If you believe that you are exempted from a presumption of abuse because you do not have primarily consumer debts or because of qualifying military service, complete and file Form 122A-1Supp.
Married: if you are married and your spouse is filing with you, fill out both Columns A and B, lines 2-11.
Income varied: if the amount of your monthly income varied during the 6 months, add the income for all 6 months and divide the total by 6.
Once only: do not include any income amount more than once.
Line 14: if line 12b is less than or equal to line 13, check box 1; if line 12b is more than line 13, check box 2 and fill out Form 122A-2.
| Question | Answer |
|---|---|
| Form Name | Official Form 122A-1 |
| Form Length | 3 pages |
| Fillable? | Yes |
| Fillable fields | 67 |
| Avg. time to fill out | 12 min |
| Edition | 12/19 |
| Matches the agency's file | Yes, checked October 4, 2026 |
| Other names | 122A-1, 122A1, Official Form 122A-1, Form 122A, Chapter 7 Statement of Your Current Monthly Income |
| Official source | Official Form 122A-1 (Rev 12/19), United States Bankruptcy Court |
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