For Debtor 2 or nonsfling spouse 2, List monthly gross wages, salary, and commissions (oefre all 2 $0.00 payroll deductone). 1 nat paid monthly, calcula what the monthly wage would be, 3. Estimate and lst monthly overtime pay. a4 $0.00 $0.00 4. Calculate gross income. Add line 2+ line 3 4 $0.00 $0.00 Cffcal Form 1061 ‘Schedule I: Your Income page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 62 of 70 Debior1 Willard Loe McCusker Case number (known) 17-83815-7 For Debtor! For Debtor 2or onsfling spouse Copy Ine 4 He wenn 4 5. List all payroll deductions: 5a, Tax, Medicare, and Social Security deductions 5a ‘5b. Mandatory contributions for retirement plans 5 Se. Voluntary contributions for retiroment plans es ‘5d, Required repayments of retirement fund loans 0 Se. Insurance 5, ‘5 Domestic support obligations 5 59. Union dues 5a ‘5h. Other deductions ‘Speciy ont 6, Add the payroll deductions. Addiinos 5a+Sb+5c+5d+50+51* 6. 59+ 5h 7. Calculate total monthly take-home pay. Subtract line 6 from line 4.7 $0.00 $0.00 8. List all other income regularly received: {82 Net income from rental property and from operating a a $0.00 business, profession, or farm [tach a statement foreach property and business showing ‘rose receipts, ordinary ane necessary business expanses, and ‘he total monthly net income. 8b, Interest and dividends , $0.00 $0.00 8c. Family support payments that you, anonsfling spouse, ora. ‘$0.00 $0.00 ‘dependent regularly receive Include alimony, spousal suppor, chilé support, maintenance, ivorco settlement, and propery settement. 84. Unemployment compensation 84, Be. Social Securtty 8 $0.00 $0.00 {8f. Other government assistance that you regularly receive Include cash assistance and the value (known) or any nor ‘cash assistance that you receive, such as fod stamps (benefits under the Supplemental Nutiion Assistance Program) ‘or housing subsidies. Speci: Bt 89. Pension or reirement income 0, 8h, Other monthly income, Spocily ah $0.00 8, Addall other income, /Add lines Ba + 8b + 8c + 84+ Be + 81+ 89+ 8H, 9 $1,906.66 410. Calculate monthly income. Add line 7 + tne 9 10. +| __s1,908.66 |=| _ $11,370.66 ‘Add the entries in ine 10 for Debtor 1 and Dabior2 or nor-fling spouse, Se 414. State all other regular contributions to the expenses that you list in Schedule J Include contributions from an unmarried parine, members of Your Rousenold, your dependents, your reommates, and other frends 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. Speciy nt $0.00 42, Add the amountin the last column of line 10 tothe amountin ine 11. The resutis the combined monthly 12 $11,370.66 income. Waite that amount on the Summary of Your Assets and Liaoilies and Certain Statistical Information, ifitappies. Gombined ‘monthly income Cffcal Form 1061 ‘Schedule I: Your Income page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 63 of 70 Debior1 Willard Loe McCusker Case number (known) 17=83815-7 15, Do you expect an increase or decrease within the year after you file this form? Ow. Debtor anticipates Non-Filing Spouse's unemployment benefits to expire October 2017 BZ Yes. Explain Cffcal Form 1061 ‘Schedule I: Your Income page 3Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 64 of 70 Debior1 Willard Loe McCusker a, Allached Statement (Debtor 1) Gross Monthly Income: Expense advertising bank service fee dues & publications mise. office expenses supplies & materials travel & enterainment tities & telephone website feo call software postage Total Monthly Expenses Net Monthly Income: Cffcal Form 1061 McCusker Consulting ‘Schedule I: Your Income Case number i known) Amou $100.00 $25.00 $100.00 $161.00 $450.00 $400.00 $850.00 $50.00 $100.00 $100.00 $200.00 17-43815-7 $12,000.00, $2,536.00 $9,464.00 age 4Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 65 of 70 Gites check it his ie Debtor 4 Willard Lee McCusker. Dy Anamendod fing Frat Nore Mech Name antNone E]_Asipploment shoving pstpatiton Debtor 2 chapter 13 expenses a8 ofthe (Spouse, fling) FaRNane ———WaeNane———Lastwene ——] _followng date: United States Bankruptcy Cout forthe: NORTHERN DISTRICT OF TEXAS imaroD Tye Case number -47-43815-7 (known) Official Form 106J Schedule J: Your Expenses 12/15 Be as complete and accurate as possible. If two marred people are filing together, bath are equally responsible for supplying correct information. Ifmore space is needed, attach another sheet to this form, On the top of any additional pages, write your ‘name and ease number {ifknown). Answer every question. [EEREIEE be scribe Your Household 1. Isthis joint case? HZ No. Goto ine 2. Yes. Does Debtor 2tive in a separate household? O ve Bi Yes, Debtor 2 must file Official Form 1061-2, Exnenses far Separate Household of Deblor 2 2 Doyouhave dependents? J No Hd Yes. Fitautinisinformaion Dependent’ relationship to Dependents Does dependent Do notlst Debtor t and Teeter Dabtor 1 of Debtor? age live with you? Debtor 2 1 Wo Daughter u oN Do ot sae he dependents Gn O Yes O Ne O Yes O No O Yes O No OO Yes 3. Do your expenses include D1 No ‘expenses of people otherthan §—F]_ yes, yourself and your dependents? FEBEEIBI estimate Your ongoing Monthly Expenses Estimate your expenses as of your bankruptcy ling dato unless you are using this form as a supplement In a Chapter 13 case to report expenses as of a dato after the bankruptcy is fled. If this is a supplemental Schedule J, check the box atthe top of, the form and fill inthe applicable date Include expenses paid for with non-cash government assistance ityou know the value of ‘uch assistaneo and have ineluded it on Sehedule I: Your Income (Official Form 1061) Your expenses 4, The rental or home ownership expenses for your residence. 4 $3,400.00 Include frst mortgage payments and any rent fr the ground a la not included in tne 4 4a, Real estate taxes 4a 40, Property, homeowner’, o en's insurance ab, $141.00 4e. Home maintenance, repair, and upkeep expenses te $75.00 4d, Homeowner’ association or condominium dues 46 offal Form 108) ‘Schedule J: Your Expenses, page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 66 of 70 Debior1 Willard Loe McCusker 5. Additional mortgage payments for your residence, such as home equiy loans 6 uti Case number (known) 17=43815-7 Your penses 41. Medical and dental expenses ‘magazines, and books 15. Insuranee. 15a, Life insurance 150, Health insurance 150, Vehicle insurance Speciy 17. Installment or lease payments: 574, Other. Specify Speciy 6a, lectcty, heat, natural gas 6a, $325.00 6b, Water, sewer, garbage collection e, $120.00 Se. Telepone cl phone, tre, stale, rd 6. $129.00 64, Other. Specily: Security System 6, $135.00 7. Food and housekeeping supplies 7 $1,800.00 8. Childcare and children's education costs 8 $125.00 9. Clothing, laundry, and dry cleaning 8 $200.00 10. Personal care products and services 10 $175.00 " $542.00 42, Transportation Include gas, maintenance, bus or ain 2 $450.00 fate. Do notinclude car payments 43. Entertainment, clubs, recreation, newspapers, 18. $150.00 14. Charitable contributions and religious donations “4 Do notinclude insurance deducted rom your payor included inlines 4 or 20, 15a, $55.00 150, 1 $800.00 150. Otherinsurance. Specify: 164, 16. Taxes. Dorotinciude taxes deducted from your pay oF included in ines 4 oF 20. 16. 7a. Car payments for Vehicle 1 Ta 476, Car payments for Vehicle 2 tM ‘Te, Other. Specity: Seif employment taxes te $2,160.00 174 48, Your payments of alimony, maintenance, and support that you did not report as 1°. deducted from your pay on ine 5, Schedule |, Your Income (Oficial Form 106) 48, Other payments you make to support others who do not ive with you. s Official Form 1064 ‘Schedule J: Your Expenses page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 67 of 70 Debior1 Willard Loe McCusker 20, a. 2 24 (Other real property expenses not included in lines 4 or Sof this form or on ‘Schedule f Your Income. 20a. Mortgages on other property 20D, Realestate taxes Other, Specty: Case number (known) 17-43815-7 Calculate your monthly expenses. 22a, Add tines 4 through 21 Calculate your monthly net income. 200, 200, 20, Property, homeowner’, or renters insurance 206, 204. Maintenance, ropair, and upkeep expenses 204, 202, Homeowner's association er condominium dues 200. 2a. $10,782.00 220, Copyline 22 (monthly expenses for Debtor 2), any, from Official Form 106-2. 22, 226, dé line 22a and 22b, The results your monthly expenses 226, $10,782.00 23a. Copy ine 12 (your combined month income) from Schedule | 2a. $11,370.66 28b, Copy your monthly expenses from Ine 22¢ above. 200. =. $10,782.00 2c. Sublact your monthly expenses from your monthly income. ‘The results your monthly net income. 2c. $588.66 _Do you expect an increase or decrease in your expenses within the year after you fle ths form? For example, do you expect ofnish paying for your car loan within the year or do you expect your mortgage payment to increase or decrease because of a modification tothe tems of your mortgage? O Yes, [Explain here Ges) rcerelionary expenses will be adjusted based on income offal Form 1063 ‘Schedule J: Your ExpensesCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 68 of 70 Gites Debtor t Willard Lee McCusker FrstName osh Nare Caste Debtor 2 (Spouse, It ling) FisTName GER Rare Tarn United States Bankruptcy Court fr the: NORTHERN DISTRICT OF TEXAS case number 17443815-7 oe case num this is an ‘amended fing Official Form 106Sum Summary of Your Assets and Liabilities and Certain Statistical Information 12115 Be as complete and accurate as possible. f two marred 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. W you are filing amended schedules after you file your original forms, you must fill out anew Summary and check the box at the top ofthis page. FEEEEEIE surnmarize Your Assets Your assets Value of what you own 1. Schedule A/B: Property (Offical Form 10648) ‘1a, Copy line 55, Total eal estate, from Schedule A/B, $0.00 4b. Copy Ine 62, Total personal property, rom Schedule AV. $75,680.00 Your liabilities ‘Amount you ove 2. Schedule D: Creators Who Have Claims Secured by Property (Official Form 1080) 2a. Copy he total you listed in Column A, Amount of claim, a the bottom othe last page of Part 1 of Schedule D. $114,881.38 3. Schedule E/F Creditors Who Have Unsecured Giims (Ofteal Form 108E/F) 3a. Copy the total claims from Part 1 (prrty unsecured claims) fom tne 6 of Schedule EF __ $8,013.19 + __$1,228,919.19 30, Copy the total claims from Part 2 (nonprirty unsecured claims) from line 6] of Schedule EF. [EEREIEE surmmarize Your income and Expenses 4. Schedule : Your Income (Ofiial Form 1081) Copy your combines monthly income trom line 12 of Schedule $511,370.66 5. Schodulo J: Your Expenses (Oficial Form 1064) Copy your monthly expenses from line 22c of Schedule J $10,782.00 Official Form 106Sum ‘Summary of Your Assets and Liabilties and Certain Statistical Information page tCase 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 69 of 70 Debior1 Willard Loe McCusker sage number i known) _17-49815-7 Answor These Questions for Administrative and Stati 6, Are you fling for bankruptcy under Chaptars 7, 11, or 137, No. You have nothing to reparton this part ofthe form. Check this box and submit this form fo the court with your aher schedules, Yes 7. What kind of debt do you have? D1 Your debts are primarily consumer debts. Consumer debs are those “incurred by an individual primary fora personal, family, orhousshold purpose." 11 U.S.C. § 10%(8), Fil out lines 8-89 fr statistical purposes. 28 U.S.C. § 159 HZ Your debts are not primarily consumer debts. You have nothing to report on this part ofthe form. Check this box and submit tis form to the court with your other schedules, 8, From the Statement of Your Current Monthly Income: Copy you foal current monthiy income from Official Form 12204 Line 11; OR, Form 1226 Line 11;0R Farm 1226-1 Line 14 9. Copy the following spec categories of claims from Part 4, line § of Schedule EF: Total claim From Part 4.0n Schedule EF, copy the following 9a, Domestic suppor obligations. (Copy ine 6a) 9. Taxes and certain other debis you owe the government. (Copy line 6.) ‘9c. Claims for death or personal injury wrile you were intoxicate. (Copy ine Se.) 9d. Student leans. (Copyline 6) 8c. Obiigations arising ou of a separation agreement or divorce that you didnot report as prionily claims. (Copy line 89.) 1. Debs to pension or profit-sharing plans, and ether similar debts. (Copy ine 6h) + Official Form 106Sum ‘Summary of Your Assets and Liabilities and Certain Statistical Information page 2Case 17-43815-mxm7 Doc 18 Filed 10/04/17 Entered 10/04/17 13:17:45 Page 70 of 70 Gites Debtor + lard Lee McCusker FrsiName och Nae ast Nae Debtor 2 (Spouse, It ling) FisTName Ga Nae xa United States Bankruptcy Court forthe: NORTHERN DISTRIGT OF TEXAS case number 47943815-7 1 check tis is an own) ‘amended fing Official Form 106Dec Declaration About an Individual Debtor's Schedules 12115 'Wtwo 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 yoars, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571 HE sin 5c10m Did you pay or agree to pay someone who is NOT an attorney to help you fill out bankruptcy forms? No LO Yes. Name of person [tach Bankruptey Pottion Proparer’s Notice, Declaration, and Signature (Offical Form 119). Under penalty of perjury, | declare that | have road the summary and schedules filed with this declaration and that they are true and correct. X /s/Willard Lee McCusker x Wiacd Loe McCusker. Debtor? Signature of Bobior2 Date 10/04/2017, Date iuwrD0 TY iarTDOT YY ffcial Form 108Dee Declaration About an individual Debtor's Schedules page t