For 8/00) Specy Sofa, Roy! Os Mt FORM 1. VOLUNTARY PETITION G¥- 40006 United States Bankruptcy Court District of NE! ‘VOLUNTARY PETITION IN RE (lame of ceo inal air La Ft Mila) KIRCHHOFF, KURT ALAN NAME OF JON OEBTOR (Spoumjan Fn Ma) IKIRCRHOFF, MELINDA SHARON ‘AL OTHER NAMES usa by fe abtrin fe use yur NONE ‘AL OTHER AMES ued by nt arn at yo |MELINDA SHARON AROCHA mszitbreadich —_ a ee rancaster S)/P poe ae ‘Gouniy of Reiceos or Principal Pac of Buness Lancaster [MAING ADORESS OF DEGTOR I dvarifon west ade) lsame ‘MAING ADDRESS OF JOINT OEBTOR patron tom tee aan) SAME AS DEBTOR TOCATION OF PANGIPAL RESETS OF BUBWESS DEBTOR (trenton ow lNOT APPLICABLE [Hides ns been domicnd ora hae ones, prpal pe of wanes, incon snes ia Dar tay redany preceptor = ‘Shar pro sch 10 sya an nary om Dat [Cinemania eorcering abr aa, gral pro peep rg nie Date TRFORMATION REGARONG DEBTOR (Owe ppc bie] EY ena 1D conporaton Pie Hes tft ana we) 1D Coparaton not Punky Hale 5 reese CD ienciesy TI Non Sueneae/Corsumer Cl Busse Compiem AK Below ALTVPEOF BUSINESS (Chct on ox) emia 15 raneonaton 1 conned oar otra! 1B ntocurng B comescton 5 pesirete ‘org B rece Bi pou 1 Secrbote Oe sane Di cnaperr coat El Cop's . Crepsra Ch Eraper 2 C1 See db ase Acta Fomign ceasing greece tn ing me sachs Cifang ett pi nines, (Apt nto) Mat atch rd “ppleaton cor connaraton cing a tw cobb ae py ect Intoeutmer Fale on] See Ol am No. "RAE AO ADDRES OF LAWFIRM OR ATTORNEY Barbara B. McCall Capitol Park Buildii 327 '"Ar Street, Suite 310 Lincoin, Nebraska 68508 (402) 435-5522 {NANE(S) OF ATTORNEYS) DESIGNATED TO REPRESENT THE DEBTOR Barbara B. HcCall #19850 loser tm ‘STATISTICAL/ADMINISTAATIVE MFORMATION (USC. #osfsemane ony (ec epcal oe) [Dotter etme faa any nemo ropa i eciedand einen enperes pl, 4 o¢ *o “a ge ee a arene earoa Se Seer ema Spe eee Go ap Eee Trustee: Rich Butter ESTIMATED NUMBER OF EMPLOYEES - CH. 11 & 12 ONLY Time: 9/2004 ea Sm ASR FEB ~7 1994 Sra eaee ey orion, Leoona) Soucy San, Roy! as Mt Name of Debtor KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF / Debtor Case No, FILING OF PLAN For Chapter 9, 11, 12 and 13 cases only. Check appropriate box. Aca ttre roves pan dee oa ofecna me Y PRIOR BANKRUPTCY CASE FILED WITHIN LAST 6 YEARS (if mote than one, attach additional sheet) (ONE PENDING BANKRUPTCY CASE FILED BY ANY SPOUSE, PARTNER, OR AFFILIATE OF THE DEBTOR inom than one, tin adetora sheu jrowe [REQUEST FOR RELIEF Debtor requests rele in accordance with the chapter of tie 11, United States Code, specified inthis petition SIGNATURES ‘ATTORNEY SHC ee January 3, 1994 ‘Saute Barbara B, HeCalI INDIVIDUAL / JOINT DEBTOR(S) ‘CORPORATE OR PARTNERSHIP DEBTOR. | dec undeseaty of perry a ta ifomaton poesia peter ern an |_| deca unde ely cf py al omaton proved ptt is us and comet comet tnd hl ng of i ator on bal dot has ben aur. Xe (ther « A x Sgrakte tater “KORE Sera oT hd aT January 3, 1994 do. 4.) rf) tA binds Ligne Fan January 3, 1994 EXHIBIT "A" (To be completed if debtor Isa corporation, requesting relief under chapter 11) [eee ache and made «prt pon ‘TO BE COMPLETED BY INDIVIDUAL CHAPTER 7 DEBTOR WITH PRIMARILY CONSUMER DEBTS (See PLL. 98-353 $ 322) |.am aware that | may proceed under chapter 7, 11, of 12, or 13. tte 11, United States Code, understand the relief available under such chapter, and choose to proceed Unde chapter 7 of sucht. fl am represented by an attorney, exhibit B has been completed January 3, 1994 January 3, 1994 EXHIBIT "6" (To be completed by attomey for individual chapter 7 debtors) with primafly consumer debts) |. the atiomey for the debtor(s) named in the foregoing petition, declare that |have informed the debtor(s) that fe, she, or they) may proceed Under chapter 7, 1, 12, or 13 f tile 11, United States Code, and have explained the relief available under such chapter. Bakers Bb Alege —anuary 3, 1996 SSS iaahre eterFOP 888 040) pect Sana, Raya, In re KURT ALAN KIRCHHOFF aj SI J Debtor SCHEDULE A-REAL PROPERTY Except as directed below, ist all eal property in which the debtor has any legal, equitable, or future interest, including all propery owned as a cotenant, ‘community propery, or in which the debtor has a life estate. Include any property in which the debtor holds rights and powers exercisable for the debtors ‘own benefit the debtor is married, state whether the husband, wife, of both own the property by placing an “H"W;".J" or “Cin he column labeled "Husband, Wit, Joint, or Community” the debtor holds no interest in real property, write "None" under “Description and Location of Property.” Case No, Wrnownh Do not include interests in executory contracts and unexpired leases on this schedule List them in Schedule G-Executory Contracts and Unexpired Leases. Han entiy claims to have aien or hold a secured interest in any property, state the amount of the secured cisim, See schedule D. I no entity claims to hold a secured interest in the property, write "None" inthe column labeled “Amount of Secured Claim * If the debtor isan individual ori a joint petition is filed, state the amount of any exemption claimed inthe property only in Schedule C-Property Ciaimed as exempt urren Mare Description and Location of Property Nate of Debtors seth amount of Interest in Property | | vowurs nner | Seeured Claim masa uf wren cet Wie —M Streacitin os Nowe continuation sheets attac TOTAL 0.00) oR oe cena eta en uray cae) .pA Ge 8/0) Specialy Seta, oy Oak, Mt Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF _/ Debtor Case No. Wiseway SCHEDULE B-PERSONAL PROPERTY Except as directed below, list all personal property of the debtor of whatever kind. Hf the debtor has no property in one of more of the categories, place an "Xin the appropriate position in the column labeled "None." i addtional space is needed in any category, attach a separate sheet propery identified with the case name, case number, and the number ofthe category. the debior is maried, state whether husband, wife, or both own property by placing an "HWS, 0F°C"in the column labeled "Husband, Wife, Joint, or Community" the debtor isan individual or ajint petition is fled, state the amount of any ‘exemptions claimed only in Schedule C-Property Claimed as Exempt. 1o not ist interests in executory contracts and unexpired leases on this schedule. List them in Schedule G-Executory Contracts and Unexpired Leases. the property is being held for the debtor by someone else, state that person's name and address under “Description and Location of Property.” [Current Market Value Description and Location of Property trian In reper ht am | oa ny lceeiem—o|_ Seton Ts Gabanhand [cash yj $10 Location: In debtor's possession Type of Property e cresting. sings ox ober ravens | [Checking Account $50 wommcmemcersteewne) Inac Account Number 30461453 tnetaty wnghomeseasenccaiors st] |Savings Account segtunors wotowme howes.or | wa Account Number 1421502 scan soon wm oust ust. |X] 4. vousnots goods ana henaringe, | |Furniture, etc. ly] $ 1,500 reameetaite Sat | |ecotetons tn aobtors po Js. soos, pes and oar at oben, | frigum, sump, ear, ey fompac di tnd or coco or Je. veaing eppe lctothing $ 1,000 Location: In debtor's po: > Fev analy \wedding Rings $ 1,000 lnocation: In debtor’s possession Je. Fieameandapor, ptotgrapi, ana || ‘her hob eaupment Joma in ezarce potcee. nae |X| inane congry oh iy o.rmutes wmmensramesseriaw,| Equitable Life Insurance Association $ 100 1. arn, ERA Kaogh, other arson pctarag pane ara, 3 me pera tenn Bose Sh eon tn nega © ss. atnony, mannan, por, ane |] orm cned.” Sheps, Page__1ot__2FOR B68 8/0) Specay Sete, oye Oak, Inte KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF _/ Debtor SCHEDULE B-PERSONAL PROPERTY (Continuation Sheet) Case No. Winewa} Type of Property Description and Location of Property community. [Current market] in rope, who ‘eemton spin ‘Gee pans 7 Omer ign atm ong sadn ‘plea tnd presen, a samoromen weccinabie Tr the ‘endo Sona of Pa! ery (em Wermuance poy, ot bone fo-cre contrac ae cit ce a ae 21 Pare cpytans end oer tech ‘open. Om pace 22 can ncn and ote ger inangnie ‘Ge paren. 25 once wupment tena and 2. machine tees, equpment end ‘plan edn busine 50. cope ening ox has 31. Farming ecupent endplate se Fem supple ceric and ts ss. crm persona pep ot any net ‘heey tend. home x| | Ro eee Se 11993 Federal and State Income Tax Refunds $ 600 $ 4,200 Page __2 of 2 Total > $8,460 (Peper aan on Saray Sts)For B80) Seca Setar, oye Oak, Mt Inte KURT ALAN KIRCHHOF! J Debtor Case No. Winewa) SCHEDULE C-PROPERTY CLAIMED EXEMPT Debtor elects the exemptions to which debtors entlled under: (Check one box) 1111 USC. 5 5220)(1): Exemptions provided in 11 USC. § 522). Note: These exemptions are avaiable ony in centan states. 111 USC. 5 5220)@): Exemptions available under applicable nonbankruptcy federal laws, state orlcal law where the debtor's domicile hasbeen located forthe 180 days immediately preceding the fing ofthe petition, or fora longer porton ofthe 160d Perod than in any othe place, and the debtors interest s a tenant by the entirety or joint tenant othe extent the interests exempt rom process under applicable onbankrupty law Speclly Law Value of | Current Value Description of Property Providing each Claimed of Property Exemption Exemption | without Deducting Exemption Furniture, etc. fev. Stat. of Neb. $25-1556 $ 1,500] $ 1,50 ‘lothing fev. Stat. of Neb. $25-1556 $ 1,000 $ 1,00 Wedding Rings Rev. Stat. of Neb. $25-1556 $ 1,000 $ 1,00 equitable Life Insurance Fev. Stat. of Neb. S44-371 $ 100] $ 101 ssociation l1993 Federal and State Income Rev. Stat. Neb. $25-1552 $ 600} $ 600) lrax Refunds Rev. Stat. Neb. 525-1552 $ 4,200 $ 4,200) Page No. of _1OPW S80) Speci Soar, ys Oat Ml Inte KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF _/ Debtor Case No. Winewa} SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS State the name, mailing address, including zip code, and account number, If any, of al entities holding unsecured claims without priory against the debtor ‘or the property of the debtor as of the date o ling f the petition. Do not include claims listed in Schedules Dand E. Wall creditors wll not fit on this page, ‘use the continuation sheet provided, It any entity other than a spouse in a joint case may be jointly liable on a claim, place an "Xin the column labeled "Codebto,” include the entity on the appropriate schedule of creditors, and complete Schedule H- Codebtors. a joint petition is filed, state whether husband, wife, both of them, or the marital ‘community may be lable on each claim by placing an “H,""W,"*" or °C" in the column labeled “Husband, Wile, Joint, or Cornmunity* {the claim is contingent, place an “X' in the column labeled “Contingent.” Hf the claim is unliquidated, place an "Xin the column labeled "Unlquidated 4 the claim is disputed, place an "X" inthe column labeled “Disputed.” (You may need to place an" in more than one ofthese three columns) ‘Report total o all claims listed on this schedule in the box labeled “Tota” on the last sheet ofthe completed schedule. Repon this total also on the Summary of Schedules 1 Check this box if debtor has no creditors holding unsecured nonprorty claims 10 report on this Schedule F c| Date Claim was incurred, yee] Cres hae ard Mating Arne Tele] smmor cam cee ee | | Se Gneterton orm ay H Claris Sublette Sef so Sie. |!) 3} i Fah S7E=BOE=DS i F358 Creditor #7 1 1933 acco csso2.ine Pro. Box 9014 Boe Hoines, Tova 50206-9014 lretiona2 croait service fsa t Fredericx Ave. aienerapurg, ® 0077 scount No. 247916212 lJ ‘$ 225.18 Creditor #7 AYCO Financial Services 29 aRex 400 aicycte 13459 W. Center Road Onana, Hebraska “eeiee unt No. 092116 31-8 | ry} ‘$ 5,588.50 exeditor #73 1952 Bryan Memorial floepitel Iseaices pina 1600 south 48th street Lincoln, Nebraska €8506 ae Reproaentings mtionel Account Syatons Beyan Memorial. Hospital 0. Box 5756 I:incota, Honraska soso 2 covinton sm id als 9 5,067.5 vous tmegetng nim tee et etFORM BS (0) Spat Stem, ys ay, Mt Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF _/ Debtor Case No. Wraeway SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS Cotton Se , c| Date Claim was incurred, e412] amount of Cla comers sere cravemme samen (| Sel Sonntaton or Coie at f eaceccrier ‘| Waste Seco soom sosum — |{falt Bren ef a [Account No. 49349 | ‘$ 178.97 fereditor 1: 4 1992 Cardiovascular + Thoracic surg | | |todicat bitte bi9 south 40th street Suite 300 |Lincoln, Nebraska zcount No. mae 1x] ‘$ 383.24 creditor 17 3 L302 Cheney Ridge Fanity Pryeiciane | | fyedicel biite 5300 Old Cheney Road Suites 200 and 209 incoln. Nebraska 60516 eee 923428 W $ 121.79 Creditor 1 6 va599 ELL Chosen, 1.0. hiodicas biste {bis south doth street suite ate Lincoin. Kebracks pecan 3500 TET. Creditor Fr 7 sa/1992 Cone. Nephrotogy « organ Trane || \tedicel bile 100 i Seen Street, Sulte 407 Lincoln, Mebrecka’ 60504 sount No. 6011-0050-6400-3927 $2,295.45 Creditor #: 8 : Discover Card Services create card purchases P.0. Box #003 Hillard, ohip 42026 Sanne $0,000 Ceoaltor Fs 3 1591 tarold « Harvine: Kirchot£ and Auto Loan incoln, Nebraska 68502 unt No_644560000027717615 LE 485.28 CedlioE Te-I0 Dincola Racquet Club iub tonbership 5300 Old Cheny Road [Eincoln, Nobraoka 68516 Sheet no. __Lot Creditors Hiding Unsecured Nonprionty Claims 3. sheets attached to Schedule of Subtotal $ roto te cs) Total $ (onan en page an on Summary of Shas $ 13,949.51]For (0) Spy Setar, eye Oak, Mt Inre KURT ALAN KIRCHKOFF and MELINDA SHARON KIRCHHOFF _/ Debtor Case No, Winown) SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Continuation Sheet) reditor's Name and Mallin ss S| Ce un Cette iE snd Consideration fr Claim CEES a tetas Subjects Seo 80 Stat. > 4 —vtusbana «fase fecome ‘| Representing: Irransvorid Systems Inc. Lincoln Racquet Club 7101 Hercy Road, Suite 316 lonaba, Wobracka 66106 he —T5507 Gy Fe.14 (Creditor #1 17 isos NE Orthopaedic Associates ltedicas bitis 6940 Yan Dorn Street Suite 201 Lincoln, Nebraska 68506 Ieccourt No Representing? ‘ollection Services Co., Inc. Ne Orthopaedic Associate: Itoi Terminal Building l:incoin, Nebraska 68508 [econ 508=66=08E F7;000-04 Creditor Vr 12 NesueLP leducation/Student Loan 1300 "0 Street Lincoln, Nebraska sso | int No, 289-068621 $37.01 (Creditor #: 13 992 Pathology Medical Services vedica bilze 1919 South 40th Street Suite 333 Lincoln, Nebraska 68502 ant Representing? jational Account System Pathology Medical Services Ip.0. Box 5756 l:incorn, Nebraska leases [ccount No, 289-064994 17.09, Creditor 7-17 1992 Pathology Medical Services Itedical bite 1919 South 40th street Suite 333 Lincoln, Nebraska 69502 Sheet no, __2of _3 sheets atached wo Schedule of Sito s $7,143.14 Creditors Holding Unsecured Nonpriority Claims. eaitinet Tora s coer lFr (90 Spmcaty Satan, Raya, Inte KURT ALAN KIRCHHOFF. 1d MELINDA SHARON KIRCHHOFF / Devtor Case No. Wiroway SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS (Conimaton See Creditor's Name and Mailing Address cI (Onto Claim was incurred, ‘Amount of Calm aoveeel f tnd Coradeaton for Can H tela Subject Sm, Stat ac ra tia ma Representing lrationa2 Account Services Pathology Medical Services Jp-0. Box 5756 |Lincoln, Nebraska 68505 int No. 269-064651 W ‘$ 58.01 Creditor #: 15 1992 Pathology Medical Services Itedical bite 1919 South 40th Street Suite 333 Lincoln, Nebraska 68502 count Ne Representing? ational Account Systens Pathology Medical Services [p.0. Box 5756 l:incoin, Nobraska 68505 unt No. 383-964-7253. ‘§ 951.59 Creditor #: 16 ls/1993 University of Nebraska lseudent Enrollment Administration Building, 110 Lincoln, Nebraska 68588 a FT Tow Creditor #17 1992 Village Green Apartments lkousing rentai/1ease 387 Village Green JAnn Arbor, MI 48103 No. CIV 93-1387-GC § 3,256.7: Creditor #: 16 liss3 Donald Ward adgant-Apartnant Rant C70 Douglas R. Coskey 120 M. Fourth Ave. Jann Arbor, MI 48104 Viscount ne ‘Sheet no, of 3 sheets attached to Schedule of ‘Subtotal $ $ 5,366.21) Creditors Holding Unsecured Nonpriority Claims om ot we page) Tous $32,326.35] (ss coy ones page non Surmary of eben}Frm B60 (78) Spey Sate, ya at Mt Inte KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHBOFF _/ Devior Case No. Winowe) SCHEDULE G-EXECUTORY CONTRACTS AND UNEXPIRED LEASES Describe all executory contracts of any nature and all unexpired leases of real or personal propery. Include any timeshare interests. ‘State nature of debtor's intrest contract, ie., “Purchaser,” “Agent, etc. State whether debtor isthe lessor or lessee of a lease. Provide the names and complete mailing addresses of all other paries to each lease or contract described. NOTE: A panty listed on this schedule will not receive notice ofthe fling ofthis ease unless the pany is also scheduled inthe appropriate schedule of creditors. [A.Check this box ifthe debtor has no executory contracts or unexpired leases. Name and Malling Address, ‘Description of Contract or Lease and including Zip Code, of ‘Nature of Debtor's Interest. other Parties to Lease ‘State whether Leaze is for Nortesidential Real Property. ‘or Contract ‘State Contract Number of any Government Contact Harold Kirchhoft Contract type: Residential lease as ‘Terms: $290.00 per month Lincoln, Nebrska 68502 Debtor's interest: Lessee Description: Month to Month lease Page __LofFOF Br /0)Specay Se, Roy Oak, Mt Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF __/ Debtor Case No, ~ SCHEDULE H-CODEBTORS Provide the information requested concerning any person or entity, other than a spouse ina joint case, thats also lable on any debts listed by debtorin the schedules of creditors. Include al guarantors and co-signers. n community propery states, a married debtor not fling a joint case should report the name {and address of the nondebtor spouse on ths schedule. Include all names used by the nondebtor spouse during the six years immediately preceding the ‘commencement of this case ‘CCheck ths box ifthe debtor has no codebtors. Name and Address of Codebtor Name and Address of Creditor Hs. Judith 5 Arocha [Cheney Ridge Family Physicians as 13900 Old Cheney Road Milford, MI 48381 Suites 208 and 209 lnincoln, Nebraska 68516 Page__LofForm (8/0) Spacey Sears, Foy! Os MI Inve KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF 1 Debtor SCHEDULE I-CURRENT INCOME OF INDIVIDUAL DEBTOR(S) Case No. (known) ‘The column labeled spouse must be completed in all cases filed by joint debtors and by a married debtor a chapter 12 of 13case whether or nota Joint petition i fied, unless the spouses are separated and a joint petition isnot fled. Debtor's Marital [DEPENDENTS OF DEBTOR AND SPOUSE, Status: NAMES ‘AGE | RELATIONSHIP Married EMPLOYMENT: ‘DEBTOR SPOUSE: Occupation Account Service Representative [Melinda Sharon Kirchhoff Name of Employer First Conmerce Mortgage [Student How Long Employed __8_ months University of Nebraska ‘TOTAL COMBINED MONTHLY INCOME $. 1,176.96 (Report also on Summary of Schedules) Adcressof Employer__-1230 “O" Street Lincoln, Nebraska 68508 Lincoln, Nebraska 68508 Income: (Estimate of average monthiy income) ‘| __ peator SPOUSE Gurret Merihiy goss wages, salary, and commissions (porate nat paid monty) s 1,400.00 | s 0.00 Estimated Monthly Overime $ 96-00 |$ 9:00 SUBTOTAL $ _1,496:00 | § 2 LESS PAYROLL DEDUCTIONS 2: Payrl Taxes and Socal Scutiy s 310.60 | s 0.00 ® nsurance 5 aed | 0:00 © Unen Dues $ o:00 |§ 0:00 4. Other (Speci 5 9:00 |§ 0:00 SUBTOTAL OF PAYROLL EDUCTIONS $ __sigiog |§ 2:00 TOTALNET MONTHLY TAKE HOME PAY s s 2.00 Regulaincome rom operation of business or profession ofa (attach detaled statement) | $ 0.00 |s 0.00 Inceme from Real ropery 5 0:00 |s 0:00 Interest and dwedende $ o:00 |s 9:00 ‘Almeny, maintenance o suppor payments payable othe debtor forthe debtor's se or hat ‘of dependents ited above s 0.00 |s 0.00 Soci Securty or oer government assistance Speci s 0.00 |s 0.00 Pension oretrementincome 5 a:00 | $ 0:00 {ther monthly income < s 0.00 |s 0.00 TOTAL MONTHLY INCOME $ _1,176:96 | $ 0:00 document ‘Describe any increase or decrease of mare than 10% In any of the above categories anticipated to occur within the year folowing the fling Of hisFOF 8/0 onlay Stn, ys Oak, Mt Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF } petsor Case No. — (known) SCHEDULE J-CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR ‘Complete this schedule by estimating the average monthly expenses ofthe debtor and the debtor's family. Pro rate any payments made biweekly, ‘uartey, semiannually, or annually fo show monthly rate. Ti check tis box it joint petition is filed and debtors spouse maintains a separate household. Complete a separate schedule of expenditures labeled “Spouse.” Rent or home morgage payment (incude lt rented for moble home) is 290.00 Are realestate taxesinciuded? Yes 1). No Ispropeny insurance inciuded? Yes] —No Unies; Elecricty and heating fue s 62.00 Water and sewer s 0.00 Telephone s 60.00 Oter Cable TY s 23.00 Other $ 0.00 Home maintenance (tepairs and upkeep) s 20.00 Food s 160.00 Clothing s 15.00 Laundry and Dry cleaning s 40.00 Medical and Dental expenses s 140.00 Transportation not including ear payments) s 70.00 Recteaton, clubs, and enterainment, newspapers, magazines, s 6.00 (Chartabiecontibutions s 0.00 Insurance (not deducted from wages or included in home mortgage payments) Homeowner’ or renters / s 0.00 Life s 0.00 Heath s 0.00 sto s 91.00 Omer: 8 0.00 Taxes (not deducted from wages or inclused in home mortgage) Spey: 5 0.00 Installment payments: (chapter 12 and 13 cases, do not lst payments to be incuced inthe plan) ‘Ato s 0.00 Omer, NEBHELP (Deferred until 2-1-94) 3 99.00 Other: Harold ¢ Harvine Kirchhoff (Auto Loan Payment) 3 174.00 /Aimony, maintenance, and suppor paid to others s 0.00 Payments for suppon of additional dependents not ving at your home s 0.00 Regular expenses trom operation of business, profession, o farm (attach detailed statement) s 0.00 Other: s 0.00 TOTAL MONTHLY EXPENSES fern on uray ot Schcie) [FOR CHAPTER 12 ANO 13 DEBTORS ONLY] Frode te information requested belo, icudng wheter lan payment art be made Bnei, monty, annual, ft some othe fegular inten ‘Total projected monthly income s 8B Total projected monthly expenses s C. Excess Income {A minus B) s Total amount tobe pad nto plan each: sFoon 7/50) Spy Soma, Raya United States Bankruptcy Court District of NEBRASKA Case No. Inve KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF Chapter 7 1 Debtor ‘romey or Oebier Barbara B. HeCalI STATEMENT OF FINANCIAL AFFAIRS. ‘This staternentis tobe completed by every debtor. Spouses fling a joint petition may file a single statement on which the information for both ‘spouses is combined. the case i fled under chapter 12 or chapter 13, a married debtor must furnish information for both spouses whether or not 2 joint petition is filed, unless the spouses are separated and a joint petvon isnot fied. An individual debtor engaged in business as a sole proprietor, partner, family farmer, or sell employed protessional, should provide the information requested on this statement concerning all such activities as well 5 the individual's personal affairs. {Questions 1 - 15 are to be completed by ll debtors. Debtors that ae or have been in business, 2s defined below, also must complete Questions 16-21. Ifthe answer to any question is “None,” of the question Is not applicable, mark the box labeled "None" I addtional space is needed for the answer to any question, use and attach a separate sheet property identified with the case name, case number (i known), and the number of the question, DEFINITIONS “In business." A debtor isin business” for the purpose ofthis form i the debtor i a corporation or partnership. An individual debtor isin business” for the purpose ofthis form ifthe debtor is or has been, within the two years immediately preceding te fling ofthis bankruptcy case, any ofthe following: an officer, director, managing executive, or person in control of a corporation; a partner, ether than a limited parner of a partnership; a sole proprietor or sai-employed “Insider The term “insider Includes but isnot limited to: relatives ofthe debtor, general pariners of the debtor and ther relatives; corporations ‘ot which the debtor isan officer, director, or person in conto, oficers, directors, and any person in contol of a corporate debtor and thei eatves, afiliates ofthe debtor and insiders of such afflates; any managing agent ofthe debtor. 11 U.S.C. §101(30) 1. Income trom employment or operation of business, Sune go ‘i aprud ands patton at find) ‘AMOUNT ‘SOURCE (if more than one), Husband Year to date:11,100.00 First Commerce Mortgage Last year:8,000 Super Saver and Lincoln Housing Authority Year before: 24,000 Nova Environmental wife Year to date: 0 Student Last year:6,000 National Bank of Conmerce ‘Statement of Affairs -Page 1Fo (8) Spay Sota, Foyt QUESTION 1 CONTINUED AMOUNT ‘SOURCE (it more than one) Year before: 0 Student 2. Income other than from employment or operation of business. ‘Suet anne! ene enna th abe oe nan tom employer te, peso or pation of he Stare busines ng ete yur nace paceang Srwrercen is case epee fot petton fist nn auch peace saps eborhing snd Chupa 2 crap a mate a ‘StChapoun utter orto petion aurea tapos bop nds pet eed) AMOUNT SOURCE Husband Year to date:None Last year:None Year before:None Wite Year to date:None Last year:None Year before:None 3a, Payments to creditors. |r parr ens ncaan uchaes of ood or eens and oat de, tgggtng mom fan M0 wary cw, made wn days sac “aoe ic aoe, ati ng Sn’ Spor Wc 13 mat eae ayers eta orto wpe vente’ ots poten fea area ‘Somers spud sna inipetton nthe) DATE OF ‘AMOUNT NAME AND ADDRESS OF CREDITOR PAYMENTS AMOUNT PAID ——_STILLOWING Creditor:None Address: ‘3B. Lal paymana made vin oe yer ean pecan he careencamn ef cam otf nal dion wot or wer nies. are ab ng na chapae “.rchapm a mot bcos payne by ele ob apaune tao halen pedo se, kere spouse te sapeine rhs peti eo le) NAME AND ADDRESS OF CREDITOR DATEOF AMOUNT ‘AND RELATIONSHIP TO DEBTOR PAYMENT AMOUNTPAID. STILL OWING Creditor:Harold & Harvine Kirchhoff 1-1-92 $1,074.00 $10,000.00 Auto Loan, $174.00 per month to Addres: 12-31-92 Lincoln, Nebraska 68502 Relationship:Parents of Debtor, Kurt Kirchhoff 4a. Suits and administrative proceedings, executions, garnishments and attachments. Uta stand rn pceeange che sb roms pay throne yur enous peace ing i bap casa. arid Hing unde cape ‘Borctapur murine mammatoncatcaang eine’ er apes wheter ats open hues ae mp and Jorapeston sete) ‘CAPTION OF SUIT COURT OR AGENCY AND CASE NUMBER NATURE OF PROCEEDING ‘AND LOCATION. ‘STATUS OR DISPOSITION Ward v. Kirchhoff Civil suit State of Michigan Judgment for $3,256.71 CIV 93-1387-6c 45th Judicial District entered against (313) 994-2749 (50) Defendant (Debtor) September 7, 1993 440. Onectb a popry tans tan auch, grado sled ud any gl one proc win on urna pce a conmencenenot He am, (Mate ore fig hp tap 9 nrc oon caring Popa tet poe sae asf nbd cam ta aman nd A none Statement of Affairs —Page 2Ferm 71) Specialy Sota, yal Ot ME 5. Repossessions, foreclosures and returns. Untat propery Paths boo poser by cei slate al, Yraord rough «dean nu loro ot ac sl, ni oe your inva fpecudg he cnenenceman ts cus. laa bas ing va chap a6 ohapat 7 mu ee romatansonarng obey of arta nacre at [intpetion itd orees fe speana sopra enn non ete) none 6a, Assignments and recelverships. (esc ony nasigrnantt propery Pe tare can made win 139 dae mec pcadig ie conancanantt i cat. (Marie enon fing nde chap 20 ‘hepa mutha sry ah opm war ool ppaien fie nate owen pared an ont petien het ed) None (8b. Lr propa wen nas bean nha curs, cba cou apolind ei win ane sat peecrg he carerecamen ct i ae, Maris abo: "ng wae chap 2 cap 1S murinouse momaton conning por lta 8 bom pour wheter ae pton hia orem spots spain al [potpuaton trot ad WINoNe 7. Gis Ute git chara contoutore made atin on yori rca tt commarcment Ws ca sco oni and vu gh sandy mana sggrgeeg ne han ‘200 an prin twniy roach conten eapegeng esta ¥70 pecan lured do Ning Ue rap 1a chap 8 mate ge ‘Erber by ster bos spur wet option ae reese wpoe tv epuab n pion al). Danone 2. Losses Lutes to te ef tcl gumbng wt ne yu nay pcan commence! ha caso since the commencement th ame. Marin aoe fing uaa chap Teh Sma ae any wie’ bo epoue whet’ ela paivon ee reese spouse apa open ee es) DESCRIPTION OF CIRCUMSTANCES and, floss was DATE DESCRIPTION ANO VALUE OF PROPERTY Covered In Whole or n Part by Insurance, Give Particulars OF Loss Desc:1993 920 TREK Bicycle Circum: Stolen from place of employment, 7/1993 NBC Bank Value: $500.00 Insurance:Not Insured 9. Payments related to debt counseling or bankruptcy. itt perme mace ot ope sensened by of nteat obe ste ean peong cudng atenye, ft conelaton covering et cnn, und ha barkpy ten roparson ot pon tary wei one ya ene pecag De nena of a ca DATE OF PAYMENT, AMOUNT OF MONEY OR NAME AND ADDRESS OF PAYEE NAME OF PAYOR [if other than debtor DESCRIPTION AND VALUE OF PROPERTY Barbara B. McCall Date: January 3, 1994 $ 10.00 Capitol Park Building Payor: KURT ALAN KIRCHEOFF 1327 "H” Street, Suite 310 Lincoln, Nebraska 68508 10. Other transfers ‘ta er popu, er an pony tasted onary cours of bun foal alo ba, vase eter sen oa ancy vin ae yea tracy pacer nw commence, lured csi ng ua sha 12 cape 1 ut eae Wee yea ba ose ool ato Iie nee We spouse ae spec unde ampetion elegy NONE, 11. Closed financial accounts Crt rane ncaure diners an nae of dato he beet ow do wc er ends eee roe inane your my [reccig te comarca cam cde cas stngy te Pan acest en Spon ot emma chut nthe cou heli bras Ent unten, pron hae, copa, eacators esege wet te tarcalintofarind Satin Mg ue capi 1p rm nee aon ‘Soeatng scour oeturens bib forte arbath spaces ores ot patbon nee nat apis emp ane peon rt he BiNone Statement of Affairs —Page 3or (880) Spey Stn, oy Oak, 12. Sate deposit boxes itech sleeper crt bx or ape Inuich aber na ora nce, cao ee lai win oe ermal ny preacng he comeencean ot i cae ian erg tbat camo mata bn npn aca a ret als eon se Pep pe NAME AND ADDRESS OF NAMES AND ADDRESSES OF THOSE Powe BANK OR OTHER DEPOSITORY WITH ACCESS TO BOKOR DEPOSITORY _DESCRIPTIONOF CONTENTS Buren tany Inst:National Bank of Commerce Name:Kurt Kirchhoff Documents such as Addr:40th & Old Cheney Road Melinda Kirchhoff marriage license Lincoln, Nebraska 68510 a Lincoln, Nebraska 12. Setotts Cita anets made any cna, ceig bark ei abr Spon cttw 9 day rncacig a comarca i cat, ae eb fing unde chp ‘erchape Ta matacse craton covarng sie Soh spore ata ort in ptt ed se aise sepia onpetton met fed) (None 14. Property held for another person Lista propery omned by ener pron Pat dt ald con, none 15, Pror address of debtor. Fee ater mame two yasmin pracding the comarca ix ca atl prem ich dbase ing hal pated and aad pr ‘noerenn of cast ft pon fer soy ean nae ol Span Binone The following questions are to be completed by every debtor that is a corporation or partnership and by any Individual debtor who is orhas been, within two years immediately preceding the commencement of his ase, any ofthe folowing: an ofcer, director, managing executive, or owner of more than 5 percent ofthe vobnig secures ofa corporation, a partner, other than alimited partner, ofa Partnership; a sole proprietor or otherwise seitemployed (An individual or joint debtor should complete this portion of the statement ony if the debtor is or has been in business, as defined above, within the two years immediately preceding the commencement of his case) 16, Nature, location and name of business Steir nan hua at he rae an ececns fa sae fh dab waa fle, deco, of managing sree of onan, oar popiconni, or az asat employes phen ath meu pees ovmerament i ur caun, cinch he at omed scent am oe {Seagareqysccraon vain hs wo is neue) pacag a cenancau ot case 2 necator prvi, oar an denn of a ulna eich Be ao prio ura S pce ome og sects whine to yee Inman preci te corwencrnat a ica «te debt a copra tne names an cee of al bude nth he beware of nr pce: mot eng eu wn a me oar Inoesaby peceagine commence None ‘7a. Books, records and financial statements net Sctneper nanan ato rea cage rg ot bay capo spins nai oot tau BNone Statement of Affairs —Page 4Fon? (860) Speci Srna, oye Ce, 7. st wt ran! ations, cor and oe parte, eg mma and mae pec, wah «ral aac a aed nwo ure nay rceng he ‘Seanonnnt a inca ye cae BENONE GONONE of yourpepery. he nant fh pon wo spring of ech nario an ta lat aout ana a ney 18. Lst ne ar and aa ot pra hargposeon th coro ch oh he eid porn Ahm, WNone 20a. Former partners, officers, directors and shareholders. "scab ins pee, ees mre io nant Pe perma ln one yar asa pacing he commerce ol cae Danone 20, i abo crpraon tt a ole NONE Saco wot hop wt coporten minted nin one areca precadng te commercaent of ican, 21. Withdrawals from a partnership or distribution by a corporation {te oto pet a npratan tal lami of Gio cio gh anes, ducing comparston nay for, banca, bas, sock demons ‘Sora me‘ a any oe! pow dng one obec pcan fu coeranconat faa NONE Statement of Affairs Page 5Fern 7/6) Specialy Stam, Foyt Oa \ STATEMENT OF FINANCIAL AFFAIRS DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR: | declare under penalty of Perjury tat | have read the answers contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct, Date January 3, 1994 Signature _< uy Uy unt aan KrncHsore 5 Date January 3, 1994 Signature thrtok HELINDA SHARON KIRCHHOFF ‘Pena for making afalee tatoo Fine up e040 or placate upte Beare er beth, BU. FIZ and 571, ‘Statement of Financial Affairs (Declaration) Page 6Foch 88a) Spec etme, Foy Os Mt United States Bankruptcy Court District of NEBRASKA Case No. Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHROFF Chapter 7 / Debtor ‘iomey tor Debion Barbara B. MoCall CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION 1.1 the debtor, have filed a schedule of assets and abies which includes consumer debts secured by property ofthe estate. 2. My intention with respect tothe property ofthe estate which secures those consumer debts is as follows: ‘a. Property to Be Surrendered. Description of Property [Creditor's Name None b. Property to Be Retained. [Check applicable statement of debtors intention conceming retfimation, redemption, or lien avoidance] Description of Property |Creditor's Name Scenes sweat gree tained senot lwo pledged property ltarold & Harvine Kirchhoff x | 3. 1 understand that §521(2)(8) ofthe Bankruptcy Code requires that | perform the above stated intention within 45 days of the fling of ths statement ‘with the court, or within such additonal time asthe coun, for cause, wihin such 45-day period fixes ome: _ “Yun 3 G4, Debtor:Fon 8 (8/0) Spey Sot, yal Oak United States Bankruptcy Court District of NEBRASKA Case No. Inte KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF Chapter 7 J Debtor ‘aiomey or Debtor Barbara B. HoCalI CHAPTER 7 STATEMENT OF INTENTION - SPOUSE'S DEBTS 1 the debtor, have filed a schedule of assets and lables which includes consumer debts secured by property ofthe estate 2 My intention with respect tothe propenty ofthe estate which secures those consumer debts is as follows: ‘a. Property to Be Surrendered. Description of Property ICreditor’s Name lwo pledged property |Eincoin Racquet Club b. Property to Be Retained. [Check applicable statement of debtor's intention conceming reaffimation, redemption, or lien avoidance. Ean Pome mrp Description of Property |Creditor’s Name fomeg omg at Seite pemarttgr2z_|Suinederenenst ‘None 3. Lunderstand that §521(2)(B) ofthe Bankruptey Code requires that | perform the above stated intention within 45 days ofthe filing ofthis statement withthe cour, or within such additonal time as the cour, fr cause, within such 45-day period fuxes. pe SNe oy Milt ctcia fl hashes x Page__2 of 2 actlyopi 2/05) Spay Sor, Roy On United States Bankruptcy Court District of NEBRASKA Case No. Inte KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF Chapter 7 J Debtor ‘Wiomey for Debio. Barbara B. Hecall SUMMARY OF SCHEDULES Indicate as to each schedule whether that schedule is attached and state the number of pages in each. Repor the totals from Schedules A, 8, , EF, |. and Jin the boxes provided. Add the amounts from Schedules A and B to determine the total amount ofthe debtor’ assets. Add the amounts fom Schediule D, E, and F to determine the total amount of the debtor’ abies. OUNTS SCHEDULED rn rue or screoue | Mesto) | Sees assers wanes omen = ves a |s 0.00 Bena Popeay 2 |s 7,060.00 Ciropary Chned a oper vos 1 Dean Hating Soomed a ves 1 : 0.00 EOedion Hong renared ot car 1 ‘ 0.00 Fondios Hong ered see Cana ‘ $52,326.39 CG Bcsry Cowacs and ‘reed Gaeee 1 ooh 1 Vearrt nena of wala meth 1 s 1176.96 “FGuren Expeciss of ron Bags vos 1 $1,250.00 Toul Number ot Seat nA chest ®| 24 routs |s 7,860.00 Toul Lablities}$ 32,326.39For 86 860 Spat Str, ys ny, Mt Inre KURT ALAN KIRCHHOFF and MELINDA SHARON KIRCHHOFF / Debtor Case No. Wenowa DECLARATION CONCERNING DEBTOR'S SCHEDULES DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR | declare under penalty of perury that | have read the foregoing Summary and Schedules, consisting of _15 sheets, and that they are true and correct ote best of my knowledge, hlormaion and bbe oe cre ate: January 3, 1994 sions bd ne Wire, ORT ALAN KIRCHHOEF Due: Janvary 3, 1994 eelialcal, tient I ald: MELINDA SHARON KIRCHHOFF Penaity formating «tale statment ot canceling propery: Fine upa$0950 or Imptlacnmart for upto yar eh. 18 USC. 152 and 371UNITED STATES BANKRUPTCY COURT Clerk, U.S. Bankruptcy Co = 100 Céntennial Mall North - Rm. 460 Lincoln, Nebraska 68508 District of Nebraska Case Number: 94-40006 JCM IN RE(NAME OF DEBTOR) Kurt Alan Kirchhoff, Melinda Sharon Kirchho!,, _, aka Melinda Sharon Arocha DISCHARGE OF DEBTOR It appearing that a petition commencing a case under title 11, United States code, was filed by of against the person named above on 01/04/94 , and that an order for relief yas entered under chapter 7 and that no complaint objecting to the discharge of the debtor was filed within the tine fixed by the court [or that a complaint objecting to discharge of the debtor was filed and, after due notice and hearing, was not sustained]; IT IS ORDERED THAT: 1. The above-named debtor is released from all dischargeable debts. 2. any judgment heretofore or hereafter obtained in any court other than this court is null and void as a determination of the personal liability of the debtor with respect to any of the following: (a) debts dischargeable under 11 U.S.C. Sec. 523; () unless heretofore or hereafter determined by order of this court to be nondischargeable, debts alleged to be excepted from discharge under clauses (2), (4) and (6) of 11 U.S-C. Sec. 523(a}; (©) debts determined by this court to be discharged. 3. All creditors whose debts are discharged by this order and all creditors whose judgments gre declared null and void by paragraph 2 above are enjoined from instituting dr continuing any n oF employing any process or engaging in any act to collect such depts as personel iisbilities of the abovernaned debtor i) DISTRICT OF NEBRASKA at, ei ARR 191994 Judith M, Napi US Bakrsey Ce, nen Dated: 4/19/94 BY THE COURT John C. Minahan, Jr. United’ states Bankruptcy Judge 0004