Official Form 106I, Schedule I: Your Income Instructions
This form contains 89 fields organized into 32 sections. Below is a complete list of every field, its type, and what information is expected.
| Field Name | Type | Description |
|---|---|---|
| Calculated Gross Income | ||
| Debtor 1 Calculated Gross Income | Number |
Provide the calculated gross income for Debtor 1 by adding the amounts from line 2 and line 3. Fill only if 'Debtor 1 Monthly Gross Wages', 'Debtor 1 Monthly Overtime Pay' is filled, any.
Depends on:
Debtor 1 Monthly Gross Wages, Debtor 1 Monthly Overtime Pay
|
| Debtor 2 Calculated Gross Income | Number |
Provide the calculated gross income for Debtor 2 or non-filing spouse by adding the amounts from line 2 and line 3. Fill only if 'Debtor 2 Monthly Gross Wages', 'Debtor 2 Monthly Overtime Pay' is filled, any.
Depends on:
Debtor 2 Monthly Gross Wages, Debtor 2 Monthly Overtime Pay
|
| Calculated Monthly Income | ||
| Debtor 1 Calculated Monthly Income | Number |
Enter the calculated monthly income for Debtor 1.
|
| Debtor 2 or Non-Filing Spouse Calculated Monthly Income | Number |
Enter the calculated monthly income for Debtor 2 or the non-filing spouse.
|
| Total Calculated Monthly Income | Number |
Enter the total calculated monthly income, which is the sum of Debtor 1 and Debtor 2 or the non-filing spouse's monthly income.
|
| Case Identification | ||
| Debtor 1 Full Name | Text |
Enter the complete first, middle, and last name of the first debtor.
|
| Debtor 2 Full Name (Spouse, if filing) | Text |
Enter the complete first, middle, and last name of the second debtor, if the spouse is filing.
|
| Case Number | Text |
Enter the official case number, if it is known.
|
| Combined Monthly Income | ||
| Combined Monthly Income | Number |
Enter the total combined monthly income, which is the sum of the last column of line 10 and the amount from line 11.
|
| Copied Line 4 | ||
| Debtor 1 Copied Line 4 Amount | Number |
Provide the amount to be copied from line 4 for Debtor 1. Fill only if 'Calculate gross income' is filled
Depends on:
Debtor 1 Calculated Gross Income
|
| Debtor 2 or Non-Filing Spouse Copied Line 4 Amount | Number |
Provide the amount to be copied from line 4 for Debtor 2 or a non-filing spouse. Fill only if 'Calculate gross income' is filled
Depends on:
Debtor 2 Calculated Gross Income
|
| Debtor 1 Employment Information | ||
| Debtor 1 Employed | Checkbox |
Check this box if Debtor 1 is currently employed.
|
| Debtor 1 Not Employed | Checkbox |
Check this box if Debtor 1 is currently not employed.
|
| Debtor 1 Occupation | Text |
Enter the occupation of Debtor 1. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer's Name | Text |
Enter the name of Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address Street | Text |
Enter the street number and street name of Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address Line 2 | Text |
Enter any additional address information for Debtor 1's employer, such as apartment, suite, or unit number. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address Line 3 | Text |
Enter any further additional address information for Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address City | Text |
Enter the city of Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address State | Text |
Enter the state of Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employer Address ZIP Code | Text |
Enter the ZIP code of Debtor 1's employer. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 1 Employment Duration | Text |
Enter how long Debtor 1 has been employed at this job. Fill only if 'Debtor 1 Employed' is 'Yes'.
Depends on:
Debtor 1 Employed
|
| Debtor 2 or Non-filing Spouse Employment Information | ||
| Debtor 2 Employed | Checkbox |
Check this box if Debtor 2 or the non-filing spouse is currently employed.
|
| Debtor 2 Not employed | Checkbox |
Check this box if Debtor 2 or the non-filing spouse is not currently employed.
|
| Debtor 2 Occupation | Text |
Enter the occupation for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer's Name | Text |
Enter the name of the employer for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address Street Number | Text |
Enter the street number part of the employer's address for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address Street | Text |
Enter the street name part of the employer's address for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address Line 2 | Text |
Enter any additional address information for the employer of Debtor 2 or the non-filing spouse, such as an apartment or suite number. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address City | Text |
Enter the city of the employer's address for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address State | Text |
Enter the state of the employer's address for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Debtor 2 Employer Address ZIP Code | Text |
Enter the ZIP code of the employer's address for Debtor 2 or the non-filing spouse. Fill only if 'Debtor 2 Employed' is 'Yes'.
Depends on:
Debtor 2 Employed
|
| Domestic Support Obligations | ||
| Domestic Support Obligations for Debtor 1 | Number |
Enter the amount for domestic support obligations for Debtor 1.
|
| Domestic Support Obligations for Debtor 2 or non-filing spouse | Number |
Enter the amount for domestic support obligations for Debtor 2 or non-filing spouse.
|
| Expected Income Change | ||
| No | Checkbox |
Check this box if you do not expect an increase or decrease in your income within the year after you file this form.
|
| Yes, Explain | Checkbox |
Check this box if you expect an increase or decrease in your income within the year after you file this form, and be prepared to explain the change.
|
| Expected Income Change Explanation | Text |
Provide a detailed explanation of any expected increase or decrease in income within the year after filing this form. Fill only if 'Yes, Explain' is 'Yes'.
Depends on:
Yes, Explain
|
| Family Support Payments | ||
| Family Support Payments Debtor 1 | Number |
Enter the amount of family support payments regularly received by Debtor 1.
|
| Family Support Payments Debtor 2 or Non-Filing Spouse | Number |
Enter the amount of family support payments regularly received by Debtor 2 or non-filing spouse.
|
| Filing Status | ||
| An amended filing | Checkbox |
Check this box if you are submitting an amended version of the filing.
|
| A supplement showing postpetition Chapter 13 income | Checkbox |
Check this box if you are providing a supplement that details postpetition Chapter 13 income as of a specific date.
|
| Supplement Income Date | Date |
Enter the date as of which the postpetition chapter 13 income supplement is being provided. Fill only if 'A supplement showing postpetition Chapter 13 income' is 'Yes'.
Depends on:
A supplement showing postpetition Chapter 13 income
|
| General | ||
| US Bankruptcy Court | Combobox |
Enter the name of the United States Bankruptcy Court for which this filing is made.
Southern District of Florida
Central District of California
Western District of New York
Southern District of Texas
Western District of Pennsylvania
Eastern District of Tennessee
Eastern District of North Carolina
Southern District of New York
District of Maine
Southern District of California
Southern District of Indiana
Eastern District of Kentucky
District of North Dakota
Northern District of West Virginia
Northern District of Florida
District of New Jersey
District of Idaho
District of Virgin Islands
Southern District of Iowa
Southern District of Illinois
Middle District of Pennsylvania
Middle District of Georgia
Eastern District of Texas
District of Columbia
Northern District of Ohio
Northern District of California
Southern District of Alabama
__________ District of __________
District of New Mexico
Central District of Illinois
Western District of Louisiana
Western District of Tennessee
Northern District of Mississippi
Western District of Texas
District of Nevada
District of Maryland
Southern District of Mississippi
Northern District of Iowa
Eastern District of Oklahoma
District of Vermont
Southern District of Ohio
Northern District of Oklahoma
Northern District of Alabama
Northern District of New York
Eastern District of Washington
District of Delaware
District of South Carolina
Western District of Michigan
District of Puerto Rico
Western District of Washington
District of Alaska
Northern District of Illinois
Eastern District of Pennsylvania
Eastern District of Wisconsin
Eastern District of California
District of Kansas
Middle District of Louisiana
District of Hawaii
District of Oregon
District of Minnesota
Middle District of Alabama
Eastern and Western District of Arkansas
Northern District of Georgia
Middle District of Tennessee
Eastern District of Missouri
Eastern District of New York
Southern District of Georgia
District of Guam
Northern District of Indiana
Western District of North Carolina
Middle District of Florida
District of Connecticut
Middle District of North Carolina
District of Rhode Island
District of Nebraska
District of New Hampshire
Western District of Oklahoma
District of South Dakota
District of Northern Mariana Islands
District of Arizona
District of Massachusetts
District of Montana
District of Wyoming
Western District of Kentucky
District of Utah
Northern District of Texas
Western District of Missouri
Eastern District of Louisiana
Western District of Virginia
Southern District of West Virginia
Western District of Wisconsin
Eastern District of Virginia
Eastern District of Michigan
District of Colorado
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| Insurance Deductions | ||
| Debtor 1 Insurance Deduction | Number |
Enter the insurance deduction amount for Debtor 1.
|
| Debtor 2 or Non-Filing Spouse Insurance Deduction | Number |
Enter the insurance deduction amount for Debtor 2 or non-filing spouse.
|
| Interest and Dividends | ||
| Interest and Dividends for Debtor 1 | Number |
Enter the amount of interest and dividends received by Debtor 1.
|
| Interest and Dividends for Debtor 2 or non-filing spouse | Number |
Enter the amount of interest and dividends received by Debtor 2 or non-filing spouse.
|
| Mandatory Contributions for Retirement Plans | ||
| Debtor 1 Mandatory Contributions | Number |
Enter the mandatory contributions for retirement plans for Debtor 1.
|
| Debtor 2 or Non-Filing Spouse Mandatory Contributions | Number |
Enter the mandatory contributions for retirement plans for Debtor 2 or the non-filing spouse.
|
| Monthly Gross Wages | ||
| Debtor 1 Monthly Gross Wages | Number |
Enter Debtor 1's total monthly gross wages, salary, and commissions before any deductions.
|
| Debtor 2 Monthly Gross Wages | Number |
Enter Debtor 2's or the non-filing spouse's total monthly gross wages, salary, and commissions before any deductions.
|
| Monthly Overtime Pay | ||
| Debtor 1 Monthly Overtime Pay | Number |
Provide Debtor 1's estimated monthly overtime pay.
|
| Debtor 2 Monthly Overtime Pay | Number |
Provide Debtor 2's or non-filing spouse's estimated monthly overtime pay.
|
| Net Income from Business/Rental | ||
| Debtor 1 Net Income from Business/Rental | Number |
Enter the net income from rental property and from operating a business, profession, or farm for Debtor 1.
|
| Debtor 2 Net Income from Business/Rental | Number |
Enter the net income from rental property and from operating a business, profession, or farm for Debtor 2 or non-filing spouse.
|
| Other Deductions | ||
| Other Deductions - Specify | Text |
Enter a description for the other deductions. Fill only if 'Other Deductions Amount (Debtor 1)', 'Other Deductions Amount (Debtor 2 or non-filing spouse)' is filled, any.
Depends on:
Other Deductions Amount (Debtor 1), Other Deductions Amount (Debtor 2 or non-filing spouse)
|
| Other Deductions Amount (Debtor 1) | Number |
Enter the total amount for other deductions for Debtor 1.
|
| Other Deductions Amount (Debtor 2 or non-filing spouse) | Number |
Enter the total amount for other deductions for Debtor 2 or a non-filing spouse.
|
| Other Government Assistance | ||
| Other Government Assistance Type | Text |
Specify the type of other government assistance regularly received. Fill only if 'Other Government Assistance Amount for Debtor 1', 'Other Government Assistance Amount for Debtor 2 or Non-filing Spouse' is filled, any.
Depends on:
Other Government Assistance Amount for Debtor 1, Other Government Assistance Amount for Debtor 2 or Non-filing Spouse
|
| Other Government Assistance Amount for Debtor 1 | Number |
Enter the amount of other government assistance regularly received by Debtor 1.
|
| Other Government Assistance Amount for Debtor 2 or Non-filing Spouse | Number |
Enter the amount of other government assistance regularly received by Debtor 2 or a non-filing spouse.
|
| Other Monthly Income | ||
| Other Monthly Income Specify | Text |
Provide a description for the other monthly income source. Fill only if 'Debtor 1 Other Monthly Income', 'Debtor 2 Other Monthly Income' is filled, any.
Depends on:
Debtor 1 Other Monthly Income, Debtor 2 Other Monthly Income
|
| Debtor 1 Other Monthly Income | Number |
Enter the total amount for other monthly income for Debtor 1.
|
| Debtor 2 Other Monthly Income | Number |
Enter the total amount for other monthly income for Debtor 2 or non-filing spouse.
|
| Other Regular Contributions | ||
| Other Regular Contributions Amount | Number |
Enter the total amount of other regular contributions made to the expenses listed in Schedule J.
|
| Pension or Retirement Income | ||
| Debtor 1 Pension or Retirement Income | Number |
Enter the monthly pension or retirement income received by Debtor 1.
|
| Debtor 2 or Non-Filing Spouse Pension or Retirement Income | Number |
Enter the monthly pension or retirement income received by Debtor 2 or the non-filing spouse.
|
| Required Repayments of Retirement Fund Loans | ||
| Required Repayments for Debtor 1 | Number |
Enter the amount of required repayments of retirement fund loans for Debtor 1.
|
| Required Repayments for Debtor 2 or non-filing spouse | Number |
Enter the amount of required repayments of retirement fund loans for Debtor 2 or non-filing spouse.
|
| Social Security Income | ||
| Social Security Income for Debtor 1 | Number |
Enter the Social Security income received by Debtor 1.
|
| Social Security Income for Debtor 2 or Non-Filing Spouse | Number |
Enter the Social Security income received by Debtor 2 or the non-filing spouse.
|
| Tax, Medicare, and Social Security Deductions | ||
| Debtor 1 Tax, Medicare, and Social Security Deductions | Number |
Enter the amount for Debtor 1's tax, Medicare, and Social Security deductions.
|
| Debtor 2 or Non-filing Spouse Tax, Medicare, and Social Security Deductions | Number |
Enter the amount for Debtor 2's or the non-filing spouse's tax, Medicare, and Social Security deductions.
|
| Total Monthly Take-Home Pay | ||
| Amount 7 Debtor 1 | Text | |
| Debtor 2 or Non-filing Spouse Total Monthly Take-Home Pay | Number |
Provide the total monthly take-home pay for Debtor 2 or a non-filing spouse.
|
| Total Other Income | ||
| Debtor 1 Total Other Income | Number |
Enter the total amount of other income for Debtor 1.
|
| Debtor 2 Total Other Income | Number |
Enter the total amount of other income for Debtor 2 or non-filing spouse.
|
| Total Payroll Deductions | ||
| Debtor 1 Total Payroll Deductions | Number |
Enter the total sum of all payroll deductions for Debtor 1, calculated by adding amounts from lines 5a through 5h.
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| Debtor 2 Total Payroll Deductions | Number |
Enter the total sum of all payroll deductions for Debtor 2 or the non-filing spouse, calculated by adding amounts from lines 5a through 5h.
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| Unemployment Compensation | ||
| Debtor 1 Unemployment Compensation | Number |
Enter the amount of unemployment compensation received by Debtor 1.
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| Debtor 2 Unemployment Compensation | Number |
Enter the amount of unemployment compensation received by Debtor 2 or non-filing spouse.
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| Union Dues | ||
| Debtor 1 Union Dues | Number |
Enter the amount of union dues for Debtor 1.
|
| Debtor 2 or Non-Filing Spouse Union Dues | Number |
Enter the amount of union dues for Debtor 2 or the non-filing spouse.
|
| Voluntary Contributions for Retirement Plans | ||
| Debtor 1 Voluntary Contributions | Number |
Enter the amount of voluntary contributions for retirement plans made by Debtor 1.
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| Debtor 2 Voluntary Contributions | Number |
Enter the amount of voluntary contributions for retirement plans made by Debtor 2 or a non-filing spouse.
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