Barry Van Sickle Bankruptcy Case

8/14/2019 Barry Van Sickle Bankruptcy Case

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Official Form 1) (12/03)FORMBl United States Bankruptcy c o u r t ~ f \ ) Voluntary PetitionName of Debtor (i f individual, enter Last, First, Middle): Name of Joint Debtor (Spouse) (Last, First, Middle):

Van Sickle Barrv L. Van Sickle KathleenAll Other Names used by the Debtor m th e 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):

Last four digits of Soc. Sec. No./Complete EIN or other Tax 1.0. Last four digits of Soc. Sec.No.lComplete EIN or other Tax 1.0. No.No. (i f more than one, state all): 4 4 7 8 (i f more than one, state all): 4 4 4 6Street Address of Debtor (No. & Street, City, State & Zip Code): Street Address of Joint Debtor (No. & Street, City, State & Zip Code):

1032 Chippendale Way 1032 Chippendale WayRoseville, CA 95661 Roseville, CA 95661

County of Residence or of the Placer County, California County of Residence or of th e Placer County, CaliforniaPrincipal Place of Business: Principal Place of Business:Mailing Address of Debtor (i f different from street address): Mailing Address of Joint Debtor (i f different from street address):

Location of Principal Assets o f Business Debtor(i f different from street address above):

Information Regarding the Debtor (Check the Applicable Boxes)Venue (Check any applicable box)

Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediatelypreceding the date of his petition or for a longer part of such 180 days than in any other District.o There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.Type of Debtor (Check all boxes that apply) Chapter or Section of Bankruptcy Code Under WhichIndividual(s) o Railroad th e Petition is Filed (Check one box)o Corporation o Stockbroker Chapter 7 o Chapter I I o Chapter 13o Partnership o Commodity Brokero Other Clearing Bank o Chapter 9 o Chapter 12o Sec. 304 - Case ancillary to foreign proceeding

Nature of Debts (Check one box)ConsumerlNon-Business DBusiness Filing Fee (Check one box)Fun Filing Fee attachedChapter I I Small Business (Check all boxes that apply) o Filing Fee to be paid in installments (Applicable to individuals only)

0 Debtor is a small business as defined in I I U.S.C. 10 I Must attach signed application for the court's consideration0 Debtor is and elects to be considered a small business under certifying that the debt . - - ...J J U.S.C. 1121(e) (Optional) Rule I 006(b). See Oft 04-24648-C-7

Statistic aI/Administrative Information (Estimates only) DEBTOR: BRRRY VRN SICKLEo Debtor estimates that funds will be available for distribution to unsecured creditors. CO[lEBT: KATHLEEN UAN SICKLEDebtor estimates that, after any exempt property is excluded and administrative expenses paid, It DEBTOR IS PRO SEbe no funds available for distribution to unsecured creditors. JUDGE: HON. C. KLEINTRUSTEE: F. LUCKS INGER

1-15 16-49 50-99 100-199 200-999 1000-over 341 MEETING (Tentative SettEstimated Number of Creditors 0 0Estimated AssetsSOlo $50.00110 $100,001 to $500.001 to $ 1.000.00 I toS50,000 $100.000 S500,000 $1 Million SIO Million0 0 0 0Estimated Debts

SOlo S50.001 to $\00,001 to $500,001 to $ 1.000.00 1 to$50,000 $100,000 $500,000 $1 Million $1 0 Million0 0 0 0

0 0 0$10,000,001 to $50,000.001 to$50 million $ 100 Million0 0$10,000.001 to S50,000,001 to$50milJion $ 100 Million0 0

More thanSIOOMillion0...

-

$

6/11/04. 10:00 AM - usaOfficial meeting notice toCHAPTER: 7 COUNTY: PLRCERFILED 5/5/04 - 04:03 PMRELIEF ORDEREDCLERK, U.S. BANKRUPTCY COLIRERSTERN DISTRICT Of CRLIFORECEIPT NO: 2-4-007921 $209111111111111111111111111111111111111111111111111111111

-24648

111111111111111111111


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(Official Form 1) FORM HI Page 2Voluntary Petition Name of Debtor(s): & Kathleen(This page must be completed amtfiled in every case) Van Sickle Barry

P,;. , Baak,.p"y c... F;',' WUh;n La...v'r (lfmo" thon 00 ' . a".oh addWooa! 'hoot)Location NONE Case Number: Date Filed:Where Filed:

Pending Bankruptcy Case Filed by an y Spouse, Partner or Affiliate ofthis Debtor ( I f more than one, attach additional sheet)Name of DebtorN/A Case Number: Date Filed:District: Relationship: Judge:

SignaturesSignature(s) of Debtor(s) (IndividuaUJoint) Exhibit AI declare under penalty of perjury that the information provided in this (To be completed if debtor is required to file periodic reportspetition is true and correct. (e.g., forms 10K and IOQ) with the Securities and Exchange

[I f petitioner is an individual whose debts are primarily consumer debts Commission pursuant to Section 13 or 15(d) of the Securitiesand has chosen to file under chapter 7] 1 am aware that I may proceed Exchange Act of 1934 and is requesting relief under chapter I 1)under chapter 7, 11, 12 or 13 of title I 1, United States Code, understand D Exhibit A is attached and made a part of this petition.the relief available under each such chapter, and choose to proceedunder chapter 7. Exhibit BI request relief in accordance with the chapter of title I \, United States (To be completed if debtor is an individualc : e , s P ~ : i n 3etiti) 11- whose debts are primarily consumer debts)I, the attorney for the petitioner named in the foregoing petition, declar

....

that I have informed the petitioner that [he or she] may proceed underchapter 7, II , 12, or 13 of title I I, United States Code, and havex s ~ a ~ f P h - explained the relief available under each such chapter.X~ p \ a t u r e of Joint Debtdr - Signature of Attorney for Debtor(s) Date916772-8725Telephone Number (Ifnot represented by attorney) ExhibitCDoes the debtor own or have possession of any property that posesMay 5,2004 or is alleged to pose a threat of imminent and identifiable harm toDate ObliC health or safety?

Signature of Attorney Yes, and Exhibit C is attached and made a part of this petition.X NoSignature of Attorney for Debtor(s) Signature of Non-Attorney Petition PrepareI'

Printed Name of Attorney for Debtor(s) I certify that I am a bankruptcy petition preparer as defined in I I U.S.C I I 0, that I prepared this document for compensation, and that I haveprovided the debtor with a copy of this document.Firm Name

Xaaress Printed Name of Bankruptcy Petition PreparerSoctal Secunty Number

Telephone Number AddressDateSignature of Debtor (CorporationfPartnership) Names and Social Security numbers of all other individuals whoprepared or assisted in preparing this document:I declare underpenalty ofpeijury that the information provided in this

petition is true and correct, and that I have been authorized to file thispetition on behalf of the debtor.The debtor requests relief in accordance with the chapter of title I I, If more than one person prepared this document, attachUnited States Code, specified in this petition. additional sheets conforming to the appropriate official form forX each person.Signature of Authorized Individual X

Signature of Bankruptcy Petition PreparerPrinted Name of Authorized IndividualDate

Title ofAuthorized Individual A bankruptcy petiti on preparer's failure to comply with the provisionsoftitle I I and the Federal Rules of Bankruptcy Procedure may result

Date in fines or imprisonment or both I I U.S.C. I 10; 18 U.S.C. 156.


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86 Cont., (6/90)United States Bankruptcy Court

t:.af:;ter"n District of CALIFORNIA, """,,,",,'-"Ir,,,,,n-I.ontrn Division!nre Case No. .................... ..... ..............

7SUMMARY 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,P. Land J m the boxes Add the amounts from Schedules A and B to determine the total amount ofthe debtor's assets. Add thamounts from Schedules E, and F to determine the total amount of the debtor's liabilities.AMOUNTS SCHEDULED

ATTACHED NO. OF(YESfNO) SHEETS ASSETS OTHER

A - Real ::""P'-''')' YES 1 $ 0.00

B - Personal P"'jJ"'lty YES 4 $ 22,136.89

C - Property Claimed as YES 1D - Creditors U ~ l . _ g Secured YES 1 $ClaimsE - Creditor H'''UlU5 UnsecuredClaims YES 5 $F Creditors H ....M/no Unsecured

Nonpriority :-,'?. YES 4 $ 93,516.53G - E Y ~ " ' u t o r y Contracts and YES 1LeasesH - Codebtors YES 1I - Current Income of Individual

veorors. YES 1 $ 6,500.00J - Current Exnenci offnAh,l"m,l'Oebtor(s) YES 1 $ 10,315.00

Total Number of Sheetsof ALL Schedules .. 20

Total Assets .. $ 22,136.89Total Liabilities .. $ 1,021.408.61

Un .


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EM

In Case No. _____ ......,.,,,-______SCHEDULE A

as directed below, list all real property in which the debtor has anyCOlJanl'llni"tv n,r"" . tv or in which the debtor has a life estate. include any nrnn ... v

if he debtor is married, state whether husband, or own the nr"npr lv"H"llstlan.d, Wife, Joint, or Communily." if he debtor holds no interest in real property.

all property owned as a cand powers exercisable an "H," "W," "J," or "C" in under and Locati

Do not include interests in executory contracts and unexpired leases on tbis scbedule. List tbem in Scbedule G - Executory Contracts aLeases.

If an claims to have a lien or hold a secured interest in any property, state the amount ofthe secured claim. See Schedule D. If no entity claito hold a secured interest in the write "None" in the column labeled "Amount ofSecured Claim."

I f he debtor is an individual or i f a joint petition is filed, state the amount of any e x ( : m l ~ t ! ( m claimed in the nrr,,,, . h , only in Schedule C - PropeClaimed as Exempt.

CURRENTMARKET VALUEOF DEBTOR'SDESCRIPTION AND -I INTEREST IN AMOUNT OFLOCATlONOf NATURE Of DEBTOR'S om PROPERTY, WITHOUT SECUREDPROPERTY INTEREST IN PROPERTY s: DEDUCTING ANY CLAIM- g ~ SECURED CLAIMOR EXEMPTION

I'D "--go:lJ:

NONE

Total Q 0Line (Report also on Summary of Schedules.)

hankru"j"v,ta\ wimer.nel


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Case

SCHEDULE n-- ... PROPERTYlist all personal property of the debtor of whatever kind. debtor has no in one or more of the """>fYi"''''''''''an in the a p ~ l r o I ) r i a 1 t e position in the column labeled "None." If additional is needed in any category, attach a sheet nTl'lnPT

of the If he is married, state whether husband, or both ownan "H," "W," " or "C" in the column labeled "Hl!Sb!md, Joint, or Community." lfthe debtor is anthe amount exemptions claimed only in u"".""."""" ' ~ I f ' r l ' l n p r 1 1 V Claimed as Exempt.Do not include interests in executory contracts and unexpired leases on this List them in Schedule G-Executory Contracts andLeases.If the is held for the debtor by someone state that name and address under "Description and Location

TYPE OF PROPERTY1. Cash on hand.

3. with public, ." ....puv . companies,

lan'010.r05, and others.

and furnish'ings, """" ...".[,; audio, video,and cornpllter "''1'''P''''''''''

HUSBAND WIFE JOINT OR COMMUNITY

NONE DESCRIPTION AND LOCATION OF PROPERTYCash - personal p m , s e ~ ; s i o l n

Checking Account - U.S. BankChecking Account - Union BankChecking Account - WellsSavings Account - WellsSavings Account - Wells

Rental Deposit for home rented at 1032 ChippendaleWay, Roseville, CA 95661(Initial $3000 less $2000 for estimated lease endexpenses)Beds, Furniture, Home Entertainmnet Centerand Appliances

H CURRENT MARKET VALUE OFW DEBTOR'S INTEREST INJ PROPERTY, WInlOurC

HHWWW

J

J

DEDUCTING ANY SECUREDCLAIM OR EXEMPTION

$400.00

$50.00$0.00$175.00

$1,000.00

$2,000.00

httD:llwww.w\mer.netJban


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In re

TYPE OF PROPERTY5. and other art

6.

anliqlles, stamp, coin,tape, compactand other collections orcollectibles.

7. Furs and

8. Firearms and sports, photoand otherequipment.

9. Interests in insuranceName insurance company ofeach policy and itemizesurrender or refund value ofeach.

Case No. - - - - - - ~ ~ - , - - - - - - -SCHEDULE B--PERSONAL PROPERTY(Continuation Sheet)

HUSBAND WIFE JOINT OR COMMUNITY

NONE DESCRIPTION AND LOCAnON OF PROPERTYBooks, Pictures, Art, CDs at residence

Wearing Apparel at residenceWedding and jewelry - personal

Camera and sporting eq1U1pme:nt,:at residence

NONE

H CURRENT MARKET VALUE OFW DEBTOR'S INTEREST INJCJ

J

W

J

PROPERTY, WITHOUTDEDUCTING ANY SECUREDCLAIM OR EXEMPTION

$400.00

$1,500.00$1,000.00

$750.00

10. Annuities. Itemize and name NONEeach issuer.

11. Interests in IRA, ERISA.,or otherpro fit sharing

12. Stock and interests in incor'porated and unincorporatedbusinesses. Itemize.

13. Interests in partnerships orventures. Itemize.

401K plan tbr


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SCHEDULE B-PERSONAL PROPERTY(Continuation Sheet)HUSBAND, WIFE, JOINT OR COMMUNITYI

TYPE OF PROPERTY14. Government and corporate

bonds and other negotiableand ~ t . l ..instrunJents.

15. Accounts receivable.

16. Alimony, maintenance, support, and property settlementsto which the debtor is or maybe entitled. Give particulars.

17. Other liquidated debtsdebtor including tax refunds.Give particulars.

18. Equitable or future interest.life estates, and rights orpowers exercisable for thebenefit of the debtor otherthan those listed in Scheduleof Real Property.

NONE DESCRIPTION AND LOCATION OF PROPERTYNONE

NONE

NONE

NONE

NONE

19. 0 .;, _ and noncontin- NONEgent interests in estate of adecedent, death benefit plan,life insurance policy, or trust.

20 . Other contingent and unliqui- NONEdated claims of every nature,including tax refunds,counterclaims of he debtor,and to setoff claims,Give estimated value of each.

21. Patents, copyrights, and other NONEintellectual property. Giveparticulars.

22 . T icenses c-ttaJlchlses, and other NONEgeneral t n t a J , I 1 . " , j ~ ~ a l b c . l l l e s , GiveI ' ' ' H ' ' ' U ' U ' ~

HWJC

CURRENT MARKET VALUE OFDEBTOR'S INTEREST INPROPERTY, WITHOUTDEDUCTING ANY SECUREDCLAIM OR EXEMPTION


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TYPE OF PROPERTY23. Automobiles, trailers,and other vehicles and acces-sories.

24. Boats, motors, and accessories.

25. Aircraft and accessories.

26. Office equipment, fumi"hina


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Sickle Case No. ______________________________Debtor (If known)

SCHEDU C - PROPERTY CLAIMED AS EXEMPTto which debtor is entitled under

11 U.S.C. 522 (b)(1) Exemptions provided in 11 U.S.C. 522 (d). Note: These exemptions are available only in certain states.11 U.S.C. 522 (b)(2) Exemptions available under applicable nonbankruptcy federal laws, state or local law where the debtors domicile has beenlocated for the 180 days immediately precading the filing of the petition. or for a longer portion eO-day period thanin any other place. and the debtor's interest as a tenant by the entirety or jOint tenant to the interest is exempfrom process under applicable nonbankruptcy law.

DESCRIPTION OF PROPERTY SPECIFY LAW PROVIDINGEACH EXEMPTION

1. Cash on Hand Wildcard -703.140(6)(5)2. Accounts Wildcard -703.140(6)(5)3. Rental Wildcard -703.140(6)(5)4. Household goods 703.140(6)(3)5. Books, Pictures & Art 703.140(6)(3)6. Wearing 703.140(6)(3)7. 703.140(6)(4)8. Hobby & Photo 703 . 140(6)(3 )/Wildcard9. 401K Plan 703. 140(6)(10)(E)lWildcard10. Oldsmobile Bravada 703. 140(6)(2)fWildcardII. 1998 Volvo 890 703.140(6)(2) and/or(Loan balance exceeds market Wildcard

VALUE OFCLAIMED EXEMPTION

$400.00$635.00

$1,000.00$2,000.00

$400.00$1,500.00$1,000.00

$500.00

$750.00$0.00

CURRENT MARKET VALUEOF PROPERTY WITHOUTDEDUCTING EXEMPTIONS$400.00$635.00

$1,000.00$2,000.00

$400.00$1,500.00$1,000.00

$500.00$13,459.46

$750.00$0.00

Legal Linehttp:[email protected]


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BoD

______________ ~ B = a q y ~ ~ V ~ a n ~ S = i = c = h l = e ~ ______ Case No. ______________Debtor {If known)

SCHEDULE D - CREDITORS HOLDING SECURED CLAIMSState the name, mailing address, including ofany account number of all entities claims secured by propthe debtor as of the date of filing of the The cOlnpl.ete account number account the debtor has with the creditor is useful to the trustee

be provided if he chooses to so. List creditors all types of secured interests such as judgment liens, garnishmof rust, and other interests. List creditors in order to the extent practicable. I f all secured credfit on this page, use the continuation sheet nrl'Ivicl""rlI f any entity other than Ii spouse in case may an "X" in the column labeled "Codebtor," include the ethe appropriate schedule of creditors, and complete Schedule H is state whether husband, wife, both of them, omay be liable on each claim by an If in column "Husband, Wife, Joint, or Community."If he claim is contingent, an "X" in the column labeled .. C ~ : > n t j i n g l e n t . .. If he claim is unliquidated, an "X" in the column lab

If the claim is disputed, place an "X" in the column labeled tI may need to an "X" in more than one of hese tReport the total of all claims listed on this schedule in the box labeled 'Total" on the last sheet of he c o n l p l ~ : t e < 1 schedule. Report this totalthe Summary of Schedules.o Check this box if debtor has no creditors secured claims to report on this Schedule D.

CREDITOR'S NAME, po: t I l l ; DATE CLAIM WAS INCURRED, E-< 0 AMOUNTMAILING ADDRESS 0~ o > -

NATURE OF LIEN, AND Z LQ OFE-< LQ I -


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om 136E12163)

Case No.______________(itknown)

E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMSA list of claims entitled to listed type of priority, is to be set forth on the sheets provided. holders ofunsecured entitled to priority should be listed in this schedule. In the boxes on the attached sheets, state the name,address, including and last four digits ofthe account number, if any, of all entities claims the debtor or theproperty of the as ofthe date ofthe ofthe The complete account number account the debtor has with the creditor useful to the trustee and the creditor and may be if the debtor chooses to do so.If any entity other than a spouse in a joint case may be liable on a claim, an "X" in the column labeled "Codebtor," include theentity on the schedule of creditors, and Schedule H-Codebtors. If ajoint is filed, state whether husband, boof them or the marital community may be liable on each claim by placing an "H,.'.'W,.'.'J,.' or "C" in the column labeled "Husband, Joint, Community."If the claim is place an "X" in the column labeled "Contingent." If the claim is place an "X" in the column labeledUUUl { iU 'UCucu." I f he claim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of

Report the total of claims listed on each sheet in the box labeled "Subtotal" on each sheet. the total of all claims listed on thisSchedule E in the box labeled "Total" on the last sheet of the schedule. Repeat this total also on the Summary of Schedules.o Check this box if debtor has no creditors holding unsecured priority claims to report on this Schedule E.TYPES OF PRIORITY CLAIMS (Check the appropriate box(es) below if claims in that category are listed on the attached sheets)o Extensions of credit in an involuntary case

in the course of the debtor's business or fmancial affairs after the commencement of the case but before the earlier ofof a trustee or the order for relief I I U.S.C. o Wages, salaries, and commissionsWages, salaries, and commissions, including vacation, severance, and sick leave and commissionsindependent sales up to $4,650* per person earned within 90 days umne(llal,elY pn:ce,umgthe filing of thecessation whichever occurred first, to the extent provided in llU.S.C. o Contributions to employee benefit plansMoney owed to em'nlO'vee benefit plans for services rendered within 180 days immediately preceding the filing of the original 1' -.... or thecessation of business, occurred first, to the extent provided in 11 U.S.C. 507(a)(4).

o Certain farmers and fishermenClaims of certain farmers and fishermen. up to per farmer or fisherman,D Deposits by individuals

Claims of individuals up to $2, I 00* for deposits for the purChllSe, lease, or rentalthat were not delivered or provided. 11 U.S.C. 507(a)(6).

the as "'r"",m'" in I I U.S.c.

nronertv or services for personal, family, or household us

htlp:1f www,wlmer.neUbankruptc y


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FomB6E(12103)

Inre __________ - = ~ ~ __ ~ _ = ~ ~ ~ ~ _ _ _ ___

Alimony, or SupportClaims ofa spouse, fonner spouse, or child of the debtor for "hrnl ' l r .v maintenance, or

bZ1 Taxes and Certain Other Debts Owed to Governmental Units

Case .. " , - - - - - - - - - : 7 : : : : - - - ~ - - - - - - -

to the extent provided in I I U.S.C. 507(

customs duties, and penalties owing to state, and local gov'ernmelrJ.tal units as set forth in I I U.S.c. 507(a)(8).Commitments to Maintain the Capital of an Insured Depository Institution

Claims based on commitments to theGovernors ofthe Federal ReserveU.S.C. 507 (a)(9).

* Amounts are to adjustment on

Director of the Office of Thrift Supervision, Comptroller ofthe or Board ofor their predecessors or successors, to maintain the of an insured dejlOsitOlry institution. I

1, 2004, and every three years thereafter with respect to cases commenced on or after the date

continuation sheets attached


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-Coni.

re Van Sickle_______________L -_________________________Debtor

Case No._____________( If known)

SCHEDULE - CREDITORS UNSECURED

CREDITOR'S NAME,MAILING ADDRESSINCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions.)

UNTNO.eborah Smillie

CA 90278

ACCOUNT NO.

0t-U

' - ' V J . J l U " ~ . . . . .U"" Sheet)

LLf DATE CLAlM WAS INCURRED>< AND CONSlDERATlON FOR...c'-'z CLAIMzo;:J

.. ;:!",t : ; : !;:>- 0:r:.s;u

5/1/04 one child support2003 - two supportH

no. - of attached to Schedule of Creditors1 1 (Use

f - 0 0o:l AMOUNT AMOUNT- o:l0 < f - OF ENTITLED TO0 ::JZ ;3 CI.. CLAIM PRiORITYE= Vla c::t a::iU 5

$1,575.00


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B6E ConI.

re

CREDITOR'S NAME,MAILING ADDRESSINCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instnlclions.)

N0469-54-7748

Watt AvenueHighlands, CA 94660

NO.469-54-7748SA5357Watt AvenueHighlands, CA 94660

N0469-54-7748

Watt AvenueCA 94660.469-54-7748

Watt A venueHighlands, CA 94660N0469-54-7748

Tax BoardBox 942867

Case No,____---_____Debtor {I fknown)

- CREDITORS HOLDING UNSECURED PRIORITY CLAIMS(Continuation Sheet)Taxes and Other Certain Debts Owed to Governmental units

I X tti I - 00 DATE CLAIM WAS INCURRED :z AMOUNT AMOUNTl - e: Ul Ul!!: 1: AND CONSIDERATION FOR 0 I - OF ENTITLED TOII ;::JUl "z CLAIM P.. CLAIM PRIORITY I - 0:zU 0 i...April 15, 1995 - 1994 FederalIncome Taxes

...; $0.0022,172.40

April 15, 1996 - 1995 FederalIncome Taxes ...; $46,996.56 $0.00

April 15, 1997 - 1996 FederalI ncome Taxes...; $25,485.85 $0.00

April 2000 1999 FederalIncome

...; $0.00

April 15,2003 - 2002 StateIncome Taxes - California $6,714.72 $6,714.72

t nn . -,,1' attached to Schedule ofCreditors Subtotal " ' ~ 8 8 3 86:PrioriiY (Total of this page) Total , . .(Use on! on last page onne eompleted Schedule E.)(lteport total also on Summary of Schedules)


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(I 2103)Case No._____________

Debtor (If known)

HOLDING UNSECURED NONPRIORITY CLAIMSState the name, zip code, and last four digits of any account of aU entities unsecured claims without priorityaproperty ofthe as of the date of filing of the petition. The complete account number account the debtor has with the cred

and the creditor and may be provided if the debtor chooses to do so. Do not include claims listed in Schedules D and E. If all creditoon this page, use the continuation sheet nrnVUll':/1other than a spouse m a joint case may be join tly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity schedule and complete Schedule H - Codebtors. If a joint petition is filed, state whether wife, both of them, or the mliable on each claim an "H," "W," "J," or nc" in the column labeled Wife, or Comnmnity.

an "X" in the column labeled "Contingent." If the claim is unliquidated, an "Y' in the column labeled "Unliquidan "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of hese three columns.)Report total of all claims listed on this schedule in the box labeled "Total" on the last sheet orthe completed schedule. Report this total also on the Su

o Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.CREDITOR'S NAME,MAILING ADDRESSINCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

ACCOUNTFinancialCA 94566

CA 94566

OneBox 85015

VA 23285

Davis Medical CenterBox 52087

CA 94160

"E- ~ f - ' f : :


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raun B6F - Cou to(12103)Inre ________ - = ~ ~ ~ ~ ~ __________

SCHEDULE F - CREDITORS

CREDITOR'S NAME,MAILING ADDRESSINCLUDING ZIP CODE,AND ACCOUNT NUMBER(See instructions.)

ACCOUNT NO. 80578446

Francisco, CA 94160

01 Howe Ave, #A2Sacramento, CA 95825

ACCOUNT No.438864190854apitol One Bank:.0 . Box 85015chmond., VA 23285

Gottlieb M.D.Coyle #301ichael, CA 95608

a ; ) " j l J : U l ~ ' " - B of AClark

i3ffioou

Sheet no ..........J>L-sheets attached to Schedule ofCreditors Holding UllSecured Nonpriority Clai ms

J

J

H

UNSECURED NONPRIORITY(Continuation Sheet)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM.IF CLAIM IS SUBJECT TO SETOFF,SO STATE.

January, 2004Uninsured medical

Various datesRevolving credit

Judgment in OrangeCounty Ct. (1999)Case #98HC2858

Subtotal >-

AMOUNTOFCLAIM

$254.48

$683.58

$2,750.00

$101

(Total of his page) "'-.Total - - ) ~ ~ t e d i f c h i ; d u j . e T : I - - - - of hee


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FolUl B6 F - ConI.(12/03)Inre ____________ __________________ Case No. ______ =, . , . . -_ , . . -_ _ _ _ _ _ _ _

HOLDING NONPRIORITY CLAIM(Continuation Sheet)

p:: E- O 0CREDITOR'S NAME, 0 II! DATE CLAIM WAS INCURRED AND Z Ul Ul AMOUNT"" E-f- ~ , , ~ Ul .( E-MAILING ADDRESS c:c CONSIDERATION FOR CLAIM. e:; 0 ::J OFINCLUDING ZIP CODE, CJ.l Oz IF CLAIM IS SUBJE CT TO SETOFF, :z S p . CLAIM ;:> i;:::: Cf.lAND ACCOUNT NUMBER so STATE. :z 0 ' 0(See instructions.) U :; 0 :J0 u 5ACCOUNT NO. 9-267-923-791-90 March 2004etailers National Bank W Credit[0 . Box 59231

MN 5 5 4 5 9 ~ O 2 3 1 5329031999387523 Claims to have

amco purchased old.0. Box 5247 accountIL 6 1 1 2 5 ~ O 2 4 7 MBNA

Claims to haveidland Credit purchased old.0 . Box 939019 card account from v $5,208.00CA 92193 MBNAClaims to havepurchased oldcard accountMBNA

Claims to have oldorthland Inc. Citibank Account v.0. Box #22072087870 $6,800.00dna, MN 55439

Sllbtotal ,...Sheet no ...............L.......sheets attached to Schedule of (Total afthis page),...Creditors Holding Unsecured Nonpriority Oairus Total Schedule F.)


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Fenn B6F - Cent.(12103)In re __________B _ a n y ~ ~ V ~ a n - - S - i - c - k l - e - - - - - - ~ Debtor C ~ e N o . ________ __-------------( I f known)

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIM

CREDITOR'S NAME, 0 W"-!- - >


20/27

Form, S6G(10189)I Barry Vann re ------------.O"'e=bt=or::---------- Case No. If known)

SCHEDULE G - EXECUTORY CONTRACTS AND UNEXPIRED LEASESDescribe all executory contracts of any nature and allshare interests. or property. Include any time-State nature of debtor's interest in contract. he., "Purchaser." "Agent," etc.of a lease. whether debtor is the orProvide the names and complete mailing addresses of all otherNOTE: A party listed on this schedule will not receive notice ofin the appropnate schedule of creditors.D Check this box if debtor has no executory contracts or I n . : : > ~ ' n l .. ~ . r I

to each lease or contract described.of this case parry is also scheduled

DESCRIPTION OF CONTRACT OR LEASE AND NATURE OFNAME AND MAILING ADDRESS INCLUDING ZIP CODE, OF OTHERPARTIES TO LEASE OR CONTRACT

Sport Leasing, P.O. Box 8286, Foster CA

INTEREST WHETHER LEASE IS FORREAL STATE CONTRACTNUMBER OF ANY GOVERNMENT CONTRACT

2000 Accord

Legal Unahltp:lwww.wimer.netibankruptcybankrup!cy@ wimer.nel


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B6H ,

ra _______ --;:::-;-:_______ Case No.SCHEDULE H - CODEBTORS

Provide the information requested concern'on any debts listed by debtor in thea married cebtor not filing aany ferson or entity, other than a spouse in a oint that is alsoles 0 creditors. Incrude all and co-signers. In communitycase should report the address of the nondebtor spousethis s Include all names used by

of this case.nondebtor spouse during the years immediately preceding the

l2$] Check this box if debtor has no codebtors.NAME AND ADDRESS OF NAME AND ADDRESS OF CREDITOR

Legal Linehtto:/www wimer. netlbankrua


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23/27

n B6Jre ________ .....;;,.._V_an_S_ic_kl_e______

DebtorCase No.

(If known)

J-CURRENT INDIVIDUAL DEBTORSComplete this estimating the average monthly expenses of the debtor and the debtor's family, Pro rate any t ' l l n l m f ~ n t < :

or annually to show monthly rate.D Check this box petition is filed and debtor's spouse maintains a separate household, Complete a "".",,, .. ,f-,,, schedule ofor home payment (include lot rented for mobile home)

e real estate taxes included? Yes Noproperty insurance included? Yes No

and fuelWater and sewerTelephoneOther

'"''!I-''''':''' and upkeep)

"''''''1111111':

including car payments)clubs and newspapers, magazines, etc.

Homeowner's or renter'sLifeHealthAutoOther

or included in home mortgage payments)& Federal Taxes 12 and 13 cases, do not lis t to be included in the plan)

Auto Honda Accord & Volvo S90OtherOther

of additional dependents not living at your homeof business, profession, or farm detailed statement)

Otherof Schedules)

12 DEBTORS ONLY)

$ ___ .:..1.:;,,;96:;,,;;0..:,:_0:..:...0$_-----$ - - - - - : - ~ ~ $ - - - ~ ~ $ - - - ~ ~ $----=-::...:.:.::..:...$ - - - - : : : - ~ ~ $----=-::...:.:.::..:...$ - - - - - . : : : . : : ~ . : : . . S___ - - : ~ : . : : . : : . $ -------:::..:::..:::..::..$ - - - ~ : ; ; . ; ; . ; ; ; : " : , , , $ - - - -= . : .= -=-$ ___ =-30:,:0:.:.;,0:.::.,0$ -------::..:..:::.:..$ - - - - - - : - ~ $ - - - - - : - : ~ . : : . . $ -----=:. :=-=$ -----=:.:::...:.:.::..:..$ -----=.:::..:.::.:::..:...$_-----$ ---::-::-:::-::-:-::$ - - - ~ ; , . . ; ; , . , ; . . : . . . ; . . , ; ; . . , $_-----$ -----=:.::.:::..:..:::..:..$ - - - - ~ ~ $ - - - ~ ~ $- - -= : : . : . : : . : : . .$ ___ -=:.15:,:0:.:.;_0:.::,:..0$-----=.:: . : : : . . : : . .$____ ..::.0:.::.;,0:...::...0

the information below, including whether plan are to be made bi-weekly, monthly, annually, or atother interval.

",rr. i" ' l ' , t ", r lTotal

- - - - - (

$_-----$_-----$_----$_-----

Line'I


24/27

fure ______________~ ~ ~ - - - - - - - - - - - - - - - - - Case

DEC LARA TION CONCERNING DEBTOR'S SCHEDULESDECLARATION UNDE R PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the toriellOlfill cnrm'YIr


25/27

Local Rule 1015-2 - (Rev. 6/98)

STATEMENT OF RELATED CASESINFORMATION REQUIRED BY LOCAL RULE 1015-2UNITED STATES BANKRUPTCY COURT, Eastern DistrictofCAUFORNIA, Sacramento Division1. A petition under the Bankruptcy Act of 1898 or the Bankruptcy Reform Act of 1978 has previously been filed by or againthe debtor, his/her spouse, an affiliate of the debtor, any copartnership or joint venture of which debtor is or formerly waa general or limited partner, or member, or any corporation of which the debtor is a director, officer, or person in controas follows: (Set forth the complete number and title of such of prior proceeding, date filed, nature thereof, the BankruptcJudge and court to whom assigned, whether still pending and, if not, the disposition thereof. If none, so indicate. Also, liany real property included in Schedule A that was filed with any such prior proceeding(s).)

NONE

2. (If petitioner is a partnership or joint venture) A petition under the Bankruptcy Act of 1898 or the Bankruptcy Reform Aof 1978 has previously been filed by or against the debtor or an affiliate of the debtor, or a general partner in the debtoa relative of the general partner, general partner of, or person in control of the debtor, partnership in which the debtora general partner, general partner of the debtor, or person in control of the debtor as follows: (Set forth the complenumber and title of such prior proceeding, date filed, nature of the proceeding, the Bankruptcy Judge and court to whoassigned, whether still pending and, if not, the disposition thereof. If none, so indicate. Also, list any real property includein Schedule A that was filed with any such prior proceeding(s).)NONE

3. (If petitioner is a corporation) A petition under the Bankruptcy Act of 1898 or the Bankruptcy Act of 1978 has previousbeen filed by or against the debtor, or any of its affiliates or subsidiaries, a director of the debtor, an officer of the debtoa person in control of the debtor, a partnership in which the debtor is general partner, a general partner of the debtor,relative of the general partner, director, officer, or person in control of the debtor, or any persons, firms or corporationowning 20% or more of its voting stock as follows: (Set forth the complete number and title of such prior proceeding, dafiled, nature of proceeding, the Bankruptcy Judge and court to whom assigned, whether still pending, and i f not, thdisposi tion thereof. If none, so indicate. Also, list any real property included in Schedule A that was filed with any sucprior proceeding(s).)NONE

4. (If petitioner is an individual) A petition under the Bankruptcy Reform Act, including amendments thereof, has been fileby or against the debtor within the last 180 days: (Set forth the complete number and title of such prior proceeding, dafiled, nature of proceeding, the Bankruptcy Judge and court to whom aSSigned, whether still pending, and i f not, thdisposition thereof. If none, so indicate. Also, list any real property included in Schedule A that was filed with any sucprior proceeding(s).)NONE

I declare, under penalty of perjury. that the foregoing is true and correct.Executed at 1032 Chippendale Way, Roseville, CA 95661Dated May 5, 2004 a t t ~Joint Debtor


26/27

Notice ofAvailable Chllplers (Rev. 4/0])Name: ________ _________________________Address: ~ ~ ~ ~ ~ ~ ~ L - ________Telephone: 916772-8725 916 772-2833

o Attorney for DebtorEZI Debtor in ProUNITED STATES BANKRUPTCY COURT

Eastern District ofCALIFORNIA, Sacramento DivisionList all names names, used by Debtor(s) Case No.within last 6 years:

Social Security No. 469-54-7748 Debtor NOTIC OF AVAILABLESocial Security No. 568-65-4446 Joint Debtor CHAPTERSDebtor(s) EIN No.

1. Section 342(b) of 11 U.S.C. Bankruptcy Cade") states:

2.

3.

"Prior to the commencement of a case under this title by an individual whose debts are primarily consumer debts, tclerk shall give written notice to such individual that indicates each chapter of this title under which such individual mproceed."You are to file under 7, whereby debts are discharged and your n_ " , y " , r nn f assets are liquidatedthe trustee for the of yourYou are to file under 11 for debt reorganization upon of the additional fee required.

4. If your non contingent, liquidated debts are less than $290,525.00 unsecured and $871,550.00 secured (11 U.S.C109(e, you are also eligible to file under Chapter 13 and to use future income to pay all or a portion of your debt5.

6.

If you are a familyfile under Chapter 12. a annual income, as defined by 11 U.S.C. 101 (18) (19), you are eligible

To determine which chapter to under, it is recommended that you f 'nn \ 1

Clerk of Court"I HAVE READ THElOVE "NOTICE OF AVAILABLE CHAPTERS."JL May 5,2004

btor U2004

. nature of Joint Debtor (IfIf the Court has previously ordered that you may not file bankruptcy for 180 days or any other period,you not bankruptcy without prior leave of Court.


27/27

Fonn B8 - (Rev. 3/98) 1998 USBe.United States Bankruptcy Court

Eastern District of CALIFORNIA, Sacramento DivisionIn re Barry L. Van Sickle Case No.:

Debtor Chapter 7CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION

1. I have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estat2. I intend to do the following with respect to the property of the estate which secures those consumer debts:

a. Property to Be Surrendered.Description of Property

b. Property to Be Retained.

Description of Property Creditor's Name1998 Volvo S90 Transouth

Date:____ a-"'-y_O..;..S'-, _0_0_4__

Property is claimedas exempt

Creditor's Name

Check an y applicable statement.]

Property will beredeemed pursuantto 11 U.S.C. 722

Debt will be reaffirmedpursuant to11 U.S.C. 524(c)

CERTIFICATION AND SIGNATURE OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. -110)I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. 110, that I prepared this documentcompensation, and that I have provided the debtor with a copy of this document

Printed or Typed Name of Bankruptcy Petition Preparer Social Security Number

N a m e s a nd S o c ia l S e c u r i t y n u m b e r s of a ll o t h e r i n d i v i d u a l s " " h o p r e p a r e d o r a s s i s te d i n p re p a r i n g t h i s d o cu m e n t :

If m o r e t h a n o n e p e rs o n p re p a re d t h i s d o c u me n t , a t t a c h a d d i t io n a l s i g n e d s h e e ts c o n fo rm in g to t h e a p p ro p r i a te Of f i c ia l Ffo r e a c h p e rs o n .

x _ _ _ _ _ _ _ _ _ _-------------------------------Signature of Bankruptcy Petition Preparer Date

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Barry Van Sickle Bankruptcy Case

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