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

_________________________________________________________________ Last Name (Spouse, if filing) First Name Middle Name Last Name United States Bankruptcy Court for the: ___________ District of __________

Case number 22-50073 ___________________________________________

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:

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, add the income for all 6 months and divide the total by 6. Fill in the result. Do not include any income amount more than once. For example, if both spouses own the same rental property, put the income from that property in one column 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 if

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. 19,488.00

5. Net income from operating a business, profession,

Gross receipts (before all deductions) 0.00

Ordinary and necessary operating expenses –

Net monthly income from a business, profession, or farm 0.00

6. Net income from rental and other real property Debtor 1 Debtor 2 Gross receipts (before all deductions) 0.00

Ordinary and necessary operating expenses –

Net monthly income from rental or other real property 0.00

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

Last Name Case number (if known)_____________________________________

Do not enter the amount if you contend that the amount received was a benefit under the Social Security Act. Instead, list it here: Ð

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; SD\PHQWVPDGH XQGHUWKH)HGHUDOODZUHODWLQJWRWKHQDWLRQDOHPHUJHQF\GHFODUHGE\WKH3UHVLGHQW XQGHUWKH1DWLRQDO(PHUJHQFLHV\$FW86&HWVHTZLWKUHVSHFWWRWKH FRURQDYLUXVGLVHDVH&29,'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 sourceson a 0.00

separate page and put the total below. 0.00 \$__________ ________________________________________ \$____________

________________________________________ \$____________ \$__________ Total amounts from separate pages, if any. + 0.00

11. Calculate your total current monthly income. Add lines 2 through 10 for each column. Then add the total for Column A to the total for Column B. 19,488.00

Part 2:

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

______________________________________________ ______________________________________ Signature of Debtor 1 Signature of Debtor 2