Official Form B 6j - Schedule J: Your Expenses - United States Courts

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Fill in this information to identify your case:
Debtor 1
__________________________________________________________________
Check if this is:
First Name
Middle Name
Last Name
Debtor 2
________________________________________________________________
An amended filing
(Spouse, if filing)
First Name
Middle Name
Last Name
A supplement showing post-petition chapter 13
______________________
___________________________ District of ________
__________
United States Bankruptcy Court for the:
District of
expenses as of the following date:
________________
Case number
___________________________________________
MM / DD / YYYY
(If known)
A separate filing for Debtor 2 because Debtor 2
maintains a separate household
Official Form B 6J
Schedule J: Your Expenses
12/13
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number
(if known). Answer every question.
Part 1:
Describe Your Household
Is this a joint case?
1.
No. Go to line 2.
Yes. Does Debtor 2 live in a separate household?
No
Yes. Debtor 2 must file a separate Schedule J.
Do you have dependents?
2.
No
Dependent’s relationship to
Dependent’s
Does dependent live
Do not list Debtor 1 and
Debtor 1 or Debtor 2
age
with you?
Yes. Fill out this information for
Debtor 2.
each dependent ..........................
No
Do not state the dependents’
_________________________
________
Yes
names.
No
_________________________
________
Yes
No
_________________________
________
Yes
No
_________________________
________
Yes
No
_________________________
________
Yes
Do your expenses include
3.
No
expenses of people other than
Yes
yourself and your dependents?
Part 2:
Estimate Your Ongoing Monthly Expenses
Estimate your expenses as of your bankruptcy filing date unless you are using this form as a supplement in a Chapter 13 case to report
expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the
applicable date.
Include expenses paid for with non-cash government assistance if you know the value
of such assistance and have included it on Schedule I: Your Income (Official Form B 6I.)
Your expenses
The rental or home ownership expenses for your residence. Include first mortgage payments and
4.
$_____________________
any rent for the ground or lot.
4.
If not included in line 4:
Real estate taxes
$_____________________
4a.
4a.
Property, homeowner’s, or renter’s insurance
$_____________________
4b.
4b.
Home maintenance, repair, and upkeep expenses
$_____________________
4c.
4c.
Homeowner’s association or condominium dues
$_____________________
4d.
4d.
Official Form B 6J
Schedule J: Your Expenses
page 1

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