Monthly Business Operating Statement |
||
Case No:__________________________ Debtor(s) Name(s): __________________________ Date Prepared: _______________ | ||
Receipts and Disburement for Month Ended ___________ |
||
Gross Receipts: | Amount for Month |
|
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
(A) |
$______________________ | |
Business Costs and Expenses: (Do not list Chapter 13 Plan payment) | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
(B) |
$______________________ | |
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
$______________________ | ||
Under penalty of perjury, I(we) declare that the foregoing information is true and correct. | ||
Signatures: ______________________________________________________________________ |
Date: __________________ | |
______________________________________________________________________ |
Date: __________________ |