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Property Settlement and Voluntary Separation Agreement

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					                                                                             Instructions-Legend



Instructions / Legend for this Workbook
                         The remaining worksheets in this workbook describe the PDF documents that the US Department of Justice would like to be data enabled. Data
                         enabled forms would enhance the processing of the information given in the forms through more efficient and accurate capture of the data.
                         Each worksheet is labeled by the official form ID. At the top of each worksheet, the description of the form is followed by the description of the fields
                         and their associated tags. The following legend should be used to better understand the layout of the worksheets.
 Date of this Workbook   December 12, 2008
     Field on Form       This column provides the text label as seen on the document.
      Field Name         This column provides the recommended data tag. In some occasions, there are repeating rows of information on the document. These rows are
                         identified in the data tag by the use of brackets. For example, "market_value[1]" represents the market value in the 1st row of data while
                         "market_value[n]" represents the market value in the nth row.
        Value            This column provides the expected data type for fields where the values are not limited to specific responses. Where fields are limited to specific
                         responses, the expected responses are listed. For example, for all check boxes on the form, the expected values are "true" and "false" where "true"
                         represents the box being selected. Following are the data types expected in these forms:
                            text - Any combination of letters, numbers, and symbols.
                            date - Date values in the format MM/DD/CCYY.
                            money - A number format allowing up to 2 decimal places specified.
                            number - A number format allowing any number of decimal places.
        Notes            This column provides any additional notes about the field that would aid in understanding the information provided.




                                                               24bb4c00-94be-4289-becc-5023b0ef0156.xls                                                                        Page 1
                                                                        Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                             Field on Form                                Field Name

Page 1

Form Name                                              form.name
Version                                                form.version
Date                                                   form.date
Rules                                                  form.rules_date
Vendor                                                 form.vendor
Page                                                   form.page

                                                       district.name
                                                       district.state
Debtor
               Name of Debtor                          debtor.full_name
               All Other Names used by Debtor          debtor.aliases
               Last four digits of SSN                 debtor.tax_id
               Address                                 debtor.address.residence
               Residence Zip Code                      debtor.address.residence_zip_code
               County of Residence                     debtor.county
               Mailing Address                         debtor.address.mailing
               Mailing Address Zip Code                debtor.address.mailing_zip_code
               Location of Principal Assets            debtor.address.principal_assets
               Location of Principal Assets Zip Code   debtor.address.principal_assets_zip_code

Joint Debtor
               Name of Joint Debtor                    joint_debtor.full_name
               All Other Names used by Joint Debtor    joint_debtor.aliases
               Last four digits of SSN                 joint_debtor.tax_id
               Address                                 joint_debtor.address.residence
               Residence Zip Code                      joint_debtor.address.residence_zip_code
               County of Residence                     joint_debtor.county
               Mailing Address                         joint_debtor.address.mailing
               Mailing Address Zip Code                joint_debtor.address.mailing_zip_code




         USTP Confidential                                                   Official Form B1       Page 2
                                                                   Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                          Field on Form                                 Field Name
Venue
            District Residence                       venue.district_residence
            District Affiliate                       venue.district_affiliate
            Foreign Proceeding                       venue.foreign_proceeding

Type of Debtor
            Individual                               debtor_type
            Corporation
            Partnership
            Other
                                                     debtor_type.other_text

Nature of Business
            Health Care business                     business.nature.health_care
            Single Asset Real Estate                 business.nature.single_asset
            Railroad                                 business.nature.railroad
            Stockbroker                              business.nature.stockbroker
            Commodity Broker                         business.nature.commodity_broker
            Clearing Bank                            business.nature.clearing_bank
            Other                                    business.nature.other


Chapter or Section of Bankruptcy Code (Check one box)
            Chapter 7                                 chapter_section
            Chapter 9
            Chapter 11
            Chapter 12
            Chapter 13
            Chapter 15 Foreign Main
            Chapter 15 Foreign Nonmain

Tax-Exempt Entity
          Debtor is a tax-exempt organization        tax.exempt.entity




        USTP Confidential                                                 Official Form B1     Page 3
                                                                  Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                            Field on Form                               Field Name

Nature of Debts (Check one box)
            Consumer / Non-Business                 nature_of_debts
            Business

Filing Fee (Check one box)
             Filing Fee Attached                    filing_fee
             Filing Fee Payments
             Filing Fee Waiver

Chapter 11 Small business
            Debtor is small business                 small_business.usc_101
            Debtor is not a small business           small_business.usc_101
            Debts less than $2 million               small_business.under_2mil
            Plan filed with petition                 plan_filed_petition
            Acceptances of plan solicited prepetitionplan_solicited_prepetition

Statistical/Administrative Information
              Funds available                       funds.availablity
              No funds available

Estimate Number of Creditors (Check one box)
           Creditors 1-49                           estimated_number_of_creditors
           Creditors 50-99
           Creditors 100-199
           Creditors 200-999
           Creditors 1000-5000
           Creditors 5001-10000
           Creditors 1001-25000
           Creditors 25001-50000
           Creditors 50001-100000
           Creditors OVER 100000

Estimated Assets (Check one box)



        USTP Confidential                                                 Official Form B1    Page 4
                                                          Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                          Field on Form                     Field Name
             Assets 0-10k                     estimated_assets
             Assets 10k-100k
             Assets 100k-1 m
             Assets 500k-1m
             Assets 1m-100m
             Assets 10m-50m
             Assets 50m-100m
             Assets 100m - over

Estimated Liabilities Debts (Check one box)
            Debts 0-50k                       estimated_debts
            Debts 50k-100k
            Debts 100k-1m
            Debts 500k-1m
            Debts 1m-100m
            Debts 10m-50m
            Debts 50m-100m
            Debts 100m - over

Page 2

Page                                          form.page

Name of Debtors                               debtor.full_name

Prior Bankruptcy Case
            Location Where Filed              prior_bankruptcy.district
            Case Number                       prior_bankruptcy.case_number
            Date Filed                        prior_bankruptcy.date
            Location Where Filed2             prior_bankruptcy.district2
            Case Number2                      prior_bankruptcy.case_number2
            Date Filed2                       prior_bankruptcy.date2

Pending Bankruptcy Case



         USTP Confidential                                       Official Form B1     Page 5
                                                                  Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                          Field on Form                            Field Name
             Name of Debtor                          pending_bankruptcy.debtor.full_name
             Case Number                             pending_bankruptcy.case_number
             Date Filed                              pending_bankruptcy.date
             District                                pending_bankruptcy.district
             Relationship                            pending_bankruptcy.relationship
             Judge                                   pending_bankruptcy.judge

Exhibit A Attached                                   attachment.exhibit_a
Exhibit B Signature Date                             attachment.exhibit_b.signature_date
Exhibit C Attached                                   attachment.exhibit_c

Exhibit D Attached                                   attachment.exhibit_d
Exhibit D Attached                                   attachment.exhibit_d-joint
Certification Concerning Debt Counseling
                                                     debt_counseling
                                                     debt_counseling

Information Regarding the Debtor Venue
                                                     venue.district_residence
                                                     venue.district_affiliate
                                                     venue.foreign_proceeding

Statement of Debtor Who Resides as a Tenant of Residential Property
                                                     debtor.statement.has_judgement
                                                     debtor.statement.debtor_claims
                                                     debtor.statement.debtor_has_included
                                                     debtor.statement.landlord_name
                                                     debtor.statement.landlord_address

Page 3

Page                                                 form.page

Name of Debtors                                      debtor.full_name



         USTP Confidential                                              Official Form B1      Page 6
                                                                   Draft PDF Data Tag Schema


Official Form B1 - Voluntary Petition

                         Field on Form                                Field Name

Signatures
Debtor (Individual)
             Telephone Number                         debtor.telephone_number
             Date                                     debtor.signature_date
Foreign Representative
             Request Relief                           debtor.foreign_request.relief
             Certified copy attached                  debtor.foreign_request.relief
             Printed Name of Foreign Representative   debtor.foreign_representative.full_name
             Date                                     debtor.foreign_representative.signature_date
Attorney
             Printed Name of the Attorney             attorney.full_name
             Firm Name                                attorney.firm.name
             Address1                                 attorney.firm.address1
             Address2                                 attorney.firm.address2
             Telephone Number                         attorney.telephone_number
             Date                                     attorney.signature_date
Debtor (Corporation/Partnership)
             Printed Name of Authorized Individual    debtor.authorized_individual.full_name
             Title                                    debtor.authorized_individual.title
             Date                                     debtor.authorized_individual.signature_date
Non-Attorney Petition Preparer
             Name                                     preparer.full_name
             Social Security Number                   preparer.social_security_number
             Address1                                 preparer.address1
             Address2                                 preparer.address2
             preparer date                            preparer.date




       USTP Confidential                                                 Official Form B1            Page 7
Official Form 1, Exhibit D (10/06)

                                                          Field on Form                      Field Name

Page 1

Form Name                                                                        form.name
Version                                                                          form.version
Date                                                                             form.date
Rules                                                                            form.rules_date
Vendor                                                                           form.vendor
Page                                                                             form.page

Debtor                                                                           district.name
                                                                                 district.state
                                                                                 debtor.full_name
                                                                                 case_number

Individual Debtor's Statement of Compliance with Credit Counseling Requirement

Copy of Certificate is attached                                                  certificate.attached
Copy of Certificate is not attached                                              certificate.not.attached


Page 2

Page                                                                             form.page

Requested counseling unable to obtain                                            exigent.circumstance
Summarize exigent circumstances                                                  exigent.circumstances
                                                                                 cont.exigent.circumstances

Not required to receive a credit counseling briefing                             credit.counseling.briefing
                                                                                 credit.counseling.incapacity
                                                                                 credit.counseling.disability
                                                                                 credit.counseling.active.military
                                                                                 credit.couseling.does.not.apply
Date   debtor.signature_date
                                                           Draft PDF Data Tag Schema


Official Form B5 - Involuntary Petition

         Field on Form                                                    Field Name

Page 1

Form Name                                                form.name
Version                                                  form.version
Date                                                     form.date
Rules                                                    form.rules_date
Vendor                                                   form.vendor
Page                                                     form.page

                                                         district.name
                                                         district.state
Debtor
         Name of Debtor                                  debtor.full_name
         All Other Names used by Debtor                  debtor.aliases
         Last four digits of SSN                         debtor.tax_id
         Street Address                                  debtor.address.residence
         Zip Code                                        debtor.address.residence_zip_code
         County of Residence or Principal Place of Bus   debtor.couNty.residence
         Mailing Address                                 debtor.address.mailling
         Zip Code                                        debtor.address.mailing_zip_code
         Location of Principal Assets                    debtor.address.principal_assets

Chapter or Section of Bankruptcy Code (Check one box)
        Chapter 7                                        chapter_section
        Chapter 11

Nature of Debts (Check one box)
        Consumer / Non-Business                          nature_of_debts.consumer
        Business                                         nature_of_debts.business

Type of Debtor (Form of Organization)
        Individual                                       debtor.type.individual
        Corporation                                      debtor.type.corporation



USTP Confidential                                                 Official Form B5           Page 10
                                                             Draft PDF Data Tag Schema


Official Form B5 - Involuntary Petition

        Field on Form                                                     Field Name
        Partnership                                        debtor.type.partnership
        Other / not one of the above entities              debtor.type.other
                                                           debtor.type.other_text
Nature of Business (Changed the order and added an item)
        Health Care Business                               nature.business.health_care
        Single Asset Real Estate as defined in 11
        U.S.C. § 101(51)(B)                                nature.business.asset_real
        Railroad                                           nature.business.railroad
        Stockbroker                                        nature.business.stockbroker
        Commodity Broker                                   nature.business.commodity_broker
        Clearing Bank                                      nature.business.clearing_bank

        Other                                              nature.business.other
        (No field on form for this?)                       nature.business.other_text
        Nature of Business                                 debtor.nature_of_business
Venue
        District Residence                                 venue.district_residence
        District Affiliate                                 venue.district_affiliate

Filing Fee (Check one box)
         Filing Fee Attached                               filing_fee
         Filing Fee Payments

Pending Bankruptcy Case of Partner or Affiliate
        Name of Debtor                                     pending_bankruptcy.debtor.full_name
        Case Number                                        pending_bankruptcy.case_number
        Date Filed                                         pending_bankruptcy.date
        Relationship                                       pending_bankruptcy.relationship
        District                                           pending_bankruptcy.district
        Judge                                              pending_bankruptcy.judge

Allegations
1.       Petitioners eligible to file petition             allegations.eligible
2.       Debtor is person against whom order for relief    allegations.order_for_relief



USTP Confidential                                                   Official Form B5             Page 11
                                               Draft PDF Data Tag Schema


Official Form B5 - Involuntary Petition

         Field on Form                                       Field Name
3.a.     Debtor not paying debts             allegations.not_paying_debts
3.b.     Custodian took possession           allegations.custodian

Page 2

Page                                         form.page

Name of Debtors                              debtor.full_name
Case No.                                     case_number

Transfer of Claim                            transfer_of_claim

Request for Relief
       Name of Petitioner                    petitioner.full_name[1]
       Date Signed                           petitioner.signature_date[1]
       Address of Representative             petitioner.address[1]
       Signing in Represenatative Capacity   petitioner.capacity[1]
       Date                                  attorney.signature_date[1]
       Firm Name                             attorney.firm_name[1]
       Address Line 1                        attorney.address[1]
       Telephone Number                      attorney.telephone_number[1]
       Name of Petitioner                    petitioner.full_name[2]
       Date Signed                           petitioner.signature_date[2]
       Address of Representative             petitioner.address[2]
       Signing in Represenatative Capacity   petitioner.capacity[2]
       Date                                  attorney.signature_date[2]
       Firm Name                             attorney.firm_name[2]
       Address Line 1                        attorney.address[2]
       Telephone Number                      attorney.telephone_number[2]
       Name of Petitioner                    petitioner.full_name[3]
       Date Signed                           petitioner.signature_date[3]
       Address of Representative             petitioner.address[3]
       Signing in Represenatative Capacity   petitioner.capacity[3]
       Date                                  attorney.signature_date[3]



USTP Confidential                                    Official Form B5       Page 12
                                                Draft PDF Data Tag Schema


Official Form B5 - Involuntary Petition

        Field on Form                                        Field Name
        Firm Name                             attorney.firm_name[3]
        Address Line 1                        attorney.address[3]
        Telephone Number                      attorney.telephone_number[3]

Petitioning Creditors
         Name and Address of Petitioner       petitioner.name_and_address[1]
         Nature of Claim                      claim.nature[1]
         Amount of Claim                      claim.amount[1]

        Name and Address of Petitioner        petitioner.name_and_address[2]
        Nature of Claim                       claim.nature[2]
        Amount of Claim                       claim.amount[2]

        Name and Address of Petitioner        petitioner.name_and_address[3]
        Nature of Claim                       claim.nature[3]
        Amount of Claim                       claim.amount[3]

        Total Amount of Petitioners' Claims   claim.total_amount

Continuation Sheets
        Continuation sheets attached          continuation_sheets




USTP Confidential                                     Official Form B5         Page 13
                                                              Draft PDF Data Tag Schema


Official Form B6 - Schedule A - Real Property

      Field on Form                                                  Field Name

Page 1

Form Name                                          form.name
Version                                            form.version
Date                                               form.date
Rules                                              form.rules_date
Vendor                                             form.vendor
Page                                               form.page


Debtor Name                                        debtor.full_name
Case Number                                        case_number

Declaration Under Penalty of Perjury by Individual Debtor
      Debtor date                                   debtor.signature_date
      Joint Debtor date                             joint_debtor.signature_date

      Bankruptcy Petition Preparer typed name
      and title                                    printed_bankruptcy_preparer_name.title
                                                   bankruptcy_preparer_ssn

      Bankruptcy preparer is not an individual,
      state the name, title, address and ssn of the
      responsible person                            not_individual_bankruptcy_preparer
                                                    bankruptcy_preparer_date

      Declaration under Penalty of Perjury on
      Behalf of a Corporation or Partnership       authorized_agent_of_corporation
                                                   corporation_partnership_named_as debtor
                                                   number_of_sheets
                                                   corporation_partnership_date
                                                   signature_on_behalf_of_debtor




USTP Confidential                                                    Official Form B6        Page 14
                                                Draft PDF Data Tag Schema


Official Form B6 - Schedule A - Real Property

      Field on Form                                  Field Name




USTP Confidential                                    Official Form B6       Page 15
                                                            Draft PDF Data Tag Schema


Official Form B6 - Schedule A - Real Property

      Field on Form                                            Field Name

Page 1

Form Name                                         form.name
Version                                           form.version
Date                                              form.date
Rules                                             form.rules_date
Vendor                                            form.vendor
Page                                              form.page


Debtor Name                                       debtor.full_name
Case Number                                       case_number

Property Table
      Description/Location of Property            property.description[1]
      Nature of Debtor's Interest in Property     property.nature_of_interest[1]
      Husband, Wife, Joint, or Community          property.ownership_type[1]



      Current Market Value Of Debtor's Interest   property.market_value[1]
      Amount of Secured Claim                     property.secured_claim[1]

                                                  property.description[2]
                                                  property.nature_of_interest[2]
                                                  property.ownership_type[2]



                                                  property.market_value[2]
                                                  property.secured_claim[2]

                                                  property.description[n]



USTP Confidential                                                   Official Form B6a   Page 16
                                                          Draft PDF Data Tag Schema


Official Form B6 - Schedule A - Real Property

      Field on Form                                          Field Name
                                                property.nature_of_interest[n]
                                                property.ownership_type[n]



                                                property.market_value[n]
                                                property.secured_claim[n]




USTP Confidential                                               Official Form B6a     Page 17
                                                           Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                 Field Name

Page 1

Form Name                                         form.name
Version                                           form.version
Date                                              form.date
Rules                                             form.rules_date
Vendor                                            form.vendor
Page                                              form.page

Debtor Name                                       debtor.full_name
Case Number                                       case_number

Property Table
           1 None                                 property.1.none
             Description                          property.1.description
             Husband, Wife, Joint, or Community   property.1.ownership_type



            Current Market Value                  property.1.market_value
          2 None                                  property.2.none
            Description                           property.2.description
            Husband, Wife, Joint, or Community    property.2.ownership_type



            Current Market Value                  property.2.market_value
          3 None                                  property.3.none
            Description                           property.3.description
            Husband, Wife, Joint, or Community    property.3.ownership_type




USTP Confidential                                               Official Form B6b      Page 18
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                 Field Name
            Current Market Value                 property.3.market_value
          4 None                                 property.4.none
            Description                          property.4.description
            Husband, Wife, Joint, or Community   property.4.ownership_type



            Current Market Value                 property.4.market_value
          5 None                                 property.5.none
            Description                          property.5.description
            Husband, Wife, Joint, or Community   property.5.ownership_type



            Current Market Value                 property.5.market_value
          6 None                                 property.6.none
            Description                          property.6.description
            Husband, Wife, Joint, or Community   property.6.ownership_type



            Current Market Value                 property.6.market_value
          7 None                                 property.7.none
            Description                          property.7.description
            Husband, Wife, Joint, or Community   property.7.ownership_type



            Current Market Value                 property.7.market_value
          8 None                                 property.8.none
            Description                          property.8.description
            Husband, Wife, Joint, or Community   property.8.ownership_type




USTP Confidential                                              Official Form B6b     Page 19
                                                          Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                Field Name

            Current Market Value                 property.8.market_value
          9 None                                 property.9.none
            Description                          property.9.description
            Husband, Wife, Joint, or Community   property.9.ownership_type



            Current Market Value                 property.9.market_value
         10 None                                 property.10.none
            Description                          property.10.description
            Husband, Wife, Joint, or Community   property.10.ownership_type



            Current Market Value                 property.10.market_value

Page 2

Page                                             form.page_two

Debtor Name                                      debtor.full_name
Case Number                                      case_number

         11 None                                 property.11.none
            Description                          property.11.description
            Husband, Wife, Joint, or Community   property.11.ownership_type



            Current Market Value                 property.11.market_value
         12 None                                 property.12.none
            Description                          property.12.description
            Husband, Wife, Joint, or Community   property.12.ownership_type



USTP Confidential                                                Official Form B6b    Page 20
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                Field Name



            Current Market Value                 property.12.market_value
         13 None                                 property.13.none
            Description                          property.13.description
            Husband, Wife, Joint, or Community   property.13.ownership_type



            Current Market Value                 property.13.market_value
         14 None                                 property.14.none
            Description                          property.14.description
            Husband, Wife, Joint, or Community   property.14.ownership_type



            Current Market Value                 property.14.market_value
         15 None                                 property.15.none
            Description                          property.15.description
            Husband, Wife, Joint, or Community   property.15.ownership_type



            Current Market Value                 property.15.market_value
         16 None                                 property.16.none
            Description                          property.16.description
            Husband, Wife, Joint, or Community   property.16.ownership_type



            Current Market Value                 property.16.market_value
         17 None                                 property.17.none
            Description                          property.17.description



USTP Confidential                                              Official Form B6b     Page 21
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                 Field Name
            Husband, Wife, Joint, or Community   property.17.ownership_type



            Current Market Value                 property.17.market_value
         18 None                                 property.18.none
            Description                          property.18.description
            Husband, Wife, Joint, or Community   property.18.ownership_type



            Current Market Value                 property.18.market_value
         19 None                                 property.19.none
            Description                          property.19.description
            Husband, Wife, Joint, or Community   property.19.ownership_type



            Current Market Value                 property.19.market_value
         20 None                                 property.20.none
            Description                          property.20.description
            Husband, Wife, Joint, or Community   property.20.ownership_type



            Current Market Value                 property.20.market_value
         21 None                                 property.21.none
            Description                          property.21.description
            Husband, Wife, Joint, or Community   property.21.ownership_type



            Current Market Value                 property.21.market_value
         22 None                                 property.22.none



USTP Confidential                                              Official Form B6b     Page 22
                                                          Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                 Field Name
            Description                          property.22.description
            Husband, Wife, Joint, or Community   property.22.ownership_type



            Current Market Value                 property.22.market_value

Page 3

Page                                             form.page_three

Debtor Name                                      debtor.full_name
Case Number                                      case_number

         23 None                                 property.23.none
            Description                          property.23.description
            Husband, Wife, Joint, or Community   property.23.ownership_type



            Current Market Value                 property.23.market_value
         24 None                                 property.24.none
            Description                          property.24.description
            Husband, Wife, Joint, or Community   property.24.ownership_type



            Current Market Value                 property.24.market_value
         25 None                                 property.25.none
            Description                          property.25.description
            Husband, Wife, Joint, or Community   property.25.ownership_type




USTP Confidential                                              Official Form B6b      Page 23
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                 Field Name
            Current Market Value                 property.25.market_value
         26 None                                 property.26.none
            Description                          property.26.description
            Husband, Wife, Joint, or Community   property.26.ownership_type



            Current Market Value                 property.26.market_value
         27 None                                 property.27.none
            Description                          property.27.description
            Husband, Wife, Joint, or Community   property.27.ownership_type



            Current Market Value                 property.27.market_value
         28 None                                 property.28.none
            Description                          property.28.description
            Husband, Wife, Joint, or Community   property.28.ownership_type



            Current Market Value                 property.28.market_value
         29 None                                 property.29.none
            Description                          property.29.description
            Husband, Wife, Joint, or Community   property.29.ownership_type



            Current Market Value                 property.29.market_value
         30 None                                 property.30.none
            Description                          property.30.description
            Husband, Wife, Joint, or Community   property.30.ownership_type




USTP Confidential                                              Official Form B6b     Page 24
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule B

            Field on Form                                Field Name

            Current Market Value                 property.30.market_value
         31 None                                 property.31.none
            Description                          property.31.description
            Husband, Wife, Joint, or Community   property.31.ownership_type



            Current Market Value                 property.31.market_value
         32 None                                 property.32.none
            Description                          property.32.description
            Husband, Wife, Joint, or Community   property.32.ownership_type



            Current Market Value                 property.32.market_value
         33 None                                 property.33.none
            Description                          property.33.description
            Husband, Wife, Joint, or Community   property.33.ownership_type



            Current Market Value                 property.33.market_value
         34 None                                 property.34.none
            Description                          property.34.description
            Husband, Wife, Joint, or Community   property.34.ownership_type



            Current Market Value                 property.34.market_value
         35 None                                 property.35.none
            Description                          property.35.description
            Husband, Wife, Joint, or Community   property.35.ownership_type




USTP Confidential                                              Official Form B6b     Page 25
                                                       Draft PDF Data Tag Schema


Official Form B6 - Schedule B

               Field on Form                          Field Name


               Current Market Value           property.35.market_value
Table Footer
               Total                          property.total_value
               Continuation sheets attached   continuation_sheets




USTP Confidential                                            Official Form B6b     Page 26
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule C

                                Field on Form                                     Field Name

Page 1

Form Name                                                              form.name
Version                                                                form.version
Date                                                                   form.date
Rules                                                                  form.rules_date
Vendor                                                                 form.vendor
Page                                                                   form.page


Debtor Name                                                            debtor.full_name
Case Number                                                            case_number

Exemption election
                                11 U.S.C. § 522(b)(2)                  exemption.election
                                11 U.S.C. § 522(b)(3)
Homestead exemption                                                    exemption.homestead

Property Table
                                Description of Property                property.description[1]
                                Specify Law providing each exemption   property.law_exemption[1]
                                Value of Claimed Exemption             property.exemption_amount[1]
                                Current Market Value                   property.market_value[1]
                                                                       property.description[2]
                                                                       property.law_exemption[2]
                                                                       property.exemption_amount[2]
                                                                       property.market_value[2]
                                                                       property.description[3]
                                                                       property.law_exemption[3]
                                                                       property.exemption_amount[3]
                                                                       property.market_value[3]




USTP Confidential                                             Official Form B6c                       Page 27
                                                        Draft PDF Data Tag Schema


Official Form 6D - (10/06)

         Field on Form                                               Field Name

Page 1

Form Name                                             form.name
Version                                               form.version
Date                                                  form.date
Rules                                                 form.rules_date
Vendor                                                form.vendor
Page                                                  form.page

Debtor Name                                           debtor.full_name
Case Number                                           case_number

No Creditors Holding Secured Claims                   no_creditors

Creditor Table
      1 Account No.                                   creditor.1.account_number
        Creditor's Name and Address                   creditor.1.name_address
        Codebtor                                      creditor.1.codebtor
        Husband, Wife, Joint, or Community            property.1.ownership_type



       Date Claim was Incurred, Nature of Lien, and
       Description of Property                        property.1.description
       Value                                          property.1.market_value
       Contingent                                     property.1.contingent
       Unliquidated                                   property.1.unliquidated
       Disputed                                       property.1.disputed
       Amount of Claim                                property.1.claim_amount
       Unsecured Portion                              property.1.unsecured_amount
     2 Account No.                                    creditor.2.account_number
       Creditor's Name and Address                    creditor.2.name_address
       Codebtor                                       creditor.2.codebtor



USTP Confidential                                             Official Form B6d     Page 28
                                                        Draft PDF Data Tag Schema


Official Form 6D - (10/06)

       Field on Form                                               Field Name
       Husband, Wife, Joint, or Community             property.2.ownership_type



       Date Claim was Incurred, Nature of Lien, and
       Description of Property                        property.2.description
       Value                                          property.2.market_value
       Contingent                                     property.2.contingent
       Unliquidated                                   property.2.unliquidated
       Disputed                                       property.2.disputed
       Amount of Claim                                property.2.claim_amount
       Unsecured Portion                              property.2.unsecured_amount
     3 Account No.                                    creditor.3.account_number
       Creditor's Name and Address                    creditor.3.name_address
       Codebtor                                       creditor.3.codebtor
       Husband, Wife, Joint, or Community             property.3.ownership_type



       Date Claim was Incurred, Nature of Lien, and
       Description of Property                        property.3.description
       Value                                          property.3.market_value
       Contingent                                     property.3.contingent
       Unliquidated                                   property.3.unliquidated
       Disputed                                       property.3.disputed
       Amount of Claim                                property.3.claim_amount
       Unsecured Portion                              property.3.unsecured_amount

Table Footer
       Continuation sheets attached                   continuation_sheets.1.page_number
       Subtotal (Total of this page)                  property.1.claim_subtotal
       Total (Use only on last page)                  property.1.total_claim
       Unscured Subtotal (Total of this page)         property.1.unsecured_subtotal
       Unsecured Total (Use only on last page)        property.1.total_unsecured



USTP Confidential                                             Official Form B6d           Page 29
                                                         Draft PDF Data Tag Schema


Official Form 6D - (10/06)

        Field on Form                                              Field Name

Page 2 (may be repeated as necessary)

Page                                                   form.page_two

Debtor Name                                            debtor.full_name
Case Number                                            case_number

       1 Account No.                                   creditor.4.account_number
         Creditor's Name and Address                   creditor.4.name_address
         Codebtor                                      creditor.4.codebtor
         Husband, Wife, Joint, or Community            property.4.ownership_type



        Date Claim Was Incurred, Nature of Lien, and
        Description of Property                        property.4.description
        Value                                          property.4.market_value
        Contingent                                     property.4.contingent
        Unliquidated                                   property.4.unliquidated
        Disputed                                       property.4.disputed
        Amount of Claim                                property.4.claim_amount
        Unsecured Portion                              property.4.unsecured_amount

       2 Account No.                                   creditor.5.account_number
         Creditor's Name and Address                   creditor.5.name_address
         Codebtor                                      creditor.5.codebtor
         Husband, Wife, Joint, or Community            property.5.ownership_type



        Date Claim Was Incurred, Nature of Lien, and
        Description of Property                        property.5.description
        Value                                          property.5.market_value



USTP Confidential                                              Official Form B6d     Page 30
                                                        Draft PDF Data Tag Schema


Official Form 6D - (10/06)

       Field on Form                                                Field Name
       Contingent                                     property.5.contingent
       Unliquidated                                   property.5.unliquidated
       Disputed                                       property.5.disputed
       Amount of Claim                                property.5.claim_amount
       Unsecured Portion                              property.5.unsecured_amount

     3 Account No.                                    creditor.6.account_number
       Creditor's Name and Address                    creditor.6.name_address
       Codebtor                                       creditor.6.codebtor
       Husband, Wife, Joint, or Community             property.6.ownership_type



       Date Claim Was Incurred, Nature of Lien, and
       Description of Property                        property.6.description
       Value                                          property.6.market_value
       Contingent                                     property.6.contingent
       Unliquidated                                   property.6.unliquidated
       Disputed                                       property.6.disputed
       Amount of Claim                                property.6.claim_amount
       Unsecured Portion                              property.6.unsecured_amount

     4 Account No.                                    creditor.7.account_number
       Creditor's Name and Address                    creditor.7.name_address
       Codebtor                                       creditor.7.codebtor
       Husband, Wife, Joint, or Community             property.7.ownership_type



       Date Claim was Incurred, Nature of Lien, and
       Description of Property                        property.7.description
       Value                                          property.7.market_value
       Contingent                                     property.7.contingent
       Unliquidated                                   property.7.unliquidated



USTP Confidential                                             Official Form B6d     Page 31
                                                        Draft PDF Data Tag Schema


Official Form 6D - (10/06)

       Field on Form                                                Field Name
       Disputed                                       property.7.disputed
       Amount of Claim                                property.7.claim_amount
       Unsecured Portion                              property.7.unsecured_amount

     5 Account No.                                    creditor.8.account_number
       Creditor's Name and Address                    creditor.8.name_address
       Codebtor                                       creditor.8.codebtor
       Husband, Wife, Joint, or Community             property.8.ownership_type



       Date Claim Was Incurred, Nature of Lien, and
       Description of Property                        property.8.description
       Value                                          property.8.market_value
       Contingent                                     property.8.contingent
       Unliquidated                                   property.8.unliquidated
       Disputed                                       property.8.disputed
       Amount of Claim                                property.8.claim_amount
       Unsecured Portion                              property.8.unsecured_amount

Table Footer
       Continuation sheets                            continuation_sheets.2.page_number
                                                      continuation_sheets.total_pages
       Subtotal Claim (Total of this page)            property.2.claim_subtotal
       Total Claim (Use only on last page)            property.2.total_claim
       Subtotal Unsecured (Total of this page)        property.2.unsecured_subtotal
       Total Unsecured (Use only on last page)        property.2.total.unsecured




USTP Confidential                                            Official Form B6d            Page 32
                                                            Draft PDF Data Tag Schema


Official Form B6 - Schedule E

       Field on Form                                                             Field Name

Page 1

Form Name                                               form.name
Version                                                 form.version
Date                                                    form.date
Rules                                                   form.rules_date
Vendor                                                  form.vendor
Page                                                    form.page

Debtor Name                                             debtor.full_name
Case Number                                             case_number

       No creditors holding unsecured priority claims   priority_type.unsecured_priority_claims

Type of Priority Claims
      Domestic Support Obligations                      priority_type.domestic_support_obligations
      Extensions of credit in an involuntary case       priority_type.extensions_of_credit
      Wages, salaries, and commissions                  priority_type.wages
      Contributions to employee benefit plans           priority_type.employee_benefit_plans

Page 2

Page                                                    form.page_two

Debtor Name                                             debtor.full_name
Case Number                                             case_number

Type of Priority Claims
      Certain farmers/fisherman                         priority_type.farmers_fisherman
      Deposits by individuals                           priority_type.deposits
      Taxes and Certain Other Debts Owed to
      Governmental Units                                priority_type.taxes




USTP Confidential                                                 Official Form B6e                  Page 33
                                                           Draft PDF Data Tag Schema


Official Form B6 - Schedule E

       Field on Form                                                            Field Name
       Commitments to Maintain the Capital of an
       Insured Depository Institution                 priority_type.maintain_depository_institution
       Claims for death or persional injury           priority_type.claims

Continuation sheets attached                          continuation_sheets.number_attached

Page 3 (may be repeated as necessary)

Page                                                  form.page_three

Debtor Name                                           debtor.full_name
Case Number                                           case_number

Type of Priority                                      priority

Creditor Table
    1 Account No.                                     creditor.1.account_number
      Creditor's Name and Address                     creditor.1.name_address
      Codebtor                                        creditor.1.codebtor
      Husband, Wife, Joint, or Community              property.1.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.1.description
      Contingent                                      property.1.contingent
      Unliquidated                                    property.1.unliquidated
      Disputed                                        property.1.disputed
      Amount of Claim                                 property.1.claim_amount
      Amount Entitled to Priority                     property.1.amount_entitled_to_priority
      Amount Not Entitled to Priority, If Any         property.1.amount_not_entitled_to_priority
    2 Account No.                                     creditor.2.account_number
      Creditor's Name and Address                     creditor.2.name_address
      Codebtor                                        creditor.2.codebtor



USTP Confidential                                                Official Form B6e                    Page 34
                                                          Draft PDF Data Tag Schema


Official Form B6 - Schedule E

      Field on Form                                                           Field Name
      Husband, Wife, Joint, or Community              property.2.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.2.description
      Contingent                                      property.2.contingent
      Unliquidated                                    property.2.unliquidated
      Disputed                                        property.2.disputed
      Amount of Claim                                 property.2.claim_amount
      Amount Entitled to Priority                     property.2.amount_entitled_to_priority
      Amount Not Entitled to Priority, If Any         property.2.amount_not_entitled_to_priority
    3 Account No.                                     creditor.3.account_number
      Creditor's Name and Address                     creditor.3.name_address
      Codebtor                                        creditor.3.codebtor
      Husband, Wife, Joint, or Community              property.3.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.3.description
      Contingent                                      property.3.contingent
      Unliquidated                                    property.3.unliquidated
      Disputed                                        property.3.disputed
      Amount of Claim                                 property.3.claim_amount
      Amount Entitled to Priority                     property.3.amount_entitled_to_priority
      Amount Not Entitled to Priority, If Any         property.3.amount_not_entitled_to_priority
    4 Account No.                                     creditor.4.account_number
      Creditor's Name and Address                     creditor.4.name_address
      Codebtor                                        creditor.4.codebtor
      Husband, Wife, Joint, or Community              property.4.ownership_type




USTP Confidential                                              Official Form B6e                   Page 35
                                                          Draft PDF Data Tag Schema


Official Form B6 - Schedule E

      Field on Form                                                          Field Name
      Date Claim was Incurred and Consideration for
      Claim                                           property.4.description
      Contingent                                      property.4.contingent
      Unliquidated                                    property.4.unliquidated
      Disputed                                        property.4.disputed
      Amount of Claim                                 property.4.claim_amount
      Amount Entitled to Priority                     property.4.amount_entitled_to_priority
      Amount Not Entitled to Priority, If Any         property.4.amount_not_entitled_to_priority

Table Footer
      Continuation sheets                             continuation_sheets.page_number
                                                      continuation_sheets.total_pages
      Subtotal (Total of this page)                   property.claim_subtotal
      Subtotal (Total of this page)                   property.amount_entitled_to_priority_subtotal
      Subtotal (Total of this page)                   property.amount_not_entitled_to_priority_subtotal
      Total (Use only on last page)                   property.total_claim
      Total (Use only on last page)                   property.total_amount_entitled_to_priority
      Total (Use only on last page)                   property.total_amount_not_entitled_to_priority




USTP Confidential                                              Official Form B6e                          Page 36
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule F

      Field on Form                                              Field Name

Page 1

Form Name                                             form.name
Version                                               form.version
Date                                                  form.date
Rules                                                 form.rules_date
Vendor                                                form.vendor
Page                                                  form.page

Debtor Name                                           debtor.full_name
Case Number                                           case_number

No Creditors Holding Unsecured Nonpriority Claims     no_creditors

Creditor Table
    1 Account No.                                     creditor.1.account_number
       Creditor's Name and Address                    creditor.1.name_address
       Codebtor                                       creditor.1.codebtor
       Husband, Wife, Joint, or Community             property.1.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.1.description
      Contingent                                      property.1.contingent
      Unliquidated                                    property.1.unliquidated
      Disputed                                        property.1.disputed
      Amount of Claim                                 property.1.claim_amount
    2 Account No.                                     creditor.2.account_number
      Creditor's Name and Address                     creditor.2.name_address
      Codebtor                                        creditor.2.codebtor
      Husband, Wife, Joint, or Community              property.2.ownership_type




USTP Confidential                                              Official Form B6f     Page 37
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule F

      Field on Form                                              Field Name


      Date Claim was Incurred and Consideration for
      Claim                                           property.2.description
      Contingent                                      property.2.contingent
      Unliquidated                                    property.2.unliquidated
      Disputed                                        property.2.disputed
      Amount of Claim                                 property.2.claim_amount
    3 Account No.                                     creditor.3.account_number
      Creditor's Name and Address                     creditor.3.name_address
      Codebtor                                        creditor.3.codebtor
      Husband, Wife, Joint, or Community              property.3.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.3.description
      Contingent                                      property.3.contingent
      Unliquidated                                    property.3.unliquidated
      Disputed                                        property.3.disputed
      Amount of Claim                                 property.3.claim_amount
    4 Account No.                                     creditor.4.account_number
      Creditor's Name and Address                     creditor.4.name_address
      Codebtor                                        creditor.4.codebtor
      Husband, Wife, Joint, or Community              property.4.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.4.description
      Contingent                                      property.4.contingent
      Unliquidated                                    property.4.unliquidated
      Disputed                                        property.4.disputed
      Amount of Claim                                 property.4.claim_amount



USTP Confidential                                              Official Form B6f     Page 38
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule F

       Field on Form                                             Field Name

Table Footer
      Continuation sheets attached                    continuation_sheets.number
      Subtotal (Total of this page)                   property.1.claim_subtotal
      Total (Use only on last page)                   property.total_claim

Page 2 (may be repeated as necessary)

Page                                                  form.page_two

Debtor Name                                           debtor.full_name
Case Number                                           case_number

    5 Account No.                                     creditor.5.account_number
      Creditor's Name and Address                     creditor.5.name_address
      Codebtor                                        creditor.5.codebtor
      Husband, Wife, Joint, or Community              property.5.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.5.description
      Contingent                                      property.5.contingent
      Unliquidated                                    property.5.unliquidated
      Disputed                                        property.5.disputed
      Amount of Claim                                 property.5.claim_amount
    6 Account No.                                     creditor.6.account_number
      Creditor's Name and Address                     creditor.6.name_address
      Codebtor                                        creditor.6.codebtor
      Husband, Wife, Joint, or Community              property.6.ownership_type




USTP Confidential                                              Official Form B6f     Page 39
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule F

      Field on Form                                              Field Name
      Date Claim was Incurred and Consideration for
      Claim                                           property.6.description
      Contingent                                      property.6.contingent
      Unliquidated                                    property.6.unliquidated
      Disputed                                        property.6.disputed
      Amount of Claim                                 property.6.claim_amount
    7 Account No.                                     creditor.7.account_number
      Creditor's Name and Address                     creditor.7.name_address
      Codebtor                                        creditor.7.codebtor
      Husband, Wife, Joint, or Community              property.7.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.7.description
      Contingent                                      property.7.contingent
      Unliquidated                                    property.7.unliquidated
      Disputed                                        property.7.disputed
      Amount of Claim                                 property.7.claim_amount
    8 Account No.                                     creditor.8.account_number
      Creditor's Name and Address                     creditor.8.name_address
      Codebtor                                        creditor.8.codebtor
      Husband, Wife, Joint, or Community              property.8.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.8.description
      Contingent                                      property.8.contingent
      Unliquidated                                    property.8.unliquidated
      Disputed                                        property.8.disputed
      Amount of Claim                                 property.8.claim_amount
    9 Account No.                                     creditor.9.account_number
      Creditor's Name and Address                     creditor.9.name_address



USTP Confidential                                              Official Form B6f     Page 40
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule F

      Field on Form                                                Field Name
      Codebtor                                        creditor.9.codebtor
      Husband, Wife, Joint, or Community              property.9.ownership_type



      Date Claim was Incurred and Consideration for
      Claim                                           property.9.description
      Contingent                                      property.9.contingent
      Unliquidated                                    property.9.unliquidated
      Disputed                                        property.9.disputed
      Amount of Claim                                 property.9.claim_amount

Table Footer
      Continuation sheets                             continuation_sheets.page_number
                                                      continuation_sheets.total_pages
      Subtotal (Total of this page)                   property.2.claim_subtotal
      Total (Use only on last page)                   property.total_claim




USTP Confidential                                              Official Form B6f        Page 41
                                                           Draft PDF Data Tag Schema


Official Form B6 - Schedule G

              Field on Form                                                         Field Name

Page 1

Form Name                                                               form.name
Version                                                                 form.version
Date                                                                    form.date
Rules                                                                   form.rules_date
Vendor                                                                  form.vendor
Page                                                                    form.page

Debtor Name                                                             debtor.full_name
Case Number                                                             case_number

No Executory Contracts and Unexpired Leases                             no_contracts

Contract/Lease Table
              Name and Address of Other Parties to Lease or Contract    contract.name_address[1]
              Description of Contract or Lease, etc.                    contract.description[1]
                                                                        contract.name_address[2]
                                                                        contract.description[2]
                                                                        contract.name_address[3]
                                                                        contract.description[3]




USTP Confidential                                               Official Form B6g                  Page 42
                                             Draft PDF Data Tag Schema


Official Form B6 - Schedule H

               Field on Form                       Field Name

Page 1

Form Name                                  form.name
Version                                    form.version
Date                                       form.date
Rules                                      form.rules_date
Vendor                                     form.vendor
Page                                       form.page

Debtor Name                                debtor.full_name
Case Number                                case_number

No Codebtors                               no_codebtors

Codebtor Table
            Name and Address of Codebtor   codebtor.name_address[1]
            Name and Address of Creditor   creditor.name_address[1]
                                           codebtor.name_address[2]
                                           creditor.name_address[2]
                                           codebtor.name_address[3]
                                           creditor.name_address[3]




USTP Confidential                                 Official Form B6h      Page 43
                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule I

              Field on Form                            Field Name

Page 1

Form Name                           form.name
Version                             form.version
Date                                form.date
Form Name                           form.name
Version                             form.version
Date                                form.date
Rules                               form.rules_date
Vendor                              form.vendor
Page                                form.page

Debtor Name                         debtor.full_name
Case Number                         case_number

Debtor Marital Status               debtor.marital_status

Dependents of Debtor/Spouse
             Relationship           debtor.dependent.relationship
             Age                    debtor.dependent.age

Employment
              Occupation            debtor.occupation
                                    spouse.occupation
              Name of Employer      debtor.employer_name
                                    spouse.employer_name
              How Long Employed     debtor.employed_time_period
                                    spouse.employed_time_period
              Address of Employer   debtor.employer_address
                                    spouse.employer_address

Income
  Payroll Income



USTP Confidential                              Official Form B6i     Page 44
                                                         Draft PDF Data Tag Schema


Official Form B6 - Schedule I

             Field on Form                                           Field Name
             Current Monthly Gross Wage            debtor.gross_wages
                                                   spouse.gross_wages
             Monthly Overtime                      debtor.overtime
                                                   spouse.overtime
             Subtotal                              debtor.income_subtotal
                                                   spouse.income_subtotal
             Payroll Taxes                         debtor.payroll_taxes
                                                   spouse.payroll_taxes
             Insurance                             debtor.insurance
                                                   spouse.insurance
             Union Dues                            debtor.union_dues
                                                   spouse.union_dues
             Other (specify)                       other_deductions_text
                                                   debtor.other_deductions
                                                   spouse.other_deductions
             Subtotal of Payroll Deductions        debtor.deductions_subtotal
                                                   spouse.deductions_subtotal
             Total Net Monthly Take Home Pay       debtor.net_payroll_income
                                                   spouse.net_payroll_income
 Other Income
             Regular Income of Operation of Business
             or Professional Farm                    debtor.business_income
                                                     spouse.business_income
             Income from Real Property               debtor.property_income
                                                     spouse.property_income
             Interest/Dividends                      debtor.interest_income
                                                     spouse.interest_income
             Support Payment Payable to Debtor
             Concerning Dependents Listed            debtor.support_income
                                                     spouse.support_income
             Social Security or Other Government
             Assistance                              welfare_income_text
                                                     debtor.welfare_income
                                                     spouse.welfare_income



USTP Confidential                                             Official Form B6i      Page 45
                                                      Draft PDF Data Tag Schema


Official Form B6 - Schedule I

             Field on Form                                        Field Name
             Pension or Retirement Income        debtor.pension_income
                                                 spouse.pension_income
             Other Monthly Income                debtor.other_income
                                                 spouse.other_income
             (Specify)                           other_income_text1
                                                 other_income_text2
             Total Monthly Income                debtor.total_monthly_income
                                                 spouse.total_monthly_income
             Total Combined Monthly Income       debtor.total_combined_income
                                                 spouse.total_combined_income
                                                 total_combined_income

             Describe Any Increase or Decrease   anticipated_fluctuations




USTP Confidential                                            Official Form B6i    Page 46
                                                           Draft PDF Data Tag Schema


Official Form B6 - Schedule J

               Field on Form                                                        Field Name

Page 1

Form Name                                                          form.name
Version                                                            form.version
Date                                                               form.date
Rules                                                              form.rules_date
Vendor                                                             form.vendor
Page                                                               form.page

Debtor Name                                                        debtor.full_name
Case Number                                                        case_number

Joint petition filed/spouse maintains separate household           joint_with_sep_household
Rent or home mortgage                                              expense.housing
Real estate taxes included                                         expense.taxes_included

Property insurance included                                        expense.insurance_included

Utilities
               Electric/heating fuel                               expense.electric
               Water/sewer                                         expense.water
               Telephone                                           expense.telephone
               Other                                               other_utility_text
                                                                   expense.other
Home maintenance                                                   expense.home_maintenance
Food                                                               expense.food
Clothing                                                           expense.clothing
Laundry/dry cleaning                                               expense.laundry
Medical/dental expenses                                            expense.medical_dental
Transportation (not including car payments)                        expense.transportation
Recreation, clubs and entertainment, etc.                          expense.recreation
Charitable contributions                                           expense.charity
Insurance



USTP Confidential                                               Official Form B6j                Page 47
                                                            Draft PDF Data Tag Schema


Official Form B6 - Schedule J

              Field on Form                                                       Field Name
              Homeowner's or renter's                               expense.insurance.homeowner
              Life                                                  expense.insurance.life
              Health                                                expense.insurance.health
              Auto                                                  expense.insurance.auto
              Other                                                 other_insurance_text
                                                                    expense.insurance.other
Taxes (not deducted from wages)                                     expense.taxes_text
                                                                    expense.taxes_amount
Installment payments (Except Chapters 12/13 cases)
               Auto                                                 expense.auto
               Other                                                other_installment_text1
                                                                    expense.other1
              Other                                                 other_installment_text2
                                                                    expense.other2
Alimony, maintenance, and support paid to others                    expense.support
Payments for support of other dependents                            expense.dependent_support
Regular expenses from operation of business or farm                 expense.business
Other                                                               other_text
                                                                    expense.other_line_17
Total Monthly Expenses                                              expense.total

Describe any increase or decease in expenditures                    expenditure_fluctuation

Statement of Monthly Net Income
              Total monthly income from line 16 of schedule I       income.schedule_i
              Total monthly expenses from Line 18 above             expense.line_18
              Monthly net income                                    income.net




USTP Confidential                                                Official Form B6j                Page 48
                                                        Draft PDF Data Tag Schema


Official Form B7 - Statement of Financial Affairs

          Field on Form                                                          Field Name

Page 1

Form Name                                           form.name
Version                                             form.version
Date                                                form.date
Rules                                               form.rules_date
Vendor                                              form.vendor
Page                                                form.page

                                                    district.name
                                                    district.state

Debtor Name                                         debtor.full_name
Case Number                                         case_number

1. Income from employment
          None                                      employment_income.none
          Amount                                    employment_income.amount
          Source                                    employment_income.source

Page 2

Page                                                form.page_two

2. Income other than from employment
           None                                     other_income.none
           Amount                                   other_income.amount
           Source                                   other_income.source
3. Payments to creditors
 a. 90 days
           None                                     payment_to_creditor.90_days.none
           Name/Address of Creditor                 payment_to_creditor.90_days.name_address
           Dates of payments                        payment_to_creditor.90_days.payment_date



USTP Confidential                                             Official Form B7                 Page 49
                                                             Draft PDF Data Tag Schema


Official Form B7 - Statement of Financial Affairs

          Field on Form                                                            Field Name
          Amount paid                                    payment_to_creditor.90_days.amount_paid
          Amount still owing                             payment_to_creditor.90_days.amount_owed
b.
          None                                           payment_to_creditor.90_days_non_consumer.none
          Name/Address of Creditor                       payment_to_creditor.90_days_non_consumer.name_address
          Dates of payments                              payment_to_creditor.90_days_non_consumer.payment_date
          Amount paid                                    payment_to_creditor.90_days_non_consumer.amount_paid
          Amount still owing                             payment_to_creditor.90_days_non_consumer.amount_owed

c.
          None                                           payment_to_creditor.year.none
          Name/Address of Creditor and relationship to
          debtor                                         payment_to_creditor.year.name_address
          Dates of payments                              payment_to_creditor.year.payment_date
          Amount paid                                    payment_to_creditor.year.amount_paid
          Amount still owing                             payment_to_creditor.year.amount_owed


Page 3

Page                                                     form.page_three

4. Suits and administrative proceedings, executions, garnishments and attachments
 a. suits and administrative proceedings
            None                                          suit.none
            Caption of Suit/Case Number                   suit.case_number
            Nature of Proceeding                          suit.nature
            Court or Agency and Location                  suit.court_and_location
            Status or Disposition                         suit.disposition
 b. attachment and garnishments
            None                                          attachment.none
            Name/Address of person for whose benefit
            property was seized                           attachment.name_address
            Date of Seizure                               attachment.seizure_date



USTP Confidential                                                 Official Form B7                               Page 50
                                                           Draft PDF Data Tag Schema


Official Form B7 - Statement of Financial Affairs

         Field on Form                                                             Field Name
         Description/Value of Property                 attachment.description_value
5. Repossessions, foreclosures and returns
         None                                          repo.none
         Name/Address of Creditor                      repo.name_address
         Date of Repossession, Foreclosure sale,
         Transfer of Return                            repo.date
         Description/Value of Property                 repo.description_value

Page 4
Page                                                   form.page_four

6. Assignments and receiverships
 a. 120 days
          None                                         assignments.120_days.none
          Name/Address of Assignee                     assignments.120_days.name_address
          Date of Assignment                           assignments.120_days.order_date
          Terms of Assignment/Settlement               assignments.120_days.terms_of_settlement

 b. 1 year
             None                                      receivership.none
             Name/Address of Custodian                 receivership.name_address
             Name and Location of Court, Case Number
             and Title                                 receivership.court_and_case
             Date of Order                             receivership.order_date
             Description/Value of Property             receivership.description_value

7. Gifts
             None                                      gifts.none
             Name/Address of Person/Organization       gifts.name_address
             Relationship to Debtor                    gifts.debtor_relationship
             Date of Gift                              gifts.date
             Description/Value of Gift                 gifts.description_value
8. Losses
             None                                      losses.none



USTP Confidential                                                 Official Form B7                Page 51
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Official Form B7 - Statement of Financial Affairs

          Field on Form                                                              Field Name
          Description/Value of Property                  losses.description_value
          Description of Circumstances                   losses.description_circumstances
          Date of Loss                                   losses.date


Page 5

Page                                                     form.page_five

9. Payments related to debt counseling or bankruptcy
         None                                            counseling_payments.none
         Name/Address of Payee                           counseling_payments.name_address
         Date of Payment, Name of Payor other than
         debtor                                          counseling_payments.name_and_date
         Amount of Money or Description/Value of
         Property                                        counseling_payments.description_value

10. Other transfers
a          None                                          other_transfers.none
           Name/Address of Transferee, relationship to
           debtor                                        other_transfers.name_address
           Date                                          other_transfers.date
           Describe Property Transferred/Value
           Received                                      other_transfers.description_value
b          None                                          trust_transferred.none
           Name of Trust or Other Device                 trust_transferred.name_of_trust
           Date of Transfer                              trust_transferred.date
           Amount of Money or Description and Value of
           Property or Debtor's Interest in Property     trust_transferred.amount
11. Closed financial accounts
           None                                          closed_accounts.none
           Name/Address of Institution                   closed_accounts.name_address
           Type of Account, last four digits of acct
           no./amount of balance                         closed_accounts.account_and_balance



USTP Confidential                                                  Official Form B7               Page 52
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Official Form B7 - Statement of Financial Affairs

          Field on Form                                                      Field Name
          Amount/Date of Sale or Closing            closed_accounts.amount_and_date_of_closing

Page 6

Page                                                form.page_six

12. Safe deposit boxes
          None                                      safe_deposit.none
          Name/Address of Bank                      safe_deposit.bank_name_address
          Names/Addresses of those with access to
          box or depository                         safe_deposit.accessors_name_address
          Description of Contents                   safe_deposit.contents_description
          Date of Transfer                          safe_deposit.surrender_date


13. Setoffs
           None                                     setoffs.none
           Name/Address of Creditor                 setoffs.creditor_name_address
           Date of Setoff                           setoffs.date
           Amount of Setoff                         setoffs.amount
14. Property held for another person
           None                                     held_property.none
           Name/Address of Owner                    held_property.owner_name_address
           Description/Value of Property            held_property.description_value
           Location of Property                     held_property.location
15. Prior address of debtor
           None                                     prior_address.none
           Address                                  prior_address.address
           Name Used                                prior_address.name_used
           Dates of Occupancy                       prior_address.occupancy_dates




USTP Confidential                                            Official Form B7                    Page 53
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Official Form B7 - Statement of Financial Affairs

          Field on Form                                                          Field Name


Page 7
Page                                                form.page_seven

16. Spouses and Former Spouses
         None                                       spouse.none
         Name                                       spouse.name

17. Environmental Information
 a. Sites for which debtor may be liable
            None                                    environmental.liable_site.none
            Site Name/Address                       environmental.liable_site.name_address
            Name/Address of Governmental Unit       environmental.liable_site.governmental_unit
            Date of Notice                          environmental.liable_site.notice_date
            Environmental Law                       environmental.liable_site.environmental_law
 b. Sites with release of hazardous material
            None                                    environmental.hazardous_site.none
            Site Name/Address                       environmental.hazardous_site.name_address
            Name/Address of Governmental Unit       environmental.hazardous_site.governmental_unit
            Date of Notice                          environmental.hazardous_site.notice_date
            Environmental Law                       environmental.hazardous_site.environmental_law
 c. Judicial or Administrative Proceedings
            None                                    environmental.proceedings.none
            Name/Address of Governmental Unit       environmental.proceedings.governmental_unit
            Docket Number                           environmental.proceedings.docket_number
            Status or Disposition                   environmental.proceedings.disposition
18. Nature, location and name of business
 a. All businesses within 6 years
            None                                    businesses.none
Page 8

Page                                                form.page_eight




USTP Confidential                                             Official Form B7                       Page 54
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Official Form B7 - Statement of Financial Affairs

           Field on Form                                                             Field Name
           Name                                           businesses.name
           Taxpayer ID/EIN                                businesses.tax_ID
           Address                                        businesses.address
           Nature of Business                             businesses.nature
           Beginning and Ending Dates                     businesses.dates_of_operations
 b. Single asset real estate
           None                                           businesses.sare.none
           Name                                           businesses.sare.name
           Address                                        businesses.sare.address

19. Books, records and financial statements
 a. Bookkeepers and accountants within 2 years
           None                                           bookkeepers.none
           Name/Address                                   bookkeepers.name_address
           Date Services Rendered                         bookkeepers.date_of_services
 b. Auditors
           None                                           auditors.none
           Name                                           auditors.name
           Address                                        auditors.address
           Date Services Rendered                         auditors.date_of_services

Page 9

Page                                                      form.page_nine

 c. Current accountants
           None                                           accountant.none
           Name                                           accountant.name
           Address                                        accountant.address

 d. Parties in receipt of financial statements within 2 years
           None                                               financial_statements.none
           Name/Address                                       financial_statements.name_address
           Date Issued                                        financial_statements.issue_date



USTP Confidential                                                    Official Form B7             Page 55
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Official Form B7 - Statement of Financial Affairs

            Field on Form                                                             Field Name
20. Inventories
 a. Last 2 inventories
            None                                         inventories.none
            Date of Inventory                            inventories.inventory_date
            Inventory Supervisor                         inventories.supervisor
            Dollar Amount of Inventory                   inventories.amount_and_type
 b. Custodian of inventory records
            None                                         inventories.custodian.none
            Date of Inventory                            inventories.custodian.inventory_date
            Name/Address of Custodian of Inventory
            Records                                      inventories.custodian.name_address
21. Current Partners, Officers, Directors and Shareholders
 a. Partnership members
            None                                         partnership.none
            Name/Address                                 partnership.name_address
            Nature of Interest                           partnership.nature_of_interest
            Percentage of Interest                       partnership.percentage_of_interest
 b. Corporate officers
            None                                         corporate_officers.none
            Name/Address                                 corporate_officers.name_address
            Title                                        corporate_officers.title
            Nature and Percentage of Stock Ownership     corporate_officers.nature_and_percentage

Page 10

Page                                                        form.page_ten

22. Former partners, officers, directors and shareholders
 a. Former partners within one year
          None                                              former_partners.none
          Name                                              former_partners.name
          Address                                           former_partners.address
          Date of Withdrawal                                former_partners.withdrawal_date




USTP Confidential                                                     Official Form B7              Page 56
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Official Form B7 - Statement of Financial Affairs

          Field on Form                                                                 Field Name
 b. Former corporate officers within one year
          None                                           former_corporate_officers.none
          Name/Address                                   former_corporate_officers.name_address
          Title                                          former_corporate_officers.title
          Date of Termination                            former_corporate_officers.termination_date

23. Withdrawals from a partnership or distributions by a corporation
          None                                            withdrawals.none
          Name/Address of Recipient                       withdrawals.recipient.name_address
          Date and Purpose of Withdrawal                  withdrawals.date_and_purpose
          Amount of Money or Description/Value of
          Property                                        withdrawals.description_value
24. Tax Consolidation Group
          None                                            parent_corporation.none
          Name of Parent Corporation                      parent_corporation.name
          Taxpayer Identification Number/EIN              parent_corporation.tax_ID
25. Pension Funds
          None                                            pension_fund.none
          Name of Pension Fund                            pension_fund.name
          Taxpayer Identification Number/EIN              pension_fund.tax_ID

Page 11

Page                                                     form.page_eleven

Declaration Under Penalty of Perjury by Individual Debtor and Spouse
           Date                                           debtor.signature_date
           Date                                           joint_debtor.signature_date

Declaration Under Penalty of Perjury on behalf of a Corporation or Partnership
           Date                                           corporation.signature_date
           Print Name and Title                           corporation.name_and_title
           Continuation sheets attached                   continuation_sheets




USTP Confidential                                                   Official Form B7                  Page 57
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Official Form B7 - Statement of Financial Affairs

            Field on Form                                                              Field Name
Certification/Signature of Non-Attorney Bankruptcy Petition Preparer
            Bankruptcy petition preparer                   preparer.full_name
            SSN of Bankruptcy petition preparer            preparer.ssn
            Address of Bankruptcy petition preparer        preparer.address
            Date                                           preparer.signature_date




USTP Confidential                                                   Official Form B7                Page 58
                                                                Draft PDF Data Tag Schema


Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                      Field on Form                                                               Field Name

Page 1

Form Name                                                                     form.name
Version                                                                       form.version
Date                                                                          form.date
Rules                                                                         form.rules_date
Vendor                                                                        form.vendor
Page                                                                          form.page_one

In re                                                                         debtor.full_name
Case Number                                                                   case_number

Check the box as directed by Part I, III, and IV

                      Presumption arises                                      presumption

                      Presumption does not arise                              presumption

                      Presumption is temporarily inapplicable                 presumption

Part I: Exclusion for Disabled Veterans, Non-consumer Debtors, Reservists
1a                     Veteran's Declaration                                  veteran_declaration
1b                     Declaration of non-consumer debts                      declaration_of_non-consumer_debts
1c                     Declaration of Reservists and National Guard           reservist_declaration

1c(a)                 Called to active duty after 9/11/01                     active_or_homeland_duty

                      Remain on active duty                                   on_active_duty

                    Released from active duty                                 on_active_duty
                    Date released from active duty                            released_from_active_duty_date
1c(b) Homeland defense activity



USTP Confidential                                                   Official Form B22A                            Page 59
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                      Field on Form                                                                 Field Name

                      Performing homeland defense activity                     active_or_homeland_duty

                      Performed homeland defense activity for 90+ days         active_or_homeland_duty
                      Date homeland defense activity was terminated            end_of_homeland_duty_date

Page 2

Page                                                                           form.page_two

Part II: Calculation of Monthly Income For 707(b)(7) Exclusion
                     2 Marital/filing status (checkbox
                        a.                                                     marital_status

                      b.

                      c.
                      d.

                    3 Wages                                                    debtor.wages
                                                                               spouse.wages
                    4 Income from Business                                     gross_receipts.business_income
                                                                               expenses.business_income
                                                                               debtor.gross_business_income
                                                                               spouse.gross_business_income
                    5 Rent                                                     gross_receipts.real_property_income
                                                                               expenses.real_property_income
                                                                               debtor.rent
                                                                               spouse.rent
                    6 Interest                                                 debtor.interest
                                                                               spouse.interest
                    7 Pension/Retirement                                       debtor.pension
                                                                               spouse.pension



USTP Confidential                                                    Official Form B22A                              Page 60
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                      Field on Form                                                                Field Name
                    8 Regular Contributions                                  debtor.regular_contributions
                                                                             spouse.regular_contributions
                    9 Unemployment Compensation                              debtor.unemployment.SSA
                                                                             spouse.unemployment.SSA
                                                                             debtor.unemp_comp
                                                                             spouse.unemp_comp

Page 3

Page                                                                         form.page_three

                  10 Other Income Sources
                     a.                                                      other_income.a_explanation
                                                                             other_income.a_income_amount
                      b.                                                     other_income.b_explanation
                                                                             other_income.b_income_amount
                      Total and enter on Line 10                             debtor.other_income_total
                                                                             spouse.other_income_total

                  11 Subtotal of Current Monthly Income                      debtor.current_monthly_income
                                                                             spouse.current_monthly_income
                  12 Total Current Monthly Income                            total_current_monthly_income

Part III: Application Of 707(b)(7) Exclusion
                    13 Annualized Current Monthly Income                     total_current_annual_income

                  14 Applicable Median Family Income                         median_family_income
                     a. Debtor's State of Residence                          state_of_residence
                     b. Debtor's Household Size                              household_size

                  15 Application of section 707(b)(7)
                     Amount on Line 13 is less than or equal to the amount
                     on Line 14                                              annual_income



USTP Confidential                                                Official Form B22A                             Page 61
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                     Field on Form                                                                Field Name

                     Amount on Line 13 is more than the amount on Line 14 annual_income

Part IV: Calculation of Current Monthly Income For 707(b)(2)
                   16 Enter the amount from Line 12                          line16_amount
                   17 Marital adjustment                                     marital adjustment_description_17a
                                                                             marital adjustment_17a
                                                                             marital adjustment_description_17b
                                                                             marital adjustment_17b
                                                                             marital adjustment_description_17c
                                                                             marital adjustment_17c
                                                                             marital adjustment_total
                  18 Current monthly income                                  707b2_current_monthly_income

Part V: Calculation of Deductions Allowed Under 707(b)(2)
Subpart A: Deductions under Standards of the Internal Revenue Service (IRS)
                      National Standards: food, clothing, household supplies,
                 19a personal care                                            allowable_living_expenses
                      National Standards: health care

Page 4

Page                                                                         form.page_four

                 19b allowance per member under 65 years of age              allowance_per_member_a1
                     allowance per member 65 years of age or older           allowance_per_member_a2
                     number of members under 65 years of age or older        number_ of_members_b1
                     number of members 65 years of age or older              number_ of_members_b2
                     subtotal under 65 years of age or older                 subtotal_c1
                     subtotal 65 years of age or older                       subtotal_c2
                     National Standards                                      allowable_out_of_pocket_healthcare_expenses




USTP Confidential                                                  Official Form B22A                                      Page 62
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                   Field on Form                                                                Field Name
                   Local Standards: housing and utilities; non-mortgage
               20a expenses                                                non-mortgage_expenses

                   IRS Housing and Utilities Standards: mortgage/rental
               20b expense                                                 mortgage_rental_expense
                   Average Monthly Payment                                 average_monthly_payment_for_home_secured_debts
                   Net mortgage/rental expense                             net_mortgage_rental_expense

                21 Local Standards: housing and utilities; adjustment
                    Basis for contention                                   basis_for_contention
                    Contended additional amount                            contended_additional_amount_entitled

                22 Local Standards: transportation/vehicle operation
                     Number of vehicles to pay operating expenses
                   0                                                       number_of_vehicles_to_pay
                   1                                                       number_of_vehicles_to_pay
                   2 or more                                               number_of_vehicles_to_pay
                                                                           vehicle_operation_expense
                   Local Standards: transportation: additional public
               22B transportation expense                                  additional_public_transportation_expense

Page 5

Page                                                                       form.page_five

                23 Local Standards: transportation ownership vehicle 1     vehicle_ownership_expense
                     Number of vehicles claimed
                   1                                                       number_of_vehicles_claimed
                   2 or more                                               number_of_vehicles_claimed
                                                                           transportation_expenses.irs_standards.vehicle1
                                                                           transportation_expenses.monthly_payment.vehicle1
                                                                           transportation_expenses.net_expense.vehicle1




USTP Confidential                                                Official Form B22A                                           Page 63
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                    Field on Form                                                               Field Name
                 24 Local Standards: transportation ownership vehicle 2    transportation_expenses.irs_standards.vehicle2
                      Number of vehicles claimed                           transportation_expenses.monthly_payment.vehicle2
                                                                           transportation_expenses.net_expense.vehicle2

                 25   Other Necessary Expenses: taxes                      monthly_payroll_taxes
                 26   Other Necessary Expenses: payroll deductions         monthly_payroll_deductions
                 27   Other Necessary Expenses: life insurance             monthly_insurance
                 28   Other Necessary Expenses: court ordered payment      monthly_court_ordered_payments
                      Other Necessary Expenses: childcare for challenged
                 29   child                                                monthly_challenged_childcare
                 30   Other Necessary Expenses: childcare                  monthly_childcare
                 31   Other Necessary Expenses: health care                monthly_healthcare
                      Other Necessary Expenses: telecommunication
                 32   expenses                                             monthly_telecommunication_expense
                 33   Total Expenses Allowed Lines 19 through 32           total_allowable_expenses

Page 6

Page                                                                       form.page_six

Subpart B: Additional Expense Deductions
                  34 a. Health Insurance                                   health_insurance
                     b. Disability Insurance                               disability_insurance
                     c. Health Savings Account                             health_savings_account
                     Total: Add Lines a, b, and c                          total_additional_expenses
                     Total average monthly expenses                        total_average_monthly_expenses
                  35 Continued Contributions to the Care of Household      family_care_expenses
                  36 Protection against Family Violence                    family_protection_expenses

                 37   Home Energy Costs in Excess                          excess_energy_costs
                 38   Education Expense for Dependent Children             dependent_education
                 39   Additional Food and Clothing Expense                 excess_food_clothing
                 40   Continued Charitable Contributions                   charitable_contributions



USTP Confidential                                                Official Form B22A                                           Page 64
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                    Field on Form                                                               Field Name
                    Total Additional Expense Deductions Lines 34 through
                 41 40                                                     total_additional_expenses_707b

Page 7

Page                                                                       form.page_seven

Subpart C: Deductions for Debt Payment
                 42 Future payments on secured claims
  Name of Creditor
                     a.                                                    future_secured.a_creditor
                     b.                                                    future_secured.b_creditor
                     c.                                                    future_secured.c_creditor
                     checkbox                                              future_secured.a
                     checkbox                                              future_secured.a
  Property of Securing the Debt
                     a.                                                    future_secured.a_property
                     b.                                                    future_secured.b_property
                     c.                                                    future_secured.c_property
                     checkbox                                              future_secured.b
                     checkbox                                              future_secured.b
  Average Monthly Payment
                     a.                                                    future_secured.a_amount
                     b.                                                    future_secured.b_amount
                     c.                                                    future_secured.c_amount
                     checkbox                                              future_secured.c
                     checkbox                                              future_secured.c
                     Total: Add Lines a, b, and c                          future_secured.total

                 43 Past payment on secured claims
  Name of Creditor
                    a.                                                     past_secured.a_creditor
                    b.                                                     past_secured.b_creditor



USTP Confidential                                              Official Form B22A                            Page 65
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                      Field on Form                                                              Field Name
                      c.                                                    past_secured.c_creditor
  Property of Securing the Debt in Default
                      a.                                                    past_secured.a_property
                      b.                                                    past_secured.b_property
                      c.                                                    past_secured.c_property
  1/60th of the Cure Amount
                      a.                                                    past_secured.a_amount
                      b.                                                    past_secured.b_amount
                      c.                                                    past_secured.c_amount
                      Total: Add Lines a, b, and c                          past_secured.total

                  44 Payment on priority claims                             priority_claims
                  45 Chapter 13 Administrative Expenses
                     a. Projected Average Monthly Chapter 13 Plan
                     Payment                                                ch13_payment
                     b. Current multiplier for your District                district_multiplier
                     c. Average Monthly Administrative Expense of Chapter
                     13 case                                                total_ch13_expenses

                  46 Total Deductions for Debt Payment Lines 42 through 45 total_debt_payments
Subpart D: Total Deduction Allowed
                  47 Total of All Deductions Lines 33, 41, and 46          total_deductions

Page 8

Page                                                                        form.page_eight


Part VI: Determination
                  48 Enter the amount from Line 18                          line18_amount
                  49 Enter the amount from Line 47                          line47_amount
                  50 Monthly disposable income                              monthly_disposable_income
                  51 60-month disposable income                             60month_disposable_income



USTP Confidential                                              Official Form B22A                             Page 66
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Official Form B22A - Statement of Current Monthly Income and Means Test Calculation for Use in Chapter 7


                      Field on Form                                                                 Field Name
                   52 Initial presumption determination (checkbox)
                      Amount on Line 50 is less than $6,000                   presumption_determination
                      Amount on Line 50 is more than $10,000                  presumption_determination
                      Amount on Line 50 is more than $6,000 but less than
                      $10,000                                                 presumption_determination
                   53 Enter amount of total non-priority unsecured debt       total_nonpriority_debt
                   54 Threshold debt payment amount                           threshold_debt
                   55 Secondary presumption determination (checkbox)

                       Amount on Line 51 is less than the amount on Line 54   sixty_month_disposable_income
                       Amount on Line 51 is greater than or equal to the
                       amount on Line 54                                      sixty_month_disposable_income

Part VII: Additional Expense Claims
                    56 Other Expenses                                         expense_description.a
                                                                              expense_description.b
                                                                              expense_description.c
                                                                              monthly_amount.a
                                                                              monthly_amount.b
                                                                              monthly_amount.c
                                                                              monthly_amount.total
Part VIII: Verification
                     57 Debtor date                                           debtor.signature_date
                        Joint-debtor date                                     joint_debtor.signature_date




USTP Confidential                                                 Official Form B22A                             Page 67
                                                        Draft PDF Data Tag Schema
Official Form B22B - Statement of Current Monthly Income for use in Chapter 11

            Field on Form                                             Field Name

Page 1

Form Name                                            form.name
Version                                              form.version
Date                                                 form.date
Rules                                                form.rules_date
Vendor                                               form.vendor
Page                                                 form.page

In re                                                debtor.full_name
Case Number                                          case_number

Part I: Calculation of Current Monthly Income
           1 Marital/filing status (checkbox
             a.                                      marital_status
             b.                                      marital_status
             c.                                      marital_status

          2 Wages                                    debtor.wages
                                                     spouse.wages
          3 Gross Business Income                    gross_receipts
                                                     business_expenses
                                                     debtor.gross_business_income
                                                     spouse.gross_business_income
          4 Rent                                     rent_gross_receipts
                                                     rent_operating_expenses
                                                     debtor.rent
                                                     spouse.rent
          5 Interest                                 debtor.interest
                                                     spouse.interest
          6 Pension/Retirement                       debtor.pension
                                                     spouse.pension
          7 Regular Contributions                    debtor.regular_contributions
                                                     spouse.regular_contributions
          8 Unemployment compensation                debtor.unemployment
                                                     spouse.unemployment
                                                     debtor.total_unemployment
USTP Confidential                                           Official Form B22B      Page 68
                                                        Draft PDF Data Tag Schema
Official Form B22B - Statement of Current Monthly Income for use in Chapter 11

            Field on Form                                          Field Name
                                                     spouse.total_unemployment

Page 2
Page                                                 form.page_two

          9 Other Income Sources
            a.                                       other_income.a_explanation
                                                     other_income.a_income_amount
            b.                                       other_income.b_explanation
                                                     other_income.b_income_amount
            Total and enter on Line 9                debtor.other_income_total
                                                     spouse.other_income_total
         10 Subtotal of Current Monthly Income       debtor.current_monthly_income
                                                     spouse.current_monthly_income
          11 Total Current Monthly Income            total_current_monthly_income
Part II: Verification
          12 Debtor date                             debtor.signature_date
              Joint-debtor date                      joint_debtor.signature_date




USTP Confidential                                           Official Form B22B       Page 69
                                                        Draft PDF Data Tag Schema



Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                   Field on Form                                                        Field Name

Page 1

Form Name                                                          form.name
Version                                                            form.version
Date                                                               form.date
Rules                                                              form.rules_date
Vendor                                                             form.vendor
Page                                                               form.page

In re                                                              debtor.full_name
Case Number                                                        case_number

Part I: Report of Income
                 1 Marital/filing status (checkbox)
                    a.                                             marital_status
                    b.

                 2 Wages                                           debtor.wages
                                                                   spouse.wages
                 3 Gross Business Income
                                                                   gross_receipts.business_income
                                                                   expenses.business_income
                                                                   debtor.gross_business_income
                                                                   spouse.gross_business_income
                 4 Rent
                                                                   gross_receipts.real_property_income
                                                                   expenses.real_property_income
                                                                   debtor.rent
                                                                   spouse.rent
                 5 Interest                                        debtor.interest
                                                                   spouse.interest
                 6 Pension/Retirement                              debtor.pension



USTP Confidential                                           Official Form B22C                                     Page 70
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                  Field on Form                                                           Field Name
                                                                    spouse.pension
                7 Regular Contributions                             debtor.regular_contributions
                                                                    spouse.regular_contributions
                8 Unemployment Compensation                         debtor.unemployment_compensation
                                                                    debtor.unemployment_compensation_total
                                                                    spouse.unemployment_compensation
                                                                    spouse.unemployment_compensation_total

                9 Other Income Sources
                  a.                                                other_income.a_explanation
                                                                    other_income.a_income_amount
                  b.                                                other_income.b_explanation
                                                                    other_income.b_income_amount
                                                                    debtor.other_income_total
                                                                    spouse.other_income_total
               10 Subtotal of Current Monthly Income                debtor.current_monthly_income
                                                                    spouse.current_monthly_income
                                                                    total_current_monthly_income
               11 Total Current Monthly Income                      total_current_monthly_income

Page 2

Page                                                                form.page_two


Part II. Calculation of § 1325(b)(4) Commitment Period
                 12 Enter the amount from Line 11                   total_current_monthly_income
                 13 Marital Adjustment
                   a                                                marital_adjustment_under_§1325_a
                   b                                                marital_adjustment_under_§1325_b
                   c                                                marital_adjustment_under_§1325_c
                   a                                                marital_adjustment_amount_under_§1325_a
                   b                                                marital_adjustment_amount_under_§1325_b



USTP Confidential                                            Official Form B22C                                    Page 71
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                  Field on Form                                                                  Field Name
                c                                                         marital_adjustment_amount_under_§1325_c
               13 Marital Adjustment                                      marital_adjustment
               14 Enter Result Subtract Line 13 from Line 12              total_result_line13_from_line12
               15 Enter Result Multiply Line 14 by number 12              total_current_annual_income

               16 Applicable Mediam family income
                  Debtor's state residence                                state_of_residence
                  Debtor's household size                                 household_size
                  Medium Income                                           median_family_income
               17 The amount on Line 15 is less than Line 16              disposable_income
                  The amount on Line 15 is not less than Line 16          disposable_income


Part III. Application of § 1325(b)(3) for Determining Disposable Income
                 18 Enter the amount from Line 11                         total_current_monthly_income


Page 3
Page                                                                      form.page_three

               19 Marital adjustment
                a                                                         marital_adjustment_a
                b                                                         marital_adjustment_b
                c                                                         marital_adjustment_c
                a                                                         marital_adjustment_amount_a
                b                                                         marital_adjustment_amount_b
                c                                                         marital_adjustment_amount_c
                  Marital adjustment                                      line10_amount

               20   Current monthly Income for 1325(b)(3)                 current_monthly_income
               21   Annualized current monthly income                     total_current_annual_income
               22   Applicable median family income                       line16_amount
               23   Application of § 1325(b)(3)



USTP Confidential                                                  Official Form B22C                               Page 72
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                 Field on Form                                                                Field Name
                 Line 21 is more than the amount on Line 22              disposable_income
                 Line 21 is not more than the amount on Line 22          disposable_income

Part IV. Calculation of Deductions Allowed under § 707(b)(2)
              24A National Standards                                     national_standards_food_clothing
              24B National Standards: healthcare                         national_standards_healthcare
                    Allowance per member under 65 years of age           allowance_per_member_under_65

                Allowance per member 65 years of age or older            allowance_per_members_over_65
                Number of members under 65 years of age                  number_of_members_under_65
                Number of members 65 years of age or older               number_of_members_over_65
                Subtotal under 65 years of age                           subtotal_under_65
                Subtotal 65 years of age or older                        subtotal_over_65
            25A Local Standards                                          local_standards_housing_non-mortgage

Page 4
Page


                Local Standards:housing and utilities; mortgage/rent
            25B expense                                                  local_standards_housing
                                                                         monthly_payments_debts_secured_by_housing
                                                                         net_housing_expense

              26 Local Standards:housing and utilities; adjustment       local_standards_housing_adjustment_justification
                                                                         local_standards_housing_adjustment
                Local Standards: transportation; vehicle
            27A operation/public transportation expenses
                                                                         number_of_vehicles_to_pay
                                                                         number_of_vehicles_to_pay
                                                                         number_of_vehicles_to_pay
                                                                         vehicle_operation_expense




USTP Confidential                                                 Official Form B22C                                        Page 73
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                Field on Form                                                               Field Name
                Local Standards: transportation;additional public
            27B transportation expenses                                local_standards_additional_public_transportation
                Local Standards: transportation; ownership/lease
             28 expense: vehicle 1
                                                                       number_of_vehicles_claimed
                                                                       number_of_vehicles_claimed
                                                                       transportation_expenses.irs_standards.vehicle1
                                                                       transportation_expenses.monthly_payment.vehicle1
                                                                       transportation_expenses.net_expense.vehicle1

Page 5
Page                                                                   form.page

                 Local Standards: transportation; ownership/lease
              29 expense: vehicle 2
                                                                       transportation_expenses.irs_standards.vehicle2
                                                                       transportation_expenses.monthly_payment.vehicle2
                                                                       transportation_expenses.net_expense.vehicle2
              30 Other Necessary Expenses: taxes                       monthly_payroll_taxes
                 Other Necessary Expenses: mandatory payroll
              31 deductions                                            monthly_payroll_deductions

              32 Other Necessary Expenses: life insurance              monthly_insurance
              33 Other Necessary Expenses: court-ordered payment       monthly_court_ordered_payments
                 Other Necessary Expenses: childcare for challenged
              34 child                                                 monthly_challenged_childcare
              35 Other Necessary Expenses: childcare                   monthly_childcare
              36 Other Necessary Expenses: health care                 monthly_healthcare

              37 Other Necessary Expenses: telecommunication service monthly_telecommunication_expense
              38 Total Expenses Allowed under IRS Standards          total_allowable_expenses

Subpart B: Additional Expense Deductions



USTP Confidential                                               Official Form B22C                                        Page 74
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                  Field on Form                                                             Field Name
             39
                  a. Health Insurance                                  health_insurance
                  b. Disability Insurance                              disability_insurance
                  c. Health Savings Account                            health_savings_account
                  Total: Add Lines a, b, and c                         total_additional_expenses
                  If you do not actually expend this total amount,
                  state your actual total average of monthly
                  expenditures                                         total_average_monthly_expenditures
             40   Continued Contributions to the Care of Household     family_care_expenses
             41   Protection against Family Violence                   family_protection_expenses
             42   Home Energy Costs in Excess                          excess_energy_costs
             43   Education Expense for Dependent Children             dependent_education
             44   Additional Food and Clothing Expense                 excess_food_clothing
             45   Continued Charitable Contributions                   charitable_contributions
             46   Total Additional Expense Deductions under 707(b)     total_additional_expenses_707b

Subpart C: Deductions for Debt Payment
             47 Future payments on secured claims
                Name of Creditor
                a.                                                     future_secured.a_creditor
                b.                                                     future_secured.b_creditor
                c.                                                     future_secured.c_creditor
                Property of Securing the Debt
                a.                                                     future_secured.a_property
                b.                                                     future_secured.b_property
                c.                                                     future_secured.c_property
                Average Monthly Payment
                a.                                                     future_secured.a_amount
                b.                                                     future_secured.b_amount
                c.                                                     future_secured.c_amount
                Does Payment include taxes or insurance
                a                                                      future_secured.creditor.taxes_insurance
                b                                                      future_secured.property.taxes_insurance



USTP Confidential                                               Official Form B22C                                 Page 75
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                 Field on Form                                                                Field Name
                 c                                                       future_secured.secured.taxes_insurance
              48 Total: Add Lines a, b, and c                            future_secured.total


Page 7
Page                                                                     form.page_seven

                   Past payment on secured claims
                   Name of Creditor
                   a.                                                    past_secured.a_creditor
                   b.                                                    past_secured.b_creditor
                   c.                                                    past_secured.c_creditor
                   Property of Securing the Debt in Default
                   a.                                                    past_secured.a_property
                   b.                                                    past_secured.b_property
                   c.                                                    past_secured.c_property
                   1/60th of the Cure Amount
                   a.                                                    past_secured.a_amount
                   b.                                                    past_secured.b_amount
                   c.                                                    past_secured.c_amount
                   Total: Add Lines a, b, and c                          past_secured.total
              49
                   Payment on priority claims                            priority_claims
              50
                  Chapter 13 Administrative Expenses
                  a. Projected Average Monthly Chapter 13 Plan
                  Payment                                                ch13_payment
                  b. Current multiplier for your District                district_multiplier
                  c. Average Monthly Administrative Expense of Chapter
              51 13 case                                                 total_ch13_expenses
                  Total Deductions for Debt Payment                      total_debt_payments
Subpart D: Total Deductions Allowed




USTP Confidential                                                 Official Form B22C                               Page 76
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                    Field on Form                                                                  Field Name
               52
                    Total of All Deductions Lines 27, 35, and 40              total_deductions

Part V: Determination of Disposable Income Under § 1325(b)(2)
              53 Total current monthly income.                                line20_amount
              54 Support income                                               support_income_amount
              55 Qualified retirement deductions.                             qualified_retirement_deductions
              56 Total of all deductions allowed under § 707(b)(2).           total_deductions_under_707b2

Page 8
Page                                                                          form.page_eight

               57   Deduction for special circumstances
                a   Nature of special circumstances                           nature_special_circumstances_a
                b   Nature of special circumstances                           nature_special_circumstances_b
                c   Nature of special circumstances                           nature_special_circumstances_c

                a Amount of expense                                           special_circumstances_amount_a
                b Amount of expense                                           special_circumstances_amount_b
                c Amount of expense                                           special_circumstances_amount_c
                  Total: Add Lines a, b, and c                                total_special_circumstances

                58 Total adjustments to determine disposable income           total_adj_disp_income
                59 Month Disposable Income under § 1325(b)(2)                 monthly_disposable_income_under_1325b2
Part VI: Additional Expense Claims
                60
                    Other Expenses                                            expense_description.a
                                                                              expense_description.b
                                                                              expense_description.c
                                                                              monthly_amount.a
                                                                              monthly_amount.b
                                                                              monthly_amount.c
                                                                              total_additional_expense_claims



USTP Confidential                                                      Official Form B22C                              Page 77
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Official Form B22C - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                     Field on Form                                                       Field Name
Part VII: Verification
                 61 Debtor date                                    debtor.signature_date
                     Joint-debtor date                             joint_debtor.signature_date




USTP Confidential                                           Official Form B22C                                     Page 78
Official Form 23 - Debtor's Certification of Completion of Instructional Course Concerning personal Financial Managem

          Field on Form             Field Name                Value      Notes

Page 1

Form Name                 form.name                       b23          Hidden on Form or Non-editable
Version                   form.version                    1.0          Hidden on Form or Non-editable
Date                      form.date                       12/07        Hidden on Form or Non-editable
Rules                     form.rules_date                 12/07        Hidden on Form or Non-editable
Vendor                    form.vendor                                  Hidden on Form or Non-editable
Page                      form.page                       1            Hidden on Form or Non-editable

Debtor                    district.name                   text
                          district.state                  text
                          debtor.full_name                text
                          case_number                     text
                          chapter                         text
                          debtor_box                      true/false
                          printed.debtor.full_name        text
                          certified_date                  date
                          financial_management_provider   text
                          certificate_num                 text
                          debtor_box                      true/false
                          printed.debtor.full_name2       text
                          no_personal_fmc                 true/false
                                                          true/false
                                                          true/false
                          sign.debtor.date                date
                                                     Draft PDF Data Tag Schema


Official Form B6 Summary - Summary of Schedules

             Field on Form                                       Field Name

Page 1

Form Name                                     form.name
Version                                       form.version
Date                                          form.date
Rules                                         form.rules_date
Vendor                                        form.vendor
Page                                          form.page

                                              district.name
                                              district.state

Debtor Name                                   debtor.full_name
Case Number                                   case_number
Chapter                                       chapter

Schedule A
             Attached                         summary.A.attached

             Number of sheets                 summary.A.page_count
             Assets                           summary.A.assets
Schedule B
             Attached                         summary.B.attached

             Number of sheets                 summary.B.page_count
             Assets                           summary.B.assets
Schedule C
             Attached                         summary.C.attached

             Number of sheets                 summary.C.page_count
Schedule D
             Attached                         summary.D.attached




USTP Confidential                                      Official Form B6 Summary   Page 80
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Official Form B6 Summary - Summary of Schedules

             Field on Form                                     Field Name
             Number of sheets                 summary.D.page_count
             Liabilities                      summary.D.liabilities
Schedule E
             Attached                         summary.E.attached

             Number of sheets                 summary.E.page_count
             Liabilities                      summary.E.liabilities
Schedule F
             Attached                         summary.F.attached

             Number of sheets                 summary.F.page_count
             Liabilities                      summary.F.liabilities
Schedule G
             Attached                         summary.G.attached

             Number of sheets                 summary.G.page_count
Schedule H
             Attached                         summary.H.attached

             Number of sheets                 summary.H.page_count
Schedule I
             Attached                         summary.I.attached

             Number of sheets                 summary.I.page_count
             Other                            summary.I.other
Schedule J
             Attached                         summary.J.attached

             Number of sheets                 summary.J.page_count
             Other                            summary.J.other

Total number of sheets of ALL schedules       summary.total_page_count
Total Assets                                  summary.total_assets
Total Liabilities                             summary.total_liabilities



USTP Confidential                                    Official Form B6 Summary   Page 81
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Official Form B6 Summary - Summary of Schedules

          Field on Form                                            Field Name

Page                                               form.page_two

                                                   district.name
                                                   district.state
Debtor Name                                        debtor.full_name
Case Number                                        case_number
Chapter                                            chapter

STATISTICAL SUMMARY OF CERTAIN LIABILITIES
                                                   primarily.not.consumer.debts
          Doemestic Support Obligations            domestic.support.obligations
          Taxes and Certain Other Debts Owed
          to Governmental Untils                   taxes.other.debts.owed
          Claims for Death or Personal Injury
          While Debtor Was Intoxicated             claims.while.intoxicated
          Student Loan Obligations                 student.loan.obligations

          Obligations to Pension or Profit
          Sharing and Other Similar Obligations domestic.support.separation_agreement
          Domestic Support, Separation
          Agreement, and Divorce Decree
          Obligations Not Reported on Schedule
          E                                     obligations.pension.profit_sharing
          Total                                 total.liabilities

          Average Income                           average.income
          Average Expenses                         average.expenses
          Current Monthly Income (from Form
          22A Line 12; or, Form 22B Line 11; or,
          Form 22C Line 20)                        current.monthly.income




USTP Confidential                                         Official Form B6 Summary      Page 82
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Official Form B6 Summary - Summary of Schedules

          Field on Form                                          Field Name

          Total from Schedule D, "UNSECURED
          PORTION, IF ANY" column                total_schedule_D
          Total from Schedule E, "AMOUNT
          ENTITLED TO PRIORITY" column           total.schedule_E_entitled
          Total from Schedule E, "AMOUNT NOT
          ENTITLED TO PRIORITY, IF ANY"
          column                                 total.schedule_E.not.entitled
          Total from Schedule F                  total.schedule_F
          Total of non-priority unsecured debt
          (sum of 1, 3, and 4)                   total.non_priority.unsecured.debt




USTP Confidential                                       Official Form B6 Summary     Page 83
Official Form B22A(Alt.) - Statement of Current Monthly Income and Means Test Calculation for use in Chapter 7

               Field on Form                                                           Field Name

Page 1

Form Name                                                        form.name
Version                                                          form.version
Date                                                             form.date
Rules                                                            form.rules_date
Vendor                                                           form.vendor
Page                                                             form.page

In re                                                            debtor.full_name
Case Number                                                      case_number

Check the box as directed by Part I, III, and IV
             Presumption arises                                  presumption
             Presumption does not arise                          presumption

Part I: Exclusion for Disable Veterans
             1 Veteran's Declaration                             veteran_declaration

Part II: Calculation of Monthly Income For 707(b)(7) Exclusion
             2 Marital/filing status (checkbox
               a.                                                marital_status
               b.
               c.
               d.

            3 Wages                                              debtor.wages
                                                                 spouse.wages
            4 Gross Business Income                              gross_receipts.business_income
                                                                 expenses.business_income
                                                                 debtor.gross_business_income
                                                                 spouse.gross_business_income
            5 Interest                                           gross_receipts.real_property_income
                                                   expenses.real_property_income
                                                   debtor.interest
                                                   spouse.interest
           6 Rent                                  debtor.rent
                                                   spouse.rent
           7 Pension/Retirement                    debtor.pension
                                                   spouse.pension
           8 Regular Contributions                 debtor.regular_contributions
                                                   spouse.regular_contributions

Page 2

Page                                               form.page

           9 Unemployment Compensation             debtor.unemployment.SSA
                                                   spouse.unemployment.SSA
                                                   debtor.unemp_comp
                                                   spouse.unemp_comp
          10 Other Income Sources
             a.                                    other_income.a_explanation
                                                   other_income.a_income_amount
             b.                                    other_income.b_explanation
                                                   other_income.b_income_amount
             Total and enter on Line 10            debtor.other_income_total
                                                   spouse.other_income_total

          11 Subtotal of Current Monthly Income    debtor.current_monthly_income
                                                   spouse.current_monthly_income
          12 Total Current Monthly Income          total_current_monthly_income

Part III: Application Of 707(b)(7) Exclusion
            13 Annualized Current Monthly Income   total_current_annual_income
            14 Applicable Median Family Income     median_family_income
                a. Debtor's State of Residence     state_of_residence
                b. Debtor's Household Size         household_size
            15 Application of section 707(b)(7)
              Amount on Line 13 is less than or equal to the amount
              on Line 14                                              annual_income

              Amount on Line 13 is more than the amount on Line 14 annual_income

Part IV: Calculation of Current Monthly Income For 707(b)(2)
           16 Enter the amount from Line 12                           line16_amount
           17 Marital adjustment                                      marital adjustment
           18 Current Monthly Income                                  707b2_current_monthly_income

Part V: Calculation of Deductions Allowed Under 707(b)(2)
Subpart A: Deductions under Standards of the Internal Revenue Service (IRS)
              National Standards: food, clothing, household supplies,
          19 personal care                                            allowable_living_expenses

             Local Standards: housing and utilities;
          20 utilities/maintenance expense                            allowable_utilities_expenses

Page 3

Page                                                                  form.page


          21 Local Standards: housing and utilities; mortgage/rental mortgage_expense
                                                                     average_monthly_payment
                                                                     net_mortgage_expense



          22 Local Standards: transportation/vehicle operation        vehicle_operation_expense
               Number of vehicles to pay operating expenses           vehicle_operating_expense



          23 Local Standards: transportation ownership vehicle 1      vehicle_ownership_expense
               Number of vehicles claimed
                                                                      transportation_expenses.irs_standards.vehicle1
                                                                      transportation_expenses.monthly_payment.vehicle1
                                                                    transportation_expenses.net_expense.vehicle1

          23 Local Standards: transportation ownership vehicle 2    transportation_expenses.irs_standards.vehicle2
               Number of vehicles claimed                           transportation_expenses.monthly_payment.vehicle2
                                                                    transportation_expenses.net_expense.vehicle2

          25   Other Necessary Expenses: taxes                      monthly_payroll_taxes
          26   Other Necessary Expenses: payroll deductions         monthly_payroll_deductions
          27   Other Necessary Expenses: insurance                  monthly_insurance
          28   Other Necessary Expenses: court ordered payment      monthly_court_ordered_payments
Page 4

Page                                                                form.page
             Other Necessary Expenses: childcare for challenged
          29 child                                                  monthly_challenged_childcare
          30 Other Necessary Expenses: childcare                    monthly_childcare
          31 Other Necessary Expenses: healthcare                   monthly_healthcare

          32 Other Necessary Expenses: business expenses            monthly_business_expense
          33 Total Expenses Allowed Lines 19 through 31             total_allowable_expenses

Subpart B: Additional Expense Deductions
          34 a. Health Insurance                                    health_insurance
             b. Disability Insurance                                disability_insurance
             c. Health Savings Account                              health_savings_account
             Total: Add Lines a, b, and c                           total_additional_expenses
          35 Continued Contributions to the Care of Household       family_care_expenses
          36 Protection against Family Violence                     family_protection_expenses

          37 Home Energy Costs in Excess                            excess_energy_costs
          38 Education Expense for Dependent Children               dependent_education
          39 Additional Food and Clothing Expense                   excess_food_clothing
          40 Continued Charitable Contributions                     charitable_contributions
             Total Additional Expense Deductions Lines 33 through
          41 39                                                     total_additional_expenses_707b
Page 5
Page                                              form.page


Subpart C: Deductions for Debt Payment
          42 Future payments on secured claims
  Name of Creditor
              a.                                  future_secured.a_creditor
              b.                                  future_secured.b_creditor
              c.                                  future_secured.c_creditor
  Property of Securing the Debt
              a.                                  future_secured.a_property
              b.                                  future_secured.b_property
              c.                                  future_secured.c_property
  Average Monthly Payment
              a.                                  future_secured.a_amount
              b.                                  future_secured.b_amount
              c.                                  future_secured.c_amount
              Total: Add Lines a, b, and c        future_secured.total


           43 Past payment on secured claims
  Name of Creditor
               a.                                 past_secured.a_creditor
               b.                                 past_secured.b_creditor
               c.                                 past_secured.c_creditor
  Property of Securing the Debt in Default
               a.                                 past_secured.a_property
               b.                                 past_secured.b_property
               c.                                 past_secured.c_property
  1/60th of the Cure Amount
               a.                                 past_secured.a_amount
               b.                                 past_secured.b_amount
               c.                                 past_secured.c_amount
               Total: Add Lines a, b, and c       past_secured.total

          44 Payment on priority claims           priority_claims
          45 Chapter 13 Administrative Expenses
             a. Projected Average Monthly Chapter 13 Plan
             Payment                                                 ch13_payment
             b. Current multiplier for your District                 district_multiplier
             c. Average Monthly Administrative Expense of Chapter
             13 case                                                 total_ch13_expenses
             Total Deductions for Debt Payment Lines 41 through
          46 44                                                      total_debt_payments
Subpart D: Total Deduction Allowed
          47 Total of All Deductions Lines 32, 40, and 45            total_deductions

Part VI: Determination
           48 Enter the amount from Line 18                          line18_amount
           49 Enter the amount from Line 46                          line46_amount
           50 Monthly disposable income                              monthly_disposable_income
           51 60-month disposable income                             60month_disposable_income

Page 6

Page                                                                 form.page_five
          52 Initial presumption determination (checkbox)
             Amount on Line 50 is less than $6,000                   monthlydisposable_income
             Amount on Line 50 is more than $10,000                  monthlydisposable_income
             Amount on Line 50 is more than $6,000 but less than
             $10,000                                                 monthlydisposable_income
          53 Enter amount of total non-priority unsecured debt       total_nonpriority_debt
          54 Threshold debt payment amount                           threshold_debt
          55 Secondary presumption determination (checkbox)

              Amount on Line 50 is less than the amount on Line 53   sixty_month_disposable_income
              Amount on Line 50 is greater than or equal to the
              amount on Line 53                                      sixty_month_disposable_income

Part VII: Additional Expense Claims
               other expenses                                        expense_description.a
                                                                     expense_description.b
                                                                     expense_description.c
                                                                     monthly_amount.a
                                     monthly_amount.b
                                     monthly_amount.c
                                     monthly_amount.total
Part VIII: Verification
            56 Debtor date           debtor.signature_date
                 Joint-debtor date   joint_debtor.signature_date
Official Form B22C(Alt.) - Statement of Current Monthly Income and Disposable Income Calculation for use in Chapter 13

                   Field on Form                                                       Field Name

Page 1

Form Name                                                           form.name
Version                                                             form.version
Date                                                                form.date
Rules                                                               form.rules_date
Vendor                                                              form.vendor
Page                                                                form.page

In re                                                               debtor.full_name
Case Number                                                         case_number

Check box as directed by Parts I, III, and IV of this statement
                  Presumption arises                                presumption
                  Presumption does not arise

Part I: Calculation of Current Monthly Income
                  1 Marital/filing status (checkbox
                    a.                                              marital_status
                    b.
                    c.

                 2 Wages                                            debtor.wages
                                                                    spouse.wages
                 3 Gross Business Income
                                                                    gross_receipts.business_income
                                                                    expenses.business_income
                                                                    debtor.gross_business_income
                                                                    spouse.gross_business_income
                 4 Rent
                                                                    gross_receipts.real_property_income
                                                                    expenses.real_property_income
                                                                          debtor.rent
                                                                          spouse.rent
                5 Interest                                                debtor.interest
                                                                          spouse.interest
                6 Pension/Retirement                                      debtor.pension
                                                                          spouse.pension
                7 Regular Contributions                                   debtor.regular_contributions
                                                                          spouse.regular_contributions
                8 Unemployment Compensation                               debtor.unemployment_compensation
                                                                          debtor.unemployment_compensation_total
                                                                          spouse.unemployment_compensation
                                                                          spouse.unemployment_compensation_total

                9 Other Income Sources
                  a.                                                      other_income.a_explanation
                                                                          other_income.a_income_amount
                  b.                                                      other_income.b_explanation
                                                                          other_income.b_income_amount
                                                                          debtor.other_income_total
                                                                          spouse.other_income_total
               10 Subtotal of Current Monthly Income                      debtor.current_monthly_income
                                                                          spouse.current_monthly_income
Page 2

Page                                                                      form.page


               11 Total Current Monthly Income                            total_current_monthly_income

Part II. APPLICATION OF § 1325(b)(3)
               12 Annualized Current Monthly Income                       total_current_annual_income
               13 Applicable Median Family Income                         median_family_income
                  a. Debtor's State of Residence                          state_of_resident
                  b. Debtor's Household Size                              household_size
               14 Application of section 707(b)(7)
                  Amount on Line 12 is less than or equal to the amount
                  on Line 13                                              disposable_income
                    Amount on Line 12 is more than the amount on Line 13 disposable_income

Part III. Calculation of Current Montly Income for 707(b)(2)
                     National Standards: food, clothing, household supplies,
                 15 personal care, and miscellaneous.                        national_standards_food_clothing
                 16  Local Standards: housing and utilities.                 local_standards_housing
                     Local Standards: housing and utilities; mortgage/rental
                 17 expense.                                                 mortgage_rental_expense
                                                                             monthly_mortgage_payment

                                                                           net_mortgage_rental_expense

               18 Local Standards: transportation/vehicle operation
                    Number of vehicles to pay operating expenses           vehicle_operating_expense


                                                                           local_standards_transportation

Page 3
Page                                                                       form.page

               19 Local Standards: transportation ownership vehicle 1      vehicle_ownership_expense
                    Number of vehicles claimed

                                                                           transportation_expenses.irs_standards.vehicle1
                                                                           transportation_expenses.monthly_payment.vehicle1
                                                                           transportation_expenses.net_expense.vehicle1

               20 Local Standards: transportation ownership vehicle 2      transportation_expenses.irs_standards.vehicle2
                                                                           transportation_expenses.monthly_payment.vehicle2
                                                                           transportation_expenses.net_expense.vehicle2

               21   Other Necessary Expenses: taxes                        monthly_payroll_taxes
               22   Other Necessary Expenses: payroll deductions           monthly_payroll_deductions
               23   Other Necessary Expenses: insurance                    monthly_insurance
               24   Other Necessary Expenses: court ordered payment        monthly_court_ordered_payments
                   Other Necessary Expenses: childcare for challenged
              25   child                                                monthly_challenged_childcare
              26   Other Necessary Expenses: childcare                  monthly_childcare
              27   Other Necessary Expenses: healthcare                 monthly_healthcare
              28   Other Necessary Expenses: business expenses          monthly_business_expense
              29   Total Expenses Allowed under IRS Standards           total_allowable_expenses
Page 4

Page
                                                                        form.page
Subpart B: Additional Expense Deductions
              30
                  a. Health Insurance                                   health_insurance
                  b. Disability Insurance                               disability_insurance
                  c. Health Savings Account                             health_savings_account
                  Total: Add Lines a, b, and c                          total_additional_expenses
              31 Continued Contributions to the Care of Household       family_care_expenses
              32 Protection against Family Violence                     family_protection_expenses

             33 Home Energy Costs in Excess                             excess_energy_costs
             34 Education Expense for Dependent Children                dependent_education
             35 Additional Food and Clothing Expense                    excess_food_clothing
             36 Continued Charitable Contributions                      charitable_contributions
             37 Total Additional Expense Deductions under 707(b)        total_additional_expenses_707b
Subpart C: Deductions for Debt Payment
             38
                 F
  Name of Creditor uture payments on secured claims

                  a.                                                    future_secured.a_creditor
                  b.                                                    future_secured.b_creditor
                  c.
  Property of Securing the Debt                                         future_secured.c_creditor

                a.                                                      future_secured.a_property
                b.                                                      future_secured.b_property
                c.
  Average Monthly Payment                                               future_secured.c_property

                   a.                                                   future_secured.a_amount
                  b.                                                     future_secured.b_amount
                  c.                                                     future_secured.c_amount
                  Total: Add Lines a, b, and c                           future_secured.total
             39
                 P
  Name of Creditor ast payment on secured claims

                  a.                                                     past_secured.a_creditor
                  b.                                                     past_secured.b_creditor
                  c.
  Property of Securing the Debt in Default                               past_secured.c_creditor

                  a.                                                     past_secured.a_property
                  b.                                                     past_secured.b_property
                  c.
  1/60th of the Cure Amount                                              past_secured.c_property

                  a.                                                     past_secured.a_amount
                  b.                                                     past_secured.b_amount
                  c.                                                     past_secured.c_amount
                  Total: Add Lines a, b, and c                           past_secured.total
Page 5

Page
                                                                         form.page

               40 Payment on priority claims                             priority_claims

              41 Chapter 13 Administrative Expenses
                  a. Projected Average Monthly Chapter 13 Plan
                  Payment                                                ch13_payment
                  b. Current multiplier for your District                district_multiplier
                  c. Average Monthly Administrative Expense of Chapter
              42 13 case                                                 total_ch13_expenses
                  Total Deductions for Debt Payment                      total_debt_payments
Subpart D: Total Deductions Allowed

               43 Total of All Deductions Lines 27, 35, and 40           total_deductions
Part IV: Determination
               44 Total current monthly income.                          total_current_monthly_income_1325b
                45   Enter the amount from Line 7                         line7_amount
                46   Qualified retirement deductions.                     qualified_retirement_deductions
                47   Total of all deductions allowed under § 707(b)(2).   total_deductions_under_707b2
                48   Monthly disposable income under 707(b)(2)            monthly_disposable_income_under_707b2
                49   60 month disposable income under 707(b)(2)           sixty_month_disposable_income_under_707b2
                     Initial Presumption Determination

Part V: ADDITIONAL EXPENSE CLAIMS
                                                                          expense_description.a
                                                                          expense_description.b
                                                                          expense_description.c
                                                                          monthly_amount.a
                                                                          monthly_amount.b
                                                                          monthly_amount.c
Part VII: Verification                                                    total_additional_expense_claims
                 53
                     Debtor date                                          debtor.signature_date
                     Joint-debtor date                                    joint_debtor.signature_date

				
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Description: Property Settlement and Voluntary Separation Agreement document sample