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Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)Accordingtothecalculationsrequiredbythisstatement:Theapplicablecommitmentperiodis3years.Theapplicablecommitmentperiodis5years.Disposableincomeisdeterminedunder§1325(b)(3).Disposableincomeisnotdeterminedunder§1325(b)(3).(ChecktheboxesasdirectedinLines17and23ofthisstatement.)Inre:Debtor(s)CaseNumber:(Ifknown)ANDCALCULATIONOFCOMMITMENTPERIODANDDISPOSABLEINCOMEInadditiontoSchedulesIandJ,thisstatementmustbecompletedbyeveryindividualChapter13debtor,whetherornotfilingjointly.Jointdebtorsmaycompleteonestatementonly.PartI.REPORTOFINCOME1Marital/filingstatus.Checktheboxthatappliesandcompletethebalanceofthispartofthisstatementasdirected.a.Unmarried.CompleteonlyColumnA(“Debtor’sIncome”)forLines2-10.b.Married.CompletebothColumnA(“Debtor’sIncome”)andColumnB(“Spouse’sIncome”)forLines2-10.Allfiguresmustreflectaveragemonthlyincomereceivedfromallsources,derivedduringthesixcalendarmonthspriortofilingthebankruptcycase,endingonthelastdayofthemonthbeforethefiling.Iftheamountofmonthlyincomevariedduringthesixmonths,youmustdividethesix-monthtotalbysix,andentertheresultontheappropriateline.ColumnADebtor’sIncomeColumnBSpouse’sIncome2Grosswages,salary,tips,bonuses,overtime,commissions.$$3Incomefromtheoperationofabusiness,profession,orfarm.SubtractLinebfromLineaandenterthedifferenceintheappropriatecolumn(s)ofLine3.Ifyouoperatemorethanonebusiness,professionorfarm,enteraggregatenumbersandprovidedetailsonanattachment.Donotenteranumberlessthanzero.DonotincludeanypartofthebusinessexpensesenteredonLinebasadeductioninPartIV.$$a.Grossreceipts$b.Ordinaryandnecessaryoperatingexpenses$c.BusinessincomeSubtractLinebfromLinea4Rentandotherrealpropertyincome.SubtractLinebfromLineaandenterthedifferenceintheappropriatecolumn(s)ofLine4.Donotenteranumberlessthanzero.DonotincludeanypartoftheoperatingexpensesenteredonLinebasadeductioninPartIV.$$a.Grossreceipts$b.Ordinaryandnecessaryoperatingexpenses$c.RentandotherrealpropertyincomeSubtractLinebfromLinea5Interest,dividends,androyalties.$$6Pensionandretirementincome.$$7Anyamountspaidbyanotherpersonorentity,onaregularbasis,forthehouseholdexpensesofthedebtororthedebtor’sdependents,includingchildsupportpaidforthatpurpose.Donotincludealimonyorseparatemaintenancepaymentsoramountspaidbythedebtor’sspouse.Eachregularpaymentshouldbereportedinonlyonecolumn;ifapaymentislistedinColumnA,donotreportthatpaymentinColumnB.$$CHAPTER 13 STATEMENT OF CURRENT MONTHLY INCOMEJONES, ERIC(cid:252)(cid:252)(cid:252) 7,187.00 3,306.25Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)8Unemploymentcompensation.Entertheamountintheappropriatecolumn(s)ofLine8.However,ifyoucontendthatunemploymentcompensationreceivedbyyouoryourspousewasabenefitundertheSocialSecurityAct,donotlisttheamountofsuchcompensationinColumnAorB,butinsteadstatetheamountinthespacebelow:$$UnemploymentcompensationclaimedtobeabenefitundertheSocialSecurityActDebtor$Spouse$9Incomefromallothersources.Specifysourceandamount.Ifnecessary,listadditionalsourcesonaseparatepage.TotalandenteronLine9.Donotincludealimonyorseparatemaintenancepaymentspaidbyyourspouse,butincludeallotherpaymentsofalimonyorseparatemaintenance.DonotincludeanybenefitsreceivedundertheSocialSecurityActorpaymentsreceivedasavictimofawarcrime,crimeagainsthumanity,orasavictimofinternationalordomesticterrorism.$$a.$b.$10Subtotal.AddLines2thru9inColumnA,and,ifColumnBiscompleted,addLines2through9inColumnB.Enterthetotal(s).$$11Total.IfColumnBhasbeencompleted,addLine10,ColumnAtoLine10,ColumnB,andenterthetotal.IfColumnBhasnotbeencompleted,entertheamountfromLine10,ColumnA.$PartII.CALCULATIONOF§1325(b)(4)COMMITMENTPERIOD12EntertheamountfromLine11.$13MaritalAdjustment.Ifyouaremarried,butarenotfilingjointlywithyourspouse,ANDifyoucontendthatcalculationofthecommitmentperiodunder§1325(b)(4)doesnotrequireinclusionoftheincomeofyourspouse,enteronLine13theamountoftheincomelistedinLine10,ColumnBthatwasNOTpaidonaregularbasisforthehouseholdexpensesofyouoryourdependentsandspecify,inthelinesbelow,thebasisforexcludingthisincome(suchaspaymentofthespouse’staxliabilityorthespouse’ssupportofpersonsotherthanthedebtororthedebtor’sdependents)andtheamountofincomedevotedtoeachpurpose.Ifnecessary,listadditionaladjustmentsonaseparatepage.Iftheconditionsforenteringthisadjustmentdonotapply,enterzero.$a.$b.$c.$TotalandenteronLine13.14SubtractLine13fromLine12andentertheresult.$15Annualizedcurrentmonthlyincomefor§1325(b)(4).MultiplytheamountfromLine14bythenumber12andentertheresult.$16Applicablemedianfamilyincome.Enterthemedianfamilyincomefortheapplicablestateandhouseholdsize.(Thisinformationisavailablebyfamilysizeatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)a.Enterdebtor’sstateofresidence:b.Enterdebtor’shouseholdsize:$17Applicationof§1325(b)(4).Checktheapplicableboxandproceedasdirected.TheamountonLine15islessthantheamountonLine16.Checktheboxfor“Theapplicablecommitmentperiodis3years”atthetopofpage1ofthisstatementandcontinuewiththisstatement.TheamountonLine15isnotlessthantheamountonLine16.Checktheboxfor“Theapplicablecommitmentperiodis5years”atthetopofpage1ofthisstatementandcontinuewiththisstatement.PartIII.APPLICATIONOF§1325(b)(3)FORDETERMININGDISPOSABLEINCOME 7,187.00 3,306.25 10,493.25 10,493.25 0.00 10,493.25 125,919.00Pennsylvania 3 67,452.00(cid:252)Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)18EntertheamountfromLine11.$19Maritaladjustment.Ifyouaremarried,butarenotfilingjointlywithyourspouse,enteronLine19thetotalofanyincomelistedinLine10,ColumnBthatwasNOTpaidonaregularbasisforthehouseholdexpensesofthedebtororthedebtor’sdependents.SpecifyinthelinesbelowthebasisforexcludingtheColumnBincome(suchaspaymentofthespouse’staxliabilityorthespouse’ssupportofpersonsotherthanthedebtororthedebtor’sdependents)andtheamountofincomedevotedtoeachpurpose.Ifnecessary,listadditionaladjustmentsonaseparatepage.Iftheconditionsforenteringthisadjustmentdonotapply,enterzero.$a.$b.$c.$TotalandenteronLine19.20Currentmonthlyincomefor§1325(b)(3).SubtractLine19fromLine18andentertheresult.$21Annualizedcurrentmonthlyincomefor§1325(b)(3).MultiplytheamountfromLine20bythenumber12andentertheresult.$22Applicablemedianfamilyincome.EntertheamountfromLine16.$23Applicationof§1325(b)(3).Checktheapplicableboxandproceedasdirected.TheamountonLine21ismorethantheamountonLine22.Checktheboxfor“Disposableincomeisdeterminedunder§1325(b)(3)”atthetopofpage1ofthisstatementandcompletetheremainingpartsofthisstatement.TheamountonLine21isnotmorethantheamountonLine22.Checktheboxfor“Disposableincomeisnotdeterminedunder§1325(b)(3)”atthetopofpage1ofthisstatementandcompletePartVIIofthisstatement.DonotcompletePartsIV,V,orVI.PartIV.CALCULATIONOFDEDUCTIONSALLOWEDUNDER§707(b)(2)SubpartA:DeductionsunderStandardsoftheInternalRevenueService(IRS)24ANationalStandards:food,apparelandservices,housekeepingsupplies,personalcare,andmiscellaneous.EnterinLine24Athe“Total”amountfromIRSNationalStandardsforAllowableLivingExpensesfortheapplicablenumberofpersons.(Thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)Theapplicablenumberofpersonsisthenumberthatwouldcurrentlybeallowedasexemptionsonyourfederalincometaxreturn,plusthenumberofanyadditionaldependentswhomyousupport.$24BNationalStandards:healthcare.EnterinLinea1belowtheamountfromIRSNationalStandardsforOut-of-PocketHealthCareforpersonsunder65yearsofage,andinLinea2theIRSNationalStandardsforOut-of-PocketHealthCareforpersons65yearsofageorolder.(Thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)EnterinLineb1theapplicablenumberofpersonswhoareunder65yearsofage,andenterinLineb2theapplicablenumberofpersonswhoare65yearsofageorolder.(Theapplicablenumberofpersonsineachagecategoryisthenumberinthatcategorythatwouldcurrentlybeallowedasexemptionsonyourfederalincometaxreturn,plusthenumberofanyadditionaldependentswhomyousupport.)MultiplyLinea1byLineb1toobtainatotalamountforpersonsunder65,andentertheresultinLinec1.MultiplyLinea2byLineb2toobtainatotalamountforpersons65andolder,andentertheresultinLinec2.AddLinesc1andc2toobtainatotalhealthcareamount,andentertheresultinLine24B.$Personsunder65yearsofagePersons65yearsofageoroldera1.Allowanceperpersona2.Allowanceperpersonb1.Numberofpersonsb2.Numberofpersonsc1.Subtotalc2.Subtotal 10,493.25 661.00Paycheck deductions 661.00 9,832.25 117,987.00 67,452.00(cid:252) 1,227.00 180.00 60.003 180.00 144.000 0.00Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)25ALocalStandards:housingandutilities;non-mortgageexpenses.EntertheamountoftheIRSHousingandUtilitiesStandards;non-mortgageexpensesfortheapplicablecountyandfamilysize.(Thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt).Theapplicablefamilysizeconsistsofthenumberthatwouldcurrentlybeallowedasexemptionsonyourfederalincometaxreturn,plusthenumberofanyadditionaldependentswhomyousupport.$25BLocalStandards:housingandutilities;mortgage/rentexpense.Enter,inLineabelow,theamountoftheIRSHousingandUtilitiesStandards;mortgage/rentexpenseforyourcountyandfamilysize(thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt)(Theapplicablefamilysizeconsistsofthenumberthatwouldcurrentlybeallowedasexemptionsonyourfederalincometaxreturn,plusthenumberofanyadditionaldependentswhomyousupport.);enteronLinebthetotaloftheAverageMonthlyPaymentsforanydebtssecuredbyyourhome,asstatedinLine47;subtractLinebfromLineaandentertheresultinLine25B.Donotenteranamountlessthanzero.$a.IRSHousingandUtilitiesStandards;mortgage/rentalexpense$b.AverageMonthlyPaymentforanydebtssecuredbyyourhome,ifany,asstatedinLine47$c.Netmortgage/rentalexpenseSubtractLinebfromLinea26LocalStandards:housingandutilities;adjustment.IfyoucontendthattheprocesssetoutinLines25Aand25BdoesnotaccuratelycomputetheallowancetowhichyouareentitledundertheIRSHousingandUtilitiesStandards,enteranyadditionalamounttowhichyoucontendyouareentitled,andstatethebasisforyourcontentioninthespacebelow:$27ALocalStandards:transportation;vehicleoperation/publictransportationexpense.Youareentitledtoanexpenseallowanceinthiscategoryregardlessofwhetheryoupaytheexpensesofoperatingavehicleandregardlessofwhetheryouusepublictransportation.CheckthenumberofvehiclesforwhichyoupaytheoperatingexpensesorforwhichtheoperatingexpensesareincludedasacontributiontoyourhouseholdexpensesinLine7.012ormore.Ifyouchecked0,enteronLine27Athe“PublicTransportation”amountfromIRSLocalStandards:Transportation.Ifyouchecked1or2ormore,enteronLine27Athe“OperatingCosts”amountfromIRSLocalStandards:TransportationfortheapplicablenumberofvehiclesintheapplicableMetropolitanStatisticalAreaorCensusRegion.(Theseamountsareavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)$27BLocalStandards:transportation;additionalpublictransportationexpense.Ifyoupaytheoperatingexpensesforavehicleandalsousepublictransportation,andyoucontendthatyouareentitledtoanadditionaldeductionforyourpublictransportationexpenses,enteronLine27Bthe“PublicTransportation”amountfromIRSLocalStandards:Transportation.(Thisamountisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)$ 595.00 1,738.00 2,915.00(cid:252) 598.00Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)28LocalStandards:transportationownership/leaseexpense;Vehicle1.Checkthenumberofvehiclesforwhichyouclaimanownership/leaseexpense.(Youmaynotclaimanownership/leaseexpenseformorethantwovehicles.)12ormore.Enter,inLineabelow,the“OwnershipCosts”for“OneCar”fromtheIRSLocalStandards:Transportation(availableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt);enterinLinebthetotaloftheAverageMonthlyPaymentsforanydebtssecuredbyVehicle1,asstatedinLine47;subtractLinebfromLineaandentertheresultinLine28.Donotenteranamountlessthanzero.$a.IRSTransportationStandards,OwnershipCosts$b.AverageMonthlyPaymentforanydebtssecuredbyVehicle1,asstatedinLine47$c.Netownership/leaseexpenseforVehicle1SubtractLinebfromLinea29LocalStandards:transportationownership/leaseexpense;Vehicle2.CompletethisLineonlyifyoucheckedthe“2ormore”BoxinLine28.Enter,inLineabelow,the“OwnershipCosts”for“OneCar”fromtheIRSLocalStandards:Transportation(availableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt);enterinLinebthetotaloftheAverageMonthlyPaymentsforanydebtssecuredbyVehicle2,asstatedinLine47;subtractLinebfromLineaandentertheresultinLine29.Donotenteranamountlessthanzero.$a.IRSTransportationStandards,OwnershipCosts$b.AverageMonthlyPaymentforanydebtssecuredbyVehicle2,asstatedinLine47$c.Netownership/leaseexpenseforVehicle2SubtractLinebfromLinea30OtherNecessaryExpenses:taxes.Enterthetotalaveragemonthlyexpensethatyouactuallyincurforallfederal,state,andlocaltaxes,otherthanrealestateandsalestaxes,suchasincometaxes,self-employmenttaxes,social-securitytaxes,andMedicaretaxes.Donotincluderealestateorsalestaxes.$31OtherNecessaryExpenses:involuntarydeductionsforemployment.Enterthetotalaveragemonthlydeductionsthatarerequiredforyouremployment,suchasmandatoryretirementcontributions,uniondues,anduniformcosts.Donotincludediscretionaryamounts,suchasvoluntary401(k)contributions.$32OtherNecessaryExpenses:lifeinsurance.Entertotalaveragemonthlypremiumsthatyouactuallypayfortermlifeinsuranceforyourself.Donotincludepremiumsforinsuranceonyourdependents,forwholelifeorforanyotherformofinsurance.$33OtherNecessaryExpenses:court-orderedpayments.Enterthetotalmonthlyamountthatyouarerequiredtopaypursuanttotheorderofacourtoradministrativeagency,suchasspousalorchildsupportpayments.DonotincludepaymentsonpastdueobligationsincludedinLine49.$34OtherNecessaryExpenses:educationforemploymentorforaphysicallyormentallychallengedchild.Enterthetotalaveragemonthlyamountthatyouactuallyexpendforeducationthatisaconditionofemploymentandforeducationthatisrequiredforaphysicallyormentallychallengeddependentchildforwhomnopubliceducationprovidingsimilarservicesisavailable.$35OtherNecessaryExpenses:childcare.Enterthetotalaveragemonthlyamountthatyouactuallyexpendonchildcare—suchasbaby-sitting,daycare,nurseryandpreschool.Donotincludeothereducationalpayments.$36OtherNecessaryExpenses:healthcare.Enterthetotalaveragemonthlyamountthatyouactuallyexpendonhealthcarethatisrequiredforthehealthandwelfareofyourselforyourdependents,thatisnotreimbursedbyinsuranceorpaidbyahealthsavingsaccount,andthatisinexcessoftheamountenteredinLine24B.DonotincludepaymentsforhealthinsuranceorhealthsavingsaccountslistedinLine39.$37OtherNecessaryExpenses:telecommunicationservices.Enterthetotalaveragemonthlyamountthatyouactuallypayfortelecommunicationservicesotherthanyourbasichometelephoneandcellphoneservice—suchaspagers,callwaiting,callerid,speciallongdistance,orinternetservice—totheextentnecessaryforyourhealthandwelfareorthatofyourdependents.Donotincludeanyamountpreviouslydeducted.$(cid:252) 517.00 346.17 170.83 517.00 517.00 1,437.00 47.00Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)38TotalExpensesAllowedunderIRSStandards.EnterthetotalofLines24through37.$SubpartB:AdditionalExpenseDeductionsunder§707(b)Note:DonotincludeanyexpensesthatyouhavelistedinLines24-3739HealthInsurance,DisabilityInsurance,andHealthSavingsAccountExpenses.Listthemonthlyexpensesinthecategoriessetoutinlinesa-cbelowthatarereasonablynecessaryforyourself,yourspouse,oryourdependents.$a.HealthInsurance$b.DisabilityInsurance$c.HealthSavingsAccount$TotalandenteronLine39Ifyoudonotactuallyexpendthistotalamount,stateyouractualtotalaveragemonthlyexpendituresinthespacebelow:$40Continuedcontributionstothecareofhouseholdorfamilymembers.Enterthetotalaverageactualmonthlyexpensesthatyouwillcontinuetopayforthereasonableandnecessarycareandsupportofanelderly,chronicallyill,ordisabledmemberofyourhouseholdormemberofyourimmediatefamilywhoisunabletopayforsuchexpenses.DonotincludepaymentslistedinLine34.$41Protectionagainstfamilyviolence.EnterthetotalaveragereasonablynecessarymonthlyexpensesthatyouactuallyincurtomaintainthesafetyofyourfamilyundertheFamilyViolencePreventionandServicesActorotherapplicablefederallaw.Thenatureoftheseexpensesisrequiredtobekeptconfidentialbythecourt.$42Homeenergycosts.Enterthetotalaveragemonthlyamount,inexcessoftheallowancespecifiedbyIRSLocalStandardsforHousingandUtilities,thatyouactuallyexpendforhomeenergycosts.Youmustprovideyourcasetrusteewithdocumentationofyouractualexpenses,andyoumustdemonstratethattheadditionalamountclaimedisreasonableandnecessary.$43Educationexpensesfordependentchildrenunder18.Enterthetotalaveragemonthlyexpensesthatyouactuallyincur,nottoexceed$147.92perchild,forattendanceataprivateorpublicelementaryorsecondaryschoolbyyourdependentchildrenlessthan18yearsofage.Youmustprovideyourcasetrusteewithdocumentationofyouractualexpenses,andyoumustexplainwhytheamountclaimedisreasonableandnecessaryandnotalreadyaccountedforintheIRSStandards.$44Additionalfoodandclothingexpense.Enterthetotalaveragemonthlyamountbywhichyourfoodandclothingexpensesexceedthecombinedallowancesforfoodandclothing(apparelandservices)intheIRSNationalStandards,nottoexceed5%ofthosecombinedallowances.(Thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)Youmustdemonstratethattheadditionalamountclaimedisreasonableandnecessary.$45Charitablecontributions.Entertheamountreasonablynecessaryforyoutoexpendeachmonthoncharitablecontributionsintheformofcashorfinancialinstrumentstoacharitableorganizationasdefinedin26U.S.C.§170(c)(1)-(2).Donotincludeanyamountinexcessof15%ofyourgrossmonthlyincome.$46TotalAdditionalExpenseDeductionsunder§707(b).EnterthetotalofLines39through45.$ 4,771.83Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)SubpartC:DeductionsforDebtPayment47Futurepaymentsonsecuredclaims.Foreachofyourdebtsthatissecuredbyaninterestinpropertythatyouown,listthenameofthecreditor,identifythepropertysecuringthedebt,statetheAverageMonthlyPayment,andcheckwhetherthepaymentincludestaxesorinsurance.TheAverageMonthlyPaymentisthetotalofallamountsscheduledascontractuallyduetoeachSecuredCreditorinthe60monthsfollowingthefilingofthebankruptcycase,dividedby60.Ifnecessary,listadditionalentriesonaseparatepage.EnterthetotaloftheAverageMonthlyPaymentsonLine47.$NameofCreditorPropertySecuringtheDebtAverageMonthlyPaymentDoespaymentincludetaxesorinsurance?a.$yesnob.$yesnoc.$yesnoTotal:Addlinesa,bandc.48Otherpaymentsonsecuredclaims.IfanyofdebtslistedinLine47aresecuredbyyourprimaryresidence,amotorvehicle,orotherpropertynecessaryforyoursupportorthesupportofyourdependents,youmayincludeinyourdeduction1/60thofanyamount(the“cureamount”)thatyoumustpaythecreditorinadditiontothepaymentslistedinLine47,inordertomaintainpossessionoftheproperty.Thecureamountwouldincludeanysumsindefaultthatmustbepaidinordertoavoidrepossessionorforeclosure.Listandtotalanysuchamountsinthefollowingchart.Ifnecessary,listadditionalentriesonaseparatepage.$NameofCreditorPropertySecuringtheDebt1/60thoftheCureAmounta.$b.$c.$Total:Addlinesa,bandc.49Paymentsonprepetitionpriorityclaims.Enterthetotalamount,dividedby60,ofallpriorityclaims,suchasprioritytax,childsupportandalimonyclaims,forwhichyouwereliableatthetimeofyourbankruptcyfiling.Donotincludecurrentobligations,suchasthosesetoutinLine33.$50Chapter13administrativeexpenses.MultiplytheamountinLineabytheamountinLineb,andentertheresultingadministrativeexpense.$a.ProjectedaveragemonthlyChapter13planpayment.$b.CurrentmultiplierforyourdistrictasdeterminedunderschedulesissuedbytheExecutiveOfficeforUnitedStatesTrustees.(Thisinformationisavailableatwww.usdoj.gov/ust/orfromtheclerkofthebankruptcycourt.)Xc.AveragemonthlyadministrativeexpenseofChapter13caseTotal:MultiplyLinesaandb51TotalDeductionsforDebtPayment.EnterthetotalofLines47through50.$SubpartD:TotalDeductionsfromIncome52Totalofalldeductionsfromincome.EnterthetotalofLines38,46,and51.$FANNIE MAE C-O IBM LNDR BUSNSS PROC CNTRResidence 2,915.00(cid:252)TOYOTA FINANCIAL SERVICESAutomobile (1) 346.17(cid:252) 3,261.17FANNIE MAE C-O IBM LNDR BUSNSS PROC CNTRResidence 583.33 583.33 1,215.9210.0% 121.59 3,966.09 8,737.92Case 13-12139-sr Doc 8 Filed 03/11/13 Entered 03/11/13 12:53:45 Desc Main

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© 1993-2011 EZ-Filing, Inc. [1-800-998-2424] - Forms Software OnlyB22C(OfficialForm22C)(Chapter13)(12/10)PartV.DETERMINATIONOFDISPOSABLEINCOMEUNDER§1325(b)(2)53Totalcurrentmonthlyincome.EntertheamountfromLine20.$54Supportincome.Enterthemonthlyaverageofanychildsupportpayments,fostercarepayments,ordisabilitypaymentsforadependentchild,reportedinPartI,thatyoureceivedinaccordancewithapplicablenonbankruptcylaw,totheextentreasonablynecessarytobeexpendedforsuchchild.$55Qualifiedretirementdeductions.Enterthemonthlytotalof(a)allamountswithheldbyyouremployerfromwagesascontributionsforqualifiedretirementplans,asspecifiedin§541(b)(7)and(b)allrequiredrepaymentsofloansfromretirementplans,asspecifiedin§362(b)(19).$56Totalofalldeductionsallowedunder§707(b)(2).EntertheamountfromLine52.$57Deductionforspecialcircumstances.Iftherearespecialcircumstancesthatjustifyadditionalexpensesforwhichthereisnoreasonablealternative,describethespecialcircumstancesandtheresultingexpensesinlinesa-cbelow.Ifnecessary,listadditionalentriesonaseparatepage.TotaltheexpensesandenterthetotalinLine57.Youmustprovideyourcasetrusteewithdocumentationoftheseexpensesandyoumustprovideadetailedexplanationofthespecialcircumstancesthatmakesuchexpensesnecessaryandreasonable.$NatureofspecialcircumstancesAmountofexpensea.$b.$c.$Total:AddLinesa,b,andc58Totaladjustmentstodeterminedisposableincome.AddtheamountsonLines54,55,56,and57andentertheresult.$59MonthlyDisposableIncomeUnder§1325(b)(2).SubtractLine58fromLine53andentertheresult.$PartVI.ADDITIONALEXPENSECLAIMS60OtherExpenses.Listanddescribeanymonthlyexpenses,nototherwisestatedinthisform,thatarerequiredforthehealthandwelfareofyouandyourfamilyandthatyoucontendshouldbeanadditionaldeductionfromyourcurrentmonthlyincomeunder§707(b)(2)(A)(ii)(I).Ifnecessary,listadditionalsourcesonaseparatepage.Allfiguresshouldreflectyouraveragemonthlyexpenseforeachitem.Totaltheexpenses.ExpenseDescriptionMonthlyAmounta.$b.$c.$Total:AddLinesa,bandc$PartVII.VERIFICATION61Ideclareunderpenaltyofperjurythattheinformationprovidedinthisstatementistrueandcorrect.(Ifthisajointcase,bothdebtorsmustsign.)Date:Signature:(Debtor)Date:Signature:(JointDebtor,ifany) 9,832.25 8,737.92 8,737.92 1,094.33March 11, 2013/s/ ERIC JONES