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National Archives & Records Administration Form 90A Entire Case File - Research Ticket
021-01-0174
0084 E1320055
Comments:
DPAID
REMARKS REVIEW - DATE TIME Check#
12/22/2017 Page 1 of 1
OFFICE OF 1HE CLERK
RICHARD G. ZEH, SR. - CLERK
GLENN I.. RICKARD- CHIEF DEPUTY
REPLY: ALBANY
DATE:
*****************************************************************
Chapter 13 plan was/was not filed with petition.
*****************************************************************
CASE NUMBER: WjJ7~/(76f
CASE NAME:
/
/j,LWJ ed/0
Section 341 Cal meeting
Date: <./ / J..Vff /.·(Jo
rr ilf
Time:
Confirmation
.s ;>,_
c:
UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF NEW YORK . ,. -, ~
---·.
In Re:
PROOF OF CLAIM
GERARD AMEDIO
The undersigned, Marc S. Ehrlich, Attorney for Jane E. Amedio, the claimant herein,
files this proof of claim on behalf of Jane E. Amedio.
1. The debtor is indebted to the claimant for the sum of $1,581.59 to compensate
the claimant for an overpayment to the Internal Revenue Service on a joint obligation of
the debtor and the claimant. Attached hereto is a copy of Notice of Motion which sets forth
the relevant facts in regard to this Proof of Claim.
3. The amount of all payments of this claim have been credited or deducted for the
purpose of making this proof of claim.
Marc S. Ehrlich
Attorney for Claimant
64 Second Street
Troy, NY 12180
(518) 272-2110
r
~~-Ehrlich
Dated: March 20, 2000
Michele Baquierizo
Internal Revenue Service
Leo O'BRien Federal Building
Clinton Avenue & North Pearl Streets
Stop SPF
Albany, NY 12207
Gerard V. Amedio
4 Ten Broeck Street
Delmar, NY 12054
Jane Amedio
20 Runnel Drive
Schenectady, NY 12304
In Re: AFFIDAVIT
JANE E. AMEDIO,
Debtor
1. I am the debtor in the above case and am making this affidavit in support of debtor's
motion for an Order pursuant to 11 U.S.C. section 543 and 11 U.S.C. section 105
2. I filed a voluntary petition for relief pursuant to Chapter 13 of the Bankruptcy Code
3. My Chapter 13 Plan was confirmed by this Court on or about January 15, 1998.
4. The Plan as confirmed provides for a payment of 100% of my claim with the IRS.
5. The debt was incurred jointly with my husband Gerard Amedio. We are living apart.
6. Gerard Amedio filed his Chapter 13 petition on March 23, 1998. His case number
is 98-11968.
7. Gerard Amedio's Plan also provides for a payment of 100% to the IRS. Annexed
to this affidavit is a copy of the proofs of claims filed by IRS in both Chapter 13's.
8. IRS filed a priority proof of claim in my case for $5,582.26 and an unsecured claim
of $27.81 IRS filed a priority proof of claim in his case of $5,758.80 and an
unsecured claim of $20.12. Attached to this affidavit is a copy of the most recent
period reports that both debtors received for the Chapter 13 Trustee. As set forth
on the report, IRS has received $4,372.72 in my case and $1,328.98 in Gerard
Amedio's case
9. IRS is about to be paid in full more than once on the same claim.
10. I should have paid $2,791.13 to IRS, which represents one-half of its $5,582.26
priority claim filed in my case. Gerard Amedio should pay the remaining one-half.
11. The amount of the overpayment to IRS by debtors' estate is $1,581.59, which is the
amount that I have paid the IRS ($4,372.72) less the one-half of the $5,582.26
creditors for IRS to retain the overpayment received on its claims. With this motion,
the debtors seek an Order directly that IR$ refund the sum of $1,581.59 to the
Trustee for disbursement pursuant to the terms of the debtor's confirmed Chapter
13 Plan.
13. No previous application has been made for the relief sought.
WHEREFORE, your deponent respectfully requests that the Court issue an Order
directing IRS to turn over to the Chapter 13 Trustee the sum of $1,581.59 and grant such
other and further relief as the Court deems just and proper.
March, 2000
Notary Public
My Commission Expires 1 t/oJ
1 IOI ._./ vv l.L ·00 r.UL
Name of Creditor (The person or entity to whom the debtor owes 0 Check box if you are aware that
money or property); anyone el.se has filed a proof of
claim relating to your claim.
Department of the Treasury - Internal Revenue Service Attach copy of statement giving
particulars.
Name and addresses where notices should be sent: 0 Check box if you have never
Internal Revenue Service rcccivcd any notices from the
Leo W. O'Brien Federal Bldg. bankruptcy court in this case.
Clinton Ave. & N. Pearl St.
Stop SPF 0 Check box if the address differs
Albany, NY 12207 from the address on the envelope
seru to you by the court.
Telephone number: (518) 431-4405 Creditor#: THIS Sl'AC!:i l!i l'UR COURT USE ONLY
enclose a stamped, self-addressed envelope and copy of this proof of claim. __ ,· ...
Date
05/12/1998
97-17430
In the Matter of: JANEE. AMEDIO
Type of Bankruptcy Case
20 RUNNEL DRIVE
SCHENECTADY,NY 12304 Chapter 13
Date of Petition
11/19/97
Amendment No. 1 to Proof of Claim dated 03/31 /98
Penalty to date of petition on unsecured priority claims (including interest thereon) • . . . . . . . . . . 'S27. 81
***Proof of Claim amended ro correctly classify the 1040's for periods ending 12/31/91
& 12/31/92.***
Page 1 of 1
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Name of Creditor (The person or entity to whom the debtor owes D Check box if you are aware that
money or property); anyone t:lse has filed a proof of
claim relating to your claim.
Department of the Treasury - Internal Revenue Service Attach copy of statement giving
paniculars.
Name and addresses where notices should be sent: 0 Check box if you have never
Internal Revenue Service received :my notices from the
Leo W. O'Brien Federal Bldg.
Clinton Ave. & N. Pearl St.
bankruptcy court in this case. MAY 1 5 1998
Stop SPF 0 Check ball: if the address differs
Albany, NY 12207 from rhe addn:ss on the envelope
sent to you by the coun.
Telephone number; (51 8) 431 -4405 Creditor#: Tms SPA<:F. IS !'OR COURT Use ONL y
Value of Collateral: $_ _ _ _ __
0 Conuibutinns tu <1n employee benefit pJ311- 11 U.S.C. § 507(a)(4).
0 Up co Sl800• uf deposits tow3rd purchase. lca:;c. or rc:nu! nf prupctty or services
for per<nn!ll, family. or household u>e • 11 U.S.C. !i 507(aXCil.
0 Alimony. maintC1Uncr:, ur support owed to spuu$t:, former spou.,..., <•r r.hild • 11
u.s.c. § 507(3)(7).
® ·r.xc.s or pcna11io owed 1u govcmmcnul wiiL< · 11 U .S.C. !i 507(>)(8).
Amount of arrear:ige and other charges at time r.::.ise filed included in 0 Other. Specify •P11lic;iblr: paragnph of 11 U.S.C. § 507(a)(_ _ ).
secure claim. if any: $ _ _ _ _ _ __ •Amount< ar~ subjn·t 1<1 crdj11st111Lnt on 41119R and t"V<'ty 3 Y""'-' thrrcnfur wi1Jr rrsprcl
/(I rnsc» commenced on or a/lt!r rhc date of adju.rtm..111.
D ffi
notes, purchase orders, invoices, itemized statements of running accounts, contracts,
court judg!!!__enrs. mortgages, security agreemenrs, and evidence of perfection of lien.
S D ORIGINAL DOCUMENTS. If the documents are not available.
e I 111. If the ocuments are voluminous, attach a summary.
9. a e-S ped opy: To receive an acknowledgement of the filing of your claim,
nclose a stam . self-addressed envelope and copy of this proof of claim.
0
Bankruptcy Specialist
l'enaL!y far preuntin~ audulenJ claim: Fine ot up to $500,0 or imprisonment for up_ co 5 year$, or both. 18 U .S.C. § § I 52 and 3511.
,._..._;I 'v1-~LL l
Date of Petition
03/23/98
Unsecured Priority Claims under section 507(a) (8) of the Bankruptcy Code
Taxpayer Interest ta
ID Number Kind of Tax Tax Period Date Tax Assessed Tax Due Peririon Date
J81-54-4438 INCOME 12/31/91 10/06/97 $527.00 $395.90
381-54-4438 INCOME 12/31/92 10/06/97 $900.00 $466.46
)8'!-54-4438 INCOME 12/31/93 10/27/97 $2,486.00 $983_44
$3,913-00 'ii,845.80
?i:malty to date of petition on unsecured priority claims (including interest thereon) _ • • • • • . . • • . $20. 12
Page 1 of 1
''-'
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The
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~dst rece~t debtor payments have
I
I !
. f09/18/99i -> 34.• 62 ] [09/27/99 ..
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The l'.)l·an balan,ces .:.>.re as follows: j
.
____________L ____________________·-·-·-·--·----·------·-----·----------------------------·--·---·--·--.. ·-··-·------·---
i
CREDITOR
i
~.AME
CLAIM
STATUS
CLAil"I
AMOUNT
CLAIM
AlrtT. PAID
INTEREST
. PAID
CLAii
Al'l1. DUE
--------4------------------------------------------------------------------~----
;ATTORNEY 'br::>. FEE · 250. 00 250 .. 00 u 00 i _C!Jf.)
iUNITED S~ T~S TREASURY F" 5758.80 1328.98 .00 44::'.1 .. 82
CD 5 • t,c.. .. 98 . f
I·f' >'bu.: ~hould h..:o\ve any questions 1'"t:qard:in(] this n?pof'"t!" please contact ou1··
.
i
o·ffi ce at C518) 449'.-2043
. I
.Tl-IOl"IAS I~ • i d--1ow .
41.lD Fi:H F=1i=d:; Gi!HE.
CL.IFTOM F'~RJ< :· l~Y
J. ~:'.0r5 ~}·-·00tl0 .
. <~HB) 371---be~,a
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NORTHERN
UNITED STATES BANKRUPTCY COURT- - - ------
DISTRICT OF NEW YORK
Name of Debtor Case Number
GERARD V. AMEDIO 98-11968
Name of Creditor (The person or entity to whom the debtor owes 0 Check box if you are aware that
money or property): anyone else has filed a proof of
claim relating to your claim.
Department of the Treasury - Internal Revenue Service Attach copy of statement giving
particulars.
Name and addresses where notices should be sent: 0 Check box if you have never
Internal Revenue Service received any notices from the
Leo W. O'Brien Federal Bldg.
Clinton Ave. & N. Pearl St.
bankruptcy court in this case. MAY 1 5 1998
Stop SPF 0 Check box if the address differs
Albany, NY 12207 from the address on the envelope
sent to you by the court.
Telephone number: (51 8) 431-4405 Creditor #: THIS SPACE IS FOR COURT USE ONLY
7. Credits: The amount of all payments on this claim has been credited and deducted for THIS SPACE IS FOR COURT USE 0NL Y
Penalty for presenting fraudulent claim~ Fine of up ~o $500,0'oh or imprisonment for up to 5 years, or both. 18 U.S.C. § § 152 and 3571.
..
Date of Petition
03/23/98
Penalty to date of petition on unsecured priority claims (including interest thereon) . . . . . . . . . . . $20. 12
Page 1 of 1
·'t·
OD
Intern~! Revenue Service . D~:pa rtment. •:if the Tre~sury
Di ·str i_ct Di rect•:•r
!•!e have encl-•::ised a Pro•:•f of Claim? in dupl ic.ate' relatit1g t•:• ·the bankrupt;cy
pr•::ic:is•1;od ing ncd;ecl above ..
Please file the origi~al and acknowledga its receipt by stampi.ng or endc~sing
the: rlup! icate c•:•py and retu1~ning it tcius. An addr·essed,. postpaid,.enyelc•pe is
enclosed for your convet1ience.
I'f you have any quest i c•ns•1 p Iease C•:·n·t;ac:·t .thi:: p1~rs1:in wh•:•se name a.nd t:eJ1::ph•:•ne·
~umber ar• shown above ..
;-\i
I ANDF{l::A E . CELL I
350:NORTHERN ~LVD.
Ii ALBANY, NEW YORK 12204
\ ~. ..
l "· ..
UNITED STATES BANKRUPTCY COURT
Northern District of New York
)3
In Re: Debtor(s) (names(s) and address) )
Gerard V. Amedio )
081-54-4438 )
9 Ten Broeck St. ) Case Number: 98 - 11968
Delmar, NY 12054 )
)
)
)
)
)
) Chapter: 13
)
)
)
)
)
)
)
)
)
)
)
The above named case having been dismissed by Order dated 02/06/01, it is
ORDERED that Andrea E. Celli is discharged as trustee of the estate of the above-named debtor(s)
and that the case be and hereby is closed.
Albany, NY
DATED: 02/21/01
BY THE COURT
RECEIPTS: Amount paid to the Trustee by or for the Debtor for the benefit of
creditors. $ 1915.62
.00 31.28 .0
-~~_fl~~---·-·--···
P1NDR~ E. CELL I
Chacter 13 Trustee
IN THE UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF NEW YORK
IN RE:
GERARD V. AMEDIO CASE NO. 98-11968
9 TEN BORECK ST.
DELMAR. NY
12054-0000
a/k/a DATE: 02/15/01
Debtor(s)
SSN(1)081-54-4438 SSN(2)000-00-0000
Therefore, the trustee has fully administered the estate and requests
that the Final Report be acceoted.
I
t..fOf-i:THERN DI STF<: I CT OF NEW ' -'.K
RECEIPTS: Amount aaid to the Trustee bv or for the Debtor for the benefit of
creditors. S 1915.62
IN RE:
GERARD V. AMEDIO CASE NO. 98-11968
9 TEN BORECK ST.
DEL.MAH. NY
120 54-(ZHi%'.l0
a/k/a DP1TE: 02/0~5/01
Debt.or(s)
SSN(1)081-54-4438 SSN(2)000-00-0000
Therefore, the trustee has fullv administeced the estate and reouests
that the Final Reoort be acceoted.
UNITED"'.· I.ATES BANKRUPTCY COl. "<.T
)
)
ru
081-54-4438 )
9 Ten Broeck St. ) Case Number: 98 - 11968
Delmar, NY 12054 )
)
)
)
)
)
) Chapter: 13
)
)
)
)
)
) ,......_,
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NAMFJADDRESS OF AITORNEY FOR DEBTOR
" ·-
Thomas R. Snow n
''•.,) -,
·-'
.·)
'
44D Friars Gate
Clifton Park, NY 12065
518-371-5868
NAMFJADDRESSOFTRUSTEE
Andrea E. Celli
NOTICE is hereby given pursuant to FRBP 2002(f)(2) of the entry of an Order on 02/06/01, dismissing the above captioned chapter 13 petition without
prejudice.
Date: 21 6101
FOR THE COURT
000006
TRACOR
11400 Commerce Park Drive
Reston, Virginia 22091-1506
CER,"__ IFICATE OF SE ~.VICE
District/off: 0206-1 User: jthib Page 1 of 1 Date Rcvd: Feb 06, 2001
Case: 98-11968 Form ID: 159 Total Served: 9
The following entities were served by first class mail on Feb 08, 2001.
db Amedio, Gerard v., 9 Ten Broeck St., Delmar, NY 12054
aty Snow, Thomas R., 44D Friars Gate, Clifton Park, NY 12065
tr Celli, Andrea E., 350 Northern Blvd., Albany, NY 12204
smg United States Attorney, NDNY, P.O. Box 7198, Syracuse, NY 13261-7198
smg United States Attorney, NDNY, James T. Foley U.S. Courthouse, 445 Broadway, Rm. 231,
Albany, NY 12207-2924
ust United States Trustee, 74 Chapel Street, Suite 200, Albany, NY 12207
1223252 IRS, Leo O'Brien Federal Bldg., Clinton Ave. & N. Pearl St., Stop SPF, Albany, NY 12207
1177465 Internal Revenue Service, Aftn: Special Procedures Branch, PO Box 266, Room 309,
Buffalo NY 14201
1715052 Jane E. Amedio, c/o Marc Ehrlich, 64 Second Street, Troy, NY 12180
The following entities were served by electronic transmission.
NONE. TOTAL: 0
***** BYPASSED RECIPIENTS *****
NONE. TOTAL: 0
I, Joseph Speetjens, declare under the penalty of perjury that I have served the attached document on the above listed entities in the manner
shown, and prepared the Certificate of Service and that it is true and correct to the best of my information and belief.
000006
UNITED STATES BANKRUPTCY COURT
Northern District of New York
NAME/ADDRESS OF TRUSTEE
Andrea E. Celli
NOTICE is hereby given pursuant to FRBP 2002(1)(2) of the entry of an Order on 02/06/01, dismissing the above captioned chapter 13 petition without
prejudice.
Date: 2/ 6/01
FOR THE COURT
ORDERED that pursuant to 28 U.S.C. § 1930 and U.S.C. § 507 (a) (1) all
obligations owed to the Clerk of the Bankruptcy Court be paid in full
before any monies are refunded to the debtor(s).
Dated:
rre r:;
2tltJt
CERTIFICATE OF MAILING
The undersigned hereby certifies that a copy of this Order was mailed
this date to the parties noted below at the addresses noted herein.
Debtors: Above
THOMAS R. SNOW
44D FRIARS GATE
CLIFTON PARK, NY 12065
CLERK'S PROCEEDi -! MEMO DOCUMENT NO. 7-1
RSCH/CONT/ ADJD
CHAPTER: 13
TIME: 12: 15 pm
RETURN DATE: 01/25/01
CASE NAME: Gerard V. Amedio 081-54-4438
,\\f,M, 1. 1_ ?lll1I
Datea: - - - - - - -
=.....,.-·cl i
Standing Trustee
~.-...-nrthern Boulevard
Albany, New York 12204
(518) 449-2045
CERTIFICATE OF MAILING
The undersigned hereby certifies that a copy of Motion was mailed this date
to the parties noted below. ,c_,,,,~
Dated, ,~1<•, •, ,~"'' Signed';~·
Debtor(s): Above
1.'r=.·;-;;;·1
c, . . -----· . J
'--.1
UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF NEW YORK
CASE #98-11968
Petition Dismissed.
Converted to Chapter 7.
Dated, 0}9Jfw
SS# 081-54-4438
CERTIFICATE OF MAILING
The undersigned hereby certifies that she is over the age of 18 years, is not a
party to this action, and mailed a copy of this Order on this date to the par-
ties noted below.
Dated: - - - - - - -
Debtor: Above
THOMAS F: o SNOW
t.o
IT I~ ORDERED THAT:
7T
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•""::"i~ p_ tifltil
the ::>um of
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A) £
r t:•t=·
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the
Bankruptcy Co~rt.
B) ~~t::t-~1i~-f ~.t. CEJl tirT!eS S-Ltfficierit fL~r~ds to pa)l all
c~t f-zE:r·- a.==c=r-Lteti a.drr•i n .is tr·-a t i \./e f.?~-~ ~·en ~-i~==- .
C) Allow a fee of $ to the debtor"s attorney
with the b?lance of S
CREDITOR
INTERNAL REVENUE SERVICE
t'Ji th
the -· \_ .L -· - - .;
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SEC: CLAI~i
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. claims with dis~ursements uy
debtor(s) and ~ct by the Trustee.
tt1E~ ~~er.:L: o=~:Zd crE·di tc)r-· ma\,: gi \Ee rio~ico:··. ':":rf -=::.a.id post
confirmation default to the Court, ___ e debt8r(s)~ the
<=::et t l c•d
OF:
'5d-"~-.j c~r-e:J5. ;:c!r-- ~rja.";··· s~_i.f:};rii t .a.:·1 e=~ ~1i:ir· ~.:t:-.i: c;r-der- together- ~"'ii th
tt·~e -ElfJf!f-C)J=:1:-i.::1~.·~E· "fef~ tt~.-::.t '"-:.aid -:?4.Ltt.fJttt-3.t~ic ~-ta·~,/ st-sall. t~e
~~peci f i;:?d in
tt-~i S C:oLit-t:
fied in 11 U.S.C. 704(8)
)_3 -r~-t.!.i=:~tee ·=:;1_~cr~ per-i!=!dic r-eports or~ the c~~.""!er-atiorl c:if t~~e
tJebtc:n·-· ~ E; ( ~-::) b~Js.i~·1c:~~;.:.:: ~i=- CJ.r- 2 r-·:::~qLtit-~~d t;;./ tt-~2 Tr-L~.~-t~~e cH--
c~c1cu--t ~!tu-s~.~-~;r,t. t.?=~ 1.1 f'i ~3=C:= i304(c},,,
\/I,. t~~o fH".Of:<F~_,.. =. ';-'" r r::0 c~e.i-:.../etJ t;~,.- ti":e -rr~J:::.tee fc:r- tt-re pLu·-po·se
c;f c~i-:::.tr-j_bi.~tifJr-~ t1r~der- tt-~t~ir- 1==lar~ sti-~l l r-e\. . est ir~ tI-H?
je;.= ~~~~-j r- E; ;{ t:e~Jt to t t-~e ~·>~ tE·r1 l: t t-~a t SLl !=t"i prt"Ji}Je1---t.y· tna·y:-
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~-l,.:J\/·:.;.::- :·1rJt tset=.::r-~ f .i 1-f~C~ -:-3.r·nJ /~:-.r-- i,.i: ..... · , '- i ~-"'·"~S t-~2,, ·~ not been pa].[1 ~ t{J
~-.t~t.· C>~~!LU'·-t..~'= +;.1(:: (Je~·i1·=-·t - .a..!~e c1el-:;tc~r-·'.::_:.; attcq·-:1c··y·;! arnj tt-?e Ct-"la~~ter· 13
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this Grder was mailed
entities listed below:
ST
[;ELf'·iAF.~, f-l\l
J_ ~2~!:14--~rle10
~-..····-.~.:.~. ~:.ti'·-r~em\\~i:]~LISC
· . .i .:..'::>
1325(a).
INITIALS:;
A-£'c--"--
~C~
-----~~-----·--
UNITED STATES BANKRUPTCY COURT
for the NORTHERN DISTRICT of NEW YORK
ANDREA E. CELLI
CHAPTER 13 STANDING TRUSTEE
P.O. BOX 1918
MEMPHIS, TENNESSEE 38101-1918
DATED: s¢h~
I ~ of the Bankruptcy Court
TO: CITY OF RENSSELAER
505 BROADWAY er-·~
RENSSELAER, NY 12144
Thomas R. Snow UNITED STATES BANKRUPTCY COURT
44D Friars Gate Northern District of New - ·k
, Clifton Park, NY 12065 445 Broadway, Suite 327
Albany, NY 12207
[ X ] The debtor has filed a plan [ ] A plan has not been filed as of this date
DEADLl!'\E TO FILE A PROOF OF CLAIM: For Creditors Other Than Governnental units: 07/27f!S; For Governmental units: 09{2lf!S
COMMENCEMENT OF CASE. An individual's debt adjustment case under chapter 13 of the Bankruptcy Code has been filed in this court by the debtor
or debtors named above. and an order for relief has been entered. You will not receive notice of all documents filed in this case. All documents filed with
the court. including lists of the debtor's property and debts, are available for inspection at the office of the clerk of the bankruptcy court.
CREDITORS MAY NOT TAKE CERTAIN ACTIONS. A creditor is anyone to whom the debtor owes money. Under the Bankruptcy Code. the debtor is
granted certain protection against creditors. Common examples of prohibited actions by creditors are contacting the debtor to demand repayment. taking
action against the debtor to collect money owed to creditors or to take property of the debtor. and starting or continuing foreclosure actions. repossessions.
or wage deductions. Some protection is also given to certain codebtors of consumer debts. If unauthorized actions are taken by a creditor against a debtor.
or a protected codebtor. the court may punish that creditor. A creditor who is considering taking action against the debtor or the property of the debtor,
or any codebtor. should review Sec. 362 and 1301 of the Bankruptcy Code and may wish to seek legal advice. The staff of the clerk of the bankruptcy court
is not permitted to give legal advice.
MEETING OF CREDITORS. The debtor (both husband and wife in a joint case) is required to appear at the meeting of creditors on the date and at the
place set forth above labeled "Date/Time/Location of Meeting of Creditors" for the purpose of being examined under oath. Attendance by creditors at the
meeting is welcomed. but not required. At the meeting. the creditors may examine the debtor and transact such other business as may properly come
before the meeting. The meeting may be continued or adjourned from time to time by notice at the meeting. without further written notice to the creditors.
PROOF OF CLAIM. Except as otherwise provided by law. in order to share in any payment from the estate. a creditor must file a proof of claim by the
date set forth above labeled "Deadline to File a Proof of Claim." The place to file the proof of claim. either in person or by mail. is the office of the clerk
of the bankruptcy court. Proof of claim forms are available in the clerk's office of any bankruptcy court. however. file claims using the form on the back of
this notice. FILE CLAIMS IN DUPLICATE. TO RECEIVE AN ACKNOWLEDGEMENT A THIRD COPY MUST BE SUPPLIED IN A STAMPED.
SELF ADDRESSED ENVELOPE.
PURPOSE OF A CHAPTER 13 FILING. Chapter 13 of the Bankruptcy Code is designed to enable a debtor to pay debts in full or in part over a period
of time pursuant to a plan. A plan is not effective unless approved by the bankruptcy court at a confirmation hearing. Creditors will be given notice in the
event the case is dismissed or converted to another chapter of the Bankruptcy Code.
OBJECTION TO CONFIRMATION must be filed with the court. and served on the debtor. the debtor's attornev and the trustee within 3 business davs
prior to the Confirmation Hearing Date. · ·
Assets(A-B-C) =
7; Liabilities(D-E-F) =
3; Petition-Lists-Schs-Stmts(lncl A-F) = 26
Proposed Payments to the Trustee: $75.00 mthly/36 mths.
Photocopies $.23 per page plus tax. Payable to Copy Valet Ltd. (518) 472-1433
For the Court: Richard G. Zeh. Sr. 04/03/98
Clerk of the Bankruptcy Court Date FORM B91
403001427
TRACOR
11400 Commerce Park Drive
Reston, Virginia 22091-1506
CE«flFICATE OF Sl!:i{VJCE
District/off: 0206-1 User: jthib Page 1 of 1 Date Rcvd: Apr 01, 1998
Case: 98-11968 Form ID: A9I Total Served: 5
The following entities were served by first class mail on Apr 03, 1998.
db Gerard V. Amedio, 9 Ten Broeck St., Delmar, NY 12054
aty Thomas R. Snow, 44D Friars Gate, Clifton Park, NY 12065
tr Andrea E. Celli, 350 Northern Blvd., Albany, NY 12204
smg United States Attorney, NDNY, P.O. Box 7198, Syracuse, NY 13261-7198
1177465 Internal Revenue Service, Aftn: Special Procedures Branch, PO Box 266, Room 309,
Buffalo NY 14201
The following entities were served by electronic transmission.
NONE. TOTAL: 0
***** BYPASSED RECIPIENTS *****
NONE. TOTAL: 0
I, Joseph Speetjens, declare under the penalty of perjury that I have served the attached document on the above listed entities in the manner shown,
and prepared the Certificate of Service and that it is true and correct to the best of my information and belief.
403001428
t
Thomas R. Snow UNITED STATES BANKRUPTCY COURT
, 44D Friars Gate Northern District of New· k
1i Clifton Park, NY 12065 445 Broadway, Suite 327
Albany, NY 12207
[ X ) The debtor has filed a plan [ ] A plan has not been filed as of this date
DEADLINE TO FILE A PROOF OF CLA!Vl: For Creditors Other Than Governnental Cnits: 07(27/98; For Governmental Units: 09/21/9S
COMMENCEMENT OF CASE. An individual's debt adjustment case under chapter 13 of the Bankruptcy Code has been filed in this court by the debtor
or debtors named above. and an order for relief has been entered. You will not receive notice of all documents filed in this case. All documents filed with
the court. including lists of the debtor's property and debts. are available for inspection at the office of the clerk of the bankruptcy court.
CREDITORS MAY NOT TAKE CERTAIN ACTIONS. A creditor is anyone to whom the debtor owes money. Under the Bankruptcy Code. the debtor is
granted certain protection against creditors. Common examples of prohibited actions by creditors are contacting the debtor to demand repayment. taking
action against the debtor to collect money owed to creditors or to take property of the debtor. and starting or continuing foreclosure actions, repossessions.
or wage deductions. Some protection is also given to certain codebtors of consumer debts. If unauthorized actions are taken by a creditor against a debtor.
or a protected codebtor. the court may punish that creditor. A creditor who is considering taking action against the debtor or the property of the debtor.
or any codebtor, should review Sec. 362 and 1301 of the Bankruptcy Code and may wish to seek legal advice. The staff of the clerk of the bankruptcy court
is not permitted to give legal advice.
MEETING OF CREDITORS. The debtor (both husband and wife in a joint case) is required to appear at the meeting of creditors on the date and at the
place set forth above labeled "Date/Time/Location of Meeting of Creditors" for the purpose of being examined under oath. Attendance by creditors at the
meeting is welcomed, but not required. At the meeting. the creditors may examine the debtor and transact such other business as may properly come
before the meeting. The meeting may be continued or adjourned from time to time by notice at the meeting. without further written notice to the creditors.
PROOF OF CLAIM. Except as otherwise provided by law. in order to share in any payment from the estate. a creditor must file a proof of claim by the
date set forth above labeled "Deadline to File a Proof of Claim." The place to file the proof of claim. either in person or by mail. is the office of the clerk
of the bankruptcy court. Proof of claim forms are available in the clerk's office of any bankruptcy court. however. file claims using the form on the back of
this notice. FILE CLAIMS IN DUPLICATE. TO RECEIVE AN ACKNOWLEDGEMENT A THIRD COPY MUST BE SUPPLIED IN A STAMPED,
SELF ADDRESSED ENVELOPE.
PURPOSE OF A CHAPTER 13 FILING. Chapter 13 of the Bankruptcy Code is designed to enable a debtor to pay debts in full or in part over a period
of time pursuant to a plan. A plan is not effective unless approved by the bankruptcy court at a confirmation hearing. Creditors will be given notice in the
event the case is dismissed or converted to another chapter of the Bankruptcy Code.
OBJECTION TO CONFIRMATION must be filed with the court. and served on the debtor. the debtor's attornev and the trustee within 3 business davs
prior to the Confirmation Hearing bate. · ·
District/off: 0206-1 User: jthib Page 1 of 1 Date Rcvd: Mar 25, 1998
case: 98-11968 Form ID: B9I Total Served: 5
The following entities were served by first class mail on Mar 27, 1998.
db Gerard V. Amedio, 9 Ten Broeck St., Delmar, NY 12054
aty Thomas R. Snow, 44D Friars Gate, Clifton Park, NY 12065
tr Andrea E. Celli, 350 Northern Blvd., Albany, NY 12204
smg United States Attorney, NDNY, P.O. Box 7198, Syracuse, NY 13261-7198
1177465 Internal Revenue service, Aftn: Special Procedures Branch, PO Box 266, Room 309,
Buffalo NY 14201
The following entities were served by electronic transmission.
NONE. TOTAL: 0
***** BYPASSED RECIPIENTS *****
NONE. TOTAL: 0
I, Joseph Speetjens, declare under the penalty of perjury that I have served the attached document on the above listed entities in the manner shown,
and prepared the Certificate of Service and that it is true and correct to the best of my information and belief.
427001622
i- .
Form 1, Pl
...
111-92)
.....
VOLUNTARY
I
\
~
1)
NORTHERN District of NEW YORK PETITION
IN RE (Name of debtor-If individual, enter Last, First, Middle) NAME OF JOINT DEBTOR (Spouse) (Last, First, Middle)
Amedio, Gerard, V.
ALL OTHER NAMES used by debtor in the last 6 years ALL'OTHER NAMES used by the joint debtor in the last 6 years
(Include married, maiden and trade names) (Include married, maiden and trade names.)
SOC. SEC.!TAX l.D. NO. (If more than one, state all) SOC. SEC.!TAX l.D. NO.(lf more than one, state all)
081 54 4438
STREET ADDRESS OF-DEBTOR (No. and street, city, state, zip) 1 STREErADDRESS OF-JOINT DE'BTOR (No. and street, city, state, zip)
9 Ten Broeck St
Delmar, NY 12054 ~UJ
i "lJO
COUNTY OFSIDENCE OR COUNTY OF RESIDENCE OR
PRINCIPAL PLACE OF BUSINESS PRINCIPAL PLACE OF BUSINESS
Albany
MAILING ADDRESS OF D~BTOR (If dfffere-nt from street address) MAILING ADDRESS OF JOINT DEBTOR (If different from street address)
LOCATION OF PRINCIPAL ASSETS OF BUSINESSTIEBTOR Debtor has been domiciled or has had a residence, principal place
(If different from addresses listed above) 0 of business or principal assets in this District for 180 days
LISI immediately preceding the date of this petition or for a longer part of
such 180 days than in any other District.
Albany County There is a bankruptcy case concerning debtor's affiliate, general
D partner or partnership pending in this District.
INFORMATION REGARDING DEBTOR (Check applicable boxes)
TYPE OF DEBTOR CHAPTER OR SECTION OF BANKRUPTCY CODE UNDER WHICH THE
0Corporation Publicly Held PETITION IS FILED (Check one box)
fillndividual
OJoint (H&W) OCorporation Not Publicly Held 0Chapter 7 0Chapter 11 filChapter 13
D Partnership OMunicipality 0Chapter 9 0Chapter 12 D 304-Case Ancillary to Foreign
Proceeding
OOther ___. FILING FEE (Check one box)
NATURE OF DEBT filFiling fee attached.
filNon-Business Consumer 0Business - Complete A&B below OFiling fee to be paid in installments. (Applicable to individuals only) Must attach
signed application for the court's consideration certifying that the debtor is
A. TYPE OF BUSINESS (check one box) unable to pay fee except in installments. Rule 1006(b). See Offical Form No.3
OF arming OTransportation 0Commodity Broker NAME AND ADDRESS OF LAW FIRM OR ATTORNEY
D Professional OManufacturing/
Mining
oconstruction T. Ross Snow, P.C.
D Retail/Wholesale OReal Estate 44D Friars Gate
ORailroad D Stockbroker OOther Business Clifton Park, NY 12065
B. BRIEFLY DESCRIBE NATURE OF BUSINESS Telephone No. (518) 371 5868
NAME(S) OF ATTORNEY(S) DESIGNATED TO REPRESENT THE DEBTOR
Thomas R. Snow
ODebtor is not represented by an attorney. Telephone No. of Debtor not
STATISTICAL ADMINISTRATIVE INFORMATION (28 U.S.C. § 604) represented by an attorney: ( )
(Estimates only) (Check applicable boxes)
THIS SPACE FOR COURT USE ONLY
~Debtor estimates that funds will be available for distribution to unsecured creditors.
DDebtor estimates that after any exempt property is excluded and administrative
expenses paid, there will be no funds available for distribution to unsecured creditors. 98 1 Ji 9 6 8 .(!
'
PRIOR BANKRUPTCY CASE FILED WITHIN LAST 6 YEARS (If more than one, attach additional sheet)
Location Where Filed Case Number Date Filed
PENDING BANKRUPTCY CASE FILED BY ANY SPOUSE, PARTNER, OR AFFILIATE OF THIS DEBTOR (if more than one, attach additional sheet.)
Name of Debtor Case Number Date
SIGNATURES
~;,;;L' LE-L---
ATTORNEY
Date 3/16/98
7
INDIVIDUAL /JOINT DEBTOR(S) CORPORATE OR PARTNERSHIP DEBTOR
:,,;,;oci)f:a,
I declare under penalty of perjury that the information provided in this I declare under penalty of perjury that the information provided in this
petition is true and correct, and that the filing of this petition on behalf
of the debtor has been authorized.
x
Signii'fure of Debr Signature of Authorized Individual
Date 3/16/98
Print or Type Name of Authorized Individual
x
Signature of Joint Debtor Title of Individual Authorized by Debtor to File this Petition
Date Date
EXHIBIT "A" (To be completed if debtor is a corporation requesting relief under chapter 11.)
OExhibit "A" is attached and made a part of this petition.
TO BE COMPLETED BY INDIVIDUAL CHAPTER 7 DEBTOR WITH PRIMARILY CONSUMER DEBTS (See P.L. ga-353 322)
I am aware that I may proceed under chapter 7, 11, 12 or 13 of title 11, United States Code, understand the relief available under each such chapter,
and choose to proceed under chapter 7 of such title.
x Date
Signature of Debtor
x Date
Signature of Joint Debtor
EXHIBIT "B" (To be completed by attorney for individual chapter 7 debtor(s) with primarily consumer debts.)
I, the attorney for the debtor(s) named in the foregoing petition, declare that I have informed the debtor(s) that (he, she, or they) may proceed under
chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter.
x Date
Signature of ll:ttorney
iMiForm
..
86 A (6-90)
Julius Blumberg, fnc. NYC ~013 ·-
CURRENT MARKET
H VALUE OF DEBTOR'S
N
0 w INTEREST IN PROPERTY
TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY WITHOUT DEDUCTING
N J
E ANY SECURED CLAIM
c OR EXEMPTION
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Total-> $2200.00
~ continuation sheets attached
IMI ~
PERSONAL PROPERTY
In re: Gerard v. Amedeo Debtor(s) Case No. (if known)
CURRENT MARKET
H
N VALUE OF DEBTOR'S
0 w INTEREST IN PROPERTY
TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY WITHOUT DEDUCTING
N J
E ANY SECURED CLAIM
c OR EXEMPTION
9. Interests in insurance x
policies. Name insurance
company of each policy and
itemize surrender or
refund value of each.
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Total-> $2200.00
.x..---- continuation sheets attached
.. """ ...
1•1 Form B6B, P2 (6-90)
Julius Blumberg, Inc NYi;;Jroo13
SCHEDULE B
PERSONAL PROPERTY
In re: Gerard V. Amedeo Debtor(s) Case No. (if known)
H- CURRENT MARKET
N VALUE OF DEBTOR'S
0 W INTEREST IN PROPERTY
TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY WITHOUT DEDUCTING
N J
E ANY SECURED CLAIM
c OR EXEMPTION
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Total-> $2200.00
.X.-- continuation sheets attached
ilMlli Julius Blumberg, lnc. NYC i'D013 ....
Form B6B: P2 (6-90) SCHEDULE B
PERSONAL PROPERTY
In re: Gerard v. Amedeo Debtor(s) Case No. (if known)
CURRENT MARKET
H
N VALUE OF DEBTOR'S
0 w INTEREST IN PROPERTY
TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY WITHOUT DEDUCTING
N J
E ANY SECURED CLAIM
c OR EXEMPTION
2 8. Inventory. x
29. Animals. x
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Total-> $2200.00
X---- continuation sheets attached
.,f NY'-.,.0013
111!111 Form B6B, P2"" (6-90)
Julius Blumberg,
""
SCHEDULE B
" PERSONAL PROPERTY
In re: Gerard v. Amedeo Debtor(s) Case No. (if known)
CURRENT MARKET
H VALUE OF DEBTOR'S
N
0 w INTEREST IN PROPERTY
TYPE OF PROPERTY DESCRIPTION AND LOCATION OF PROPERTY WITHOUT DEDUCTING
N J
E ANY SECURED CLAIM
c OR EXEMPTION
30. Crops-growing or x
harvested. Give
particulars.
(Include amounts from any continuation sheets attached. Report total also on Summary of Schedules) Total-> $2200.00
continuation sheets attached
IRI Form B6 C (6, 90) ;l"!'r~~"
~'
Julius Bl~mberg; ~-NYC 10013 .. ...
D 11 U.S.C. § 522(b)(1 r Exemptions provided in 11 U.S.C. § 522(d). Note: These exemptions are available only in certain states.
[XI
-
11 U.S.C. § 522(b)(2): Exemptions available under applicable nonbankruptcy federal laws, state or local law.
VALUE$
AIC #
VALUE$
AIC# I
VALUE$
AIC# I
VALUE$
AIC# I
VALUE$
AIC # I
VALUE$
AIC # I
VALUE$
AIC #
I
VALUE$
AIC # I
VALUE$
Subtotal-> $
(Total of this page)
continuation sheets attached
~
$ 0.00
y page)
•1f contingent, enter C; if unliquidated, enter U; if disputed, enter D. (
(Report total also on Summary of Schedules)
, . Form 86 E (6-92)
Julius BILlrr.b'erg~c. NYC 10013 .
In re: Gerard V. Amedeo Debtor(s) Case No. (if known)
D Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.
TYPE OF PRIORITY CLAIMS (Check the appropriate box( es) below if claims in that category are listed on the attached sheets)
D Deposits by individuals
Claims of individuals up to a maximum of $900 for deposits for the purchase, lease, or rental of property or services for personal, family, or
household use, that were not delivered or provided. 11 U.S.C. §507(a)(6)
Claims based on commitments to the FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors
of the Federal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. §507 (a)(B).
AIC#
AIC#
AIC#
$ 2100.00
$ 2100.00
yon last pag p
(Report total also on Summary of Schedules)
•1f contingent, enter C; if unliquidated, enter U; if disputed, enter D.
Julius Bl~rr.b~rg~c. NYC 10013 v
llijlll Form B6 F (6-90)
.;-a
D H DATE CLAIM WAS INCURRED c
CREDITOR'S NAME AND w AND CONSIDERATION FOR CLAIM. u AMOUNT
MAILING ADDRESS
INCLUDING ZIP CODE
E
B
J
c
IF CLAIM IS SUBJECT TO
SETOFF, SO STATE.
D
. OF CLAIM
T
AiC#
A/C # I
A/C # I
AiC # I
A/C# I
A/C # I
AiC # I
A/C # I
A/C# I
Subtotal-> $
(Total of this page)
Continuation Sheets attached.
-• ~ ...... '' ,. '_I - .. _ .-J _ _ .. _ . I I '.f _ I ' - - · ... _ -1 _ _ .. _ .• r'\.
- -
Total-> $ 0.00
y pag pleted Schedule F .)
(Report total also on Summary of Schedules)
111!1!!!1'11Form 86
..
G (6-90) Julius Blumberg, 1nc.'NY~0013 ~
SCHEDULE H - CODEBTORS
IXJ Check this box if deotor has no codebtors.
Single
Current monthly gross wages, salary.and commissions (pro rate if not paid monthly.) $ 3250.00 $
Estimate monthly overtime
''' .... ''.'' .. ' ........ '$
SUBTOTAL 3250.00 $
LESS pfiyifr)l_[_'c)i::"DuG-rioNS .. ' ' ' .... ' ' ' .... ' ' ' ........ ' ' ' ' ' ' ' . '' .... ' ' '' ' ........... '
a. Payroll taxes and social security 650.00
~
b. Insurance
c. Union dues
d. Other (Specify)
Describe any increase or decrease of more than 10% in any of the above categories anticipated to occur within the year
following the filing of this document:
. /'
111111 Form B6 J :, Cont.
(
I 6 - 9 o)
I"'
Julius Blilmb'erg~c. NYC 10013 ~·
"
In re: Gerard v. Amedeo Debtor(s) Case No. (if known)
D Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of expenditures
labeled "Spouse".
Rent or home mortgage payment (include lot rented for mobile home) $ 860.00
Are real estate taxes included? D Yes D No Is property .insurance'inc.luded? '[j' \'es' .. tJ' No.
Utilities Electricity and heating fuel 100.00
Water and sewer
Telephone 45.00
Other
Installment payments: (In chapter 12 and 13 cases, do not list payments to be included in the plan)
Auto
Other
f"
I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of
I
hEl:-rP l"',t.(.., sheets, and that
a
they are true and correct to the best of my knowledge, information, and belief. (I otal shown on summary page plus 1 .)
Date Signature: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
(Joint Debtor, if any)
(If joint case, both spouses must sign.)
I, the (the president or other officer or an authorized agent of the corporation or a member or an
authorized agent of the partnership) of the (corporation or partnership) named as debtor in this case,
declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of sheets, and
that they are true and correct to the best of my knowledge, information, and belief. (Total shown on summary page plus 1.)
(An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.)
Penalty for making a false statement or concealing property: Fine of up to $500,000 or imprisonment for up to 5 years or both. 18 U.S.C. §§ 152 and 3571.
""'
Form 86 (6-90)
Julius Blumberg, 'inc-,,.IC 10013 .""
UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF NEW YORK
See summary below for the list of schedules. Include Unsworn Declaration under Penalty of Perjury at the end.
GENERAL INSTRUCTIONS: Schedules D, E and F have been designed for the listing of each claim only once. Even when a claim is secured only in part,
or entitled to priorityonly in part, it still should be listed only once. A claim which is secured in whole or in part should be listed on Schedule D only, and a claim
which is entitled to priority in whole or in part should be listed in Schedule E only. Do not list the same claim twice. If a creditor has more than one claim, such
as claims arising from separate transactions, each claim should be scheduled separately.
Review the specific instructions for each schedule before completing the schedule.
SUMMARY OF SCHEDULES
Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Report the totals from Schedules A, B, D, E, F, I and J
in the boxes provided. Add the amounts from Schedules A and B to determine the total amount of the debtor's assets. Add the amounts from Schedules
D, E, and F to determine the total amount of the debtor's liabilities.
A - Real Property
Yll
B - Personal Property
Yl5
C - Property Claimed as Exempt
Yll
D - Creditors Holding Secured Claims
y 1 0.00
E - Creditors Holding Unsecured
y 1 2100.00
Priority Claims
This statement is to be completed by every debtor. Spouses filing a joint petition may file a single statement on which the
information for both spouses is combined. If the case is filed under chapter 12 or chapter 13, a married debtor must furnish
information for both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is
not filed. An individual debtor engaged in business as a sole proprietor, partner, family farmer, or self-employed professional,
should provide the information requested on this statement concerning all such activities as well as the individual's personal
affairs.
Questions 1-15 are to be completed by all debtors. Debtors that are or have been in business, as defined below, also must
complete Questions 16-21. If the answer to any question is "None" or the question is not applicable, mark the box labeled
"None". If additional space is needed for the answer to any question, use and attach a separate sheet properly identified with
the case name, case number (if known), and the number of the question.
DEFINITIONS
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An
individual debtor is "in business" for the purpose of this form if the debtor is or has been, within the two years immediately
preceding the filing of this bankruptcy case, any of the following: an officer, director, managing executive, or person in
control of a corporation; a partner, other than a limited partner, of a partnership; a sole proprietor or self-employed.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and
their relatives; corporations of which the debtor is an officer, director, or person in control; officers, directors, and any
person in control of a corporate debtor and their relatives; affiliates or the debtor and insiders of such affiliates; any
managing agent of the debtor. 11 U.S.C. §101(30).
AMOUNT SOURCES
None
\ :X: \ b. List all payments made within one year immediately preceding the commencement of this case to or for the benefit of
creditors who are or were insiders. (Married debtors filing under chapter 12 or chapter 13 must include payments by either or
both spouses whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed.)
None
\ :X: \ b. Describe all property that has been attached, garnished, or seized under any legal or equitable process within one year
immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include
information concerning either of both spouses whether or not a joint petition is filed, unless the spouses are separated and
a joint petition is not filed.)
None
\ :X: \ b. List all property which has been in the hands of a custodian, receiver, or court appointed official within one year
immediately preceding the commencement of this case. (Married debtors filing under chapter 12 or chapter 13 must include
information concerning property of either or both spouses whether or not a joint petition is filed, unless the spouses are
separated and a joint petition is not filed.)
None 7. GIFTS
\ :X: \ List all gifts of charitable contributions made within one year immediately preceding the commencement of this
case except ordinary and usual gifts to family members aggregating less than $200 in value per individual family member
and charitable contributions aggregating less than $100 per recipient. (Married debtors filing under chapter 12 or
chapter 13 must include gifts or contributions by either or both spouses whether or not a joint petition is filed, unless
the spouses are separated and a joint petition is not filed.)
"< • .._ ...... •
\:,
None 8. LOSSES
IX I List all losses form fire, theft, other casualty or gambling within one year immediately preceding the
commencement of this case or since the commencement of this case. (Married debtors filing under chapter 12 or chapter 13
must include losses by either or both spouses whether or not a joint petition is filed, unless the spouses are separated
and a joint petition is not filed.)
(If completed by an individual or individual and spouse) I declare under penalty of perjury that I have read the answers
contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct.
3/1617 !
Date -~t~to' Date Signature of Joint Debtor (if any)
(If completed on behalf of a partnership or corporation) I declare under penalty of perjury that I have read the answers
contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct
to the best of my knowledge, information and belief.
(An individual signing on behalf of a partnership or corporation must indicate position or relationship to debtor.)
continuation sheets attached
If you intend to file a petition for relief under the bankruptcy laws of the United States, and your debts are primarily
consumer debts, the Clerk of Court is required to notify you of each chapter of the Bankruptcy Code under which you
may seek relief. You may proceed under:
If you have any questions regarding the information contained in this notice, you should consult with your attorney.
Clerk of Court
ACKNOWLEDGMENT
INSTRUCTIONS: If the debtor is an individual, a copy of this notice personally signed by the debtor must accompany any
bankruptcy petition filed with the Clerk. If filed by joint debtors, the notice must be personally signed by each. Failure to
comply may result in the petition not being accepted for filing.
IRl . "" ...
3085 Stmt of Comp. :Rule 2016 (b) l"".,\\,-91 Julius .... -~
B~umberg, Inc. NYC 10013 A """""
STATEMENT
Pursuant to Rule 2016(b)
(1) The undersigned is the attorney for the debtor(s) in this case.
(2) The compensation paid or agreed to be paid by the debtor(s) to the undersigned is:
(a) for legal services rendered or to be rendered in comtemplation of and in connection
with this case $500.00
(b) prior to filing this statement, debtor(s) have paid. $250.00
(c) the unpaid balance due and payable is $250.00
(3) $ 16 0. 0 0 of the filing fee in this case has been paid.
(4) The services rendered or to be rendered include the following:
(a) analysis of the financial situation, and rendering advice and assistance to the debtor(s) in determining whether to file a
petition under title 11 of the United States Code.
(b) preparation and filing of the petition, schedules, statement of affairs and other documents required by the court.
(c) representation of the debtor(s) at the meeting of creditors.
(5) The source of payments made by the debtor(s) to the undersigned was from earnings, wages and compensation for services
performed, and debtor IS personal funds
(6) The source of payments to be made by the debtor(s) to the undersigned for the unpaid balance remaining, if any, will be from
earnings, wages and compensation for services performed, and to be paid inside the debtor's
plan
(7) The undersigned has received no transfer, assignment or pledge of property except the following for the value stated:
None
(8) The undersigned has not shared or agreed to share with any other entity, other than with members of undersigned's law firm,
any compensation paid or to be paid except as follows:
None
Attorney'snameandaddress T. Ross Snow, P.C. I 44D Friars Gate, clifton Park, NY 12065
........
I R l 3 0 8 2 Chapter 13 Plan,
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UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF NEW YORK
CHAPTER 13 PLAN
(If this form is used by joint debtors wherever the word "debtor" or words referring to debtor are used they shall be read as if in the plural.)
1. The future earnings of the debtor are submitted to the supervision and control of the trustee and the debtor -- debtor's employer shall pay to the
trustee the sum of $7 5. 0 0 (weekly - bi-weekly - semi-monthly - ~~l;t_) for a period of 3 6 months
2. From the payments so received, the trustee shall make disbursements as follows:
(a) Full payment in deferred cash payments of all claims entitled to priority under 11 U.S.C § 507.
(b) Holders of allowed secured claims shall retain the liens securing such claims and shall be paid as follows:
(c) Subsequent to -- pro rata with dividends to secured creditors, dividends to unsecured creditors whose claims are duly allowed as follows:
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Title to the debtor's property shall revest in the debtor onJoofi' ,,;,~ j' ploo ·· "''--~' "'l!l<'llt!i<'l>:~Ji-S C. § 350
Dated: 3/16/98
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debtor/petitioner (or, if appropriate, the debtor(s) or petitioner(s)) hereby certify under the
penalties of perjury that the above/attached mailing matrix bas been compared to and
contains the names, addresses and zip codes of all persons and entities, as they appear on
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Dated:J'/';>
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Attorney for Debtor/Petitioner
(Debtor(s)/Petitioner(s))
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U.S. National Archives & Records Administration Form 90A Entire Case File - Packing Slip
021-01-0174
0084 E1320055
Comments:
I
BK11-377073279E AF OW-LS Mail
Willis Jones Immediate!
135 Jupiter Street
Holts Summit , MO 65043
USA
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