Guo Wengui / Miles Guo — bankruptcy case · ECF #3

| Case 22-50073 | Doc 3 | Filed 02/15/22 | Entered 02/15/22 20:40:34 | Page 1 of 2 | |---------------|-------|----------------|---------------------------|-------------| | | | | | |

| Fill in this information to identify your case: | | | | | |-------------------------------------------------|------------|-------------------------------------------------------------------------------------------------------|-----------|--| | Debtor 1 | Ho Wan | __________________________________________________________________ | Kwok | | | Debtor 2 | First Name | Middle Name<br>_________________________________________________________________ | Last Name | | | (Spouse, if filing) First Name | | Middle Name | Last Name | | | | | United States Bankruptcy Court for the: ___________ District of __________<br>District of Connecticut | | | | Case number | 22-50073 | ___________________________________________ | | | | (If known) | | | | |

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 11 RWKHU WKDQ6XEFKDSWHU9. If more space is needed, attach a separate sheet to this form. Include the line number to which the additional information applies. On the top of any additional pages, write your name and case number (if known).**

| | Part 1:<br>Calculate Your Current Monthly Income | | | | | | |----|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------|----------|------------------------|-----------------------------|----------------------| | | 1. What is your marital and filing status? Check one only. | | | | | | | | ‰<br>Not married. Fill out Column A, lines 2-11.<br>‰<br>Married and your spouse is filing with you. Fill out both Columns A and B, lines 2-11.<br>✔<br>‰<br>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<br>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<br>amount of your monthly income varied during the 6 months, add the income for all 6 months and divide the total by 6. Fill in the result.<br>Do not include any income amount more than once. For example, if both spouses own the same rental property, put the income from that<br>property in one column only. If you have nothing to report for any line, write \$0 in the space. | | | | | | | | | | | | Column A<br>Debtor 1 | Column B<br>Debtor 2 | | 2. | Your gross wages, salary, tips, bonuses, overtime, and commissions (before all<br>payroll deductions). | | | | 0.00<br>\$____________ | \$__________ | | 3. | Alimony and maintenance payments. Do not include payments from a spouse if<br>Column B is filled in. | | | 0.00<br>\$____________ | \$__________ | | | 4. | All amounts from any source which are regularly paid for household expenses of<br>you or your dependents, including child support. Include regular contributions from<br>an unmarried partner, members of your household, your dependents, parents, and<br>roommates. Include regular contributions from a spouse only if Column B is not filled in.<br>Do not include payments you listed on line 3. | | | | 19,488.00<br>\$____________ | \$__________ | | 5. | Net income from operating a business, profession,<br>or farm | Debtor 1 | Debtor 2 | | | | | | Gross receipts (before all deductions) | 0.00<br>\$______ | \$______ | | | | | | Ordinary and necessary operating expenses | –<br>\$______ –<br>0.00 | \$______ | | | | | | Net monthly income from a business, profession, or farm | 0.00<br>\$______ | \$______ | Copy<br>hereÎ | 0.00<br>\$_________ | \$__________ | | 6. | Net income from rental and other real property | Debtor 1 | Debtor 2 | | | | | | Gross receipts (before all deductions) | 0.00<br>\$______ | \$______ | | | | | | Ordinary and necessary operating expenses | –<br>\$______ –<br>0.00 | \$______ | | | | | | Net monthly income from rental or other real property | 0.00<br>\$______ | \$______ | Copy<br>hereÎ | 0.00<br>\$_________ | \$__________ |

## Case 22-50073 Doc 3 Filed 02/15/22 Entered 02/15/22 20:40:34 Page 2 of 2

| Ho Wan<br>Kwok<br>Debtor 1<br>_______________________________________________________<br>First Name<br>Middle Name<br>Last Name | | | | | Case number (if known)_____________________________________ | |-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-----------------------|----------------------|-----------------------------|----------------------------------------|----------------------------------------------------------------| | | | Column A<br>Debtor 1 | | Column B<br>Debtor 2 | | | Interest, dividends, and royalties | | | 0.00<br>\$____________ | \$__________ | | | Unemployment compensation | | | 0.00<br>\$____________ | \$__________ | | | Do not enter the amount if you contend that the amount received was a benefit<br>under the Social Security Act. Instead, list it here: Ð | | | | | | | For you | 0.00<br>\$_________ | | | | | | For your spouse | 0.00<br>\$_________ | | | | | | 9. Pension or retirement income. Do not include any amount received that was a<br>benefit under the Social Security Act. Also, except as stated in the next sentence,<br>do not include any compensation, pension, pay, annuity, or allowance paid by the<br>United States Government in connection with a disability, combat-related injury or<br>disability, or death of a member of the uniformed services. If you received any<br>retired pay paid under chapter 61 of title 10, then include that pay only to the<br>extent that it does not exceed the amount of retired pay to which you would<br>otherwise be entitled if retired under any provision of title 10 other than chapter 61<br>of that title.<br>10. Income from all other sources not listed above. Specify the source and amount.<br>Do not include any benefits received under the Social Security Act; SD\PHQWVPDGH<br>XQGHUWKH)HGHUDOODZUHODWLQJWRWKHQDWLRQDOHPHUJHQF\GHFODUHGE\WKH3UHVLGHQW<br>XQGHUWKH1DWLRQDO(PHUJHQFLHV\$FW86&HWVHTZLWKUHVSHFWWRWKH<br>FRURQDYLUXVGLVHDVH&29,'payments received as a victim of a war<br>crime, a crime against humanity, or international or domestic terrorism; or<br>compensation, pension, pay, annuity, or allowance paid by the United States<br>Government in connection with a disability, combat-related injury or disability, or<br>death of a member of the uniformed services. If necessary, list other sourceson a | | | 0.00<br>\$____________ | \$__________ | | | separate page and put the total below. | | | 0.00 | \$__________ | | | ________________________________________ | | | \$____________<br>0.00 | | | | ________________________________________ | | | \$____________ | \$__________ | | | Total amounts from separate pages, if any. | | + | 0.00<br>\$____________ | +<br>\$__________ | | | 11. Calculate your total current monthly income.<br>Add lines 2 through 10 for each column.<br>Then add the total for Column A to the total for Column B. | | | 19,488.00<br>\$____________ | +<br>\$_________ | =<br>19,488.00<br>\$_______<br>Total current<br>monthly income | | Part 2:<br>Sign Below | | | | | | | | | | | | | | By signing here, under penalty of perjury I declare that the information on this statement and in any attachments is true and correct. | | | | | | | 8<br>8<br>/s/ Ho Wan Kwok<br>______________________________________________ | | | | ______________________________________ | | | Signature of Debtor 1 | Signature of Debtor 2 | | | | | | | | | | | |