Expression, Schedule J-2: Expenses for Separate Household of Debtor 2 (individuals)

• Court: United States Federal Court
• Legal Form Number: B 106J
• Section: United States Federal Court

Official Form 106J-2 Schedule J-2: Expenses for Separate Household of Debtor 2 page 1

Official Form 106J-2

Schedule J-2: Expenses for Separate Household of Debtor 2 12/15

Use this form for Debtor 2’s separate household expenses ONLY IF Debtor 1 and Debtor 2 maintain separate h ouseholds. If Debtor 1 and

Debtor 2 have one or more dependents in common, list the dependents on both Schedule J and t his form. Answer the questions on this form

only with respect to expenses for Debtor 2 that are not reported on Schedule J. Be as complete and accurate as pos sible. If more space is

needed, attach another sheet to this form. On the top of any additional pages, w rite your name and case number (if known). Answer every

question.

Part 1: Describe Your Household

1. Do you and De btor 1 maintain separate households?

 No. Do not complete this form.

 Yes

2. Do you have dependents?

Do not list Debtor 1 but list all

other dependents of Debtor 2

regardless of whether listed as a

dependent of Debtor 1 on

Schedule J.

Do not state the dependents’

names.

No

Yes. Fill out this information for

each dependent ..........................

Dependent’s relationship to

Debtor 2: Dependent’s

age Does dependent live

with you?

_________________________ ________ No

Y

es

_________________________ ________ No



Yes

_________________________ ________ No



Yes

_________________________ ________ No



Yes

_________________________ ________ No



Yes

3. Do your expens es include

expenses of people other than

yourself, your dependents, and

Debtor 1?

No

Yes

Part 2: Estimate Your Ongoing Monthly Expenses

Estimate your expenses as of your bankruptcy filing date unless you are using this form as a suppl ement in a Chapter 13 case to report

expenses as of a date after the bankruptcy is filed.

Include expenses paid for with non-cash government assistance if you know the value of

such assistance and have included it on Schedule I: Your Income (Official Form 106I.) Your expenses

4. The rental or ho me ownership expenses for your residence. Include first mortgage payments and

any rent for the ground or lot. 4. $_____________________

If not included in line 4:

4a. Real estate taxes 4a. $_____________________

4b. Property, homeowner’s, or renter’s insurance 4b. $_____________________

4c. Home maintenance, repair, and upkeep expenses 4c. $_____________________

4d. Homeowner’s association or condominium dues 4d. $_____________________

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 identif

y

y

our case:

Check if this is:

An amended filing

A supplement showing postpetition chapter 13

expenses as of the following date:

________________

MM / DD / YYYY

__________ District of __________