Appendix B Chart and Sample Forms

• Library: Chapter 13 Bankruptcy (Nolo) (2020 Ed.)

APPENDIX B: Chart and Sample Forms

Median Family Income Chart

Schedule I: Your Income (Form 106I)

Schedule J: Your Expenses (Form 106J)

Chapter 7 Statement of Your Current Monthly Income (Form 122A-1)

Chapter 7 Means Test Calculation (Form 122A-2)

Statement of Exemption from Presumption of Abuse Under § 707(b)(2) (Form 122A-1Supp)

Chapter 13 Statement of Your Current Monthly Income and Calculation of Commitment Period (Form 122C-1)

Chapter 13 Calculation of Your Disposable Income (Form 122C-2)

Chapter 13 Plan (Form 113)

Median Family Income Chart (as of November 1, 2019)
	Family Size					Family Size
State	1 Earner	2 People	3 People	4 People*	State	1 Earner	2 People	3 People	4 People*
Alabama	$51,388	$64,543	$70,428	$85,403	Montana	$63,278	$73,586	$85,739	$82,460
Alaska	$42,461	$52,986	$57,221	$72,767	Nebraska	$68,061	$77,274	$93,746	$85,885
Arizona	$59,286	$77,860	$86,665	$99,512	Nevada	$64,586	$73,524	$80,077	$75,783
Arkansas	$60,819	$79,711	$92,517	$105,947	New Hampshire	$78,998	$100,278	$120,342	$113,508
California	$65,502	$87,017	$99,857	$123,477	New Jersey	$82,249	$104,752	$128,994	$118,697
Colorado	$54,589	$71,351	$83,079	$100,799	New Mexico	$55,325	$59,538	$66,358	$62,509
Connecticut	$62,285	$113,034	$127,467	$138,112	New York	$71,349	$86,670	$105,636	$96,527
Delaware	$50,641	$61,619	$67,717	$81,091	North Carolina	$60,946	$67,931	$85,948	$76,382
D.C.	$49,236	$63,850	$72,426	$85,763	North Dakota	$79,459	$86,261	$97,559	$95,893
Florida	$64,803	$76,240	$98,829	$112,345	Ohio	$63,514	$76,260	$91,580	$83,515
Georgia	$51,189	$60,814	$66,222	$76,536	Oklahoma	$58,436	$65,400	$75,326	$70,144
Hawaii	$53,900	$71,301	$82,268	$101,240	Oregon	$70,559	$79,262	$97,311	$88,448
Idaho	$47,965	$61,811	$72,228	$86,076	Pennsylvania	$66,338	$82,375	$101,477	$91,692
Illinois	$50,661	$67,897	$77,525	$93,880	Rhode Island	$74,508	$83,585	$102,967	$105,447
Indiana	$50,944	$66,025	$75,629	$87,119	South Carolina	$60,434	$65,410	$79,780	$75,946
Iowa	$43,800	$55,256	$65,544	$78,689	South Dakota	$67,817	$69,074	$82,331	$86,452
Kansas	$44,822	$54,424	$61,917	$80,818	Tennessee	$59,829	$68,493	$78,283	$73,604
Kentucky	$50,537	$63,734	$76,984	$93,912	Texas	$65,708	$72,632	$84,724	$76,933
Louisiana	$69,529	$88,815	$104,390	$125,989	Utah	$67,778	$81,167	$91,810	$81,794
Maine	$65,924	$82,628	$106,206	$132,026	Vermont	$74,256	$80,232	$101,783	$89,657
Maryland	$52,168	$63,281	$76,825	$91,986	Virginia	$77,999	$90,358	$110,000	$101,389
Massachusetts	$57,017	$76,319	$95,919	$112,291	Washington	$78,823	$90,921	$105,568	$100,282
Michigan	$41,659	$50,980	$57,431	$68,491	West Virginia	$51,102	$63,137	$74,916	$72,767
Minnesota	$48,212	$60,424	$72,543	$90,489	Wisconsin	$67,146	$82,119	$98,317	$93,500
Mississippi	$39,231	$48,931	$53,476	$62,564	Wyoming	$72,964	$76,916	$96,120	$90,270
Missouri	$45,518	$57,570	$68,627	$81,445	* Add $9,000 for each individual in excess of 4.

Median Family Income Chart (as of November 1, 2019) (continued)
	Family Size
Commonwealth or U.S. Territory	1 Earner	2 People	3 People	4 People*
Guam	$42,009	$50,229	$57,238	$69,265
Northern Mariana Islands	$28,211	$28,211	$32,821	$48,273
Puerto Rico	$24,261	$24,261	$25,560	$33,501
Virgin Islands	$33,331	$40,059	$42,712	$46,794
* Add $9,000 for each individual in excess of 4.

Schedule I: Your Income (Form 106I)

Schedule I: Your Income (Form 106I) (page 2)

Schedule J: Your Expenses (Form 106J)

Schedule J: Your Expenses (Form 106J) (page 2)

Schedule J: Your Expenses (Form 106J) (page 3)

Official Form 106J Schedule J: Your Expenses page 3

Chapter 7 Statement of Your Current Monthly Income (Form 122A-1)

Chapter 7 Statement of Your Current Monthly Income (Form 122A-1) (page 2)

Chapter 7 Statement of Your Current Monthly Income (Form 122A-1) (page 3)

Official Form 122A-1 Chapter 7 Statement of Your Current Monthly Income page 3

Chapter 7 Means Test Calculation (Form 122A-2)

Chapter 7 Means Test Calculation (Form 122A-2) (page 2)

Chapter 7 Means Test Calculation (Form 122A-2) (page 3)

Chapter 7 Means Test Calculation (Form 122A-2) (page 4)

Chapter 7 Means Test Calculation (Form 122A-2) (page 5)

Chapter 7 Means Test Calculation (Form 122A-2) (page 6)

Chapter 7 Means Test Calculation (Form 122A-2) (page 7)

Chapter 7 Means Test Calculation (Form 122A-2) (page 8)

Chapter 7 Means Test Calculation (Form 122A-2) (page 9)

Statement of Exemption from Presumption of Abuse Under § 707(b)(2) (Form 122A-1Supp)

Chapter 13 Statement of Your Current Monthly Income and Calculation of...