Schedule I - Income
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Debtors Last Name: Debtor's Marital Status:
Employment: Debtor Spouse
Occupation
Name of Employer
How Long Employed
Address of Employer
INCOME: (Estimate of average or projected monthly income at time case filed) Debtor Spouse
Monthly gross wages, salary, and commissions (Prorate if not paid monthly)
Estimated monthly overtime
Subtotal
LESS PAYROLL DEDUCTIONS:
a. Payroll Taxes and social security
b. Insurance
c. Union Dues
d. Other (specify)
Dependent's of Debtor & Spouse:
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