CASB — AMENDMENT Presented are the following original documents [Check one or more boxes as appropriate] Voluntary… (CSD1100_2024-07-05)

Source: https://www.casb.uscourts.gov/sites/casb/files/documents/forms/CSD1100_2024-07-05.pdf

CSD 1100 [07/05/24]

Name, Address, Telephone No. & I.D. No.

UNITED STATES BANKRUPTCY COURT
SOUTHERN DISTRICT OF CALIFORNIA
325 West F Street, San Diego, California 92101-6991

In Re Bankruptcy No.

Debtor(s)

AMENDMENT

Presented are the following original documents [Check one or more boxes as appropriate]: Voluntary Petition Attachment to Chapter 11 Voluntary Petition for Non-Individuals Summary of Your Assets and Liabilities and Certain Statistical Information (Form 106Sum & 206Sum) Schedule A/B: Property (Form 106A/B & 206A/B) Schedule C: The Property You Claim as Exempt (Form 106C) Schedule D-F: Creditors Who Have Claims Secured by Property (Form 106D & 206D), Creditors Who Have Unsecured Claims (Form 106E/F & 206E/F) and/or Matrix, and/or list of Creditors or Equity Holders - REQUIRES COMPLIANCE WITH LOCAL RULE 1009 Adding or deleting creditors (electronic media), changing amounts owed or classification of debt - $34.00 fee required. See instructions on reverse side. Correcting or deleting other information. See instructions on reverse side. Schedule G: Executory Contracts & Expired Leases (Form 106G & 206G) Schedule H: Your Co-Debtor (Form 106H) Schedule I: Your Income (Form 106I) Schedule J: Your Expenses (Form 106J) Schedule J-2: Expenses for Separate Household of Debtor 2 (Form106J-2) Statement of Financial Affairs for Individuals Filing for Bankruptcy (Form 107 & 207) Chapter 7 Statement of Your Current Monthly Income (Form 122A-1) Chapter 7 Statement of Exemption from Presumption of Abuse Under § 707(b)(2) (Form 122A-1Supp) Chapter 7 Means Test Calculation (Form 122A-2) Chapter 11 Statement of Your Current Monthly Income (Form 122B) Chapter 13 Statement of Current Monthly Income and Calculation of Commitment Period (Form 122C-1) Chapter 13 Calculation of Your Disposable Income (Form 122C-2) Other:

Dated: Signature Attorney for Debtor

Debtor(s) signature required on page 2. Server's signature required on page 3.

CSD 1100 [07/05/24] DECLARATION OF DEBTOR

I [We] and , the debtor(s), hereby

declare under penalty of perjury that the information set forth in the amendment attached hereto, consisting of pages, and on the creditor matrix electronic media, if any, is true and correct to the best of my [our] information and belief.

Dated: *Debtor Signature *Joint Debtor Signature *If filed electronically, pursuant to LBR 5005-4(C), the original debtor signature(s) in a scanned format is required.

INSTRUCTIONS

A. Each amended page is to be in the same form as the original but is to contain only the information to be changed or added. Pages from the original document which are not affected by the change are not to be attached. 1. Before each entry, specify the purpose of the amendment by inserting: a. "ADDED," if the information was missing from the previous document filed; or b. "CORRECTED," if the information modifies previously listed information; or c. "DELETED," if previously listed information is to be removed. 2. At the bottom of each page, insert the word "AMENDED." 3. Attach all pages to the cover page and, if a Chapter 7, 11, or 12 case, serve a copy on the United States Trustee, trustee (if any) and/or the members of a creditors' committee. If a Chapter 13 case, serve a copy on the trustee; DO NOT serve a copy on the United States Trustee. B. Comply with Local Bankruptcy Rule 1009 when adding or correcting the names and/or addresses of creditors (electronic media required when Amendment submitted on paper) or if altering the status or amount of a claim.

Amendments that fail to follow these instructions may be refused.
*Amendments filed after the case is closed are not entitled to a refund of fees*

PROOF OF SERVICE

I, whose address appears below, certify:

That I am, and at all relevant times was, more than 18 years of age;

I served a true copy of this Amendment on the following persons listed below via the following method(s):
1. To Be Served by the Court via Notice of Electronic Filing (“NEF”):

Under controlling Local Bankruptcy Rules(s) (“LBR”), the document(s) listed above will be served by the court
via NEF and hyperlink to the document. On , I checked the CM/ECF docket for this

bankruptcy case or adversary proceeding and determine d that the following person(s) are on the Electronic Mail Notice List to receive NEF transmission at the e-mail address(es) indicated and/or as checked below:

Chapter 7 Trustee:

For Chapter 7, 11, & 12 cases: For Chapter 13 cases: UNITED STATES TRUSTEE MICHAEL KOCH, TRUSTEE ustp.region15@usdoj.gov mkoch@ch13.sdcoxmail.com

CSD 1100 [07/05/24]

2. Served by United States Mail:

On , I served the following person(s) and/or entity(ies) at the last known
in this bankruptcy case or adversary proceeding by placing accurate copies in a sealed envelope in the United States

Mail via 1) first class, postage prepaid or 2) certified mail with receipt number, addressed as follows:

3. Served by Personal Delivery, Facsimile Transmission, Overnight Delivery, or Electronic Mail:

Under Fed.R.Civ.P.5 and controlling LBR, on , I served the following person(s)

and/or entity(ies) by personal delivery, or (for those who consented in writing to such service method), by facsimile transmission, by overnight delivery, and/or electronic mail as follows:

I declare under penalty of perjury under the laws of the United States of America that the statements made in this
proof of service are true and correct.

Executed on
(Date) (Typed Name and Signature)

(Address)

(City, State, ZIP Code)