United States Bankruptcy Court Southern District of Indiana
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Include yourself, spouse and anyone you could claim as a dependent for tax purposes. Use numbers only.
How are you paid?
Bi-weekly (every two weeks)
Semi-monthly (twice a month)
Gross income per pay
period listed above
Include yourself and spouse. Gross income is
taxes and other deductions, not "take-home pay."
Do you have a pending case
with the Bankruptcy Court?
Enter the case number (if known):
Do you have any extraordinary monthly expenses, ongoing medical conditions or other special circumstances?
Enter code above: