BKQ Schedule J

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Part 1 — Describe Your Household

1. Is this a joint case?

Does Debtor 2 live in a separate household?

3. Expenses include people other than yourself/dependents?

2. Dependents

Do not enter dependent names. 106J provides five rows.

Part 2 — Estimate Your Ongoing Monthly Expenses

4. Residence expenses

4. Rental or home ownership expense for your residence

4a. Real estate taxes (if not included in line 4)

4b. Property, homeowner’s, or renter’s insurance (if not included in line 4)

4c. Home maintenance, repair, and upkeep

4d. Homeowner’s association or condominium dues

5–6. Additional mortgage and utilities

5. Additional mortgage payments for your residence, such as home equity loans

6a. Electricity, heat, natural gas

6b. Water, sewer, garbage collection

6c. Telephone, cell phone, Internet, satellite, and cable services

6d. Other utility amount

6d. Other utility — specify

7–14. Household, personal, transportation, and giving

7. Food and housekeeping supplies

8. Childcare and children’s education costs

9. Clothing, laundry, and dry cleaning

10. Personal care products and services

11. Medical and dental expenses

12. Transportation — gas, maintenance, bus/train fare; do not include car payments

13. Entertainment, clubs, recreation, newspapers, magazines, and books

14. Charitable contributions and religious donations

15. Insurance

15a. Life insurance

15b. Health insurance

15c. Vehicle insurance

15d. Other insurance amount

15d. Other insurance — specify

Do not include insurance deducted from pay or already included in lines 4 or 20.

16. Taxes

16. Taxes not deducted from pay and not included in lines 4 or 20

16. Specify taxes

17. Installment or lease payments

17a. Car payment for Vehicle 1

17b. Car payment for Vehicle 2

17c. Other installment or lease payment

17c. Specify

17d. Other installment or lease payment

17d. Specify

18–19. Support payments

18. Alimony, maintenance, and support not reported as a deduction on Schedule I

19. Payments to support others who do not live with you

19. Specify

20. Other real property expenses

20a. Mortgages on other property

20b. Real estate taxes on other property

20c. Property, homeowner’s, or renter’s insurance on other property

20d. Maintenance, repair, and upkeep on other property

20e. Homeowner’s association or condominium dues on other property

21. Other expense

21. Other monthly expense amount

21. Specify other expense

22–24. Totals and net income

22a Household expenses$0

22c Combined expenses$0

23a Schedule I income$0

23c Net income$0

22b. Debtor 2 separate-household expenses

Supplemental Chapter 13 Schedule J?

Supplemental expense date

24. Expect expense change within one year?

24. Explain