Cynthia K. Beatty - Page 23




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               17a. Are there any garnishments against your wages?                    
                    : No  9 Yes                                                       
                  *       *       *       *       *       *       *                   
               17b. Are there any judgments against you?  : No  9 Yes                 
                  *       *       *       *       *       *       *                   
               17d. Did you ever file bankruptcy?  9 No  : Yes                        
                    If yes, date filed 9/14/2000 Date discharged                      
                    12/27/2000                                                        
               17e. In the past 10 years did you transfer any assets                  
                    out of your name for less than their actual value?                
                    : No  9 Yes                                                       
                  *       *       *       *       *       *       *                   
               17f. Do you anticipate any increase in household income                
                    in the next two years?  9 No  : Yes                               
                    If yes, why will the income increase?  I hope to                  
                    find seasonal employment * * *                                    
                    How much will it increase?  $ ??? In 2004, I                      
                    earned $12,906                                                    
               17g. Are you a beneficiary of a trust or estate?                       
                    : No  9 Yes                                                       
                  *       *       *       *       *       *       *                   
               17h. Are you a participant in a profit sharing plan?                   
                    : No  9 Yes                                                       
               In section 7 of petitioner’s Form 433-A, petitioner indi-              
          cated that she owned (1) a 2005 Jeep Liberty valued at $18,785              
          with respect to which there was a $23,000 outstanding loan                  
          balance and (2) two vehicles, neither of which had any value.  In           
          section 7 of petitioner’s Form 433-A, petitioner also indicated             







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