Official Form 22c - Statement Of Current Monthly Income And Calculation Of Commitment Period And Disposable Income Page 5
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8B 22C (Official Form 22C) (Chapter 13) (12/10)
5
Local Standards: transportation ownership/lease expense; Vehicle 2. Complete this Line only if you
checked the “2 or more” Box in Line 28.
Enter, in Line a below, the “Ownership Costs” for “One Car” from the IRS Local Standards: Transportation
(available at
or from the clerk of the bankruptcy court); enter in Line b the total of the
Average Monthly Payments for any debts secured by Vehicle 2, as stated in Line 47; subtract Line b from
Line a and enter the result in Line 29. Do not enter an amount less than zero.
29
a.
IRS Transportation Standards, Ownership Costs
$
b.
Average Monthly Payment for any debts secured by Vehicle 2,
as stated in Line 47
$
c.
Net ownership/lease expense for Vehicle 2
Subtract Line b from Line a.
$
Other Necessary Expenses: taxes. Enter the total average monthly expense that you actually incur for all
30
federal, state, and local taxes, other than real estate and sales taxes, such as income taxes, self-employment
taxes, social-security taxes, and Medicare taxes. Do not include real estate or sales taxes.
$
Other Necessary Expenses: involuntary deductions for employment. Enter the total average monthly
deductions that are required for your employment, such as mandatory retirement contributions, union dues,
31
and uniform costs. Do not include discretionary amounts, such as voluntary 401(k) contributions.
$
Other Necessary Expenses: life insurance. Enter total average monthly premiums that you actually pay for
32
term life insurance for yourself. Do not include premiums for insurance on your dependents, for whole
$
life or for any other form of insurance.
Other Necessary Expenses: court-ordered payments. Enter the total monthly amount that you are required
33
to pay pursuant to the order of a court or administrative agency, such as spousal or child support payments.
$
Do not include payments on past due obligations included in Line 49.
Other Necessary Expenses: education for employment or for a physically or mentally challenged child.
Enter the total average monthly amount that you actually expend for education that is a condition of
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employment and for education that is required for a physically or mentally challenged dependent child for
$
whom no public education providing similar services is available.
Other Necessary Expenses: childcare. Enter the total average monthly amount that you actually expend on
35
childcare—such as baby-sitting, day care, nursery and preschool. Do not include other educational
$
payments.
Other Necessary Expenses: health care. Enter the total average monthly amount that you actually expend
on health care that is required for the health and welfare of yourself or your dependents, that is not reimbursed
36
by insurance or paid by a health savings account, and that is in excess of the amount entered in Line 24B. Do
$
not include payments for health insurance or health savings accounts listed in Line 39.
Other Necessary Expenses: telecommunication services. Enter the total average monthly amount that you
actually pay for telecommunication services other than your basic home telephone and cell phone service—
37
such as pagers, call waiting, caller id, special long distance, or internet service—to the extent necessary for
$
your health and welfare or that of your dependents. Do not include any amount previously deducted.
38
Total Expenses Allowed under IRS Standards. Enter the total of Lines 24 through 37.
$
Subpart B: Additional Living Expense Deductions
Note: Do not include any expenses that you have listed in Lines 24-37
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