Official Form 106I, Schedule I: Your Income Completed Form Examples and Samples
Find clear, filled-out examples of Official Form 106I, Schedule I: Your Income. Our samples demonstrate how to correctly report employment income, deductions, and other financial details for individual and joint bankruptcy filings. Use these templates to understand and accurately complete your Schedule I.
Official Form 106I Example: Joint Filers with Employment Income
How this form was filled:
A detailed example of Form 106I for a married couple, John and Jane Smith, filing for bankruptcy jointly. It shows how to report employment income, deductions, and dependents for both debtors, resulting in a combined monthly income calculation.
Information used to fill out the document:
- Debtor 1 Name: John P. Smith
- Debtor 2 Name: Jane A. Smith
- Filing Type: Joint Petition
- Dependents: 2 (ages 8 and 12)
- Debtor 1 Employer: Tech Solutions Inc.
- Debtor 1 Occupation: IT Specialist
- Debtor 1 Monthly Gross Income: $4,500.00
- Debtor 1 Monthly Deductions: $1,500.00 (Taxes, Insurance, Retirement)
- Debtor 2 Employer: Springfield Elementary
- Debtor 2 Occupation: Teacher
- Debtor 2 Monthly Gross Income: $2,000.00
- Debtor 2 Monthly Deductions: $500.00 (Taxes, Insurance)
- Other Monthly Income: $100.00 (Tutoring)
- Total Combined Monthly Income: $6,600.00
- Date of Signature: 05/10/2026
What this filled form sample shows:
- Demonstrates how to complete the form for a married couple filing jointly.
- Clearly lists employment income and payroll deductions for both Debtors.
- Includes information on dependents living in the household.
- Shows the calculation of Total Combined Monthly Income based on all sources.
Form specifications and details:
| Use Case: | Married couple filing a joint bankruptcy petition |
| Form Name: | Official Form 106I, Schedule I: Your Income |
| Filing Chapter: | Applicable for Chapter 7, 11, 12, or 13 Bankruptcy |
Created: March 07, 2026 01:14 AM
