Form B 122c-1 - Chapter 13 Statement Of Your Current Monthly Income And Calculation Of Commitment Period Page 3

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Debtor 1
_______________________________________________________
Case number
_____________________________________
(if known)
 
First Name
Middle Name
Last Name
Calculate the median family income that applies to you. Follow these steps:
16.
Fill in the state in which you live.
_________
16a.
Fill in the number of people in your household.
_________
16b.
Fill in the median family income for your state and size of household.
16c.
..............................................................................................
$___________
To find a list of applicable median income amounts, go online using the link specified in the separate
instructions for this form. This list may also be available at the bankruptcy clerk’s office.
How do the lines compare?
17.
Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under
17a.
 
11 U.S.C. § 1325(b)(3). Go to Part 3.
Do NOT fill out Calculation of Your Disposable Income (Official Form 122C–2).
Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under
17b.
 
11 U.S.C. § 1325(b)(3). Go to Part 3
and fill out Calculation of Your Disposable Income (Official Form 122C–2).
On line 39 of that form, copy your current monthly income from line 14 above.
Part 3:
Calculate Your Commitment Period Under 11 U.S.C. § 1325(b)(4)
Copy your total average monthly income from line 11.
18.
........................................................................................................................
$__________
Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you contend that
19.
calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your spouse’s income, copy
the amount from line 13.
 
If the marital adjustment does not apply, fill in 0 on line 19a. ................................................................................................
19a.
$__________
Subtract line 19a from line 18.
$__________
19b.
Calculate your current monthly income for the year. Follow these steps:
20.
Copy line 19b..
20a.
.........................................................................................................................................................................................
$___________
x 12
Multiply by 12 (the number of months in a year).
  
. The result is your current monthly income for the year for this part of the form.
20b
$___________
Copy the median family income for your state and size of household from line 16c.
20c.
...................................................................
$___________
How do the lines compare?
21.
Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3,
The commitment period is 3 years. Go to Part 4.
Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form,
check box 4, The commitment period is 5 years. Go to Part 4.
Part 4:
Sign Below
By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.
____________________________________
___________________________________________________
Signature of Debtor 1
Signature of Debtor 2
Date _________________
Date _________________
MM / DD / YYYY
MM / DD
/ YYYY
If you checked 17a, do NOT fill out or file Form 122C–2.
 
If you checked 17b, fill out Form 122C–2 and file it with this form.
On line 39 of that form, copy your current monthly income from line 14 above.
 
B 122C-1 (Official Form 122C-1) Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period
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