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# Chapter 11 Statement of Your Current Monthly Income

** Download Form (pdf, 273.47 KB)

Form Number: B 122B

Category: Means Test Forms

Effective onDecember 1, 2021

	This is an Official Bankruptcy Form. Official Bankruptcy Forms are approved by the Judicial Conference and must be used under Bankruptcy Rule 9009. This form was amended from April 3, 2020, to March 27, 2022, to address temporary changes to the Bankruptcy Code due the Coronavirus Aid, Relief, and Economic Security (“CARES”) Act. Those changes lapsed on March 27, 2022 and the form reverted to the pre-CARES Act version.

## Committee Notes

** Download Committee Notes (pdf, 242.87 KB)

## Form Instructions

** Download Form Instructions (pdf, 395.82 KB)

## Services & Forms

          - Forms             - Chapter 11 Statement of Your Current Monthly Income
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## Notification

This form is derived from Official Form 22B

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