MONTHLY EXPENSE SHEET
Besides having to pass the means test, recent cases emphasize the importance of actual expenses in determining eligibility for Chapter 7 or in determining what the monthly payment will be under a Chapter 13 plan. Please complete the following to the best of your ability. Keep in mind that you may be asked to produce backup documentation to prove the accuracy of the expenses you claim. 1. Residence payments a. b. c. d. 2. Rent or mortgage are property Taxes included is homeowners insurance included Maintenance ______ Yes __ Yes __ ______ No ___ No ___
Utilities: a. b. c. d. e. f. g. Gas and electric Water & sewer Garbage security cable other utilities telephone ______ ______ ______ ______ ______ ______ ______ ______ ______
3. 4.
Food at home and eating out Clothing
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5. 6. 7. 8. 9. 10.
Laundry/dry cleaning Medical & dental (not deducted from your paycheck) Transportation: (gas, oil, repair) Recreation/clubs/entertainment; newspapers/periodicals/books: Charitable contributions: Insurances: a. b. Homeowners/renters (not deducted from your paycheck) Life insurance: (not deducted from your paycheck) Health insurance: (not deducted from your paycheck) Auto insurance: Other insurance:
______ ______ ______ ______ ______
______ ______
c. d. e. 11.
______ ______ ______
Taxes: a. b. Real estate property taxes: Other taxes: ______ ______
12. 13.
Auto installment payment: Other installment payments (this is for only the payments you are keeping after you file bankruptcy):
______
____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ -2-
14.
Household supplies, includes cleaning supplies Child support paid: Name, age of child, relationship of child to debtor/spouse: a. b. c. d.
______
15.
_____ _____ _____ _____ _____
16. 17.
Child care
Spousal support: Enter name, age, and relationship of ex-spouse to debtor/spouse: _____ _____________________________________________ Payments for dependents not living at home Enter name, age, and relationship to debtor/spouse ______________________________________ Personal grooming, including haircuts Pet expenses including veterinary Total monthly expenses
18.
_____
19.
_____ _____ ________
20.
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