+ All Categories
Home > Documents > IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT … · 2014-03-19 · in the united states...

IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT … · 2014-03-19 · in the united states...

Date post: 11-Jul-2018
Category:
Upload: duongquynh
View: 217 times
Download: 0 times
Share this document with a friend
22
IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA ATLANTA DIVISION IN RE: ) ) CHAPTER 7 RAFAEL CARDONA ) ) CASE NO. 11-54098-JRS Debtor. ) AMENDMENT TO SCHEDULES E and F, SUMMARY OF SCHEDULES AND CREDITOR MATRIX COMES NOW Rafael Cardona, the Debtor in the above-styled Chapter 7 Bankruptcy Case (“Debtor”), and files this Amendment, and respectfully show the Court as follows: (1) Schedules E and F: The Debtor hereby substitutes the Schedules E and F which are attached hereto in lieu of any such Schedules E and F previously filed. (2) Summary of Schedules. The Debtor hereby substitutes the Summary of Schedules which is attached hereto in lieu of any such Summary of Schedules previously filed. (3) Creditor Matrix . The Debtor hereby amends the Creditor Matrix to include the creditors listed below: Georgia Department of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta, GA 30341 Gano Excel USA, Inc. 4828 Fourth St. Irwindale, CA 91706 Smoke Rise Country Club 4900 Chedworth Dr. Stone Mountain, GA 30087 Raymond Berrones Jr. 4553 Rivercliff Dr. Lilburn, GA 30047 Melaleuca, Inc. 3910 S. Yellowstone Hwy. Idaho Falls, ID. 83402 Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 1 of 22
Transcript

IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA

ATLANTA DIVISION

IN RE: ) ) CHAPTER 7 RAFAEL CARDONA ) ) CASE NO. 11-54098-JRS Debtor. )

AMENDMENT TO SCHEDULES E and F, SUMMARY OF SCHEDULESAND CREDITOR MATRIX

COMES NOW Rafael Cardona, the Debtor in the above-styled Chapter 7

Bankruptcy Case (“Debtor”), and files this Amendment, and respectfully show the Court

as follows:

(1) Schedules E and F: The Debtor hereby substitutes the Schedules E and

F which are attached hereto in lieu of any such Schedules E and F previously filed.

(2) Summary of Schedules. The Debtor hereby substitutes the Summary of

Schedules which is attached hereto in lieu of any such Summary of Schedules

previously filed.

(3) Creditor Matrix. The Debtor hereby amends the Creditor Matrix to include

the creditors listed below:

Georgia Department of Banking and Finance2990 Brandywine Rd. Suite 200 Atlanta, GA 30341

Gano Excel USA, Inc. 4828 Fourth St. Irwindale, CA 91706

Smoke Rise Country Club 4900 Chedworth Dr. Stone Mountain, GA 30087

Raymond Berrones Jr. 4553 Rivercliff Dr. Lilburn, GA 30047

Melaleuca, Inc. 3910 S. Yellowstone Hwy. Idaho Falls, ID. 83402

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 1 of 22

(4) All other Schedules remain the same.

RESPECTFULLY SUBMITTED THIS 15th DAY OF MARCH, 2011.

JONES & WALDEN, LLC

/s/ Noel J. BartelsNoel J. Bartles Georgia Bar No. 823714 Attorney for Debtor 21 Eighth Street Atlanta, Georgia 30309 (404) 564-9300 [email protected]

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 2 of 22

IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA

ATLANTA DIVISION

IN RE: ) ) CHAPTER 7 RAFAEL CARDONA ) ) CASE NO. 11-54098-JRS Debtor. )

DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR

I declare under penalty of perjury that I have read the foregoing Amendment and that the same is true and correct to the best of my knowledge, information and belief.

/s/ Rafael CardonaDate: March 15, 2011 Rafael Cardona

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 3 of 22

}bk1{ScheduleE-CreditorsHoldingUnsecuredPriorityClaims}bk{

B6E (Official Form 6E) (4/10)

A complete list of claims entitled to priority, listed separately by type of priority, is to be set forth on the sheets provided. Only holders of unsecured claims entitledto priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name, mailing address, including zip code, and last four digits of theaccount number, if any, of all entities holding priority claims against the debtor or the property of the debtor, as of the date of the filing of the petition. Use a separatecontinuation sheet for each type of priority and label each with the type of priority.

The complete account number of any account the debtor has with the creditor is useful to the trustee and the creditor and may be provided if the debtor chooses to doso. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m).

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriateschedule of creditors, and complete Schedule H-Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may beliable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the claim is contingent, place an "X" in thecolumn labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If the claim is disputed, place an "X" in the column labeled"Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of claims listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all claims listed on this Schedule E in the box labeled"Total" on the last sheet of the completed schedule. Report this total also on the Summary of Schedules.

Report the total of amounts entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts entitled to prioritylisted on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this total also on the Statistical Summary of Certain Liabilities and Related Data.

Report the total of amounts not entitled to priority listed on each sheet in the box labeled "Subtotals" on each sheet. Report the total of all amounts not entitled topriority listed on this Schedule E in the box labeled "Totals" on the last sheet of the completed schedule. Individual debtors with primarily consumer debts report this total also on the Statistical Summary of Certain Liabilities and Related Data.

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)

Domestic support obligationsClaims for domestic support that are owed to or recoverable by a spouse, former spouse, or child of the debtor, or the parent, legal guardian, or responsible relative

of such a child, or a governmental unit to whom such a domestic support claim has been assigned to the extent provided in 11 U.S.C. § 507(a)(1).

Extensions of credit in an involuntary caseClaims arising in the ordinary course of the debtor's business or financial affairs after the commencement of the case but before the earlier of the appointment of a

trustee or the order for relief. 11 U.S.C. § 507(a)(3).

Wages, salaries, and commissionsWages, salaries, and commissions, including vacation, severance, and sick leave pay owing to employees and commissions owing to qualifying independent sales

representatives up to $11,725* per person earned within 180 days immediately preceding the filing of the original petition, or the cessation of business, whicheveroccurred first, to the extent provided in 11 U.S.C. § 507(a)(4).

Contributions to employee benefit plansMoney owed to employee benefit plans for services rendered within 180 days immediately preceding the filing of the original petition, or the cessation of business,

whichever occurred first, to the extent provided in 11 U.S.C. § 507(a)(5).

Certain farmers and fishermenClaims of certain farmers and fishermen, up to $5,775* per farmer or fisherman, against the debtor, as provided in 11 U.S.C. § 507(a)(6).

Deposits by individualsClaims of individuals up to $2,600* 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)(7).

Taxes and certain other debts owed to governmental unitsTaxes, customs duties, and penalties owing to federal, state, and local governmental units as set forth in 11 U.S.C. § 507(a)(8).

Commitments to maintain the capital of an insured depository institutionClaims 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)(9).

Claims for death or personal injury while debtor was intoxicatedClaims for death or personal injury resulting from the operation of a motor vehicle or vessel while the debtor was intoxicated from using alcohol, a drug, or

another substance. 11 U.S.C. § 507(a)(10).

* Amount subject to adjustment on 4/01/13, and every three years thereafter with respect to cases commenced on or after the date of adjustment.

continuation sheets attached

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

1

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 4 of 22

B6E (Official Form 6E) (4/10) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,AND MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions.)

DATE CLAIM WAS INCURRED AMOUNTAND CONSIDERATION FOR CLAIM OF CLAIM

Account No.

Account No.

Account No.

Account No.

Account No.

SubtotalSheet _____ of _____ continuation sheets attached to(Total of this page)Schedule of Creditors Holding Unsecured Priority Claims

TYPE OF PRIORITY

AMOUNT NOTENTITLED TOPRIORITY, IF ANY

AMOUNTENTITLED TO

PRIORITY

SCHEDULE E - CREDITORS HOLDING UNSECURED PRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

Taxes and Certain Other DebtsOwed to Governmental Units

Audit, Fine and Assessment

GA Dept of Banking & Finance2990 Brandywine RoadSuite 200Atlanta, GA 30341 -

9,955.00 9,955.00

0.00

9,955.00 9,955.000.001 1

9,955.00 9,955.000.00Total

(Report on Summary of Schedules)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 5 of 22

}bk1{ScheduleF-CreditorsHoldingUnsecuredNonpriorityClaims}bk{

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Subtotal_____ continuation sheets attached (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

B6F (Official Form 6F) (12/07)

State the name, mailing address, including zip code, and last four digits of any account number, of all entities holding unsecured claims without priority against thedebtor or the property of the debtor, as of the date of filing of the petition. The complete account number of any account the debtor has with the creditor is useful to thetrustee and the creditor and may be provided if the debtor chooses to do so. If a minor child is a creditor, state the child's initials and the name and address of the child's parent or guardian, such as "A.B., a minor child, by John Doe, guardian." Do not disclose the child's name. See, 11 U.S.C. §112 and Fed. R. Bankr. P. 1007(m). Do not include claims listed in Schedules D and E. If all creditors will not fit on this page, use the continuation sheet provided.

If any entity other than a spouse in a joint case may be jointly liable on a claim, place an "X" in the column labeled "Codebtor," include the entity on the appropriateschedule of creditors, and complete Schedule H - Codebtors. If a joint petition is filed, state whether the husband, wife, both of them, or the marital community may beliable on each claim by placing an "H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community."

If the claim is contingent, place an "X" in the column labeled "Contingent." If the claim is unliquidated, place an "X" in the column labeled "Unliquidated." If theclaim is disputed, place an "X" in the column labeled "Disputed." (You may need to place an "X" in more than one of these three columns.)

Report the total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedule. Report this total also on the Summary ofSchedules and, if the debtor is an individual with primarily consumer debts, report this total also on the Statistical Summary of Certain Liabilities and Related Data.

Check this box if debtor has no creditors holding unsecured claims to report on this Schedule F.

S/N:35745-110218

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

7

xxxx-xxxx-xxxx-9240 Credit Card

Aeromexico Visa800 Nicollet MallMinneapolis, MN 55402

-

10,000.00

xxxx-xxxx-xxxx-3840 Credit Card

Amazon Chase VisaP.O. Box 15299Wilmington, DE 19850

-

7,000.00

xxxx-xxxx-xxxx-4490 Credit Card

Assoc Credit Union Visa6251 Crooked Creed RdNorcross, GA 30092

-

9,048.00

xxxxxxxxxxx0218 Business Debt

AT&T Business Phone ServiceP.O. Box 105262Atlanta, GA 30348

X -

360.00

26,408.00

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 6 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

xxxxxxxxx0-001 Business Debt

AT&T Business Phone ServiceP.O. Box 105262Atlanta, GA 30348

X -

375.00

Judgment - Business Debt

Centro NP Northeast Plaza, LLC800 Kennesaw Ave Ste 400Marietta, GA 30060

X -

43,000.00

Business Debt

Chamblee Retail Holdings, LLC2498 Chamblee Tucker RdAtlanta, GA 30341

X -

108,000.00

3390 Business Debt

Crime Free Alarm Service5825 Live Oak Pkwy Ste ANorcross, GA 30093

X -

100.00

xx2978 Business Debt

Crime Free Alarm Service5825 Live Oak Pkwy Ste ANorcross, GA 30093

X -

100.00

151,575.001 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 7 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

xxx3365 Business Debt

Dekalb County Water1300 Commerce DrDecatur, GA

X -

500.00

Business Debt

Dennis Matthews2934 Mabry LaneDacula, GA 30019

X -

55,000.00

Business Debt

Dinex188 Bering Dr Ste 420Houston, TX 77057

X -

50,000.00

Business debt

Gano Excel USA, Inc.4828 Fourth St.Baldwin Park, CA 91706

-

210.00

xxxxx-x4049 Business Debt

Georgia Power1841 Cmablee Tucker RdAtlanta, GA 30341

X -

1,000.00

106,710.002 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 8 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

xxxxx-x4058 Business Debt

Georgia Power1841 Cmablee Tucker RdAtlanta, GA 30341

X -

500.00

Business Debt

Halpern Business5269 Buford Hwy Ste AAtlanta, GA 30340

X -

11,480.00

Business Debt

Insight600 Beacon Pkwy West Ste 901Birmingham, AL 35209

X -

785.00

Business Debt

IPP Bill Payment330 Passiac AveFairfield, NJ 07004

X -

250.00

Business Debt

Itransfer-Tempo Financial LLC7995 E Prentice Ave Ste 103Englewood, CO 80111

X -

90,000.00

103,015.003 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 9 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

Business Debt

Itransfer-Tempo Financial LLC7995 E Prentice Ave Ste 103Englewood, CO 80111

X -

34,295.00

Business Debt

Lawrence Buckles9330 Tailey CirAlpharetta, GA 30022

X -

55,000.00

Payment owed

Melaleuca, Inc.3910 S. Yellowstone HwyIdaho Falls, ID 83402

-

185.13

Business Debt

Money Gram1550 Utica Ave SouthMinneapolis, MN 55416

X -

28,651.00

Business Debt

Money Gram Money Orders1550 Utica Ave SouthMinneapolis, MN 55416

X -

309,876.00

428,007.134 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 10 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

For Notice Only

New Plan Realty3440 Preston Ridge RdAlpharetta, GA 30005

-

0.00

Business Debt

Orlandi Valuta1301 International Pkwy 4th FlFort Lauderdale, FL 33323

X -

4,872.00

Business Debt

Prepaidworx - Page Plus Cellul11121 Hwy 70 Ste 202Arlington, TN 38002

X -

804.00

Personal Loan

Raymond Berrones, Jr.4553 Rivercliff Dr.Lilburn, GA 30047

-

25,000.00

Business Debt

Ria Financial13828 Cerritos Corp Dr Ste CCerritos, CA 90703

X -

100,000.00

130,676.005 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 11 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

Business Debt

Ria Financial13828 Cerritos Corp Dr Ste CCerritos, CA 90703

X -

30,000.00

Business Debt

Sigue13291 Ralston AveSylmar, CA 91342

X -

2,586.00

Membership Dues

Smoke Rise County Club4900 Chedworth DriveStone Mountain, GA 30087

-

537.00

Business Debt

South Exchange80 SW 8th St Ste 120Miami, FL 33130

X -

20,000.00

xxxxx7384 Business Debt

T-MobileP.O. Box 742596Cincinnati, OH 45274-2596

X -

500.00

53,623.006 7

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 12 of 22

B6F (Official Form 6F) (12/07) - Cont.

CODEBTOR

CONTINGENT

UNLIQUIDATED

DISPUTED

Husband, Wife, Joint, or Community

HWJC

CREDITOR'S NAME,MAILING ADDRESS

INCLUDING ZIP CODE,AND ACCOUNT NUMBER

(See instructions above.)

Account No.

Account No.

Account No.

Account No.

Account No.

Sheet no. _____ of _____ sheets attached to Schedule of SubtotalCreditors Holding Unsecured Nonpriority Claims (Total of this page)

DATE CLAIM WAS INCURRED ANDCONSIDERATION FOR CLAIM. IF CLAIM

IS SUBJECT TO SETOFF, SO STATE. AMOUNT OF CLAIM

SCHEDULE F - CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS(Continuation Sheet)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

In re ,Debtor

Case No. 11-54098Rafael Agustin Cardona

Business Debt

Transpayment Services3721 Kings RdChattanooga, TN 37416

X -

20,749.00

Business Debt

Unidos Money Transfers1250 Broadway AveNew York, NY 10001

X -

10,651.00

Business Debt

Vigo1301 International Pkwy 4th FlFort Lauderdale, FL 33323

X -

50,000.00

Business Debt

Vigo1301 International Pkwy 4th FlFort Lauderdale, FL 33323

X -

43,823.00

125,223.007 7

1,125,237.13Total

(Report on Summary of Schedules)

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 13 of 22

}bk1{Form6.SummaryofSchedules}bk{

United States Bankruptcy CourtNorthern District of Georgia

In re ,Debtor

Case No.

Chapter

11-54098

7

Rafael Agustin Cardona

B6 Summary (Official Form 6 - Summary) (12/07)

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 of all claims from Schedules D, E, and F to determine the total amount of the debtor’s liabilities. Individual debtors mustalso complete the "Statistical Summary of Certain Liabilities and Related Data" if they file a case under chapter 7, 11, or 13.

SUMMARY OF SCHEDULES

ATTACHED NO. OFNAME OF SCHEDULE ASSETS LIABILITIES OTHER(YES/NO) SHEETS

A - Real Property

B - Personal Property

C - Property Claimed as Exempt

D - Creditors Holding Secured Claims

E - Creditors Holding UnsecuredPriority Claims

F - Creditors Holding UnsecuredNonpriority Claims

G - Executory Contracts andUnexpired Leases

H - Codebtors

I - Current Income of IndividualDebtor(s)

J - Current Expenditures of IndividualDebtor(s)

Total Number of Sheets of ALL Schedules

Total Assets

Total Liabilities

(Total of Claims on Schedule E)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

1 340,000.00

3 21,023.50

1

440,464.001

9,955.002

1,125,237.138

1

3

1 1,068.17

1 9,489.00

22

361,023.50

1,575,656.13

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 14 of 22

}bk1{Form6.StatisticalSummaryofCertainLiabilitiesandRelatedData}bk{

United States Bankruptcy CourtNorthern District of Georgia

In re ,Debtor

Case No.

Chapter

11-54098

7

Rafael Agustin Cardona

Form 6 - Statistical Summary (12/07)

STATISTICAL SUMMARY OF CERTAIN LIABILITIES AND RELATED DATA (28 U.S.C. § 159)If you are an individual debtor whose debts are primarily consumer debts, as defined in § 101(8) of the Bankruptcy Code (11 U.S.C.§ 101(8)), filinga case under chapter 7, 11 or 13, you must report all information requested below.

Check this box if you are an individual debtor whose debts are NOT primarily consumer debts. You are not required to report any information here.

This information is for statistical purposes only under 28 U.S.C. § 159.Summarize the following types of liabilities, as reported in the Schedules, and total them.

Type of Liability Amount

Domestic Support Obligations (from Schedule E)

Taxes and Certain Other Debts Owed to Governmental Units (from Schedule E)

Claims for Death or Personal Injury While Debtor Was Intoxicated(from Schedule E) (whether disputed or undisputed)

Student Loan Obligations (from Schedule F)

Domestic Support, Separation Agreement, and Divorce DecreeObligations Not Reported on Schedule E

Obligations to Pension or Profit-Sharing, and Other Similar Obligations(from Schedule F)

TOTAL

State the following:

Average Income (from Schedule I, Line 16)

Average Expenses (from Schedule J, Line 18)

Current Monthly Income (from Form 22A Line 12; OR,Form 22B Line 11; OR, Form 22C Line 20 )

State the following:

1. Total from Schedule D, "UNSECURED PORTION, IF ANY"column

2. Total from Schedule E, "AMOUNT ENTITLED TO PRIORITY"column

3. Total from Schedule E, "AMOUNT NOT ENTITLED TOPRIORITY, IF ANY" column

4. Total from Schedule F

5. Total of non-priority unsecured debt (sum of 1, 3, and 4)

Software Copyright (c) 1996-2011 - CCH INCORPORATED - www.bestcase.com Best Case Bankruptcy

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 15 of 22

}bk1{CreditorAddressMatrix}bk{

Aeromexico Visa800 Nicollet MallMinneapolis, MN 55402

Amazon Chase VisaP.O. Box 15299Wilmington, DE 19850

Assoc Credit Union Visa6251 Crooked Creed RdNorcross, GA 30092

Associated Credit Union6251 Crooked Creek Rd

AT&T Business Phone ServiceP.O. Box 105262Atlanta, GA 30348

Centro NP Northeast Plaza, LLC800 Kennesaw Ave Ste 400Marietta, GA 30060

Chamblee Retail Holdings LLC9925 Haynes Bridge Rd Ste 200Alpharetta, GA 30022

Chamblee Retail Holdings, LLC2498 Chamblee Tucker RdAtlanta, GA 30341

Crime Free Alarm Service5825 Live Oak Pkwy Ste ANorcross, GA 30093

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 16 of 22

Dekalb County Water1300 Commerce DrDecatur, GA

Dennis Matthews2934 Mabry LaneDacula, GA 30019

Dinex188 Bering Dr Ste 420Houston, TX 77057

GA Dept of Banking & Finance2990 Brandywine RoadSuite 200Atlanta, GA 30341

Gano Excel USA, Inc.4828 Fourth St.Baldwin Park, CA 91706

Georgia Power1841 Cmablee Tucker RdAtlanta, GA 30341

Halpern Business5269 Buford Hwy Ste AAtlanta, GA 30340

Insight600 Beacon Pkwy West Ste 901Birmingham, AL 35209

IPP Bill Payment330 Passiac AveFairfield, NJ 07004

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 17 of 22

Itransfer-Tempo Financial LLC7995 E Prentice Ave Ste 103Englewood, CO 80111

Ladden Group, LLC2498 Chamblee Dunwody Rd.Atlanta, GA 30341

Lawrence Buckles9330 Tailey CirAlpharetta, GA 30022

Melaleuca, Inc.3910 S. Yellowstone HwyIdaho Falls, ID 83402

Money Gram1550 Utica Ave SouthMinneapolis, MN 55416

Money Gram Money Orders1550 Utica Ave SouthMinneapolis, MN 55416

Nationstar Mortgage350 Highland DrLewisville, TX 75067

New Plan Realty3440 Preston Ridge RdAlpharetta, GA 30005

Orlandi Valuta1301 International Pkwy 4th FlFort Lauderdale, FL 33323

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 18 of 22

Prepaidworx - Page Plus Cellul11121 Hwy 70 Ste 202Arlington, TN 38002

Raymond Berrones, Jr.4553 Rivercliff Dr.Lilburn, GA 30047

Ria Financial13828 Cerritos Corp Dr Ste CCerritos, CA 90703

Sigue13291 Ralston AveSylmar, CA 91342

Smoke Rise County Club4900 Chedworth DriveStone Mountain, GA 30087

South Exchange80 SW 8th St Ste 120Miami, FL 33130

T-MobileP.O. Box 742596Cincinnati, OH 45274-2596

Transpayment Services3721 Kings RdChattanooga, TN 37416

Unidos Money Transfers1250 Broadway AveNew York, NY 10001

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 19 of 22

United Americas Bank/StateBank3789 Roswell RdAtlanta, GA 30342

Vigo1301 International Pkwy 4th FlFort Lauderdale, FL 33323

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 20 of 22

Creditors Added to Mailing Matrix:

Georgia Department of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta, GA 30341

Smoke Rise Country Club 4900 Chedworth Dr. Stone Mountain, Ga 30087

Melaleuca, Inc. 3910 S. Yellowstone Hwy. Idaho Falls, ID. 83402

Gano Excel USA, Inc. 4828 Fourth St. Irwindale, CA 91706

Raymond Berrones Jr. 4553 Rivercliff Dr. Lilburn, GA 30047

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 21 of 22

IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA

ATLANTA DIVISION

IN RE: ) ) CHAPTER 7 RAFAEL CARDONA ) ) CASE NO. 11-54098-JRS Debtor. )

CERTIFICATE OF SERVICE

I hereby certify that I have served a copy of the “AMENDMENT TO SCHEDULES AND

CREDITOR MATRIX” on all parties referenced below by depositing a copy of same in the

United States Mail, postage prepaid, to the following:

Georgia Department of Banking and Finance 2990 Brandywine Rd. Suite 200 Atlanta, GA 30341

Gano Excel USA, Inc. 4828 Fourth St. Irwindale, CA 91706

Smoke Rise Country Club 4900 Chedworth Dr. Stone Mountain, GA 30087

Raymond Berrones Jr. 4553 Rivercliff Dr. Lilburn, GA 30047

Melaleuca, Inc. 3910 S. Yellowstone Hwy. Idaho Falls, ID. 83402

Rafael Cardona 2869 Briarlake Road NE Atlanta, GA 30345

Tamara Miles Ogier Ellenberg, Ogier, Rothschild & Rosenfeld 170 Mitchell St. S.W. Atlanta, GA 30303

This 15th day of March, 2011.

JONES & WALDEN, LLC

/s/ Noel J. BartelsNoel J. Bartles Georgia Bar No. 823714 Attorney for Debtor 21 Eighth Street Atlanta, Georgia 30309 (404) 564-9300 [email protected]

Case 11-54098-jrs Doc 20 Filed 03/15/11 Entered 03/15/11 13:24:19 Desc Main Document Page 22 of 22


Recommended