Expression, Chapter 7 Means Test Calculation

• Court: United States Federal Court
• Legal Form Number: B 122A
• Section: United States Federal Court

Official Form 122A–2 Chapter 7 Means Test Calculation page 1

Official Form 122A–2

Chapter 7 Means Test Calculation 04/22

To fill out this form, you will need your completed copy of Chapter 7 Statement of Your Current Monthly Income (Official For m 122A-1).

Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for being accurate. If more space

is needed, attach a separate sheet to this form. Include the line number to which the additional information a pplies. On the top of any additional

pages, write your name and case number (if known).

Part 1: Determine Your Adjusted Income

1. Copy your total current monthly income. ............................................................... Copy line 11 from Official Form 122A-1 here ........... $_________

2. Did you fill out Column B in Part 1 of Form 122A–1?

No. Fill in $0 for the total on line 3.

Yes. Is your spouse filing with you?

No. Go to line 3.

Yes. Fill in $0 for the total on line 3.

3. Adjust your current monthly income by subtracting any part of your spouse’s income not used to pay for the

household expenses of you or your dependents. Follow these steps:

On line 11, Column B of Form 122A–1, was any amount of the income you reported for your spouse NOT

regularly used for the household expenses of you or your dependents?

No. Fill in 0 for the total on line 3.

Yes. Fill in the information below:

State each purpose for which the income was used

For example, the income is used to pay your spouse’s tax debt or to support

people other than you or your dependents

Fill in the amount you

are subtracting from

your spouse’s income

___________________________________________________ $______________

___________________________________________________ $______________

___________________________________________________ +$______________

Total. ................................................................................................. $______________ Copy total here ...............  ─ $_________

4. Adjust your current monthly income. Subtract the total on line 3 from line 1. $_________

Debtor 1 _________________________________________________________________

First Name Middle Name Last Name

Debtor 2 ________________________________________________________________

(Spouse, if filing) First Name Middle Name Last Name

United States Bankruptcy Court for the: __________ District of __________

Case number ___________________________________________

(If known)

Fill in this information to identify your case:

According to the calculations required by

this Statement:

1. There is no presumption of abuse.

2. There is a presumption of abuse.

Check if this is an amended filing

Check the appropriate box as directed in

lines 40 or 42:

__________ District of __________