Maine Bankruptcy Exemption Worksheet
Maine Bankruptcy Exemption Worksheet
Part 1. Debtor and Case Information
| Field | Entry |
|---|---|
| Debtor 1 full legal name | [____________________________________________] |
| Debtor 2 full legal name (if joint) | [____________________________________________] |
| Mailing address | [____________________________________________] |
| County of residence | [____________________________________________] |
| Date of Maine domicile commencement | [__/__/____] |
| Bankruptcy chapter (7, 11, 12, 13) | [____________________________________________] |
| Case number (if assigned) | [____________________________________________] |
| Court | U.S. Bankruptcy Court, District of Maine |
| Petition date | [__/__/____] |
Part 2. Domicile and Eligibility Check (11 U.S.C. § 522(b)(3)(A))
Confirm Maine exemptions apply. Complete each item:
☐ Debtor's domicile has been Maine for the entire 730 days before the petition date.
☐ If domicile changed within the 730-day window, debtor was domiciled in Maine for the greater part of the 180-day period preceding the 730-day period.
☐ Debtor has NOT acquired property within the last 1,215 days that would invoke the § 522(p) cap on the homestead exemption beyond [$_______].
☐ Maine state exemptions under 14 M.R.S. § 4422 are the controlling state-law exemption set (federal § 522(d) is unavailable per 14 M.R.S. § 4426).
☐ Federal nonbankruptcy exemptions under 11 U.S.C. § 522(b)(3)(B) and (C) (e.g., ERISA-qualified retirement plans, Social Security, certain federal benefits) remain available IN ADDITION to Maine exemptions.
Part 3. Spousal Doubling Notice (14 M.R.S. § 4422-A)
In a joint case, both spouses may each claim the exemptions in 14 M.R.S. § 4422 to the extent each has an ownership interest in the property, EXCEPT the residence (homestead) exemption, which is structured as a per-residence cap with a special joint-ownership rule (see Part 4).
☐ Single filing — no doubling.
☐ Joint filing — each non-homestead exemption may be claimed once per spouse who owns an interest.
Part 4. Residence (Homestead) Exemption — 14 M.R.S. § 4422(1)
Maine's homestead exemption applies to the debtor's aggregate interest in real or personal property used as the debtor's principal residence (or that of a dependent), and may include a burial plot.
| Tier | Maximum exemption | Applies if |
|---|---|---|
| Standard | $80,000 | Default. |
| Enhanced — minor dependents | $160,000 | Residence is also the principal residence of a minor dependent of the debtor. |
| Enhanced — age 60+ or disabled | $160,000 | Debtor (or debtor's dependent) is 60 years of age or older OR is physically or mentally disabled and unable to engage in substantial gainful employment. |
| Joint ownership | Lesser of (a) $80,000 or (b) the debtor's fractional share × $160,000 | Property is owned with one or more non-spouse co-owners; cap floors and ceilings interact — calculate both formulas. |
Worksheet 4-A — Compute Homestead Equity
| Line | Item | Amount |
|---|---|---|
| 4-A-1 | Fair market value of residence | [$________________] |
| 4-A-2 | Debtor's fractional ownership interest (e.g., 1/2 = 0.5) | [_______] |
| 4-A-3 | Debtor's pro rata FMV (Line 4-A-1 × Line 4-A-2) | [$________________] |
| 4-A-4 | Outstanding mortgage and consensual liens | [$________________] |
| 4-A-5 | Statutory liens (tax liens, mechanic's liens) | [$________________] |
| 4-A-6 | Equity (Line 4-A-3 − Line 4-A-4 − Line 4-A-5) | [$________________] |
Worksheet 4-B — Determine Applicable Cap
☐ Standard cap — $80,000 — debtor under 60 and not disabled, no minor dependent in residence.
☐ Enhanced cap — $160,000 — debtor or dependent is 60+ OR disabled per § 4422(1)(B).
☐ Enhanced cap — $160,000 — minor dependent resides in the home per § 4422(1)(A).
☐ Joint co-ownership rule applied: lesser of $80,000 or (fractional share × $160,000) = [$____________].
Exemption claimed on Schedule C, Line 1 (Homestead): [$________________]
Unused homestead amount available for spillover under § 4422(16): [$________________] (cap is $10,500 of unused homestead, applied to household goods or tools of the trade — see Part 13).
Part 5. Motor Vehicle — 14 M.R.S. § 4422(2)
Debtor's aggregate interest, not to exceed $10,000 in value, in one motor vehicle.
| Line | Item | Amount |
|---|---|---|
| 5-1 | Year/Make/Model | [____________________________________________] |
| 5-2 | VIN | [____________________________________________] |
| 5-3 | Fair market value (NADA / Kelley Blue Book retail) | [$________________] |
| 5-4 | Outstanding lien balance | [$________________] |
| 5-5 | Equity (Line 5-3 − Line 5-4) | [$________________] |
| 5-6 | Exemption claimed (lesser of Line 5-5 or $10,000) | [$________________] |
☐ Only one vehicle is claimed under § 4422(2). Additional vehicles, if any, must be exempted under another subsection or wildcard (Part 13).
Part 6. Household Goods — 14 M.R.S. § 4422(3)
Debtor's aggregate interest, not to exceed $500 in value in any particular item, in household furnishings, household goods, wearing apparel, appliances, books, animals, crops, or musical instruments held primarily for personal, family, or household use.
| Item | FMV | Per-item cap | Exempt portion |
|---|---|---|---|
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| [________________________] | [$_______] | $500 | [$_______] |
| Total household goods exempt under § 4422(3) | [$_______] |
Part 7. Jewelry — 14 M.R.S. § 4422(4)
| Tier | Cap |
|---|---|
| General jewelry held for personal/family use | $1,000 aggregate |
| Wedding ring and engagement ring | $4,000 aggregate (separate from the $1,000 general cap) |
| Line | Item | FMV | Cap | Exempt |
|---|---|---|---|---|
| 7-1 | Wedding/engagement rings | [$_______] | $4,000 | [$_______] |
| 7-2 | Other jewelry | [$_______] | $1,000 | [$_______] |
| 7-3 | Total under § 4422(4) | [$_______] |
Part 8. Tools of the Trade — 14 M.R.S. § 4422(5)
Debtor's aggregate interest, not to exceed $9,500 in value, in any implements, professional books, or tools of the trade of the debtor or a dependent.
| Line | Item description | FMV |
|---|---|---|
| 8-1 | [____________________________________________] | [$_______] |
| 8-2 | [____________________________________________] | [$_______] |
| 8-3 | [____________________________________________] | [$_______] |
| 8-4 | [____________________________________________] | [$_______] |
| 8-5 | Subtotal (cap $9,500) | [$_______] |
☐ Tools of trade includes commercial fishing equipment claimed separately under § 4422(9) (boat up to 46 feet) — see Part 11.
Part 9. Heating Equipment, Fuel, Provisions, Farm — 14 M.R.S. § 4422(6)–(8)
| Line | Category | Statutory description | Exempt |
|---|---|---|---|
| 9-1 | One cooking stove | § 4422(6) — full | ☐ |
| 9-2 | All heating furnaces and stoves | § 4422(6) — full | ☐ |
| 9-3 | Heating fuel: up to 10 cords of wood, 5 tons of coal, 1,000 gallons of petroleum products | § 4422(6) | ☐ |
| 9-4 | 6 months of food provisions for debtor and dependents | § 4422(7) | ☐ |
| 9-5 | Seeds, fertilizers, feed for one growing season | § 4422(7) | ☐ |
| 9-6 | One of each type of farm implement reasonably necessary | § 4422(8) | ☐ |
Part 10. Commercial Fishing Boat — 14 M.R.S. § 4422(9)
☐ Debtor claims one commercial fishing boat not exceeding 46 feet in length under § 4422(9).
| Vessel name | Length | FMV |
|---|---|---|
| [_______________________] | [_____] ft | [$_______] |
Part 11. Logging Implements — 14 M.R.S. § 4422(9-A)
☐ Debtor claims professionally used logging implements under § 4422(9-A).
Part 12. Life Insurance, Annuities, Health Aids — 14 M.R.S. § 4422(10)–(12)
| Line | Item | Statutory cap | Exempt |
|---|---|---|---|
| 12-1 | Unmatured life insurance contract | § 4422(10) — full (excluding credit insurance) | [$_______] |
| 12-2 | Accrued dividends, interest, loan value of unmatured life insurance | § 4422(11) — $5,000 | [$_______] |
| 12-3 | Professionally prescribed health aids | § 4422(12) — full | [$_______] |
Part 13. Pensions, Public Benefits, Disability — 14 M.R.S. § 4422(13)
The following are fully exempt under § 4422(13) to the extent reasonably necessary for the support of the debtor and dependents (where the statute so qualifies):
☐ Social Security benefits — full (also protected by 42 U.S.C. § 407 nonbankruptcy)
☐ Unemployment compensation
☐ Public assistance benefits
☐ Veterans' benefits
☐ Disability, illness, or unemployment benefits
☐ Alimony, support, separate maintenance — to the extent reasonably necessary
☐ Pensions, annuities, qualified retirement plans — to the extent reasonably necessary (note: ERISA-qualified plans are also fully excluded from the bankruptcy estate under Patterson v. Shumate, 504 U.S. 753 (1992))
Part 14. Retirement Funds — 14 M.R.S. § 4422(13-A)
Retirement funds in tax-qualified plans under IRC §§ 401, 403, 408, 408A, 414, 457, or 501(a) are exempt up to $1,054,550 in the aggregate (subject to CPI adjustment).
| Line | Account type / institution | Balance | Exempt |
|---|---|---|---|
| 14-1 | [_______________________] | [$_______] | [$_______] |
| 14-2 | [_______________________] | [$_______] | [$_______] |
| 14-3 | [_______________________] | [$_______] | [$_______] |
| 14-4 | Total — cap $1,054,550 | [$_______] |
Part 15. Awards, Insurance Proceeds, Personal Injury — 14 M.R.S. § 4422(14)
| Line | Item | Statutory cap | Exempt |
|---|---|---|---|
| 15-1 | Crime victim reparations award | § 4422(14)(A) — full | [$_______] |
| 15-2 | Wrongful death payment to dependent | § 4422(14)(B) — to extent reasonably necessary | [$_______] |
| 15-3 | Life insurance proceeds payable to dependent | § 4422(14)(C) — to extent reasonably necessary | [$_______] |
| 15-4 | Personal bodily injury recovery (not pain & suffering or pecuniary loss) | § 4422(14)(D) — $20,000 | [$_______] |
| 15-5 | Loss of future earnings compensation | § 4422(14)(E) — to extent reasonably necessary | [$_______] |
Part 16. Wildcard and Unused Homestead Spillover — 14 M.R.S. § 4422(15) and (16)
| Line | Source | Cap | Claimed against (describe property) | Amount |
|---|---|---|---|---|
| 16-1 | § 4422(15) — wildcard, any property | $500 | [_______________________] | [$_______] |
| 16-2 | § 4422(16) — unused residence exemption applied to household goods or tools of trade | $10,500 of unused residence amount | [_______________________] | [$_______] |
Part 17. Cash and Deposit Accounts — 14 M.R.S. § 4422(17)
Up to $3,000 in cash, deposit accounts, or proceeds traceable to exempt property.
| Line | Account / cash location | Balance | Exempt |
|---|---|---|---|
| 17-1 | [_______________________] | [$_______] | [$_______] |
| 17-2 | [_______________________] | [$_______] | [$_______] |
| 17-3 | Total — cap $3,000 | [$_______] |
Part 18. Wages and Earnings (Nonbankruptcy / Pre-Petition Earned)
Maine does not include a stand-alone wage exemption inside § 4422; wage protection arises from federal CCPA limits and Maine's consumer-credit garnishment cap.
| Source | Protection |
|---|---|
| 15 U.S.C. § 1673 (CCPA) | Earnings garnishable to the lesser of (a) 25% of disposable earnings or (b) the amount by which disposable earnings exceed 30 × federal minimum wage. |
| 9-A M.R.S. § 5-105 (consumer credit transactions) | Same lesser-of formula, but using 40 × federal or Maine minimum wage (whichever is greater) instead of 30 ×. |
Disposable earnings calculation (last full workweek before petition):
| Line | Item | Amount |
|---|---|---|
| 18-1 | Gross earnings | [$_______] |
| 18-2 | Mandatory deductions (federal/state tax, FICA, Medicare) | [$_______] |
| 18-3 | Disposable earnings (Line 18-1 − Line 18-2) | [$_______] |
| 18-4 | 25% × Line 18-3 | [$_______] |
| 18-5 | Line 18-3 − (40 × applicable minimum wage) | [$_______] |
| 18-6 | Garnishable amount (lesser of 18-4 or 18-5; not less than $0) | [$_______] |
| 18-7 | Exempt portion of pre-petition wages on hand | [$_______] |
Part 19. Federal Nonbankruptcy Exemptions — 11 U.S.C. § 522(b)(3)(B), (C)
In addition to Maine state exemptions, the debtor may claim:
☐ ERISA-qualified retirement plans (also excluded as estate property under 11 U.S.C. § 541(c)(2))
☐ Social Security benefits — 42 U.S.C. § 407
☐ Veterans' benefits — 38 U.S.C. § 5301
☐ Civil service retirement — 5 U.S.C. § 8346
☐ Railroad retirement — 45 U.S.C. § 231m
☐ Federal employees' retirement — 5 U.S.C. § 8470
☐ Foreign service retirement — 22 U.S.C. § 4060
☐ Longshore and harbor workers' compensation — 33 U.S.C. § 916
☐ Seamen's clothing, wages, and personal injury awards — 46 U.S.C. § 11109
☐ Other federal nonbankruptcy exemption: [____________________________________________]
Part 20. Summary — Schedule C Crosswalk
| Schedule C entry | Property description | Statute | Value of claim |
|---|---|---|---|
| 1 | Homestead | 14 M.R.S. § 4422(1) | [$_______] |
| 2 | Motor vehicle | 14 M.R.S. § 4422(2) | [$_______] |
| 3 | Household goods | 14 M.R.S. § 4422(3) | [$_______] |
| 4 | Jewelry — general | 14 M.R.S. § 4422(4) | [$_______] |
| 5 | Wedding/engagement rings | 14 M.R.S. § 4422(4) | [$_______] |
| 6 | Tools of trade | 14 M.R.S. § 4422(5) | [$_______] |
| 7 | Heating equipment / fuel | 14 M.R.S. § 4422(6) | [$_______] |
| 8 | Provisions / seeds | 14 M.R.S. § 4422(7) | [$_______] |
| 9 | Farm implements | 14 M.R.S. § 4422(8) | [$_______] |
| 10 | Fishing boat (≤46 ft) | 14 M.R.S. § 4422(9) | [$_______] |
| 11 | Logging implements | 14 M.R.S. § 4422(9-A) | [$_______] |
| 12 | Life insurance contract | 14 M.R.S. § 4422(10) | [$_______] |
| 13 | Life insurance loan value | 14 M.R.S. § 4422(11) | [$_______] |
| 14 | Health aids | 14 M.R.S. § 4422(12) | [$_______] |
| 15 | Pensions / public benefits | 14 M.R.S. § 4422(13) | [$_______] |
| 16 | Retirement funds (IRAs, etc.) | 14 M.R.S. § 4422(13-A) | [$_______] |
| 17 | Personal injury | 14 M.R.S. § 4422(14)(D) | [$_______] |
| 18 | Wildcard | 14 M.R.S. § 4422(15) | [$_______] |
| 19 | Unused homestead spillover | 14 M.R.S. § 4422(16) | [$_______] |
| 20 | Cash / deposit accounts | 14 M.R.S. § 4422(17) | [$_______] |
| 21 | ERISA / federal nonbankruptcy | 11 U.S.C. § 522(b)(3)(B), (C) | [$_______] |
| Total exemptions claimed | [$_______] |
Part 21. Debtor's Verification
I declare under penalty of perjury under the laws of the United States and the State of Maine that the property values listed above are true and correct to the best of my knowledge, that I have lived in Maine in compliance with the 11 U.S.C. § 522(b)(3)(A) domicile requirement, and that I am claiming the Maine state exemptions under 14 M.R.S. § 4422 because Maine has opted out of federal § 522(d) exemptions per 14 M.R.S. § 4426.
| Date: [__/__/____] | Signature of Debtor 1: [____________________________________________] |
| Printed name: [____________________________________________] | |
| Date: [__/__/____] | Signature of Debtor 2 (if joint): [____________________________________________] |
| Printed name: [____________________________________________] |
Part 22. Attorney Verification (if represented)
I have reviewed the debtor's exemption claims and, based on the information provided to me by the debtor and a reasonable inquiry, I believe the claims comply with 14 M.R.S. § 4422, 14 M.R.S. § 4426, and applicable federal bankruptcy law.
| Date: [__/__/____] | Signature of Attorney: [____________________________________________] |
| Printed name: [____________________________________________] | |
| Maine Bar No.: [____________________________________________] | |
| Firm: [____________________________________________] | |
| Address: [____________________________________________] | |
| Phone: [____________________________________________] | |
| Email: [____________________________________________] |
Sources and References
- 14 M.R.S. § 4422 — Exempt property: https://legislature.maine.gov/statutes/14/title14sec4422.html
- 14 M.R.S. § 4426 — Exemptions in bankruptcy proceedings: https://legislature.maine.gov/statutes/14/title14sec4426.html
- 9-A M.R.S. § 5-105 — Limitation on garnishment: https://legislature.maine.gov/statutes/9-A/title9-Asec5-105.html
- 11 U.S.C. § 522 — Exemptions: https://www.law.cornell.edu/uscode/text/11/522
- 15 U.S.C. § 1673 — Restriction on garnishment (CCPA): https://www.law.cornell.edu/uscode/text/15/1673
- U.S. Bankruptcy Court for the District of Maine: https://www.meb.uscourts.gov
About This Template
Bankruptcy is a federal legal process for people and businesses who cannot pay their debts. The right chapter depends on your income, what you own, and whether you want to keep assets like a home or car. The paperwork is extensive and the deadlines are strict, so using the right template for your situation is the first step toward getting your filing accepted and your case moving.
Important Notice
This template is provided for informational purposes. It is not legal advice. We recommend having an attorney review any legal document before signing, especially for high-value or complex matters.
Last updated: May 2026
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