---
type: court_doc
id: "court_ctb_3_0"
court: "CTB"
case_no: "22-50073"
doc_number: 3
doc_type: "UNKNOWN"
filed_date: "2022-02-15"
lang: "en"
machine_translated: false
url: "https://mubeitech.com/en/court/court_ctb_3_0"
json_url: "https://mubeitech.com/api/court/court_ctb_3_0"
---
# 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
_________________________________________________________________　Last Name
(Spouse, if filing) First Name　Middle Name　Last Name
United States Bankruptcy Court for the: ___________ District of __________
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:
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, 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.
Column A
Debtor 1　Column B
Debtor 2
2.　Your gross wages, salary, tips, bonuses, overtime, and commissions (before all
payroll deductions).　0.00
\$____________　\$__________
3.　Alimony and maintenance payments. Do not include payments from a spouse if
Column B is filled in.　0.00
\$____________　\$__________
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,
or farm　Debtor 1　Debtor 2
Gross receipts (before all deductions)　0.00
\$______　\$______
Ordinary and necessary operating expenses　–
\$______ –
0.00　\$______
Net monthly income from a business, profession, or farm　0.00
\$______　\$______　Copy
hereÎ　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　–
\$______ –
0.00　\$______
Net monthly income from rental or other real property　0.00
\$______　\$______　Copy
hereÎ　0.00
\$_________　\$__________
Case 22-50073 Doc 3 Filed 02/15/22 Entered 02/15/22 20:40:34 Page 2 of 2

Ho Wan
Kwok
Debtor 1

First Name
Middle Name
Last Name　Case number (if known)_____________________________________

Column A
Debtor 1　Column B
Debtor 2
Interest, dividends, and royalties　0.00
\$____________　\$__________
Unemployment compensation　0.00
\$____________　\$__________
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
For you　0.00
\$_________
For your spouse　0.00
\$_________
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　\$__________
________________________________________　\$____________
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
\$____________　+
\$_________　=
19,488.00
\$_______
Total current
monthly income
Part 2:
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.

/s/ Ho Wan Kwok
______________________________________________　______________________________________
Signature of Debtor 1　Signature of Debtor 2