Attorney for Debtor-In-Possession UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA In Re: CASE NUMBER DEBTOR-IN-POSSESSION MONTHLY OPERATING REPORT FOR THE MONTH OF _________________, 20___ Debtor(s). TO: THE HONORABLE __________________________ UNITED STATES BANKRUPTCY JUDGE The debtor-in-possession hereby files its MONTHLY OPERATING REPORT pursuant to the United States Trustee's Operating and Reporting Requirements for chapter 12 cases. DATED: __________________________________ Attorney for Debtor-In-Possession Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com UNITED STATES DEPARTMENT OF JUSTICE OFFICE OF THE UNITED STATES TRUSTEE SOUTHERN DISTRICT OF CALIFORNIA In Re: CHAPTER 12 (FAMILY FARMER) CASE NO. ________________________ OPERATING REPORT NO. ________ FOR THE MONTH ENDING: __________________________________ Debtor(s). I. CASH RECEIPTS AND DISBURSEMENTS A. (GENERAL ACCOUNT) 1. TOTAL RECEIPTS PER ALL PRIOR GENERAL ACCOUNT REPORTS 2. LESS: TOTAL DISBURSEMENTS PER ALL PRIOR GENERAL ACCOUNT REPORTS $ ________________ $ ________________ $ ________________ 3. BEGINNING BALANCE: 4. SUMMARY OF RECEIPTS DURING CURRENT PERIOD: TOTAL FARM INCOME (from page 2) TOTAL OUTSIDE WAGES (from page 3) TOTAL OTHER RECEIPTS* (from page 3) $ ________________ $ ________________ $ ________________ TOTAL RECEIPTS THIS PERIOD: 5. BALANCE: 6. LESS: TOTAL DISBURSEMENTS DURING CURRENT PERIOD (Total from Page 5) 7. ENDING BALANCE: $ ________________ $ ________________ $ ________________ $ ________________ 8. GENERAL ACCOUNT NUMBER ______________________________________ DEPOSITORY NAME AND LOCATION____________________________________________________ * Include receipts from the sale of any real or personal property out of the ordinary course of business; attach an exhibit specifying what was sold, to whom, terms, and date of Court Order or Report of Sale. Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com I. MONTHLY CASH RECEIPTS AND DISBURSEMENTS: (Report on a cash basis unless you keep financial records on an accrual basis.) A. GENERAL ACCOUNT: 1. CASH RECEIPTS: (Source and amounts) a. Farm Income: List sales by kind (crop, livestock, etc.) Kind: Qty sold: $ per unit $ MONTH $ YEAR-TO-DATE $ (attach continuation sheet if necessary) b. Miscellaneous Farm Income: Contract Payments MONTH $ YEAR-TO DATE $ Pre-Filing Accts Receivables Rent Payments Government Payments PIK and Roll Proceeds Custom Farming Income Custom Feeding Payments Other (specify source): TOTAL FARMING INCOME: $ $ Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com MONTH c. Wages from Outside Work: Husband (describe source): $ YEAR-TO-DATE $ Wife (describe source): TOTAL OUTSIDE WAGES: $ $ d. Other Receipts: Social Security Other (describe): $ $ TOTAL OTHER RECEIPTS: $ $ TOTAL CASH RECEIPTS: $ $ Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com 2. CASH DISBURSEMENTS (GENERAL ACCOUNT ONLY) a. HOUSEHOLD EXPENSES FOR THE CURRENT PERIOD DATE CHECK NUMBER PAYEE PURPOSE AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ HOUSEHOLD EXPENSE SUB-TOTAL THIS PERIOD: $ _______________ (Add additional pages as necessary to include all disbursements.) Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com b. FARM EXPENSES FOR THE CURRENT PERIOD DATE CHECK NUMBER PAYEE PURPOSE AMOUNT $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ FARM EXPENSE SUB-TOTAL THIS PERIOD: $ _______________ TOTAL DISBURSEMENTS THIS PERIOD (transfer amount to page 1) $ (Add additional pages as necessary to include all disbursements.) Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com I. MONTHLY CASH RECEIPTS AND DISBURSEMENTS (Continued) B. PAYROLL ACCOUNT 1. TOTAL RECEIPTS PER ALL PRIOR PAYROLL ACCOUNT REPORTS 2. LESS: TOTAL DISBURSEMENTS PER ALL PRIOR PAYROLL ACCOUNT REPORTS 3. BEGINNING BALANCE 4. RECEIPTS: TRANSFERRED FROM GENERAL ACCOUNT 5. BALANCE 6. LESS: PAYROLL DISBURSEMENTS DURING CURRENT PERIOD (Attach continuation sheet if necessary) DATE CHECK NO. PAYEE AMOUNT $ ________________ $ ________________ $ ________________ $ ________________ $ ________________ TOTAL DISBURSEMENTS THIS PERIOD: $ ________________ 7. ENDING BALANCE: $ ________________ 8. PAYROLL ACCOUNT NUMBER ___________________________________ DEPOSITORY NAME AND LOCATION _____________________________________________________ ________________________________________________________________________________________ Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com I. MONTHLY CASH RECEIPTS AND DISBURSEMENTS (Continued) C. TAX ACCOUNT 1. TOTAL RECEIPTS PER ALL PRIOR TAX ACCOUNT REPORTS 2. LESS: TOTAL DISBURSEMENTS PER ALL PRIOR TAX ACCOUNT REPORTS 3. BEGINNING BALANCE: 4. RECEIPTS: TRANSFERRED FROM GENERAL ACCOUNT 5. BALANCE: 6. LESS: TAX PAYMENTS DURING CURRENT PERIOD DATE CHECK NO. PAYEE PURPOSE AMOUNT $ ________________ $ ________________ $ ________________ $ ________________ $ ________________ TOTAL DISBURSEMENTS THIS PERIOD $ ________________ 7. ENDING BALANCE $ ________________ 8. TAX ACCOUNT NUMBER ___________________________________ DEPOSITORY NAME AND LOCATION D. SUMMARY SCHEDULE OF CASH ENDING BALANCES FOR PERIOD: GENERAL ACCOUNT PAYROLL ACCOUNT TAX ACCOUNT OTHER ACCOUNTS*: __________________ OTHER MONIES*: ______________________ PETTY CASH** TOTAL CASH AVAILABLE $ ________________ $ ________________ $ ________________ $ ________________ $ ________________ $ ________________ $ ________________ * Specify the fund and the type of holding (i.e., CD, savings account, investment securities, etc.), and the depository name, location, and account number. ** Attach exhibit itemizing all petty cash transactions. NOTE: Attach copies of monthly accounts statements from financial institutions for each account. Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com E. OTHER NON-CASH LOSSES 1. LOSS DUE TO CROP FAILURE OR DAMAGE (Itemize crops lost and cause) $ 2. LOSS DUE TO DEATH OR DISEASE OF LIVESTOCK/POULTRY (Itemize livestock or poultry lost and cause) $ 3. TOTAL NON-CASH LOSSES $ Attachment 2 American LegalNet, Inc. www.FormsWorkFlow.com II. STATUS OF PAYMENTS TO SECURED CREDITORS, LESSORS, AND OTHER PARTIES TO EXECUTORY CONTRACT FREQUENCY POST-PETITION CREDITOR, OF PAYMENTS AMOUNT OF PAYMENTS NOT MADE LESSOR, ETC. (Mo., Qtr.) PAYMENT NUMBER TOTAL DUE III. TAX LIABILITIES FOR THE REPORTING PERIOD: GROSS SALES SUBJECT TO SALES TAX TOTAL WAGES PAID POST-PETITION AMOUNTS OWING FEDERAL WITHHOLDING STATE WITHH