Chapter 7 Means Test Worksheet - Nebraska
IMPORTANT: THIS IS A PREPARATION GUIDE — NOT THE OFFICIAL COURT FORM
Federal bankruptcy filings require Official Bankruptcy Forms 122A-1, 122A-1Supp, and 122A-2 (Fed. R. Bankr. P. 9009). Transfer your figures to the official forms or your court's e-filing system before filing. Official forms: https://www.uscourts.gov/forms/bankruptcy-forms. Do not file this worksheet with the court.
CHAPTER 7 MEANS TEST WORKSHEET — NEBRASKA
DEBTOR IDENTIFICATION
| Field | Information |
|---|---|
| Debtor 1 | [____________________________] |
| Debtor 2 (joint) | [____________________________] |
| Bankruptcy district | United States Bankruptcy Court, District of Nebraska |
| Division / divisional office | [____________________________] |
| Case No. | [____________________________] |
| Chapter | ☐ 7 |
| Filing date | [__/__/____] |
PART 1: MARITAL / FILING STATUS AND EXCLUSIONS
Section A: Marital and Filing Status
☐ Not married
☐ Married, filing jointly
☐ Married, filing individually — non-filing spouse income included (marital adjustment may apply)
☐ Married, living separately or legally separated (spouse income may be excluded — see Form 122A-1, Part 1)
Section B: Nature of Debts
☐ Debts are primarily consumer debts (more than 50%) — MEANS TEST REQUIRED
☐ Debts are NOT primarily consumer debts (primarily business/non-consumer) — § 707(b) means test does not apply (note this on Form 122A-1 and skip to Part 6)
Section C: Military / Service Exclusions (Form 122A-1Supp)
☐ Disabled-veteran exclusion — Debtor is a disabled veteran (as defined in 38 U.S.C. § 3741(1)) whose indebtedness occurred primarily during active duty or while performing a homeland defense activity (11 U.S.C. § 707(b)(2)(D)(i))
☐ Reservist / National Guard exclusion — Debtor is a reservist or National Guard member called to active duty or homeland defense activity after September 11, 2001, for the qualifying period; presumption does not arise during exclusion period (11 U.S.C. § 707(b)(2)(D)(ii))
☐ Active-duty exclusion — qualifying ongoing service
If any exclusion in Section C applies, complete Form 122A-1Supp and you may not need to complete the calculation in Parts 4–5.
PART 2: CURRENT MONTHLY INCOME (CMI) — 6-MONTH LOOKBACK
Lookback period: the six full calendar months before the filing month. From [__/__/____] to [__/__/____].
| Income Source | Mo 1 | Mo 2 | Mo 3 | Mo 4 | Mo 5 | Mo 6 | 6-Mo Total |
|---|---|---|---|---|---|---|---|
| Gross wages, salary, tips, bonuses, overtime (Debtor 1) | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Gross wages, salary, tips (Debtor 2 / spouse) | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Net income from business / profession / farm | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Net rental / real property income | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Interest, dividends, royalties | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Pension and retirement income | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Regular contributions from others to household | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Unemployment compensation (see note) | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Other income (specify) | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
| Column / row totals | [____] | [____] | [____] | [____] | [____] | [____] | [____] |
Section C: Income Excluded from CMI
☐ Social Security Act benefits (retirement, SSDI, SSI)
☐ Payments to victims of war crimes or crimes against humanity
☐ Payments to victims of international or domestic terrorism
Section D: CMI Computation
| Calculation | Amount |
|---|---|
| Total 6-month income (all sources) | [____] |
| Divided by 6 = CURRENT MONTHLY INCOME (CMI) | [____] |
PART 3: ANNUALIZED CMI vs. NEBRASKA MEDIAN FAMILY INCOME
Section A: Household Size
| Household Member Category | Number |
|---|---|
| Debtor | 1 |
| Filing spouse | [____] |
| Dependents | [____] |
| TOTAL HOUSEHOLD SIZE | [____] |
Section B: Annualized CMI
| Calculation | Amount |
|---|---|
| CMI (from Part 2) × 12 = Annualized CMI | [____] |
Section C: Nebraska Median Family Income
| Household Size | NE Median Annual Income (verify current) |
|---|---|
| 1 | $65,206 |
| 2 | $88,402 |
| 3 | $100,754 |
| 4 | $121,867 |
| Each additional person | Add $11,100 |
Applicable Nebraska median for your household size (verify current): $[____]
Verify current figures. The amounts above reflect the UST table effective November 1, 2025. Confirm the figure in effect on your filing date at the U.S. Trustee Program means-testing page.
Section D: Median Income Determination
| Comparison | Amount |
|---|---|
| Annualized CMI | [____] |
| Nebraska median for household size | [____] |
☐ Annualized CMI is AT OR BELOW Nebraska median → No presumption of abuse arises. Complete Form 122A-1; check the box that the presumption does not arise. You may skip Parts 4–5.
☐ Annualized CMI is ABOVE Nebraska median → Complete Form 122A-2 (full means test). Proceed to Part 4.
PART 4: DEDUCTIONS FROM INCOME (FORM 122A-2)
Section A: IRS National Standards
| Expense Category | Allowable (verify current) | Your Deduction |
|---|---|---|
| National Standard — food, clothing, household supplies, personal care, misc. (by household size) | [____] | [____] |
| Out-of-pocket health care (by age, per person) | [____] | [____] |
| Additional food/clothing allowance up to 5% (if reasonable/necessary) | [____] | [____] |
Section B: IRS Local Standards — Housing and Utilities
County of residence: [____________________________]
| Category | Allowable (verify current) | Your Deduction |
|---|---|---|
| Housing & utilities — non-mortgage (insurance, operating) | [____] | [____] |
| Housing & utilities — mortgage/rent (allowable minus avg. secured payment) | [____] | [____] |
Section C: IRS Local Standards — Transportation
| Category | Allowable (verify current) | Your Deduction |
|---|---|---|
| Vehicle operation — number of vehicles: [____] | [____] | [____] |
| Public transportation | [____] | [____] |
| Vehicle 1 ownership/lease (allowable minus avg. secured payment) | [____] | [____] |
| Vehicle 2 ownership/lease (allowable minus avg. secured payment) | [____] | [____] |
Section D: Other Necessary Expenses
| Expense Category | Monthly Amount |
|---|---|
| Taxes (income, self-employment, FICA, property) | [____] |
| Mandatory payroll deductions | [____] |
| Term life insurance | [____] |
| Court-ordered payments | [____] |
| Education for employment or for a disabled child | [____] |
| Childcare | [____] |
| Health care (unreimbursed, beyond National Standard) | [____] |
| Telecommunication services (necessary) | [____] |
| Health insurance, disability insurance, HSA | [____] |
| Court-ordered domestic support (ongoing) | [____] |
| Care of elderly/ill/disabled household member | [____] |
| Protection against family violence | [____] |
| Continued contributions to tax-exempt charity | [____] |
| Education for dependent minor children (cap applies — verify) | [____] |
| Additional home energy costs | [____] |
| Total Other Necessary Expenses | [____] |
Section E: Secured Debt Payments
| Creditor | Collateral | Avg. Monthly Payment | Months to Final Payment | (Payment × Months) ÷ 60 |
|---|---|---|---|---|
| [____] | [____] | [____] | [____] | [____] |
| [____] | [____] | [____] | [____] | [____] |
| [____] | [____] | [____] | [____] | [____] |
Total secured debt deduction: $[____]
Section F: Priority Debt Payments
| Priority Debt Type | Total Owed | ÷ 60 = Monthly |
|---|---|---|
| Domestic support arrears | [____] | [____] |
| Priority taxes | [____] | [____] |
| Other priority claims | [____] | [____] |
| Total priority debt deduction | [____] |
Section G: Total Deductions
| Component | Amount |
|---|---|
| National Standards (A) | [____] |
| Local Standards — housing/utilities (B) | [____] |
| Local Standards — transportation (C) | [____] |
| Other Necessary Expenses (D) | [____] |
| Secured debt (E) | [____] |
| Priority debt (F) | [____] |
| TOTAL DEDUCTIONS | [____] |
PART 5: MONTHLY DISPOSABLE INCOME AND § 707(b)(2)(A) PRESUMPTION
Section A: Monthly Disposable Income
| Line | Description | Amount |
|---|---|---|
| 1 | Current Monthly Income (Part 2) | [____] |
| 2 | Less: Total Deductions (Part 4, Section G) | ([____]) |
| 3 | Monthly Disposable Income | [____] |
| 4 | Line 3 × 60 = 60-Month Disposable Income | [____] |
Section B: § 707(b)(2)(A)(i) Threshold Test
| Threshold (verify current) | Amount |
|---|---|
| Lower threshold — § 707(b)(2)(A)(i)(I) | $10,275 |
| Upper threshold — § 707(b)(2)(A)(i)(II) | $17,150 |
| 25% of nonpriority unsecured debt | [____] |
Verify current figures. Threshold amounts reflect the April 1, 2025 adjustment. Confirm the amounts in effect on your filing date.
Section C: Determination
☐ 60-month disposable income is LESS than $10,275 → No presumption of abuse. Eligible for Chapter 7.
☐ 60-month disposable income is $17,150 OR MORE → Presumption of abuse arises.
☐ Between $10,275 and $17,150 AND ≥ 25% of nonpriority unsecured debt → Presumption of abuse arises.
☐ Between $10,275 and $17,150 AND < 25% of nonpriority unsecured debt → No presumption of abuse. Eligible for Chapter 7.
If a presumption of abuse arises, the debtor may rebut it only by demonstrating special circumstances under 11 U.S.C. § 707(b)(2)(B) (e.g., serious medical condition or a call to active duty) that justify additional expenses or income adjustments, supported by documentation and a detailed itemization.
☐ Special circumstances claimed (attach documentation): [____________________________]
PART 6: VERIFICATION AND SIGNATURE
I declare under penalty of perjury that the information provided in this worksheet is true and correct to the best of my knowledge, information, and belief.
Debtor 1 Signature: _________________________________ Date: [__/__/____]
Debtor 2 Signature: _________________________________ Date: [__/__/____]
Attorney Signature: _________________________________ Date: [__/__/____]
Attorney Name (Print): [____________________________] NE Bar No.: [____________]
NEBRASKA PRACTICE NOTES
- Bankruptcy district. Nebraska is a single federal judicial district: the United States Bankruptcy Court for the District of Nebraska (D. Neb.), with offices in Omaha and Lincoln. Confirm the proper divisional office and current local rules at https://www.neb.uscourts.gov.
- Current median-income source. Use the U.S. Trustee Program median family income table for Nebraska in effect on your filing date: https://www.justice.gov/ust/means-testing. The figures pre-filled in Part 3 are the amounts effective November 1, 2025, and are updated approximately every six months.
- IRS standards delay. The U.S. Trustee has noted that posting of the next updates to the IRS National/Local Standards is delayed pending release of the IRS collection financial standards in 2026. Verify which standards are in effect on your filing date.
- Threshold amounts. The § 707(b)(2)(A)(i) thresholds ($10,275 / $17,150) reflect the April 1, 2025 triennial adjustment and change again on April 1, 2028.
- Household size / income counting. Social Security Act benefits are excluded from CMI; net farm income should be computed on a net basis. Counting non-filing-spouse income (with the marital adjustment) is a common source of error.
SOURCES AND REFERENCES
- 11 U.S.C. § 707(b) — https://www.law.cornell.edu/uscode/text/11/707
- U.S. Trustee Program, Means Testing — https://www.justice.gov/ust/means-testing
- UST Median Family Income Table (eff. Nov. 1, 2025) — https://www.justice.gov/ust/eo/bapcpa/20251101/bci_data/median_income_table.htm
- Adjustment of Certain Dollar Amounts Applicable to Bankruptcy Cases, 90 FR 8941 (Feb. 4, 2025) — https://www.federalregister.gov/documents/2025/02/04/2025-02207/adjustment-of-certain-dollar-amounts-applicable-to-bankruptcy-cases
- Official Bankruptcy Forms 122A-1, 122A-1Supp, 122A-2 — https://www.uscourts.gov/forms/bankruptcy-forms
- U.S. Bankruptcy Court, District of Nebraska — https://www.neb.uscourts.gov
This worksheet assists in completing Official Bankruptcy Forms 122A-1, 122A-1Supp, and 122A-2. Median income figures, IRS standards, and § 707(b)(2)(A) threshold amounts change periodically. Always verify current figures before filing. This worksheet is not legal advice.
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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