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Current Monthly Income Details For The Debtor Form. This is a California form and can be use in USBC Southern Federal.
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Tags: Current Monthly Income Details For The Debtor, California Federal, USBC Southern
CURRENT MONTHLY INCOME DETAILS FOR THE DEBTOR
Income for the Period ____________________ to ____________________
Gross wages, salary, tips, bonuses, overtime, commissions
Source of Information:______________________________________________________
Income by Month;
6 Months Ago:
5 Months Ago:
4 Months Ago:
3 Months Ago:
2 Months Ago:
Last Month:
Date
Sum
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Average per month:
__________________________
Deductions:
Source of Information:_______________________________________________________
6 Months Ago:
5 Months Ago:
4 Months Ago:
3 Months Ago:
2 Months Ago:
Last Month:
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
________________________________________________________
Average per month:
__________________________
Average net income per month: __________________________
Date:____________________
________________________________
Debtor
________________________________
Co-Debtor
ATTORNEY CERTIFICATE
I have reviewed the documentation of the debtor upon which the representations of the
debtor are made in this Statement.
Date:____________________
09/08
_________________________________
Attorney for Debtor (Printed/Signed)
Exhibit “A”
American LegalNet, Inc.
www.FormsWorkflow.com
CURRENT MONTHLY INCOME DETAILS FOR THE DEBTOR
Employer:__________________________________________________________________
Year to Date gross as of
Year to Date gross as of
Total Gross during period
Average Monthly Gross
Year to Date expenses as of
Year to Date expenses as of
_______________:
_______________:
$________________________
$________________________
$___________________/_____months (or other period)
$___________________
_______________:
_______________:
$________________________
$________________________
Total expenses during period $___________________/_____months (or other period)
Average Monthly Expenses $___________________
Note: If more than one employer during six month period prior to filing of bankruptcy case,
provide additional form for each employer.
ATTORNEY CERTIFICATE
I have reviewed the documentation of the debtor upon which the representations of the
debtor are made in this Statement.
Date:____________________
_________________________________
Attorney for Debtor (Printed/Signed)
Exhibit “A-1"
American LegalNet, Inc.
www.FormsWorkflow.com
