Guo Wengui / Miles Guo — bankruptcy case · ECF #249-4

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United States Bankruptcy Court for the: District of Connecticut

(if known) 22-50073 Check if this is an amended filing Official Form 122B Chapter 11 Statement of Your Current Monthly Income

You must file this form if you are an individual and are filing for bankruptcy under Chapter V). If more space is needed, attach a separate sheet to this form. Include the line additional information applies. On the top of any additional pages, write your name and case number (if known).

Part 1: Calculate Your Current Monthly Income

1. What is your marital and filing status ? Check one only. Not married. Fill out Column A, lines 2-11. [] Married and your spouse is filing with you. Fill out both Columns A and B, lines 2-11. Married and your spouse is NOT filing with you. Fill out Column A, lines 2-11. Fill in the average monthly income that you received from all sources, derived during the 6 full months before you file this bankruptcy case. 11 U.S.C. § 101(10A). For example, if you are filing on September 15, the 6-month period would be March 1 through August 31. If the amount of your monthly income varied during the 6 months and divide the total by 6. Fill in the result. Do not include any income anount more than once. For example, if both spouses own the income from that property in one obumn only. If you have nothing to report for any line, write \$0 in the space.

2. Your gross wages, salary, tips, bonuses, overtime, and commissions (before all

3. Alimony and maintenance payments. Do not include payments from a spouse it

4. All amounts from any source which are regularly paid for household expenses of you or your dependents, including child support. Include regular contributions from an unmarried partner, members of your household, your dependents, parents, and roommates. Include regular contributions from a spouse only if Column B is not filled in. Do not include payments you listed on line 3. કે 0.00 S

business, profession, or farm Debtor 1 Debtor 2 Gross receipts (before all deductions) ea 0.00 Ordinary and necessary operating expenses -5 0.00 Net monthly income from a business, profession, or farm ಕಿ 0.00 Copy here -> \$ 0.00 S

Gross receipts (before all deductions) સ્ત્ર 0.00 Ordinary and necessary operating expenses -8 0.00 Net monthly income from rental or other real property ಆ 0.00 Copy here -> \$ 0.00 S

Case 22-50073 Doc 80 Filed 03/09/22 Entered 03/09/22 23:37:34 Page 2 of 3 Case 22-50073 Doc 249-4 Filed 04/22/22 Entered 04/22/22 16:44:32 Page 2 of 3

Debtor 1 Ho Wan Kwok Case number (if known) 22-50073

7. Interest, dividends, and royalties S 0.00 ea 8. Unemployment compensation ક્ક 0.00 ea Do not enter the amount if you contend that the amount received was a benefit under the Social Security Act. Instead, list it here:

9. Pension or retirement income. Do not include any amount received that was a benefit under the Social Security Act. Also, except as stated in the next sentence, do not include any compensation, pension, pay, annuity, or allowance paid by the United States Government in connection with a disability, combat-related injury or disability, or death of a member of the uniformed services. If you received any retired pay paid under chapter 61 of title 10, then include that pay only to the extent that it does not exceed the amount of retired pay to which you would otherwise be entitled if retired under any provision of title 10 other than chapter 61 of that title. 10. Income from all other sources not listed above. Specify the source and amount. Do not include any benefits received under the Social Security Act; payments made under the Federal law relating to the national emergency declared by the President under the National Emergencies Act (50 U.S.C. 1601 et seq.) with respect to the coronavirus disease 2019 (COVID-19); payments received as a victim of a war crime, a crime against humanity, or international or domestic terrorism; or compensation, pension, pay, annuity, or allowance paid by the United States Government in connection with a disability, combat-related injury or disability, or death of a member of the uniformed services. If necessary, list other sources on a separate page and put the total below. ಕ್ಕಾ 0.00 S

Total amounts from separate pages, if any. + ക 0.00 S 11. Calculate your total current monthly income. Add lines 2 through 10 for each column. ಕ್ಕಾ 0.00 S ಕಾ

Then add the total for Column A to the total for Column B. C G s s e 2 2 5 5 0 0 0 2 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0

Debtor 1 Ho Wan Kwok Case number (if known) 22-50073

By ground here, under penally of perjury I declare that the information on this statement and in any attachments is true and correct.