Free B6I - Schedule I - Current Income of Individual Debtor(s) - California

File Size: 43.7 kB
Pages: 1
Date: April 11, 2008
File Format: PDF
State: California
Category: Bankruptcy
Author: jlis
Word Count: 296 Words, 2,093 Characters
Page Size: Letter (8 1/2" x 11")

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B6I (Official Form 6I) (12/07) In re Debtor Case No. (If known)

The column labeled "Spouse" must be completed in all cases filed by joint debtors and by every married debtor, whether or not a joint petition is filed, unless the spouses are separated and a joint petition is not filed. Do not state the name of any minor child. The average monthly income calculated on this form may differ from the current monthly income calculated on Form 22A, 22B, or 22C. Debtor's Marital Status: RELATIONSHIP(S): Employment: Occupation Name of Employer How long employed Address of Employer DEBTOR SPOUSE DEPENDENTS OF DEBTOR AND SPOUSE AGE(S):

INCOME: (Estimate of average or projected monthly income at time case filed) 1. Monthly gross wages, salary, and commissions (Prorate if not paid monthly) 2. Estimate monthly overtime 3. SUBTOTAL 4. LESS PAYROLL DEDUCTIONS a. Payroll taxes and social security b. Insurance c. Union dues d. Other (Specify): 5. SUBTOTAL OF PAYROLL DEDUCTIONS 6. TOTAL NET MONTHLY TAKE HOME PAY 7. Regular income from operation of business or profession or farm (Attach detailed statement) 8. Income from real property 9. Interest and dividends 10. Alimony, maintenance or support payments payable to the debtor for the debtor's use or that of dependents listed above 11. Social security or government assistance (Specify): 12. Pension or retirement income 13. Other monthly income (Specify): 14. SUBTOTAL OF LINES 7 THROUGH 13 15. AVERAGE MONTHLY INCOME (Add amounts on lines 6 and 14)

DEBTOR $________________ $________________

SPOUSE $______________ $______________

$_______________ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $ $


$ $

$ 16. COMBINED AVERAGE MONTHLY INCOME: (Combine column totals from line 15) (Report also on Summary of Schedules and, if applicable, on Statistical Summary of Certain Liabilities and Related Data) 17. Describe any increase or decrease in income reasonably anticipated to occur within the year following the filing of this document:


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