INDIVIDUAL BA-01 United States Bankruptcy Court - Southern District of Alabama CASE NAME: CASE NO. : MONTH ENDING: Operating reports are to be filed monthly with the Bankruptcy Clerk222s Office by the 15th of each month INDIVIDUAL DEBTOR222S AFFIRMATIONS YES NO All post petition individual taxes have been paid or withheld and the deposit slips are attached. If you answered 223No224 to the above, list the types of taxes that are now due and owing. TYPE OF TAX AMOUNT $ $ $ $ 2. YES NO Adequate insurance on all assets/property including fire, theft, liability, collision and casualty is currently in full force and effect. If no, enter: TYPE(S) not in force. Bank Account No. (last 4 numbers) Type of Acct. Balance 3. List All Bank Accounts 1. $ 2. $ 3. $ 4. YES NO Copies of all banks statements are filed concurrently with the Bankruptcy Clerk222s Office . 5. YES NO I have otherwise complied with all requirements of the Chapter 11 Operating Order. 6. YES NO I have attached a list of all post petition creditors that have been incurred since the filing of this case but that have not been paid, including Court approved professional (attorney, accountant, etc.) fees. I CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. DATE PHONE RESPONSIBLE PARTY American LegalNet, Inc. www.FormsWorkFlow.com United States Bankruptcy Court for the Southern District of Alabama CASE NAME: CASE NO. : MONTH ENDING: Individual Debtor222s Cash Receipts and Disbursements Receipts/Income (net of payroll tax deductions & withholdings) $ Alimony, Maintenance, Support received Other Income Interest Sale/rent of real estate or personal property Social Security Pension or Retirement Other (specify) TOTAL RECEIPTS/INCOME DISBURSEMENTS/EXPENSES Food and housekeeping supplies Rent or Home Loan Real Estate Tax Utilities Home Maintenance (repairs and upkeep) Insurance Payments Installments Loan Payments Auto Loan Other loans Domestic Support Payments (child support/alimony) Adequate Protection Payments Other (specify) TOTAL ALL DISBURSEMENTS/EXPENDITURES TOTAL INCOME LESS TOTAL EXPENDITURES $ Beginning Cash Balance$ Ending Cash Balance$ I CERTIFY THAT THE ABOVE INFORMATION IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF. Date RESPONSIBLE PARTY American LegalNet, Inc. www.FormsWorkFlow.com