Scottie (Lee) Pippen's Bankruptcy Filing
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Transcript of Scottie (Lee) Pippen's Bankruptcy Filing
(Official Form 1) (12/03) West Group, Rochester, NY
Voluntary PetitionFORM B1 United States Bankruptcy Court
District of KANSAS
Name of Debtor (if individual, enter Last, First, Middle):
All Other Names used by the Debtor in the last 6 years(include married, maiden, and trade names):
NONE
Last four digits of Soc. Sec. No./Complete EIN or other Tax I.D. No.(if more than one, state all): 3524Street Address of Debtor (No. & Street, City, State & Zip Code):
9002 W. 78th CircleOverland Park KS 66202
County of Residence or of thePrincipal Place of Business: JohnsonMailing Address of Debtor (if different from street address):
Location of Principal Assets of Business Debtor(If different from street address above):
Name of Joint Debtor (Spouse)(Last, First, Middle):
All Other Names used by the Joint Debtor in the last 6 years
Last four digits of Soc. Sec. No./Compete EIN or other Tax I.D. No.
Street Address of Joint Debtor
Mailing Address of Joint Debtor
(include married, maiden, and trade names):
(if more than one, state all):(No. & Street, City, State & Zip Code):
County of Residence or of thePrincipal Place of Business:
(if different from street address):
SAME
NOT APPLICABLE
Pippen, Scottie Lee
Information Regarding the Debtor (Check the Applicable Boxes)Venue (Check any applicable box)
Debtor has been domiciled or has had a residence, principal place of business, or principal assets in this District for 180 days immediatelypreceding the date of this petition or for a longer part of such 180 days than in any other District.There is a bankruptcy case concerning debtor's affiliate, general partner, or partnership pending in this District.
Type of Debtor (Check all boxes that apply)
Individual(s) RailroadStockbrokerCommodity Broker
OtherPartnershipCorporation Chapter 13
Chapter 12Sec. 304 - Case ancillary to foreign proceedingChapter 9
Chapter 11Chapter 7
Chapter or Section of Bankruptcy Code Under Which the Petition is Filed (Check one box)
Nature of Debts Filing Fee (Check one box)(Check one box)
BusinessConsumer/Non-BusinessFull Filing Fee attachedFiling Fee to be paid in installments (Applicable to individuals only)Must attach signed application for the court's considerationcertifying that the debtor is unable to pay fee except in installments.Rule 1006(b). See Official Form No. 3.
Chapter 11 Small Business (Check all boxes that apply)
Debtor is and elects to be considered a small business underDebtor is a small business as defined in 11 U.S.C. § 101
11 U.S.C. § 1121(e) (Optional)
Clearing Bank
THIS SPACE IS FOR COURT USE ONLYStatistical/Administrative Information (Estimates only)
Debtor estimates that funds will be available for distribution to unsecured creditors.
Debtor estimates that, after any exempt property is excluded and administrative expensespaid, there will be no funds available for distribution to unsecured creditors.
Estimated Number of Creditors 1-15 1000-over200-999100-19950-9916-49
Estimated Assets
Estimated Debts
More than$50,000,001 to$10,000,001 to$1,000,001 to$10 million $50 million $100 million $100 million$1 million
$500,001 to$500,000
$100,001 to$100,000$50,001 to$0 to
$50,000
$0 to$50,000
$50,001 to$100,000
$100,001 to$500,000
$500,001 to$1 million
$1,000,001 to$10 million
$10,000,001 to$50 million
$50,000,001 to$100 million
More than$100 million
Case 05-24592 Doc# 1 Filed 09/21/05 Page 1 of 29
(Official Form 1) (12/03) West Group, Rochester, NY
Voluntary Petition FORM B1, Page 2Name of Debtor(s):
(This page must be completed and filed in every case)
Prior Bankruptcy Case Filed Within Last 6 Years
Pending Bankruptcy Case Filed by any Spouse, Partner or Affiliate of this Debtor
(If more than one, attach additional sheet)
(If more than one, attach additional sheet)
Location Where Filed:
District:
Name of Debtor:
Judge:
Date Filed:
Date Filed:
Relationship:
Case Number:
Case Number:
NONE
NONE
Scottie Lee Pippen
SignaturesSignature(s) of Debtor(s) (Individual/Joint)
Code, specified in this petition.I request relief in accordance with the chapter of title 11, United Statesunder chapter 7.the relief available under each such chapter, and choose to proceedunder chapter 7, 11, 12, or 13 of title 11, United States Code, understandand has chosen to file under chapter 7] I am aware that I may proceed[If petitioner is an individual whose debts are primarily consumer debtspetition is true and correct.I declare under penalty of perjury that the information provided in this
X
X
Date
Signature of Debtor
Signature of Joint Debtor
Telephone Number (If not represented by attorney)
X
9/15/2005
/s/ Scottie Lee Pippen
Exhibit A(To be completed if debtor is required to file periodic reports(e.g., forms 10K and 10Q) with the Securities and ExchangeCommission pursuant to Section 13 or 15(d) of the SecuritiesExchange Act of 1934 and is requesting relief under Chapter 11)
Exhibit A is attached and made a part of this petition
Exhibit B(To be completed if debtor is an individual whose debts are primarily consumer debts)
I, the attorney for the petitioner named in the foregoing petition, declarethat I have informed the petitioner that [he or she] may proceed underchapter 7, 11, 12, or 13 of title 11, United States Code, and have explained the relief available under each such chapter.
/s/ Jason Norbury 9/15/2005Signature of Attorney for Debtor(s) Date
Exhibit CDoes the debtor own or have possession of any property that poses
Signature of Attorney
Signature of Non-Attorney Petition Preparer
Telephone Number
Firm Name
Date
Address
Signature of Attorney for Debtor(s)
Printed Name of Attorney for Debtor(s)
X
provided the debtor with a copy of this document.§ 110, that I prepared this document for compensation, and that I haveI certify that I am a bankruptcy petition preparer as defined in 11 U.S.C.
Printed Name of Bankruptcy Petition Preparer
Address
Social Security Number
sheets conforming to the appropriate official form for each person.If more than one person prepared this document, attach additional
Names and Social Security numbers of all other individuals whoprepared or assisted in preparing this document:
X
A bankruptcy petition preparer's failure to comply with the provisionsof title 11 and the Federal Rules of Bankruptcy Procedure may resultin fines or imprisonment or both 11 U.S.C. § 110; 18 U.S.C. § 156.
Signature of Bankruptcy Petition Preparer
Date
X
9/15/2005
Kansas City MO 64114
816-523-4667
8117 Wornall
Law Office of Jason Norbury, P.C.
Jason Norbury 20207
/s/ Jason Norbury
Signature of Debtor (Corporation/Partnership)
I declare under penalty of perjury that the information provided in thispetition is true and correct, and that I have been authorized to file thispetition on behalf of the debtor.
The debtor requests relief in accordance with the chapter of title 11,United States Code, specified in this petition.
Signature of Authorized Individual
Printed Name of Authorized Individual
Title of Authorized Individual
Date
or is alleged to pose a threat of imminent and identifiable harm topublic health and safety?
Yes, and exhibit C is attached and made a part of this petition.No
Case 05-24592 Doc# 1 Filed 09/21/05 Page 2 of 29
Form 7 (12/03) West Group, Rochester, NY
Scottie Lee Pippen Case No.Chapter
DISTRICT OF KANSASUNITED STATES BANKRUPTCY COURT
7In re
/ Debtor
STATEMENT OF FINANCIAL AFFAIRS
This statement is to be completed by every debtor. Spouses f iling a joint petition may f ile a single statement on w hich the information for bothspouses is combined. If the case is f iled under chapter 12 or chapter 13, a married debtor must furnish information for both spouses w hether or not a jointpetition is f iled, unless the spouses are separated and a joint petition is not f iled. An individual debtor engaged in business as a sole proprietor, partner,family farmer, or self-employed professional, should provide the information requested on this statement concerning all such activities as w ell as theindividual's personal affairs.
Questions 1-18 are to be completed by all debtors. Debtors that are or have been in business, as defined below , also must complete Questions19-25. If the answ er to any question is "None," or the question is not applicable, mark the box labeled "None." If additional space is needed for the answ erto any question, use and attach a separate sheet properly identif ied w ith the case name, case number (if know n), and the number of the question.
DEFINITIONS
"In business." A debtor is "in business" for the purpose of this form if the debtor is a corporation or partnership. An individual debtor is "inbusiness" for the purpose of this form if the debtor is or has been, w ithin the six years immediately preceding the f iling of this bankruptcy case, any of thefollow ing: an off icer, director, managing executive, or ow ner of 5 percent or more of the voting or equity securities of a corporation; a partner, other thana limited partner, of a partnership; a sole proprietor or self-employed.
"Insider." The term "insider" includes but is not limited to: relatives of the debtor; general partners of the debtor and their relatives; corporations ofw hich the debtor is an off icer, director, or person in control; off icers, directors, and any ow ner of 5 percent or more of the voting or equity securities of acorporation debtor and their relatives; aff iliates of the debtor and insiders of such aff iliates; any managing agent of the debtor. 11 U.S.C. §101.
1. Income from employment or operation of business.State the gross amount of income the debtor has receiv ed f rom employ ment, trade, or prof ession, or f rom operation of the debtor's business f rom the beginningof this calendar y ear to the date this case was commenced. State also the gross amounts receiv ed during the two y ears immediately preceding this calendar y ear. (Adebtor that maintains, or has maintained, f inancial records on the basis of a f iscal rather than a calendar y ear may report f iscal y ear income. Identif y the beginning andending dates of the debtor's f iscal y ear.) If a joint petition is f iled, state income f or each spouse separately . (Married debtors f iling under chapter 12 or chapter 13 muststate income of both spouses whether or not a joint petition is f iled, unless the spouses are separated and a joint petition is not f iled.)
AMOUNT SOURCE (if more than one)
Year to date: $23,868 Last Year: $26,000Year before: $24,000
2. Income other than from employment or operation of business.State the amount of income receiv ed by the debtor other than f rom employ ment, trade, prof ession, or operation of the debtor's business during the two y ears immediatelypreceding the commencement of this case. Giv e particulars. If a joint petition is f iled, state income f or each spouse separately . (Married debtors f iling under chapter 12 orchapter 13 must state income f or each spouse whether or not a joint petition is f iled, unless the spouses are separated and a joint petition is not f iled.)
NONE
3. Payments to creditors.a. List all pay ments on loans, installment purchases of goods or serv ices, and other debts, aggregating more than $600 to any creditor, made within 90 day s immediatelypreceding the commencement of this case. (Married debtors f iling under chapter 12 or chapter 13 must include pay ments by either or both spouses whether or not a jointpetition is f iled, unless the spouses are separated and a joint petition is not f iled.)
NONE
Statement of Affairs - Page 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 3 of 29
Form 7 (12/03) West Group, Rochester, NY
b. List all pay ments made within one y ear immediately preceding the commencement of this case to or f or the benef it of creditors who are or were insiders. (Marrieddebtors f iling under chapter 12 or chapter 13 must include pay ments by either or both spouses whether or not a joint petition is f iled, unless the spouses are separated anda joint petition is not f iled.)
AND RELATIONSHIP TO DEBTOR DATE OFPAYMENT AMOUNT PAID STILL OWING
AMOUNTNAME AND ADDRESS OF CREDITOR
Creditor: Ed and Danette GibbsAddress:312 S. West St.Corydon, IA 50060Relationship: Parents
over last12 months
$800 $200, oncontract tobuy car.
4. Suits and administrative proceedings, executions, garnishments and attachments.a. List all suits and administrativ e proceedings to which the debtor is or was a party within one y ear immediately preceding the f iling of this bankruptcy case. (Marrieddebtors f iling under chapter 12 or chapter 13 must include inf ormation concerning either or both spouses whether or not a joint petition is f iled, unless the spouses areseparated and a joint petition is not f iled.)
CAPTION OF SUITAND CASE NUMBER NATURE OF PROCEEDING AND LOCATION STATUS OR DISPOSITION
COURT OR AGENCY
Credit AcceptanceCorporation v.Bledsoe, PippenCL94088
Suit on contract Polk County, IowaDistrict Court
Judgment entered
b. Describe all property that has been attached, garnished or seized under any legal or equitable process within one y ear immediately preceding the commencement of thiscase.(Married debtors f iling under chapter 12 or chapter 13 must include inf ormation concerning property of either or both spouses whether or not a joint petition is f iled,unless the spouses are separated and a joint petition is not f iled.)
DESCRIPTION AND VALUE OF PROPERTYSEIZUREWHOSE BENEFIT PROPERTY WAS SEIZEDNAME AND ADDRESS OF PERSON FOR DATE OF
Name: Credit AcceptanceCorporationAddress:
9/23/05 Description: Wage GarnishmentValue: unknown
5. Repossessions, foreclosures and returns.List all property that has been repossessed by a creditor, sold at a f oreclosure sale, transf erred through a deed in lieu of f oreclosure or returned to the seller, within oney ear immediately preceding the commencement of this case.(Married debtors f iling under chapter 12 or chapter 13 must include inf ormation concerning property of either orboth spouses whether or not a joint petition is f iled, unless the spouses are separated and a joint petition is not f iled.)
NONE
6. Assignments and receiverships.a. Describe any assignment of property f or the benef it of creditors made within 120 day s immediately preceding the commencement of this case.(Married debtors f ilingunder chapter 12 or chapter 13 must include any assignment by either or both spouses whether or not a joint petition is f iled, unless the spouses are separated and a jointpetition is not f iled.)
NONE
b. List all property which has been in the hands of a custodian, receiv er, or court-appointed of f icial within one y ear immediately preceding the commencement of thiscase.(Married debtors f iling under chapter 12 or chapter 13 must include inf ormation concerning property of either or both spouses whether or not a joint petition is f iled,unless the spouses are separated and a joint petition is not f iled.)
NONE
Statement of Affairs - Page 2Case 05-24592 Doc# 1 Filed 09/21/05 Page 4 of 29
Form 7 (12/03) West Group, Rochester, NY
7. Gifts.List all gif ts or charitable contributions made within one y ear immediately preceding the commencement of this case except ordinary and usual gif ts to f amily membersaggregating less than $200 in v alue per indiv idual f amily member and charitable contributions aggregating less than $100 per recipient.(Married debtors f iling under chapter12 or chapter 13 must include gif ts or contributions by either or both spouses whether or not a joint petition is f iled, unless the spouses are separated and a joint petition isnot f iled.)
NONE
8. Losses.List all losses f rom f ire, thef t, other casualty or gambling within one y ear immediately preceding the commencement of this case or since the commencement of this case.(Married debtors f iling under chapter 12 or chapter 13 must include losses by either or both spouses whether or not a joint petition is f iled, unless the spouses are separatedand a joint petition is not f iled.)
NONE
9. Payments related to debt counseling or bankruptcy.List all pay ments made or property transf erred by or on behalf of the debtor to any persons, including attorney s, f or consultation concerning debt consolidation, reliefunder the bankruptcy law or preparation of a petition in bankruptcy within one y ear immediately preceding the commencement of this case.
NAME AND ADDRESS OF PAYEEDATE OF PAYMENT,NAME OF PAYOR IF OTHER THAN DEBTOR
AMOUNT OF MONEY OR DESCRIPTION AND VALUE OF PROPERTY
Payee: Jason NorburyAddress:8117 WornallKansas City, MO 64114
Date of Payment: 9/15/05Payor: Scottie Lee Pippen
$300.00
10. Other transfers.List all other property , other than property transf erred in the ordinary course of the business or f inancial af f airs of the debtor, transf erred either absolutely or as securitywithin one y ear immediately preceding the commencement of this case.(Married debtors f iling under chapter 12 or chapter 13 must include transf ers by either or bothspouses whether or not a joint petition is f iled, unless the spouses are separated and a joint petition is not f iled.)
NONE
11. Closed financial accounts.List all f inancial accounts and instruments held in the name of the debtor or f or the benef it of the debtor which were closed, sold, or otherwise transf erred within one y earimmediately preceding the commencement of this case. Include checking, sav ings, or other f inancial accounts, certif icates of deposit, or other instruments; shares andshare accounts held in banks, credit unions, pension f unds, cooperativ es, associations, brokerage houses and other f inancial institutions. (Married debtors f iling underchapter 12 or chapter 13 must include inf ormation concerning accounts or instruments held by or f or either or both spouses whether or not a joint petition is f iled, unlessspouses are separated and a joint petition is not f iled.)
NONE
12. Safe deposit boxes.List each saf e deposit or other box or depository in which the debtor has or had securities, cash, or other v aluables within one y ear immediately preceding thecommencement of this case.(Married debtors f iling under chapter 12 or chapter 13 must include boxes or depositories of either or both spouses whether or not a jointpetition is f iled, unless the spouses are separated and a joint petition is not f iled.)
NONE
13. Setoffs.List all setof f s made by any creditor, including a bank, against a debt or deposit of the debtor within 90 day s preceding the commencement of this case. (Married debtorsf iling under chapter 12 or chapter 13 must include inf ormation concerning either or both spouses whether or not a joint petition is f iled, unless the spouses are separated anda joint petition is not f iled.)
NONE
14. Property held for another person.List all property owned by another person that the debtor holds or controls.
NONE
Statement of Affairs - Page 3Case 05-24592 Doc# 1 Filed 09/21/05 Page 5 of 29
Form 7 (12/03) West Group, Rochester, NY
15. Prior address of debtor.If the debtor has mov ed within the two y ears immediately preceding the commencement of this case, list all premises which the debtor occupied during that period andv acated prior to the commencement of this case. If a joint petition is f iled, report also any separate address of either spouse.
ADDRESS NAME USED OCCUPANCYDATES OF
Debtor:Address: 7097 Hickory Lane,Urbandale IA 50322
Name(s): 8/2004 -2/2005
Debtor:Address: Norwalk, IA
Name(s): 8/2003-8/2004
16. Spouses and Former SpousesIf the debtor resides or resided in a community property state, commonwealth or territory (including Alaska, Arizona, Calif ornia, Idaho, Louisiana, Nev ada, New Mexico,Puerto Rico, Texas, Washington, or Wisconsin) within the six-y ear period immediately preceding the commencement of the case, identif y the name of the debtor's spouseand of any f ormer spouse who resides or resided with the debtor in the community property state.
NONE
17. Environmental InformationFor the purpose of this question, the f ollowing def initions apply :
"Env ironmental Law" means any f ederal, state, or local statute or regulation regulating pollution, contamination, release of hazardous or toxic substances, wastes or materialinto the air, land, soil, surf ace water, groundwater, or other medium, including, but not limited to, statutes or regulations regulating the cleanup of these substances, wastes,or material.
"Site" means any location, f acility , or property as def ined under any Env ironmental Law, whether or not presently or f ormerly owned or operated by the debtor, including, but not limited to disposal sites.
"Hazardous Material" means any thing def ined as hazardous waste, hazardous substance, toxic substance, hazardous material, pollutant, or contaminant or similar term under and Env ironmental Law:
a. List the name and address of ev ery site f or which the debtor has receiv ed notice in writing by a gov ernmental unit that it may be liable or potentially liable under or inv iolation of an Env ironmental Law. Indicate the gov ernmental unit, the date of the notice, and, if known, the Env ironmental Law:
NONE
b. List the name and address of ev ery site f or which the debtor prov ided notice to a gov ernmental unit of a release of Hazardous Material. Indicate the gov ernmental unitto which the notice was sent and the date of the notice.
NONE
c. List all judicial or administrativ e proceedings, including settlements or orders, under any Env ironmental Law, with respect to which the debtor is or was a party . Indicatethe name and address of the gov ernmental unit that is or was a party to the proceeding, and the docket number.
NONE
Statement of Affairs - Page 4Case 05-24592 Doc# 1 Filed 09/21/05 Page 6 of 29
Form 7 (12/03) West Group, Rochester, NY
18. Nature, location and name of businessa. If the debtor is an indiv idual, list the names, addresses, taxpay er identif ication numbers, nature of the businesses and beginning and ending dates of all businesses inwhich the debtor was an of f icer, director, partner, or managing executiv e of a corporation, partnership, sole proprietorship, or was a self -employ ed prof essional within thesix y ears immediately preceding the commencement of this case, or in which the debtor owned 5 percent or more of the v oting or equity securities within the six y earsimmediately preceding the commencement of this case
If the debtor is a partnership, list the names, addresses, taxpay er identif ication numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the v oting or equity securities within the six y ears immediately preceding the commencment of thiscase.
If the debtor is a corporation, list the names, addresses, taxpay er identif ication numbers, nature of the businesses, and beginning and ending dates of all businesses in which the debtor was a partner or owned 5 percent or more of the v oting or equity securities, within the six y ears immediately preceding the commencment of thiscase.
NONE
b. Identif y any business listed in response to subdiv ision a., abov e, that is "single asset real estate" as def ined in 11 U.S.C. § 101.
NONE
DECLARATION UNDER PENALTY OF PERJURY BY INDIVIDUAL DEBTOR
Date
Date
Signature
Signature
Penalty for making a false statement: Fine of up to $500,000 or imprisonment for up to 5 years or both, 18 U.S.C. § 152 and § 3571.
9/15/2005Scottie Lee Pippen
I declare under penalty of Perjury that I have read the answers contained in the foregoing statement of financial affairs and any attachments thereto and that they are true and correct to the best of my knowledge, information, and belief.
/s/ Scottie Lee Pippen
Statement of Affairs - Page 5Case 05-24592 Doc# 1 Filed 09/21/05 Page 7 of 29
Scottie Lee Pippen
FORM B6A (6/90) West Group, Rochester, NY
In re / Debtor Case No.(if known)
SCHEDULE A-REAL PROPERTY
Except as directed below , list all real property in w hich the debtor has any legal, equitable, or future interest, including all property ow ned as a cotenant,community property, or in w hich the debtor has a life estate. Include any property in w hich the debtor holds rights and pow ers exercisable for the debtor'sow n benefit. If the debtor is married, state w hether the husband, w ife, or both ow n the property by placing an "H," "W," "J," or "C" in the column labeled"Husband, Wife, Joint, or Community." If the debtor holds no interest in real property, w rite "None" under "Description and Location of Property."
Do not include interests in executory contracts and unexpired leases on this schedule. List them in Schedule G-Executory Contracts and UnexpiredLeases.If an entity claims to have a lien or hold a secured interest in any property, state the amount of the secured claim. See Schedule D. If no entity claims tohold a secured interest in the property, w rite "None" in the column labeled "Amount of Secured Claim."
If the debtor is an individual or if a joint petition is f iled, state the amount of any exemption claimed in the property only in Schedule C-Property Claimed asExempt.
Description and Location of Property Nature of Debtor'sInterest in Property
Husband--HWife--WJoint--J
Community--C
Current MarketValue
of Debtor's Interest,in Property Without
Deducting anySecured Claim or
Exemption
Amount ofSecured Claim
None None
No continuation sheets attached TOTAL $(Report also on Summary of Schedules.)
0.00
Case 05-24592 Doc# 1 Filed 09/21/05 Page 8 of 29
FORM B6B (10/89) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor
SCHEDULE B-PERSONAL PROPERTY
Case No.(if known)
Except as directed below , list all personal property of the debtor of w hatever kind. If the debtor has no property in one or more of the categories, place an"X" in the appropriate position in the column labeled "None." If additional space is needed in any category, attach a separate sheet properly identif ied w iththe case name, case number, and the number of the category. If the debtor is married, state w hether husband, w ife, or both ow n property by placing an"H," "W," "J," or "C" in the column labeled "Husband, Wife, Joint, or Community." If the debtor is an individual or a joint petition is f iled, state the amount ofany exemptions claimed only in Schedule C-Property Claimed as Exempt.Do not list interests in executory contracts and unexpired leases on this schedule. List them in Schedule G-Executory Contracts and Unexpired Leases.If the property is being held for the debtor by someone else, state that person's name and address under "Description and Location of Property."
Description and Location of Property
Husband--HWife--WJoint--J
Community--C
Type of Property
Current MarketValue
of Debtor's Interest,in Property Without
Deducting any
ExemptionSecured Claim or
N
o
n
e
1. Cash on hand. X
2. Checking, savings or other financialaccounts, certificates of deposit, orsharesin banks, savings and loan, thrift,buildingand loan, and homestead associations, orcredit unions, brokerage houses, orcooperatives.
Checking Account - Bank of AmericaLocation: In debtor's possession
00.001 $
Savings Account - Bank of AmericaLocation: In debtor's possession
00.2 $
3. Security deposits with public utilities,telephone companies, landlords, andothers.
X
4. Household goods and furnishings,including audio, video, and computerequipment.
Household Goods and Furnishings - includingfurniture, TV, paintings, kitchen itemsLocation: In debtor's possession
00.005,2 $
5. Books, pictures and other art objects,antiques, stamp, coin, record, tape,compact disc, and other collections orcollectibles.
Sports Card Collection - no unique orindvidually value cardsLocation: In debtor's possession
00.002 $
6. W earing apparel. ClothingLocation: In debtor's possession
00.002,1 $
7. Furs and jewelry. Watch, RingLocation: In debtor's possession
00.007 $
8. Firearms and sports, photographic, andother hobby equipment.
X
9. Interests in insurance policies. Nameinsurance company of each policy anditemize surrender or refund value ofeach.
X
Page 1 of 3
Case 05-24592 Doc# 1 Filed 09/21/05 Page 9 of 29
FORM B6B (10/89) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor
SCHEDULE B-PERSONAL PROPERTY
Case No.(if known)
(Continuation Sheet)
Description and Location of Property
Husband--HWife--WJoint--J
Community--C
Type of Property
Current MarketValue
of Debtor's Interest,in Property Without
Deducting any
ExemptionSecured Claim or
N
o
n
e
10. Annuities. Itemize and name each issuer. X
11. Interests in IRA, ERISA, Keogh, or otherpension or profit sharing plans. Itemize.
401k AccountLocation: In debtor's possession
00.05 $
12. Stock and interests in incorporated andunincorporated businesses. Itemize.
X
13. Interests in partnerships or jointventures.Itemize.
X
14. Government and corporate bonds andother negotiable and non-negotiableinstruments.
X
15. Accounts Receivable. X
16. Alimony, maintenance, support, andproperty settlements to which the debtoris or may be entitled. Give particulars.
X
17. Other liquidated debts owing debtorincluding tax refunds. Give particulars.
X
18. Equitable or future interests, life estates,and rights or powers exercisable for thebenefit of the debtor other than thoselisted in Schedule of Real Property.
X
19. Contingent and non-contingentinterestsin estate of a decedent, death benefitplan, life insurance policy, or trust.
X
20. Other contingent and unliquidatedclaimsof every nature, including tax refunds,counterclaims of the debtor, and rightstosetoff claims. Give estimated value ofeach.
X
21. Patents, copyrights, and other intellectualproperty. Give particulars.
X
22. Licenses, franchises, and other generalintangibles. Give particulars.
X
23. Automobiles, trucks, trailers and othervehicles.
X
24. Boats, motors, and accessories. X
25. Aircraft and accessories. X
26. Office equipment, furnishings, andsupplies.
X
27. Machinery, fixtures, equipment andsupplies used in business.
X
Page 2 of 3
Case 05-24592 Doc# 1 Filed 09/21/05 Page 10 of 29
FORM B6B (10/89) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor
SCHEDULE B-PERSONAL PROPERTY
Case No.(if known)
(Continuation Sheet)
Description and Location of Property
Husband--HWife--WJoint--J
Community--C
Type of Property
Current MarketValue
of Debtor's Interest,in Property Without
Deducting any
ExemptionSecured Claim or
N
o
n
e
28. Inventory. X
29. Animals. X
30. Crops - growing or harvested.Give particulars.
X
31. Farming equipment and implements. X
32. Farm supplies, chemicals, and feed. X
33. Other personal property of any kind notalready listed. Itemize.
X
Page 3 of 3(Report total also on Summary of Schedules.)
Total $ 4,752.00
Include amounts from any continuation sheets attached.Case 05-24592 Doc# 1 Filed 09/21/05 Page 11 of 29
FORM B6C (6/90) West Group, Rochester, NY
In reScottie Lee Pippen / Debtor
SCHEDULE C-PROPERTY CLAIMED AS EXEMPT
Case No.(if known)
Exemptions available under applicable nonbankruptcy federal law s, state or local law w here the debtor's domicile has beenlocated for the 180 days immediately preceding the f iling of the petition, or for a longer portion of the 180-day period than in anyother place, and the debtor's interest as a tenant by the entirety or joint tenant to the extent the interest is exempt from processunder applicable nonbankruptcy law .
Debtor elects the exemptions to which debtor is entitled under:
(Check one box)
11 U.S.C. § 522(b) (1):11 U.S.C. § 522(b) (2):
Exemptions provided in 11 U.S.C. § 522(d). Note: These exemptions are available only in certain states.
Providing eachDescription of PropertyCurrent Market
Value of PropertyExemption
Specify Law
Without DeductingExemptions
Value ofClaimed
Exemption
Household Goods and Furnishings Ks. Stat. Ann. §60-2304(a) 00.005,2 $00.005,2 $
Clothing Ks. Stat. Ann. §60-2304(a) 00.002,1 $00.002,1 $
Watch, Ring Ks. Stat. Ann. §60-2304(b) 00.007 $00.007 $
401k Account Ks. Stat. Ann. §60-2308 00.05 $00.05 $
Page No. 1 of 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 12 of 29
FORM B6D (12/03) West Group, Rochester, NY
Case No.(if known)
SCHEDULE D-CREDITORS HOLDING SECURED CLAIMS
In re Scottie Lee Pippen / Debtor
State the name, mailing address, including zip code, and last four digits of any account number of all entities holding claims secured by property of thedebtor as of the date of f iling of the petition. List creditors holding all types of secured interests such as judgment liens, garnishments, statutory liens,mortgages, deeds of trust, and other security interests. List creditors in alphabetical order to the extent practicable. If all secured creditors w ill not f it onthis 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 marked "Codebtor," include the entity on theappropriate schedule of creditors and complete Schedule H - Codebtors. If a joint petition is f iled, state w hether husband, w ife, both of them, or the maritalcommunity may be liable 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 schedules. Report this total also on theSummary of Schedules.
Check this box if debtor has no creditors holding secured claims to report on this Schedule D.
Creditor's Name and Mailing Address
Including Zip Code
H--HusbandW--WifeJ--JointC--Community
Date Claim was Incurred,
Nature of Lien, and Description andMarket Value of Property Subject to Lien
Amount of ClaimWithout
Deducting Valueof Collateral
Unsecured
Portion, if any
Codebtor
Contingent
nU
liquidated
D
sp
tu
i
ed
Account No:
Value:
Account No:
Value:
Account No:
Value:
Account No:
Value:
No continuation sheets attached
(Use only on last page. Report total also on Summary of Schedules)Total $
(Total of this page)Subtotal $ 0.00
0.00
Case 05-24592 Doc# 1 Filed 09/21/05 Page 13 of 29
FORM B6E (4/04) West Group, Rochester, NY
Case No.(if known)
SCHEDULE E-CREDITORS HOLDING UNSECURED PRIORITY CLAIMS
In re Scottie Lee Pippen / Debtor
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 ofunsecured claims entitled to priority should be listed in this schedule. In the boxes provided on the attached sheets, state the name and mailing address,including zip code, and last four digits of the account number, if any, of all entities holding priority claims against the debtor or the property of the debtor, asof the date of the f iling of the petition.
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 onthe appropriate schedule of creditors and complete Schedule H - Codebtors. If a joint petition is f iled, state w hether husband, w ife, both of them or themarital community may be liable 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 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 threecolumns.)
Report the total of claims listed on each sheet in the box labeled "Subtotal" on each sheet. Report the total of all claims listed on this Schedule E inthe box labeled "Total" on the last sheet of the completed schedule. Repeat this total also on the Summary of Schedules.
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)
Extensions of credit in an involuntary case
Claims arising in the ordinary course of the debtor's business or f inancial affairs after the commencement of the case but before the earlier of theappointment of a trustee or the order for relief. 11 U.S.C. § 507(a)(2).
Wages, salaries, and commissions, including vacation, severance, and sick leave pay ow ing to employees and commissions ow ing to qualifyingindependent sales representatives up to $4,925* per person earned w ithin 90 days immediately preceding the f iling of the original petition, or thecessation of business, w hichever occurred f irst, to the extent provided in 11 U.S.C. § 507(a)(3).
Wages, salaries, and commissions
Contributions to employee benefit plans
Money ow ed to employee benefit plans for services rendered w ithin 180 days immediately preceding the f iling of the original petition, or the cessationof business, w hichever occurred f irst, to the extent provided in 11 U.S.C. § 507(a)(4).
Certain farmers and fishermen
Claims of certain farmers and f ishermen, up to $4,925* per farmer or f isherman, against the debtor, as provided in 11 U.S.C. § 507(a)(5).
Deposits by individuals
Claims of individuals up to $2,225* for deposits for the purchase, lease, or rental of property or services for personal, family, or household use, thatw ere not delivered or provided. 11 U.S.C. § 507(a)(6).
Alimony, Maintenance or Support
Claims of a spouse, former spouse, or child of the debtor, for alimony, maintenance, or support, to the extent provided in 11 U.S.C. § 507(a)(7).
Taxes and Certain Other Debts Owed to Governmental Units
Taxes, custom duties, and penalties ow ing 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 Institution
Claims based on commitments to FDIC, RTC, Director of the Office of Thrift Supervision, Comptroller of the Currency, or Board of Governors of theFederal Reserve System, or their predecessors or successors, to maintain the capital of an insured depository institution. 11 U.S.C. § 507(a)(9).
*Amounts are subject to adjustment on April 1, 2007, and every three years thereafter with respect to cases commenced on or after the date of adjustment.
No continuation sheets attached
Case 05-24592 Doc# 1 Filed 09/21/05 Page 14 of 29
FORM B6F (12/03) West Group, Rochester, NY
Case No.(if known)
SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
In re Scottie Lee Pippen / Debtor
State the name, mailing address, including zip code, and last four digits of any account number, if any, of all entities holding unsecured claims w ithoutpriority against the debtor or the property of the debtor, as of the date of f iling of the petition. Do not include claims listed in Schedules D and E. If allcreditors w ill not f it 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 theappropriate schedule of creditors, and complete Schedule H - Codebtors. If a joint petition is f iled, state w hether husband, w ife, both of them, or the maritalcommunity may be liable 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 total of all claims listed on this schedule in the box labeled "Total" on the last sheet of the completed schedules. Report this total also on theSummary of Schedules.
Check this box if debtor has no creditors holding unsecured nonpriority claims to report on this Schedule F.
Creditor's Name and Mailing Address
including Zip Code
H--HusbandW--WifeJ--JointC--Community
Date Claim was Incurred,
and Consideration for Claim.If Claim is Subject to Setoff, so State.
Amount of ClaimCodebtor
Contingent
U
qil
uidated
nDisput
de
Account No:
Creditor # : 1Berg Rouse Spaulding Schmidt2423 Ingersoll AveDes Moines IA 50312
Attorney's Fees $ 2,000.00
Account No:
Creditor # : 2Broadlawns Medical Center1801 Hickman RoadDes Moines IA 50314
Medical Bills Unknown
Account No:
Creditor # : 3Capital OnePO Box 85015Richmond VA 23285-5015
Credit Card Purchases $ 792.000137
NCO Financial Systems2223071081480137Horsham PA 19044
Account No:
Representing:Capital One
0137
3 continuation sheets attached
(Report total also on Summary of Schedules)Total $
(Total of this page)Subtotal $ 2,792.00
Case 05-24592 Doc# 1 Filed 09/21/05 Page 15 of 29
FORM B6F (12/03) West Group, Rochester, NY
Case No.(if known)
SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
In re Scottie Lee Pippen / Debtor
(Continuation Sheet)
Creditor's Name and Mailing Address
including Zip Code
H--HusbandW--WifeJ--JointC--Community
Date Claim was Incurred,
and Consideration for Claim.If Claim is Subject to Setoff, so State.
Amount of ClaimCodebtor
Contingent
U
qil
uidated
nDisput
de
Account No:
Creditor # : 4Capital OnePO Box 85522Richmond VA 23285-5522
Collection Account $ 792.00
Account No:
Creditor # : 5Credit Acceptance Corporationc/o Charles Litow EsqPO Box 2165Cedar Rapids IA 52406
2005Deficiency of Auto Lease
$ 15,515.74
Account No:
Creditor # : 6Credit Management17070 Dallas PkwyDallas TX 75248-1950
Collection Account $ 193.00
Account No:
Creditor # : 7Ford Motor CreditNational Bankruptcy ServicePO Box 537901Livonia MI 48153-7901
2001Deficiency on Auto Loan
$ 11,621.00
Account No:
Creditor # : 8Heartland Health5325 FaraonSt Joseph MO 64506
2002Medical Bills
$ 673.00
Account No:
Creditor # : 9Mercy Medical Center2894 106th St, Suite 100Des Moines IA 50322
Medical Bills $ 1,000.00
1Creditors Holding Unsecured Nonpriority Claims
3Sheet No. of continuation sheets attached to Schedule of
(Report total also on Summary of Schedules)Total $
(Total of this page)Subtotal $ 29,794.74
Case 05-24592 Doc# 1 Filed 09/21/05 Page 16 of 29
FORM B6F (12/03) West Group, Rochester, NY
Case No.(if known)
SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
In re Scottie Lee Pippen / Debtor
(Continuation Sheet)
Creditor's Name and Mailing Address
including Zip Code
H--HusbandW--WifeJ--JointC--Community
Date Claim was Incurred,
and Consideration for Claim.If Claim is Subject to Setoff, so State.
Amount of ClaimCodebtor
Contingent
U
qil
uidated
nDisput
de
Account No:
Creditor # : 10Midamerica EnergyPO Box 8020Davenport IA 52808
Utility Bills $ 622.004065
Account No:
Creditor # : 11NCO Financial Systems, Inc909 E Republic RdBldg D, Suite 200Springfield MO 65807
Collection Account $ 88.00
Account No:
Creditor # : 12Northwest Financial Services720 Jules St.St. Joseph MO 64501-1918
2003Medical Bills
$ 121.00
Account No:
Creditor # : 13Northwest Financial Services720 Jules St.St. Joseph MO 64501-1918
Medical Bills $ 105.00
Account No:
Creditor # : 14Northwest Financial Services720 Jules St.St. Joseph MO 64501-1918
2002Medical Bills
$ 214.00
Account No:
Creditor # : 15Northwest Financial Services720 Jules St.St. Joseph MO 64501-1918
2002Medical Bills
$ 386.00
2Creditors Holding Unsecured Nonpriority Claims
3Sheet No. of continuation sheets attached to Schedule of
(Report total also on Summary of Schedules)Total $
(Total of this page)Subtotal $ 1,536.00
Case 05-24592 Doc# 1 Filed 09/21/05 Page 17 of 29
FORM B6F (12/03) West Group, Rochester, NY
Case No.(if known)
SCHEDULE F-CREDITORS HOLDING UNSECURED NONPRIORITY CLAIMS
In re Scottie Lee Pippen / Debtor
(Continuation Sheet)
Creditor's Name and Mailing Address
including Zip Code
H--HusbandW--WifeJ--JointC--Community
Date Claim was Incurred,
and Consideration for Claim.If Claim is Subject to Setoff, so State.
Amount of ClaimCodebtor
Contingent
U
qil
uidated
nDisput
de
Account No:
Creditor # : 16Northwest Financial Services720 Jules St.St. Joseph MO 64501-1918
2002Medical Bills
$ 344.00
Account No:
Creditor # : 17Qwest CommunicationPO Box 9156Alexandria VA 22304
Phone Bill $ 136.009894
Account No:
Creditor # : 18Southwestern Bell TelephoneCollection DivisionPO Box 90246Arlington TX 76004
Phone Bill $ 800.00
Account No:
Creditor # : 19Sprint PCS6391 Sprint ParkwayOverland Park KS 66251-6100
Cellular Phone Bill $ 1,000.00
Account No:
Creditor # : 20T MobilePO Box 37380Albuquerque NM 87176-7380
2003Cellular Phone Bill
$ 355.00
Superior Asset Management IncPO Box 596Fort Walton Beac FL 32549-0596
Account No:
Representing:T Mobile
36,757.74
3Creditors Holding Unsecured Nonpriority Claims
3Sheet No. of continuation sheets attached to Schedule of
(Report total also on Summary of Schedules)Total $
(Total of this page)Subtotal $ 2,635.00
Case 05-24592 Doc# 1 Filed 09/21/05 Page 18 of 29
FORM B6G (10/89) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor
SCHEDULE G-EXECUTORY CONTRACTS AND UNEXPIRED LEASES
Case No.(if known)
Describe all executory contracts of any nature and all unexpired leases of real or personal property. Include any timeshare interests.
NOTE: A party listed on this schedule will not receive notice of the filing of this case unless the party is also scheduled in the appropriate schedule of
Check this box if the debtor has no executory contracts or unexpired leases.
State nature of debtor's interests in contract, i.e., "Purchaser," "Agent," etc. State whether debtor is the lessor or lessee of a lease.Provide the names and complete mailing addresses of all other parties to each lease or contract described.
creditors.
including Zip Code, ofDescription of Contract or Lease and
Nature of Debtor's Interest.other Parties to Lease
Name and Mailing Address,
State whether Lease is for Nonresidential Real Property.State Contract Number of any Government Contract.or Contract
Ed and Danette Gibbs312 S. West St.Corydon IA 50060
Contract Type:Terms:Beginning date:Debtor's Interest:Description:
Purchase Contract$1,000, paid over time
Purchaser1995 Ford Taurus
Buyout Option:
Victor Matos7006 W 83rd StOverland Park KS 66204
Contract Type:Terms:Beginning date:Debtor's Interest:Description:
Residential lease$750 per month, 1 year lease
3/1/2005Lessee
9002 W. 79th Circle
Buyout Option:
Page 1 of 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 19 of 29
FORM B6H (6/90) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor
SCHEDULE H-CODEBTORS
Case No.(if known)
Check this box if the debtor has no codebtors.
Provide the information requested concerning any person or entity, other than a spouse in a joint case, that is also liable on any debts listed by debtor inthe schedules of creditors. Include all guarantors and co-signers. In community property states, a married debtor not f iling a joint case should report thename and address of the nondebtor spouse on this schedule. Include all names used by the nondebtor spouse during the six years immediately precedingthe commencement of this case.
Name and Address of CreditorName and Address of Codebtor
Page 1 of 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 20 of 29
FORM B6I (12/03) West Group, Rochester, NY
In re Scottie Lee Pippen / Debtor Case No.(if known)
SCHEDULE I-CURRENT INCOME OF INDIVIDUAL DEBTOR(S)
The column labeled "Spouse" must be completed in all cases f iled by joint debtors and by a married debtor in a chapter 12 or 13 case w hether or not a jointpetition is f iled, unless the spouses are separated and a joint petition is not f iled.
Debtor's Marital
Status:
DEPENDENTS OF DEBTOR AND SPOUSE
AGERELATIONSHIPSingle
EMPLOYMENT: DEBTOR SPOUSE
Occupation
Name of Employer
How Long Employed
Address of Employer
2 years
Brown Group Retail IncDistrict Manager
8300 Maryland AvenuePO Box 29St. Louis MO 63166-0029
Income: (Estimate of average monthly income) DEBTOR SPOUSE
2,750.00
Current Monthly gross wages, salary, and commissions (pro rate if not paid monthly) $Estimated Monthly OvertimeSUBTOTAL
$$ $
$$
LESS PAYROLL DEDUCTIONSa. Payroll Taxes and Social Securityb. Insurancec. Union Dues
$$$
$$$
2,750.000.00
0.000.000.00
603.26110.500.00
0.000.000.00
d. Other (Specify): 401(k) $ 00.011 $ 00.0SUBTOTAL OF PAYROLL DEDUCTIONS
TOTAL NET MONTHLY TAKE HOME PAY
$
$
$
$
823.77 0.00
1,926.23 0.00
Regular income from operation of business or profession or farm (attach detailed statement) Income from Real PropertyInterest and dividendsAlimony, maintenance or support payments payable to the debtor for the debtor's use or thatof dependents listed above.Social Security or other government assistance
$$$
$$$$$
$$Specify:Pension or retirement income
0.00 0.000.00 0.000.00 0.000.00 0.00
0.00 0.00$ 0.00 $ 0.00
Specify: $ $00.0 00.0Other monthly income
TOTAL COMBINED MONTHLY INCOME (Report also on Summary of Schedules)
TOTAL MONTHLY INCOME
$ 1,926.230.00$1,926.23$
Describe any increase or decrease of more than 10% in any of the above categories anticipated to occur within the year following the filing of thisdocument:
Page No. 1 of 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 21 of 29
FORM B6J (6/90) West Group, Rochester, NY
Case No.(if known)
SCHEDULE J-CURRENT EXPENDITURES OF INDIVIDUAL DEBTOR
In re / DebtorScottie Lee Pippen
Complete this schedule by estimating the average expenses of the debtor and the debtor's family. Pro rate any payments made bi-w eekly, quarterly,semi-annually, or annually to show monthly rate.
Check this box if a joint petition is filed and debtor's spouse maintains a separate household. Complete a separate schedule of expenditures labeled"Spouse."
Rent or home mortgage payment (include lot rented for mobile home)
Are real estate taxes included?
Is property insurance included?
$
$
Utilities: Electricity and heating fuel
Water and sewer
Telephone
Other
$$$
750.00
125.0030.00100.000.000.00$
$ 0.00
Yes
Yes
No
No
Other
Other
Home maintenance (Repairs and upkeep)
Food
Clothing
Medical and dental expenses
Laundry and dry cleaning
Recreation, clubs and entertainment, newspapers, magazines, etc.
Transportation (not including car payments)
Charitable contributions
Homeowner's or renter's
Insurance (not deducted from wages or included in home mortgage payments)
Li fe
Health
Auto
Other
Other
Other
$ 0.00200.00$
$$ 10.00
25.00
$ 50.00$$ 100.00
250.00
$ 10.00
$ 20.000.00$
75.000.00$
$$ 0.00
0.00$$
0.00
Taxes (not deducted from wages or included in home mortgage)
Specify: $Installment payments: (in chapter 12 and 13 cases, do not list payments to be included in the plan)
Auto $$$
0.00
0.000.000.00
Other:
Other:
Other: $ 0.000.00$
$ 0.00$ 0.00
Alimony, maintenance, and support paid to others
Payments for support of additional dependents not living at your home
Regular expenses from operation of business, profession, or farm (attach detailed statement)
Other: Haircuts/CosmeticsTobaccoOther:
Other:
$$$
50.0075.000.00
TOTAL MONTHLY EXPENSES 1,870.00$(Report also on Summary of Schedules)
Case 05-24592 Doc# 1 Filed 09/21/05 Page 22 of 29
FORM B6 (6/90) West Group, Rochester, NY
Case No.
UNITED STATES BANKRUPTCY COURT
In re
/ Debtor
Scottie Lee Pippen
DISTRICT OF KANSAS
Chapter 7
Indicate as to each schedule w hether that schedule is attached and state the number of pages on 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 fromSchedules D, E and F to determine the total amount of the debtor's liabilities.
SUMMARY OF SCHEDULES
AMOUNTS SCHEDULED
NAME OF SCHEDULEAttached(Yes/No)
No. ofSheets ASSETS LIABILITIES OTHER
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
1
3
1
1
1
4
1
1
1
1
A-Real Property
B-Personal Property
C-Property Claimed asExempt
D-Creditors Holding SecuredClaims
E-Creditors HoldingUnsecured Priority Claims
F-Creditors HoldingUnsecured Nonpriority Claims
G-Executory Contracts andUnexpired Leases
H-Codebtors
I-Current Income of IndividualDebtor(s)
J-Current Expenditures ofIndividual Debtor(s)
$ 0.00
4,752.00$
0.00$
0.00$
36,757.74$
1,926.23$
1,870.00$
15
36,757.74$
4,752.00$
Total Number of Sheets in All Schedules
Total Assets
Total Liabilities
Case 05-24592 Doc# 1 Filed 09/21/05 Page 23 of 29
FORM B6 (6/90) West Group, Rochester, NY
In re
DECLARATION CONCERNING DEBTOR'S SCHEDULES
/ Debtor Case No.(if known)
DECLARATION UNDER PENALTY OF PERJURY BY AN INDIVIDUAL DEBTOR
Scottie Lee Pippen
I declare under penalty of perjury that I have read the foregoing summary and schedules, consisting of 16 sheets, and that they are true and
correct to the best of my knowledge, information and belief.
Date: 9/15/2005 SignatureScottie Lee Pippen/s/ Scottie Lee Pippen
Case 05-24592 Doc# 1 Filed 09/21/05 Page 24 of 29
FORM B8 (12/03) West Group, Rochester, NY
In re Scottie Lee Pippen
/ Debtor
Case No.Chapter 7
DISTRICT OF KANSASUNITED STATES BANKRUPTCY COURT
CHAPTER 7 INDIVIDUAL DEBTOR'S STATEMENT OF INTENTION
2. I intend to do the following with respect to the property of the estate which secures those consumer debts:
1. I have filed a schedule of assets and liabilities which includes consumer debts secured by property of the estate.
a. Property to Be Surrendered.
Description of Property Creditor's Name
None
b. Property to Be Retained.
Description of Property Creditor's NameProperty will be
reaffirmedpursuant to
Property isredeemedpursuant toexempt
claimed asDebt will be
[Check any applicable statement.]
11 U.S.C. § 722 11 U.S.C. § 524(c)
None
Date: Debtor:
Signature of Debtor(s)
/s/ Scottie Lee Pippen9/15/2005
Date: Joint Debtor:9/15/2005
Page 1 of 1Case 05-24592 Doc# 1 Filed 09/21/05 Page 25 of 29
Rule 2016(b) (8/91) West Group, Rochester, NY
UNITED STATES BANKRUPTCY COURT DISTRICT OF KANSAS
In reCase No.Chapter
Scottie Lee Pippen7
Jason NorburyAttorney for Debtor:/ Debtor
STATEMENT PURSUANT TO RULE 2016(B)
The undersigned, pursuant to Rule 2016(b), Bankruptcy Rules, states that:
1. The undersigned is the attorney for the debtor(s) in this case.
2.a)
connection with this case . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $Prior to the filing of this statement, debtor(s) have paid . . . . . . . . . . . . . . . $The unpaid balance due and payable is . . . . . . . . . . . . . . . . . . . . . . . . . . . $
b)c)
The compensation paid or agreed to be paid by the debtor(s), to the undersigned is:For legal services rendered or to be rendered in contemplation of and in
900.00300.00600.00
3. $ 209.00 of the filing fee in this case has been paid.
4.a)
file a petition under title 11 of the United States Code.b)
c)
Analysis of the financial situation, and rendering advice and assistance to the debtor(s) in determining whether toThe Services rendered or to be rendered include the following:
Preparation and filing of the petition, schedules, statement of financial affairs and other documents required by the
Representation of the debtor(s) at the meeting of creditors.court.
5.services performed, andThe source of payments made by the debtor(s) to the undersigned was from earnings, wages and compensation for
None other
6.be from earnings, wages and compensation for services performed, andThe source of payments to be made by the debtor(s) to the undersigned for the unpaid balance remaining, if any, will
None other
7.the value stated:The undersigned has received no transfer, assignment or pledge of property from debtor(s) except the following for
None
8.law firm, any compensation paid or to be paid except as follows:The undersigned has not shared or agreed to share with any other entity, other than with members of undersigned's
None
Dated:
Attorney for Petitioner:
9/15/2005 Respectfully submitted,
Jason NorburyLaw Office of Jason Norbury, P.C.8117 WornallKansas City MO 64114
X/s/ Jason Norbury
Case 05-24592 Doc# 1 Filed 09/21/05 Page 26 of 29
UNITED STATES BANKRUPTCY COURT DISTRICT OF KANSAS
In re Scottie Lee PippenChapter 7Case No.
Attorney for Debtor: Jason Norbury/ Debtor
COVER SHEET FOR LIST OF CREDITORS
I hereby certify under penalty of perjury that the attached list of creditors, which consists of __________ pages,
is true, correct and complete to the best of my knowledge.
2
Date:Debtor
9/15/2005 /s/ Scottie Lee Pippen
Jason NorburyAttorney for the debtor(s)8117 WornallKansas City, MO 64114
/s/ Jason Norbury
Case 05-24592 Doc# 1 Filed 09/21/05 Page 27 of 29
Berg Rouse Spaulding Schmidt2423 Ingersoll AveDes Moines IA 50312
Broadlawns Medical Center1801 Hickman RoadDes Moines IA 50314
Capital OnePO Box 85522Richmond VA 23285-5522
Capital OnePO Box 85015Richmond VA 23285-5015
Credit Acceptance Corporationc/o Charles Litow EsqPO Box 2165Cedar Rapids IA 52406
Credit Management17070 Dallas PkwyDallas TX 75248-1950
Ford Motor CreditNational Bankruptcy ServicePO Box 537901Livonia MI 48153-7901
Heartland Health5325 FaraonSt Joseph MO 64506
Mercy Medical Center2894 106th St Suite 100Des Moines IA 50322
Midamerica EnergyPO Box 8020Davenport IA 52808
NCO Financial Systems2223071081480137Horsham PA 19044
NCO Financial Systems Inc 909 E Republic Rd Bldg D Suite 200Springfield MO 65807
Northwest Financial Services720 Jules St St Joseph MO 64501-1918
Qwest CommunicationPO Box 9156Alexandria VA 22304
Case 05-24592 Doc# 1 Filed 09/21/05 Page 28 of 29
Southwestern Bell TelephoneCollection DivisionPO Box 90246Arlington TX 76004
Sprint PCS6391 Sprint ParkwayOverland Park KS 66251-6100
Superior Asset Management Inc PO Box 596Fort Walton Beac FL 32549-0596
T MobilePO Box 37380Albuquerque NM 87176-7380
Case 05-24592 Doc# 1 Filed 09/21/05 Page 29 of 29