Form 106J — USA v. Harun (Dkt. 19.6)

Record facts

U.S. District Court for the Southern District of Georgia · No. 3:23-cr-00003-DHB-BKE · Doc. 19-6 · 2023-08-31 · Docket on CourtListener

Full text

Official Form 106J
Schedule J: Your Expenses
page 1
2IILFLDO)RUP 106J 
Schedule J: Your Expenses 
12/15 
Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct
information. If more space is needed, attach another sheet to this form. On the top of any additional pages, write your name and case number 
(if known). Answer every question.  
Part 1: 
Describe Your Household
1. Is this a joint case?
‰ No. Go to line 2.
‰ Yes. Does Debtor 2 live in a separate household?
‰ No
‰ Yes. Debtor 2 must file Official Form 106J-2, Expenses for Separate Household of Debtor 2.
2. Do you have dependents?
Do not list Debtor 1 and
Debtor 2.
Do not state the dependents’
names.
‰ No
‰ Yes. Fill out this information for
each dependent ..........................
Dependent’s relationship to 
Debtor 1 or Debtor 2
Dependent’s 
age
Does dependent live 
with you?
_________________________ 
________ 
‰ No
‰ Yes
_________________________ 
________
‰ No
‰ Yes
_________________________
________
‰ No
‰ Yes
_________________________
________ 
‰ No
‰ Yes
_________________________ 
________
‰ No
‰ Yes
3. Do your expenses include
expenses of people other than
yourself and your dependents?
‰ 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 supplement in a Chapter 13 case to report 
expenses as of a date after the bankruptcy is filed. If this is a supplemental Schedule J, check the box at the top of the form and fill in the 
applicable date. 
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 home 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 identify your 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 __________
Case 3:23-cr-00003-DHB-BKE     Document 19-6     Filed 08/31/23     Page 1 of 3

Debtor 1 
_______________________________________________________ 
Case number (if known)_____________________________________  
First Name 
Middle Name 
Last Name
2IILFLDO)RUP-
Schedule J: Your Expenses
page 2
Your expenses
5. Additional mortgage payments for your residence, such as home equity loans
5.
$_____________________ 
6. Utilities:
6a.  Electricity, heat, natural gas
6a. 
$_____________________ 
6b.  Water, sewer, garbage collection
6b. 
$_____________________ 
6c.  Telephone, cell phone, Internet, satellite, and cable services
6c. 
$_____________________ 
6d.  Other. Specify: _______________________________________________
6d. 
$_____________________ 
7.
Food and housekeeping supplies
7.
$_____________________
8.
Childcare and children’s education costs
8.
$_____________________
9.
Clothing, laundry, and dry cleaning
9.
$_____________________
10.
Personal care products and services
10.
$_____________________
11.
Medical and dental expenses
11.
$_____________________
12.
Transportation. Include gas, maintenance, bus or train fare.
Do not include car payments.
12.
$_____________________
13.
 Entertainment, clubs, recreation, newspapers, magazines, and books
13.
$_____________________
14.
 Charitable contributions and religious donations
14.
$_____________________
15.
Insurance.
Do not include insurance deducted from your pay or included in lines 4 or 20.
1
15a. Life insurance
15a. 
$_____________________ 
15b. Health insurance
15b. 
$_____________________ 
15c. Vehicle insurance
15c. 
$_____________________ 
15d. Other insurance. Specify:_______________________________________
15d. 
$_____________________ 
16.
 Taxes. Do not include taxes deducted from your pay or included in lines 4 or 20.
Specify: ________________________________________________________
16.
$_____________________
17.  Installment or lease payments:
17a. Car payments for Vehicle 1
17a.
$_____________________ 
17b. Car payments for Vehicle 2
17b.
$_____________________ 
17c. Other. Specify:_______________________________________________
17c.
$_____________________ 
17d. Other. Specify:_______________________________________________
17d.
$_____________________ 
18.  Your payments of alimony, maintenance, and support that you did not report as deducted from
your pay on line 5, Schedule I, Your Income (Official Form 106I).
18.
$_____________________
19.
Other payments you make to support others who do not live with you.
Specify:_______________________________________________________
19.
$_____________________
20.
Other real property expenses not included in lines 4 or 5 of this form or on Schedule I: Your Income.
20a. Mortgages on other property
20a.
$_____________________ 
20b. Real estate taxes
20b.
$_____________________ 
20c. Property, homeowner’s, or renter’s insurance
20c.
$_____________________ 
20d. Maintenance, repair, and upkeep expenses
20d.
$_____________________ 
20e. Homeowner’s association or condominium dues
20e.
$_____________________ 
Case 3:23-cr-00003-DHB-BKE     Document 19-6     Filed 08/31/23     Page 2 of 3

Debtor 1 
_______________________________________________________ 
Case number (if known)_____________________________________  
First Name 
Middle Name 
Last Name
2IILFLDO)RUP-
Schedule J: Your Expenses
page 3
21.
Other. Specify: _________________________________________________
21.
+$_____________________
22.  Calculate your monthly expenses.
22a. Add lines 4 through 21.
22a.
22b. Copy line 22 (monthly expenses for Debtor 2), if any, from Official Form 106J-2
22b.
22c. Add line 22a and 22b. The result is your monthly expenses.
22c.
$_____________________ 
$_____________________ 
$_____________________ 
23. Calculate your monthly net income.
23a.
Copy line 12 (your combined monthly income) from Schedule I.
23a.
$_____________________
23b. 
Copy your monthly expenses from line 22c above.
23b.
– $_____________________
23c. 
Subtract your monthly expenses from your monthly income.
The result is your monthly net income.
23c.
$_____________________
24. Do you expect an increase or decrease in your expenses within the year after you file this form?
For example, do you expect to finish paying for your car loan within the year or do you expect your
mortgage payment to increase or decrease because of a modification to the terms of your mortgage?
‰ No.
‰ Yes.
Explain here: 
Case 3:23-cr-00003-DHB-BKE     Document 19-6     Filed 08/31/23     Page 3 of 3

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