Bankruptcy Schedule J – Current Expenditures of Individual Debtor(s) Template

United States Bankruptcy Court
District of [District]

In re: [Debtor Name(s)]
Case No.: [if known]
Chapter: [7/13]

Schedule J: Debtor’s Expenses

List average monthly household expenses as of filing.

Part 1: Housing and Utilities

Part 2: Transportation

• Vehicle installment payments: $[Amount]
• Transportation (gas, maintenance, public transit): $[Amount]
• Vehicle insurance: $[Amount]

Part 3: Food, Clothing, Personal Care

• Food and housekeeping supplies: $[Amount]
• Clothing and laundry: $[Amount]
• Personal care products/services: $[Amount]

Part 4: Medical and Insurance

• Medical and dental expenses (out-of-pocket): $[Amount]
• Health insurance premiums: $[Amount]
• Other insurance (life, disability): $[Amount]

Part 5: Household and Dependents

• Childcare/education expenses: $[Amount]
• Child support/alimony payments: $[Amount]
• Dependent care for elderly/disabled: $[Amount]

Part 6: Taxes and Other Deductions

• Payroll taxes (if not deducted on Schedule I): $[Amount]
• Involuntary deductions (union dues, retirement loan repayments): $[Amount]

Part 7: Other Necessary Expenses

• Charitable contributions: $[Amount]
• Recreation/entertainment: $[Amount]
• Miscellaneous: $[Amount]
• Installment payments for other debts (describe): $[Amount]

Part 8: Total Monthly Expenses

• Total expenses: $[Total]
• Net monthly income (Schedule I total) minus expenses: $[Surplus/Deficit]

Declaration

I declare under penalty of perjury that the foregoing is true and correct.

Debtor 1 Signature: ____ Date: __

Debtor 2 Signature (if joint case): ____ Date: __

Conform to Official Form 106J; include continuation sheets if additional detail required.