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Fill and Sign the Fillable Online Caeb Uscourts Schedule I Current Income of Form

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Official Form 6I Instructions for Schedule I: Your Income United States Bankruptcy Court 12/01/13 How to fill out Schedule I In Schedule I : Your Income (Official Form 6 I), you will give the details about your employment and monthly income as of the date you file this form. If you are married and your spouse is living with you, include information about your spouse even if your spouse is not filing with you. If you are separ ated and your spouse is not filing with you, do not include information about your spouse. How to report employment and income If you have nothing to report for a line, write $0. In Part 1, line 1 , fill in employment information for you and , if appropriate, for a non-filing spouse. I f either person has more than one employer , attach a separate page with information about the additional employment . In Part 2, give details about the monthly income you currently expect to receive . Show all totals as monthly payments , even if income is not received in monthly payments . If your income is received in another time period, such as daily , weekly, quarterly, annual ly, or irregularly, calculate how much income would be by month, as described below. If either you or a non-filing spouse has more than one employer, calculate the monthly amount for each employer separately, and then combine the income information fo r all employers for that person on lines 2-7. One easy way to calculate how much income per month is to total the payments earned in a year, then divide by 12 to get a monthly figure. For example, if you are paid seasonally , you would simply divide the amount you expect to earn in a year by 12 to get the monthly amount. Below are other examples of how to calculate monthly amount. Example for quarterly payments: If you are paid $15,000 every quarter, figure your monthly income in this way: $ 15,000 income every quarter X 4 pay periods in the year $60,000 total income for the year $60,000 (income for year ) = $5,000 monthly income 12 (number of months in year ) Example for bi -weekly payments: If you are paid $2,500 every other week, figure your monthly income in this way: $2,500 income every other week X 26 number of pay periods in the year $65,000 total income for the year $ 65,000 (income for year ) = $5,417 monthly income 12 (number of months in year ) Example for weekly payment: If you are paid $1,000 every week, figure your monthly income in this way: $1,000 income every week X 52 number of pay periods in the year $52,000 total income for the year $52,000 (income for year ) = $4,333 monthly income 12 (number of months in year ) Example for irregular payments: If you are paid $4,000 8 times a year, figure your monthly income in this way: $4,000 income a payment X 8 payments a year $32,000 income for the year $32,000 ( income for year ) = $2,667 monthly income 12 (number of months in year ) Example for daily payments: If you are paid $75 a day and you work about 8 days a month, figure your monthly income in this way: $ 75 income a day X 96 days a year $7,200 total income for the year $7,200 (income for year ) = $600 monthly income 12 (number of months in year ) or this wa y: $ 75 income a day X 8 payments a month $600 income for the month In Part 2, line 11 , fill in amounts that other people provide to pay the expenses you list on Schedule J: Your Expenses . For example, if you and a person to whom you are not married pay all household expenses together and you list all your joint household expenses on Schedule J, you must list the amounts that person contributes monthly to pay the household expenses on line 11. If you have a roommate and you divide the rent and utilities, do not list the amounts your roommate pays on line 11 if you have listed only your share of those expenses on Schedule J. Do not list on line 11 contributions that you already disclosed elsewhere on the form. Note that the i ncome you report on Schedule I may be different from the income you report on other bankruptcy forms. For example, the Statement of Current Monthly Income and Means Test Calculation (Chapter 7) (Official Form 22A), Statement of Current Monthly Incom e (Cha pter 11) (Official Form 22B), and the Statement of Current Monthly Income and Calculation of Commitment Period (Chapter 13) (Official Form 22C) all use a different definition of income and apply that definition to a different period of time. Schedule I asks about the income that you are now receiving , while the other forms ask about income you received in the applicable time period before filing. So the amount of income reported in any of those forms may be different from the amount reported here. If, af ter filing Schedule I , you need to file an estimate of income in a chapter 13 case for a date after your bankruptcy, you may complete a supplemental Schedule I. To do so you must check the “supplement” box at the top of the form and fill in the date. Unde rstand the terms used in th is form This form uses you and Debtor 1 to refer to a debtor filing alone. A married couple may file a bankruptcy case together— called a joint case —and in joint cases, this form uses you to ask for information from both debtors. When information is needed about the spouses separately, the form uses Debtor 1 and Debtor 2 to distinguish between them. In joint cases, one of the spouses must report information as Debtor 1 and the other as Debtor 2. The same person must be Debtor 1 in all of the forms. Things to remember when filling out this form  Be as complete and accurate as possible.  If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known).  If two married people are filing together, both are equally responsible for supplying correct information. Do not file these instructions with your bankruptcy filin g package. Keep them for your records. Official Form B 6I Schedule I: Your Income page 1 Official Form B 6I Schedule I : Your Income 12/13 Be as complete and accurate as possible. If two married people are filing together (Debtor 1 and Debtor 2), both are equally responsible for supplying correct information. If you are married and not filing jointly , and your spouse is living with you, include information about your spouse. If you are separated and your spouse is not filing with you, do not include infor mation about your spouse. If more space is needed, attach a separate sheet to this form. On the top of any additional pages, write your name and case number (if known). Answer every question. Part 1: Describe Employment 1.Fill in your employment information. If you have more than one job, attach a separate page with information about additiona l employers. Include part -time, seasonal, or self -employed work. Occupation may Include student or homemaker, if it applies . Debtor 1 Debtor 2 or non -filing spouse Employment status Employed  Not employed  Employed  Not emp loyed Occupation __________________________________ __________________________________ Employer’s name __________________________________ __________________________________ Employer’s address ______ ____________________ __________ ___ Number Street _________________ _____________________ _ _____________ _________________________ _ ____________ __________________________ _ City State ZIP Code _______ ______________ ______ __________ ___ Number Street __________________ _____________________ _ ______________ ____ _____________________ _ _____________ __________________________ _ City State ZIP Code How long employed there? _______ _______ Part 2: Give Details About Monthly Income Estimate monthly income as of the date you file this form . If you have nothing to report for any line, write $0 in the space. Include your non-filing spouse unless you are separated . If you or your non -filing spouse have more than one employer, combine the information for all employers for that person on the lines below. If you need mo re space, attach a separate sheet to this form . For Debtor 1 For Debtor 2 or non-filing spouse 2.List monthly gross wages, salary, and commissions (before all payroll deductions ). If not paid monthly, calculate what the monthly wage would be. 2. $________ ___ $_____ _______ 3. Estimate and list monthly overtime pay. 3. + $__ _________ + $_____ _______ 4. Calculate gross income. Add line 2 + line 3. 4. $__________ $____________ Debtor 1 __________________________________________________________ _________ First Nam e Middle Nam e Last Name Debtor 2 _____________________________________________________________ _____ ( Spouse, if filing ) First Nam e Middle Nam e Last Name United States Bankruptcy Court for the: ______________________ District of __________ Case number ___________________________________________ (If known) Fill in this information to identify your case: Check if this is : An amended filing  A supplement showing post -petition chapter 13 income as of t he following date: ________________ MM / DD / YYYY ___________________________ District of ________ Debtor 1 _______________________________________________________ Case number (if known )_____________________________________ First Nam e Middle Nam e Last Name Official Form B 6I Schedule I: Your Income page 2 For Debtor 1 For Debtor 2 or non -filing spouse Copy line 4 here ............................................................................................  4. $_____ ___ ___ $_____________ 5.List all payroll deductions: 5a. Tax , Medicare , and Social Security deductions 5a. $___ _________ $___ __________ 5b. Mandatory contributions for retirement plans 5b. $________ ____ $_________ ____ 5c. Voluntary contributions for retirement plans 5c. $________ ____ $_________ ____ 5d. Required repayments of retirement fund loans 5d. $_____ ___ ____ $_____________ 5e. Insurance 5e. $_____ ___ _ ___ $_________ ____ 5f. Domestic support obligations 5f. $_____ ___ ____ $_____________ 5g. Union dues 5g. $_________ ___ $_____________ 5h. Other deductions. Specify: __________________________________ 5h. + $__ _____ _____ + $_____________ 6. Add the payroll deductions . Add lines 5a + 5b + 5c + 5d + 5e +5f + 5g +5h. 6. $____________ $___________ __ 7. Calculate total monthly take -home pay. Subtract line 6 from line 4. 7. $________ ____ $_______ ______ 8. List all other income regularly received: 8a. Net income from rental property and from operating a business, profession, or farm Attach a statement for each property and business showing gross receipts, ordinary and necessary business expenses, and the total monthly net income. 8a. $_____ ___ ____ $_____ ________ 8b. Interest and dividends 8b. $_____ _______ $____ _________ 8c. Family support payments that you, a non -filing spouse, or a dependent regularly receive Include alimony, spousal support, child support, maintenance, divorce settlement, and property settlement. 8c. $___ ____ _____ $____ _____ ____ 8d. Unemployment compensation 8d. $____________ $_____________ 8e. Social Security 8e. $____________ $_________ ____ 8f. Other government assistance that you regularly receive Include cash assistance and the value (if known) of any non -cash assistance that you receive, such as food stamps (benefits under the Supplemental Nutrition Assistance Program) or housing subsidies. Specify: ________________ ___________________________________ 8f. $______ ______ $_____________ 8g. Pension or retirement income 8g. $____________ $_________ ____ 8h. Other monthly income. Specify: __________________ _____________ 8h. + $____________ + $___ __________ 9. Add all other income . Add lines 8a + 8b + 8c + 8d + 8e + 8f +8g + 8h. 9. $_______ __ ___ $________ _____ 10. Calculate monthly income. Add line 7 + line 9. Add the entries in line 1 0 for Debtor 1 and Debtor 2 or non -filing spouse .10. $____ _______ + $____ ________ _ = $__ _____ __ ____ 11.State all other regular contributions to the expenses that you list in Schedule J. Include contributions from an unmarried partner, members of your household, your dependents, your roommates, and other friends or relatives . Do not include any amounts already included in lines 2 -10 or amounts that are not available to pay ex penses listed in Schedule J. Specify: _______________________________________________________________________________ 11 .+ $__ __ ____ _____ 12. Add the amount in the last column of line 10 to the amount in line 11. The result is the combined monthly i ncome. Write that amount on the Summary of Schedules and Statistical Summary of Certain Liabilities and Related Data, if it applies 12. $__ _____ __ ____ Combined monthly income 13. Do you expect an increase or decrease within the year after you file this fo rm?  No.  Yes. Explain:

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