Debtor’s Name(s): Case No.: Monthly Operating Report for the Month ending: A. Cash Flow Statement Beginning Cash Balance (plus petty cash): : Total Monthly Business Receipts (deposits): Total Business Disbursements below: Gain or (Loss): : Ending Cash Balance: (plus petty cash): : $ $ $ $ $ B. Business Expenses/Disbursements Purchases of Inventory: Salaries/Wages: Debtor(s)/Employers Draw: Employees Benefits: Equipment Lease Payments: Secured Debt Payments: Rent/Lease Payments: Utilities (Electric, gas, water, DSL etc.): Telephone (include cell phone): Vehicle expenses (gas, oil, etc.): Miscellaneous Expenses: Repairs and Maintenance: Misc. Office Expenses: Advertising: Professional Fees: Bank Charges $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ Payroll: Sales: Income: Permits & Licenses: Other: Other: Other: $ $ $ $ $ $ $ Taxes Other Expenses $ $ $ $ $ $ $ $ $ TOTAL BUSINESS DISBURSEMENTS: $ 1 American LegalNet, Inc. www.FormsWorkflow.com