4. Debts (unsecured) List unsecured such as credit cards, store charge accounts, loans from family members, back taxes owed to the I.R.S., etc. Do not list debts that are liens against your property, such as mortgages and car loans, because that payment is already listed as an expense above, and the total of the debt is shown elsewhere as a deduction from value where that asset is listed, such as under Real Estate or Motor Vehicles. For name on account, "P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Name of Creditor Account P C/R J Date of Balance Minimum Reason for Number Balance Monthly Which Debt (last Payment Was Incurred Required only) $ $ →Total Unsecured Debt Balance $0.00 $0.00 Minimum Monthly Payment SWORN FINANCIAL STATEMENT SUMMARY (Income/Expenses) Total Income $ 0.00 A (from Page 1) Total Monthly Deductions $ 0.00 B (from Page 2) Total Monthly Net Income (A minus B) $ 0.00 Total Monthly Expenses $ 0.00 C (from Page 3) Total Minimum Monthly Payment Required - Debts Unsecured $ 0.00 D (from Page 4) Total Monthly Expenses and Payments (C plus D) $ 0.00 (+/-) $ 0.00 Net Excess or Shortfall (Monthly Net Income less Monthly Expenses and Payments) Assets
4. Debts (unsecured) List unsecured such as credit cards, store charge accounts, loans from family members, back taxes owed to the I.R.S., etc. Do not list debts that are liens against your property, such as mortgages and car loans, because that payment is already listed as an expense above, and the total of the debt is shown elsewhere as a deduction from value where that asset is listed, such as under Real Estate or Motor Vehicles. For name on account, "P" = Petitioner, "C/R” = Co-Petitioner or Respondent, "J" = Name of Creditor Account Number (last only) P C/R J Date of Balance Balance Minimum Monthly Payment Required Reason for Which Debt Was Incurred $ $ Unsecured Debt Balance $0.00 $0.00 →Total Minimum Monthly Payment SWORN FINANCIAL STATEMENT SUMMARY (Income/Expenses) Total Income (from Page 1) $ 0.00 A Total Monthly Deductions (from Page 2) $ 0.00 B Total Monthly Net Income (A minus B) $ 0.00 Total Monthly Expenses (from Page 3) $ 0.00 C Total Minimum Monthly Payment Required - Debts Unsecured (from Page 4) $ 0.00 D Total Monthly Expenses and Payments (C plus D) $ 0.00 Net Excess or Shortfall (Monthly Net Income less Monthly Expenses and Payments) (+/-) $ 0.00 Assets
JDF-1111-Sworn-Financial-Statement.docx