Profit & Loss Statement

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MONTHLY PROFIT & LOSS STATEMENT
For Use By Businesses Operating Under Chapter 13
For Period Ending _______________________ 200__
(Do not include expenses that are listed on Schedule J of your Bankruptcy Schedules)
INCOME
TOTALS
1. Gross Receipts or Sales
$
2. Cost of Goods Sold
$
a. Materials & Supplies
$_______________
b. Labor Costs
$_______________
(Do not include wages paid to your employees)
c. Other _________________________
$_______________
3. Gross Profit (subtract line 2 from line 1)
$
4. Other Income
$
Describe________________________________________________________
5. Gross Income (add lines 3 and 4)
$
EXPENSES
(do not list Chapter 13 payment)
6. Monthly Payment for Business Property or Office Space (Rent or Lease)
$
Landlord’s Name __________________________________________________
7. Employee Wages
$
8. Employee Benefits
$
9. Equipment Lease Payment
$
10. Secured Debt Payment
$
11. Supplies (not included in 2a above)
$
12. Utilities
$
13. Telephone
$
14. Repairs & Maintenance
$
15. Miscellaneous Office Expenses
$
Describe ________________________________________________________
16. Advertising
$
17. Travel & Entertainment
$
18. Professional Fees
$
Professional’s Name_______________ Purpose_________________________
19. Insurance:
$
a. Liability
$_____________
b. Property
$_____________
c. Vehicle
$_____________
d. Worker’s Comp
$_____________
e. Other _________
$_____________
20. Taxes:
$
a. Payroll
$_____________
b. Sales
$_____________
c. Other __________
$_____________
21. Total expenses (add lines 6 through 20)
$
$
TOTAL PROFIT (LOSS)
(subtract line 21 from line 5)
I/We declare under penalty of perjury that the information provided above is true and correct to the best of
my/our knowledge, information and belief.
___________________________________________
Dated:______________________________
Signature
___________________________________________
Bankruptcy Case No. __________________
Signature

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