Official Form B 22C1 PDF Details

The Official Form B 22C1, known as the Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period, plays a crucial role in the bankruptcy filing process in the United States. This comprehensive document requires individuals who are undergoing Chapter 13 bankruptcy to meticulously report their income from various sources over the six months prior to filing. It is designed to ensure accuracy and completeness in representing an individual's financial situation. The form allows for the identification of both the person filing and if applicable, their spouse, incorporating detailed sections for calculating average monthly income, understanding marital adjustments, and determining the commitment period based on the disposable income calculation as mandated under 11 U.S.C. § 1325(b)(3). Furthermore, it directs filers on whether to proceed to the Calculation of Disposable Income section or conclude the filing process based on the comparison of their annual income against median family income for their household size and region. It emphasizes accuracy and honesty, with a declaration that all information provided is true under penalty of perjury. The form embodies the legal and procedural complexities involved in filing for Chapter 13 bankruptcy while providing structured yet rigorous guidelines for debtors to disclose their financial status.

QuestionAnswer
Form NameOfficial Form B 22C1
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Other names15b, 22C1, form 22c, 20c

Form Preview Example

Fill in this information to identify your case:

Debtor 1

__________________________________________________________________

 

First Name

Middle Name

Last Name

Debtor 2

________________________________________________________________

(Spouse, if filing)

First Name

Middle Name

Last Name

United States Bankruptcy Court for the: ______________________ District of __________

Case number ___________________________________________

(If known)

Official Form B 22C1

Check as directed in lines 17 and 21:

According to the calculations required by this Statement:

1. Disposable income is not determined under 11 U.S.C. § 1325(b)(3).

2. Disposable income is determined under 11 U.S.C. § 1325(b)(3).

3. The commitment period is 3 years. 4. The commitment period is 5 years.

Check if this is an amended filing

Chapter 13 Statement of Your Current Monthly Income

 

and Calculation of Commitment Period

12/14

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more space is needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any additional pages, write your name and case number (if known).

Part 1: Calculate Your Average Monthly Income

1.What is your marital and filing status? Check one only.

Not married. Fill out Column A, lines 2-11.

Married. Fill out both Columns A and B, lines 2-11.

Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this

bankruptcy case. 11 U.S.C. § 101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. 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. Fill in the result. Do not include any income amount more than once. For example, if both spouses own the same rental property, put the income from that property in one column only. If you have nothing to report for any line, write $0 in the space.

2.Your gross wages, salary, tips, bonuses, overtime, and commissions (before all payroll deductions).

3.Alimony and maintenance payments. Do not include payments from a spouse if Column B is filled in.

4.All amounts from any source which are regularly paid for household expenses of you or your dependents, including child support. Include regular contributions from an unmarried partner, members of your household, your dependents, parents, and roommates. Include regular contributions from a spouse only if Column B is not filled in. Do not include payments you listed on line 3.

5.Net income from operating a business, profession, or farm

Column A

 

Column B

Debtor 1

 

Debtor 2 or

 

 

non-filing spouse

$____________

$__________

$____________

$__________

$___________ $__________

Gross receipts (before all deductions)

Ordinary and necessary operating expenses

Net monthly income from a business, profession, or farm

6.Net income from rental and other real property Gross receipts (before all deductions)

Ordinary and necessary operating expenses

$____________

–$____________

$____________

$____________

–$_____________

Copy

$____________

$_________

here

Net monthly income from rental or other real property

Copy

 

$____________

$__________

here$____________

Official Form B 22C1

Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period

page 1

Debtor 1

_______________________________________________________

Case number (if known)_____________________________________

 

First Name

Middle Name

Last Name

 

7.Interest, dividends, and royalties

8.Unemployment compensation

Do not enter the amount if you contend that the amount received was a benefit under

the Social Security Act. Instead, list it here:

...................................

For you

$_____________

For your spouse

$_____________

Column A

 

Column B

Debtor 1

 

Debtor 2 or

 

 

non-filing spouse

$____________

$__________

$____________

$__________

9.Pension or retirement income. Do not include any amount received that was a benefit under the Social Security Act.

10.Income from all other sources not listed above. Specify the source and amount. Do not include any benefits received under the Social Security Act or payments received as a victim of a war crime, a crime against humanity, or international or domestic terrorism. If necessary, list other sources on a separate page and put the total on line 10c.

10a. __________________________________________________________________

10b. __________________________________________________________________

10c. Total amounts from separate pages, if any.

11.Calculate your total average monthly income. Add lines 2 through 10 for each column. Then add the total for Column A to the total for Column B.

Part 2: Determine How to Measure Your Deductions from Income

$____________

$_____________

$_____________

+$____________

$____________

+

$__________

$___________

$___________

+$__________

$___________

=

$________

Total average monthly income

12.Copy your total average monthly income from line 11. ......................................................................................................................

13.Calculate the marital adjustment. Check one:

You are not married. Fill in 0 in line 13d.

You are married and your spouse is filing with you. Fill in 0 in line 13d.

You are married and your spouse is not filing with you.

Fill in the amount of the income listed in line 11, Column B, that was NOT regularly paid for the household expenses of you or your dependents, such as payment of the spouse’s tax liability or the spouse’s support of someone other than you or your dependents.

In lines 13a-c, specify the basis for excluding this income and the amount of income devoted to each purpose. If necessary, list additional adjustments on a separate page.

If this adjustment does not apply, enter 0 on line 13d.

13a. _______________________________________________________________________

$___________

 

13b. _______________________________________________________________________

$___________

 

13c. _______________________________________________________________________

+ $___________

 

13d. Total

$___________

Copy here. 13d.

 

14. Your current monthly income. Subtract line 13d from line 12.

14.

$_____________

─____________

$ __________

15.Calculate your current monthly income for the year. Follow these steps:

15a.

Copy line 14 here

15a.

 

Multiply line 15a by 12 (the number of months in a year).

 

15b.

The result is your current monthly income for the year for this part of the form.

15b.

$____________

x 12

$___________

Official Form B 22C1

Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period

page 2

Debtor 1

_______________________________________________________

Case number (if known)_____________________________________

 

First Name

Middle Name

Last Name

 

16.Calculate the median family income that applies to you. Follow these steps:

16a.

Fill in the state in which you live.

_________

 

 

16b.

Fill in the number of people in your household.

_________

 

 

16c.

Fill in the median family income for your state and size of household

16c.

$___________

 

 

 

 

To find a list of applicable median income amounts, go online using the link specified in the separate instructions for this form. This list may also be available at the bankruptcy clerk’s office.

17.How do the lines compare?

17a. Line 15b is less than or equal to line 16c. On the top of page 1 of this form, check box 1, Disposable income is not determined under 11 U.S.C. § 1325(b)(3). Go to Part 3. Do NOT fill out Calculation of Disposable Income (Official Form 22C–2).

17b. Line 15b is more than line 16c. On the top of page 1 of this form, check box 2, Disposable income is determined under 11 U.S.C.

§1325(b)(3). Go to Part 3 and fill out Calculation of Disposable Income (Official Form 22C–2). On line 39 of that form, copy your current monthly income from line 14 above.

Part 3:

Calculate Your Commitment Period Under 11 U.S.C. §1325(b)(4)

18. Copy your total average monthly income from line 11

18.

19.Deduct the marital adjustment if it applies. If you are married, your spouse is not filing with you, and you contend that calculating the commitment period under 11 U.S.C. § 1325(b)(4) allows you to deduct part of your spouse’s income, copy the amount from line 13d.

If the marital adjustment does not apply, fill in 0 on line 19a.

19a.

Subtract line 19a from line 18.

19b.

20.Calculate your current monthly income for the year. Follow these steps:

$__________

─$__________

$__________

20a. Copy line 19b.. ................................................................................................................................................................... 20a.

Multiply by 12 (the number of months in a year).

 

20b. The result is your current monthly income for the year for this part of the form.

20b.

20c. Copy the median family income for your state and size of household from line 16c

 

21. How do the lines compare?

$___________

x12

$___________

$___________

Line 20b is less than line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 3, The commitment period is 3 years. Go to Part 4.

Line 20b is more than or equal to line 20c. Unless otherwise ordered by the court, on the top of page 1 of this form, check box 4, The commitment period is 5 years. Go to Part 4.

Part 4: Sign Below

By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct.

___________________________________________________

____________________________________

Signature of Debtor 1

Signature of Debtor 2

Date _________________

Date _________________

MM / DD / YYYY

MM / DD / YYYY

If you checked 17a, do NOT fill out or file Form 22C–2.

If you checked 17b, fill out Form 22C–2 and file it with this form. On line 39 of that form, copy your current monthly income from line 14 above.

Official Form B 22C1

Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period

page 3

How to Edit Official Form B 22C1 Online for Free

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This PDF form requires specific details; to guarantee accuracy and reliability, don't hesitate to bear in mind the guidelines below:

1. To start off, while filling out the 17b, start in the area that includes the next blanks:

Completing section 1 of 16c

2. Now that the last array of fields is done, you have to insert the essential specifics in What is your marital and filing, Not married Fill out Column A, Married Fill out both Columns A, Fill in the average monthly income, Your gross wages salary tips, payroll deductions, Alimony and maintenance payments, Column B is filled in, All amounts from any source which, Net income from operating a, Gross receipts before all, Column A Debtor, and Column B Debtor or nonfiling so you can proceed further.

Learn how to prepare 16c portion 2

3. Through this part, examine Gross receipts before all, Ordinary and necessary operating, Net monthly income from a business, Copy, here, Net income from rental and other, Gross receipts before all, Ordinary and necessary operating, Net monthly income from rental or, Copy here, Official Form B C, Chapter Statement of Your Current, and page. Every one of these will need to be filled out with utmost accuracy.

page, Net income from rental and other, and Official Form B C inside 16c

4. It is time to complete this fourth segment! Here you'll have all these First Name, Middle Name, Last Name, Case number if known, Debtor, Interest dividends and royalties, Unemployment compensation, Column A Debtor, Column B Debtor or nonfiling, Do not enter the amount if you, For you, For your spouse, Pension or retirement income Do, benefit under the Social Security, and Income from all other sources not fields to complete.

Part # 4 in completing 16c

5. As a final point, the following last portion is what you'll want to finish before closing the form. The blanks in question include the following: c Total amounts from separate, Calculate your total average, column Then add the total for, Total average monthly income, Part Determine How to Measure, Copy your total average monthly, Calculate the marital adjustment, and Fill in the amount of the income.

16c completion process outlined (part 5)

It's easy to make a mistake while filling out the Fill in the amount of the income, so make sure that you reread it prior to deciding to submit it.

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