Chapter 7 Statement of Your Current Monthly Income

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By Form Number

Category:

Official/Director's Bankruptcy Forms

Petition Packages

Form Number:

B122A-1

Chapter Type:

Chapter 7

Chapter Category:

Individual

Form URL:

https://www.uscourts.gov/forms/means-test-forms/chapter-7-statement-your-current-monthly-income

Upcoming

Pending Fed. R. Bankr. P. and Official Forms Amendments

Privacy Requirements for Filed Documents

To protect the privacy of individuals, certain personal data identifiers as listed below must be redacted before a document is filed with the Court (see Fed. R. Bankr. P. 9037). The Court will not review filed documents to ensure personal data identifiers are redacted.

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers

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Forms Overview

B = Official/Director's Bankruptcy Forms

LF = Local Bankruptcy Form

MMM = Mortgage Modification Mediation Form

SLP = Student Loan Program

United States Bankruptcy Court

Southern District of Florida

Erik P. Kimball, Chief Judge
Joseph Falzone, Clerk of Court

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Chapter 7 Statement of Your Current Monthly Income

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers