Form 106j-2 - Schedule J-2: Expenses For Separate Household Of Debtor 2
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1
2
3Fill 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 postpetition chapter 13
______________________
__________
United States Bankruptcy Court for the:
District of
expenses as of the following date:
(State)
________________
Case number
___________________________________________
MM / DD / YYYY
(If known)
Official Form 106J-2
Schedule J-2:
Expenses for Separate Household of Debtor 2
12/15
Use this form for Debtor 2’s separate household expenses ONLY IF Debtor 1 and Debtor 2 maintain separate households. If Debtor 1 and
Debtor 2 have one or more dependents in common, list the dependents on both Schedule J and this form. Answer the questions on this form
only with respect to expenses for Debtor 2 that are not reported on Schedule J. Be as complete and accurate as possible. 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
Do you and Debtor 1 maintain separate households?
1.
No. Do not complete this form.
Yes
Do you have dependents?
2.
No
Dependent’s relationship to
Dependent’s
Does dependent live
Do not list Debtor 1 but list all
Debtor 2:
age
with you?
Yes. Fill out this information for
other dependents of Debtor 2
each dependent ..........................
regardless of whether listed as a
No
_________________________
________
dependent of Debtor 1 on
Yes
Schedule J.
No
_________________________
________
Do not state the dependents’
Yes
names.
No
_________________________
________
Yes
No
_________________________
________
Yes
No
_________________________
________
Yes
Do your expenses include
3.
No
expenses of people other than
Yes
yourself, your dependents, and
Debtor 1?
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.
Include expenses paid for with non-cash government assistance if you know the value of
Your expenses
such assistance and have included it on Schedule I: Your Income (Official Form 106I.)
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 106J-2
Schedule J-2: Expenses for Separate Household of Debtor 2
page 1
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