Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. & Email Address FOR COURT USE ONLY Debtor(s) appearing without an attorney Attorney for Debtor(s) UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re: CASE NO.: CHAPTER: DIVISION DECLARATION OF DEBTOR RE POSTPETITION INCOME AND EXPENSES AS OF THE FOLLOWING DATE:______________ No Hearing Hearing Information DATE: TIME: COURTROOM: ADDRESS: Debtor(s) 1. I am a debtor (Debtor) in this bankruptcy case. 2. I declare that all of the following is true and correct and based on personal knowledge. If called upon as a witness, I would testify competently to the truthfulness of all of the statements below. 3. On (date) , this bankruptcy case was filed under chapter . 4. At the commencement of the bankruptcy case, I participated in the preparation of the original Schedules I and J. Attached as Exhibits A & B are the original Schedules I and J which accurately reflect my income and expenses as of the commencement of this bankruptcy case. 5. I participated in the preparation of the supplemental Schedules I and J, which are attached as Exhibits D & E and accurately reflect my income and expenses as of the filing of this declaration. 6. Previous supplemental Schedules I and J have not been filed were filed on (date) . This form is optional. It has been approved for use in the United States Bankruptcy Court for the Central District of California. December 2014 Page 1 F 9013-1.5.DEC.POSTPETITION.INC.EXP 7. This declaration supports the following (check all that apply): Debtor's Motion to Modify or Suspend Plan Payments under LBR 3015-1(n) and (w) Debtor's Motion for Authority to Refinance Real Property under LBR 3015-1(p) Debtor's Motion for Authority to Sell Real Property under LBR 3015-1(p) Debtor's Motion for Authority to Incur Debt [Personal Property] Debtor's Notice of Conversion from Chapter 13 to Chapter 7 under 11 U.S.C. § 1307(a) Debtor's Certification of Employment Income Response to Trustee's Motion to Convert or Dismiss Case Response to Motion for Relief from the Automatic Stay Other: 8. (Check one): There are no differences between the information provided in original Schedules I and J and the information provided in supplemental Schedules I and J. Stated below are the reasons for the differences in information provided in original Schedules I and J and in supplemental Schedules I and J: I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct. ___________ Date ___________________________ Printed name of Debtor _______________________________ Signature of Debtor This form is optional. It has been approved for use in the United States Bankruptcy Court for the Central District of California. December 2014 Page 2 F 9013-1.5.DEC.POSTPETITION.INC.EXP PROOF OF SERVICE OF DOCUMENT I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is: A true and correct copy of the foregoing document entitled: DEBTOR'S DECLARATION RE POSTPETITION INCOME AND EXPENSES AS OF THE FOLLOWING DATE: will be served or was served (a) on the judge in chambers in the form and manner required by LBR 5005-2(d); and (b) in the manner stated below: 1. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (NEF): Pursuant to controlling General Orders and LBR, the foregoing document will be served by the court via NEF and hyperlink to the document. On (date) , I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined that the following persons are on the Electronic Mail Notice List to receive NEF transmission at the email addresses stated below: The case trustee and U.S. Trustee will be automatically served by the Court at their email address. See NEF for confirmation of electronic transmission to the U.S. Trustee and any trustee in this case, and to any attorneys who receive service by NEF. Service information continued on attached page 2. SERVED BY UNITED STATES MAIL: On (date) , I served the following persons and/or entities at the last known addresses in this bankruptcy case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United States mail, first class, postage prepaid, and addressed as follows. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. Service information continued on attached page 3. SERVED BY PERSONAL DELIVERY, OVERNIGHT MAIL, FACSIMILE TRANSMISSION OR EMAIL (state method for each person or entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on (date) , I served the following persons and/or entities by personal delivery, overnight mail service, or (for those who consented in writing to such service method), by facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that personal delivery on, or overnight mail to, the judge will be completed no later than 24 hours after the document is filed. Service information continued on attached page I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct. Date Printed Name Signature This form is optional. It has been approved for use in the United States Bankruptcy Court for the Central District of California. December 2014 Page 3 F 9013-1.5.DEC.POSTPETITION.INC.EXP