Guo Wengui / Miles Guo — bankruptcy case · PETITION · ECF #1
METADATA
- Defendant
- Guo Wengui / Miles Guo / Ho Wan Kwok
- Court
- CTB
- Case No.
- 22-50073
- ECF #
- 1
- Type
- PETITION
- Filed
- 2022-02-15
FULL TEXT
Fill in this information to identify your case:
United States Bankruptcy Court for the:
Case number (If known): _________________________ Chapter you are filing under:
Voluntary Petition for Individuals Filing for Bankruptcy /
The bankruptcy forms use you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together—called a joint case—and in joint cases, these forms use you to ask for information from both debtors. For example, if a form asks, "Do you own a car," the answer would be yes if either debtor owns a car. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in all of the forms.
**Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question.**
About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):
First name __________________________________________________
passport).
with the trustee. __________________________________________________
Suffix (Sr., Jr., II, III) __________________________________________________
First name __________________________________________________
maiden names. __________________________________________________
Last name __________________________________________________
First name __________________________________________________
__________________________________________________ __________________________________________________
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_______________________________________________________ Case number (if known)_____________________________________
About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):
4.
I have not used any business names or EINs. ‰ I have not used any business names or EINs.
Include trade names and _________________________________________________ Business name _________________________________________________
doing business as names _________________________________________________ Business name _________________________________________________
EIN ___ ___ – ___ ___ ___ ___ ___ ___ ___
EIN ___ ___ – ___ ___ ___ ___ ___ ___ ___
5. If Debtor 2 lives at a different address: c/o Golden Spring (New York) Ltd.
Street _________________________________________________
_________________________________________________ _________________________________________________
10065 _________________________________________________
County _________________________________________________
If your mailing address is different from the one above, fill it in here. Note that the court will send any notices to you at this mailing address. If Debtor 2's mailing address is different from yours, fill it in here. Note that the court will send any notices to this mailing address.
Street _________________________________________________
P.O. Box _________________________________________________
ZIP Code _________________________________________________
6. Check one: Check one:
Over the last 180 days before filing this petition, I have lived in this district longer than in any
Over the last 180 days before filing this petition, I have lived in this district longer than in any other district.
I have another reason. Explain.
________________________________________ ‰ I have another reason. Explain.
________________________________________ ________________________________________
________________________________________ ________________________________________
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Last Name Case number (if known)_____________________________________ Part 2: Tell the Court About Your Bankruptcy Case
Bankruptcy Code you Check one. (For a brief description of each, see Notice Required by 11 U.S.C. § 342(b) for Individuals Filing for Bankruptcy (Form 2010)). Also, go to the top of page 1 and check the appropriate box.
I will pay the entire fee when I file my petition. Please check with the clerk's office in your local court for more details about how you may pay. Typically, if you are paying the fee yourself, you may pay with cash, cashier's check, or money order. If your attorney is submitting your payment on your behalf, your attorney may pay with a credit card or check with a pre-printed address.
I need to pay the fee in installments. If you choose this option, sign and attach the Application for Individuals to Pay The Filing Fee in Installments (Official Form 103A).
I request that my fee be waived (You may request this option only if you are filing for Chapter 7. By law, a judge may, but is not required to, waive your fee, and may do so only if your income is less than 150% of the official poverty line that applies to your family size and you are unable to pay the fee in installments). If you choose this option, you must fill out the Application to Have the Chapter 7 Filing Fee Waived (Official Form 103B) and file it with your petition.
last 8 years? ‰ Yes. District __________________________ When _______________ Case number ___________________________
District __________________________ When MM / DD / YYYY _______________ Case number ___________________________ District __________________________ When _______________ Case number ___________________________
filed by a spouse who is ‰ Yes. Debtor _________________________________________________ Relationship to you
partner, or by an District __________________________ When MM / DD / YYYY _______________ Case number, if known____________________ Debtor _________________________________________________ Relationship to you
District __________________________ When _______________ Case number, if known____________________
No. ‰ Go to line 12.
‰ Yes. Has your landlord obtained an eviction judgment against you? No. Go to line 12. part of this bankruptcy petition. MM / DD / YYYY Yes. Fill out Initial Statement About an Eviction Judgment Against You (Form 101A) and file it as
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Last Name Case number (if known)_____________________________________ Part 3: Report About Any Businesses You Own as a Sole Proprietor
No. Go to Part 4.
LLC. If you have more than one Name of business, if any
Street _______________________________________________________________________________________
to this petition. City _______________________________________________________________________________________
Check the appropriate box to describe your business:
‰ Health Care Business (as defined in 11 U.S.C. § 101(27A)) Single Asset Real Estate (as defined in 11 U.S.C. § 101(51B))
Stockbroker (as defined in 11 U.S.C. § 101(53A)) Commodity Broker (as defined in 11 U.S.C. § 101(6))
?
business debtor, see If you are filing under Chapter 11, the court must know whether you are a small business debtorRUDGHEWRU FKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9 so that it can set appropriate deadlines. If you indicate that you are a small business debtorRU\RXDUHFKRRVLQJWRSURFHHGXQGHU6XEFKDSWHU9, you must attach your most recent balance sheet, statement of operations, cash-flow statement, and federal income tax return or if any of these documents do not exist, follow the procedure in 11 U.S.C. § 1116(1)(B).
No. I am not filing under Chapter 11.
No. I am filing under Chapter 11, but I am NOT a small business debtor according to the definition in the Bankruptcy Code.
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Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 5 of 14
Last Name Case number (if known)_____________________________________ Part 4: Report if You Own or Have Any Hazardous Property or Any Property That Needs Immediate Attention
Yes. What is the hazard? ________________________________________________________________________
public health or safety? ________________________________________________________________________
immediate attention? If immediate attention is needed, why is it needed? _______________________________________________
perishable goods, or livestock ________________________________________________________________________
that needs urgent repairs? Where is the property? ________________________________________________________________________
________________________________________ _______ ____________________
Part 5: Explain Your Efforts to Receive a Briefing About Credit Counseling 15. Tell the court whether About Debtor 1: About Debtor 2 (Spouse Only in a Joint Case):
briefing about credit You must check one: ✔ You must check one: counseling.
certificate of completion. I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, and I received a ‰ certificate of completion. I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, and I received a
truthfully check one of the Attach a copy of the certificate and the payment plan, if any, that you developed with the agency. Attach a copy of the certificate and the payment plan, if any, that you developed with the agency.
I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, but I do not have a
I received a briefing from an approved credit counseling agency within the 180 days before I filed this bankruptcy petition, but I do not have a certificate of completion.
you paid, and your creditors plan, if any. Within 14 days after you file this bankruptcy petition, you MUST file a copy of the certificate and payment plan, if any. Within 14 days after you file this bankruptcy petition, you MUST file a copy of the certificate and payment
of the requirement. I certify that I asked for credit counseling services from an approved agency, but was unable to obtain those services during the 7 days after I made my request, and exigent circumstances merit a 30-day temporary waiver ‰ of the requirement. I certify that I asked for credit counseling services from an approved agency, but was unable to obtain those services during the 7 days after I made my request, and exigent circumstances merit a 30-day temporary waiver To ask for a 30-day temporary waiver of the requirement, attach a separate sheet explaining what efforts you made to obtain the briefing, why you were unable to obtain it before you filed for bankruptcy, and what exigent circumstances required you to file this case. To ask for a 30-day temporary waiver of the requirement, attach a separate sheet explaining what efforts you made to obtain the briefing, why you were unable to obtain it before you filed for bankruptcy, and what exigent circumstances required you to file this case. may be dismissed. Your case may be dismissed if the court is dissatisfied with your reasons for not receiving a briefing before you filed for bankruptcy. If the court is satisfied with your reasons, you must still receive a briefing within 30 days after you file. You must file a certificate from the approved agency, along with a copy of the payment plan you developed, if any. If you do not do so, your case Any extension of the 30-day deadline is granted only for cause and is limited to a maximum of 15 Your case may be dismissed if the court is dissatisfied with your reasons for not receiving a briefing before you filed for bankruptcy. If the court is satisfied with your reasons, you must still receive a briefing within 30 days after you file. You must file a certificate from the approved agency, along with a copy of the payment plan you developed, if any. If you do not do so, your case may be dismissed. Any extension of the 30-day deadline is granted only for cause and is limited to a maximum of 15 days. ‰ I am not required to receive a briefing about days. ‰ I am not required to receive a briefing about credit counseling because of: credit counseling because of:
Incapacity. I have a mental illness or a mental
Incapacity. I have a mental illness or a mental
rational decisions about finances.
Disability. My physical disability causes me
Disability. My physical disability causes me
reasonably tried to do so. ‰ Active duty. I am currently on active military duty in a military combat zone. ‰ Active duty. I am currently on active military duty in a military combat zone. If you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver of credit counseling with the court. If you believe you are not required to receive a briefing about credit counseling, you must file a motion for waiver of credit counseling with the court.
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Last Name Case number (if known)_____________________________________ Part 6: Answer These Questions for Reporting Purposes
you have? 16a. Are your debts primarily consumer debts? Consumer debts are defined in 11 U.S.C. § 101(8) as "incurred by an individual primarily for a personal, family, or household purpose."
No. Go to line 16b.
Yes. Go to line 17. 16b. Are your debts primarily business debts? Business debts are debts that you incurred to obtain money for a business or investment or through the operation of the business or investment.
No. Go to line 16c.
Yes. Go to line 17. Litigation expenses, claims, and judgments 16c. State the type of debts you owe that are not consumer debts or business debts.
No. I am not filing under Chapter 7. Go to line 18.
Yes. I am filing under Chapter 7. Do you estimate that after any exempt property is excluded and administrative expenses are paid that funds will be available to distribute to unsecured creditors?
For you correct. I have examined this petition, and I declare under penalty of perjury that the information provided is true and under Chapter 7. If I have chosen to file under Chapter 7, I am aware that I may proceed, if eligible, under Chapter 7, 11,12, or 13 of title 11, United States Code. I understand the relief available under each chapter, and I choose to proceed If no attorney represents me and I did not pay or agree to pay someone who is not an attorney to help me fill out this document, I have obtained and read the notice required by 11 U.S.C. § 342(b). I request relief in accordance with the chapter of title 11, United States Code, specified in this petition. I understand making a false statement, concealing property, or obtaining money or property by fraud in connection with a bankruptcy case can result in fines up to \$250,000, or imprisonment for up to 20 years, or both. 18 U.S.C. §§ 152, 1341, 1519, and 3571.
______________________________________________ 8 _____________________________ Signature of Debtor 1 Signature of Debtor 2
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Last Name Case number (if known)_____________________________________
need to file this page. I, the attorney for the debtor(s) named in this petition, declare that I have informed the debtor(s) about eligibility to proceed under Chapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each chapter for which the person is eligible. I also certify that I have delivered to the debtor(s) the notice required by 11 U.S.C. § 342(b) and, in a case in which § 707(b)(4)(D) applies, certify that I have no knowledge after an inquiry that the information in the schedules filed with the petition is incorrect.
R.
Firm name _________________________________________________________________________________________________
Street _________________________________________________________________________________________________
City _________________________________________________________________________________________________
______________________________________________________ ____________ ______________________________
Contact phone _____________________________________ Email address wbaldiga@brownrudnick.com
______________________________________________________ ____________
Filed 02/15/22 Entered 02/15/22 20:26:52 Page 9 of 14
Last Name Case number (if known)_____________________________________
need to file this page. The law allows you, as an individual, to represent yourself in bankruptcy court, but you should understand that many people find it extremely difficult to represent themselves successfully. Because bankruptcy has long-term financial and legal consequences, you are strongly urged to hire a qualified attorney. To be successful, you must correctly file and handle your bankruptcy case. The rules are very technical, and a mistake or inaction may affect your rights. For example, your case may be dismissed because you did not file a required document, pay a fee on time, attend a meeting or hearing, or cooperate with the court, case trustee, U.S. trustee, bankruptcy administrator, or audit firm if your case is selected for audit. If that happens, you could lose your right to file another case, or you may lose protections, including the benefit of the automatic stay. You must list all your property and debts in the schedules that you are required to file with the court. Even if you plan to pay a particular debt outside of your bankruptcy, you must list that debt in your schedules. If you do not list a debt, the debt may not be discharged. If you do not list property or properly claim it as exempt, you may not be able to keep the property. The judge can also deny you a discharge of all your debts if you do something dishonest in your bankruptcy case, such as destroying or hiding property, falsifying records, or lying. Individual bankruptcy cases are randomly audited to determine if debtors have been accurate, truthful, and complete. Bankruptcy fraud is a serious crime; you could be fined and imprisoned. If you decide to file without an attorney, the court expects you to follow the rules as if you had hired an attorney. The court will not treat you differently because you are filing for yourself. To be successful, you must be familiar with the United States Bankruptcy Code, the Federal Rules of Bankruptcy Procedure, and the local rules of the court in which your case is filed. You must also be familiar with any state exemption laws that apply. Are you aware that filing for bankruptcy is a serious action with long-term financial and legal consequences?
Are you aware that bankruptcy fraud is a serious crime and that if your bankruptcy forms are inaccurate or incomplete, you could be fined or imprisoned?
Did you pay or agree to pay someone who is not an attorney to help you fill out your bankruptcy forms?
Yes. Name of Person_____________________________________________________________________. Attach Bankruptcy Petition Preparer's Notice, Declaration, and Signature (Official Form 119). By signing here, I acknowledge that I understand the risks involved in filing without an attorney. I have read and understood this notice, and I am aware that filing a bankruptcy case without an attorney may cause me to lose my rights or property if I do not properly handle the case.
_______________________________________________ 8 ______________________________ Signature of Debtor 1 Signature of Debtor 2
Contact phone ______________________________________ Contact phone ________________________________ Cell phone ______________________________________ Cell phone ________________________________ Email address ______________________________________ Email address ________________________________
For Individual Chapter 11 Cases: List of Creditors Who Have the 20 Largest Unsecured Claims Against You and Are Not Insiders 12/15
**If you are an individual filing for bankruptcy under Chapter 11, you must fill out this form. If you are filing under Chapter 7, Chapter 12, or Chapter 13, do not fill out this form. Do not include claims by anyone who is an** insider**. Insiders include your relatives; any general partners; relatives of any general partners; partnerships of which you are a general partner; corporations of which you are an officer, director, person in control, or owner of 20 percent or more of their voting securities; and any managing agent, including one for a business you operate as a sole proprietor. 11 U.S.C. § 101. Also, do not include claims by secured creditors unless the unsecured claim resulting from inadequate collateral value places the creditor among the holders of the 20 largest unsecured claims.**
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information.
Part 1: List the 20 Unsecured Claims in Order from Largest to Smallest. Do Not Include Claims by Insiders.
__________________________________________ Litigation What is the nature of the claim? ____________________________ (approx) 254,000,000.00
7 Times Square As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
Contact Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured):
Value of security:
Golden Spring New York Litigation Funding What is the nature of the claim? ____________________________ (approx) 21,000,000.00
__________________________________________ As of the date you file, the claim is: Check all that apply.
Contact Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured):
Value of security:
Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 11 of 14
_______________________________________________________ Case number (if known)_____________________________________
First Name Middle Name Last Name Unsecured claim Rui Ma 3 __________________________________________ What is the nature of the claim? ____________________________ Litigation 20,000,000
Creditor's Name 750 Lexington Avenue - 25th Floor __________________________________________ As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
__________________________________________ NY 10022
__________________________________________ State ZIP Code Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): Value of security: - \$_____________________
Contact phone ____________________________________ Unsecured claim \$_____________________ 4 __________________________________________ Cheng Jian Wu Jian She What is the nature of the claim? ____________________________ Litigation 14,898483.90
Creditor's Name 136-20 38th Avenue, Suite 3D __________________________________________ As of the date you file, the claim is: Check all that apply.
C/O Law Office of Ning Ye, Esq. __________________________________________ ‰
Flushing __________________________________________ NY 11354 ‰
City State ZIP Code Does the creditor have a lien on your property?
Ning Ye, Esq. __________________________________________ No
Yes. Total claim (secured and unsecured): \$_____________________ Contact Value of security: - \$_____________________ Contact phone ____________________________________ Unsecured claim \$_____________________ Ning Ye 5 __________________________________________ What is the nature of the claim? ____________________________ Litigation 12,000,000
Creditor's Name 135-11 38th Avenue As of the date you file, the claim is: Check all that apply. Number __________________________________________
__________________________________________ ‰
City __________________________________________ State ZIP Code Does the creditor have a lien on your property?
__________________________________________ ‰ Yes. Total claim (secured and unsecured): \$_____________________ ____________________________________ Value of security: - \$_____________________ Contact phone Unsecured claim \$_____________________ 6 __________________________________________ Guo Baosheng What is the nature of the claim? ____________________________ Litigation 12,000,000
Street As of the date you file, the claim is: Check all that apply.
C/O Law Office of Ning Ye, Esq. __________________________________________ ‰
Flushing __________________________________________ NY 11354 ‰
City Ning Ye, Esq. State ZIP Code Does the creditor have a lien on your property?
Contact __________________________________________ ‰ Yes. Total claim (secured and unsecured): - \$_____________________ ____________________________________ Value of security:
__________________________________________ What is the nature of the claim? ____________________________ Litigation 10,000,000
Creditor's Name 750 Lexington Avenue - 25th Floor As of the date you file, the claim is: Check all that apply. Number __________________________________________
__________________________________________ ‰
__________________________________________ NY 10022 Disputed
City State ZIP Code Does the creditor have a lien on your property?
__________________________________________ ‰
Yes. Total claim (secured and unsecured): \$_____________________ Contact Value of security: - \$_____________________ Contact phone ____________________________________ Unsecured claim \$_____________________ Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 12 of 14
_______________________________________________________ Case number (if known)_____________________________________
8 __________________________________________
What is the nature of the claim? ____________________________ 9,809,422.71
136-20 38th Avenue, Suite 3D As of the date you file, the claim is: Check all that apply.
C/O Kevin Tung, Esq. __________________________________________ ‰
__________________________________________ NY
ZIP Code Does the creditor have a lien on your property? Kevin Tung, Esq. __________________________________________ ‰
Yes. Total claim (secured and unsecured): \$_____________________
Contact phone Unsecured claim \$_____________________ 9 __________________________________________
What is the nature of the claim? ____________________________ 5,568,522.66
136-20 38th Avenue, Suite 3D As of the date you file, the claim is: Check all that apply.
C/O Kevin Tung, Esq. __________________________________________ ‰
City __________________________________________ State ZIP Code Does the creditor have a lien on your property? Kevin Tung, Esq. __________________________________________ ‰
Yes. Total claim (secured and unsecured): \$_____________________
Contact phone Unsecured claim \$_____________________ 10 __________________________________________
What is the nature of the claim? ____________________________ 5,380,262.32
Creditor's Name As of the date you file, the claim is: Check all that apply.
C/O Kevin Tung, Esq. __________________________________________ ‰
City __________________________________________ State ZIP Code Does the creditor have a lien on your property? Kevin Tung, Esq. __________________________________________ ‰
Yes. Total claim (secured and unsecured): \$_____________________
Contact phone Unsecured claim \$_____________________ 11 __________________________________________
Creditor's Name What is the nature of the claim? ____________________________ \$____________________________
__________________________________________ As of the date you file, the claim is: Check all that apply.
C/O Law Office of Ning Ye, Esq. __________________________________________ ‰
__________________________________________ NY
ZIP Code Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): \$_____________________
Contact phone Value of security:
What is the nature of the claim? ____________________________ 1,571,530.36
Creditor's Name As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
__________________________________________ ‰
__________________________________________ NY 11354 Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): \$_____________________ Kevin Tung, Esq.
_______________________________________________________ Kwok Case number (if known)_____________________________________
13 __________________________________________ Liehong Zhuang/Xiao Yan Zhu What is the nature of the claim? ____________________________ Litigation 1,005,000
__________________________________________ As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
ZIP Code Does the creditor have a lien on your property?
Jonathan T. Trexler, Esq.
Yes. Total claim (secured and unsecured): \$_____________________ ____________________________________ Value of security: -
Contact phone Unsecured claim \$_____________________ 14 __________________________________________ Weican Meng/Boxun, Inc. Creditor's Name What is the nature of the claim? ____________________________ Litigation 1,000,000
__________________________________________ As of the date you file, the claim is: Check all that apply.
Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): \$_____________________ ____________________________________ Value of security:
15 __________________________________________
Creditor's Name What is the nature of the claim? ____________________________ Litigation \$____________________________
__________________________________________ As of the date you file, the claim is: Check all that apply.
ZIP Code Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): Value of security: \$_____________________
Contact phone Unsecured claim \$_____________________ 16 __________________________________________ Lamp Capital, LLC Litigation Loan 1,000,000
Creditor's Name What is the nature of the claim? ____________________________
Street As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
ZIP Code Does the creditor have a lien on your property?
__________________________________________ ‰
Contact Yes. Total claim (secured and unsecured): Value of security: \$_____________________
Contact phone Unsecured claim \$_____________________
__________________________________________ Litigation What is the nature of the claim? ____________________________ 1,000,000
Creditor's Name As of the date you file, the claim is: Check all that apply.
__________________________________________ ‰
__________________________________________ ‰
ZIP Code Does the creditor have a lien on your property?
__________________________________________ ‰ Yes. Total claim (secured and unsecured): \$_____________________
Contact phone Unsecured claim \$_____________________ Case 22-50073 Doc 1 Filed 02/15/22 Entered 02/15/22 20:26:52 Page 14 of 14
_______________________________________________________ Case number (if known)_____________________________________
18 Yue Hua Zhu Shi What is the nature of the claim? ____________________________ Litigation 981,501.72
136-20 38th Avenue, Suite 3D As of the date you file, the claim is: Check all that apply.
C/O Kevin Tung, Esq. __________________________________________ ‰
__________________________________________ NY 11354 Disputed
Kevin Tung, Esq.
____________________________________ State ZIP Code Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): Value of security: Unsecured claim - \$_____________________
__________________________________________ What is the nature of the claim? ____________________________ Litigation 430,000
C/O Thompson Hine As of the date you file, the claim is: Check all that apply.
Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): Value of security: Unsecured claim - \$_____________________
20 What is the nature of the claim? ____________________________ Litgiation 319,130
Creditor's Name As of the date you file, the claim is: Check all that apply.
ZIP Code Does the creditor have a lien on your property?
Yes. Total claim (secured and unsecured): \$_____________________ Angus Ni, Esq.
Contact Value of security: Unsecured claim - \$_____________________
Under penalty of perjury, I declare that the information provided in this form is true and correct.
Signature of Debtor 2 ______________________________________________
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