Chapter 13 Pericdic Compensation & Expense Report

Appendix J - Sample 1 of 2


CHAPTER 13 PERIODIC COMPENSATION & EXPENSE REPORT

TRUSTEE _______________________________ MONTH ENDING _____________
 DESCRIPTION  CURRENT  YEAR TO  FISCAL  ACTUAL YTD
 MONTH  DATE  YEAR  UNDER (OVER)
 TOTAL  BUDGET  BUDGET
I.RECEIPTS  
  From Trustee Funds:
   Percentage Fees
____________ ____________  ____________ ____________
     503(b) Awards ____________ ____________  ____________ ____________
     Interest ____________ ____________  ____________ ____________
  Other Receipts (list):
     _____________  ____________ ____________  ____________ ____________
    _____________  ______________  ______________  ______________  ______________
     _____________  ____________ ____________  ____________ ____________
     TOTAL RECEIPTS  ____________ ____________  ____________ ____________
II.EXPENSES  
     Employee Expenses  ____________ ____________  ____________ ____________
     Office Rent  ____________ ____________  ____________ ____________
     Utilities (if not
   included in rent)
  ____________ ____________  ____________ ____________
     Bookkeeping and
   Accounting Services
  ____________ ____________  ____________ ____________
     Computer Services   ____________ ____________  ____________ ____________
     Audit Services  ____________ ____________  ____________ ____________
     Consulting Services  ____________ ____________  ____________ ____________
     Telephone  ____________ ____________  ____________ ____________
     Postage  ____________ ____________  ____________ ____________
     Office Supplies  ____________ ____________  ____________ ____________
     Bond Premiums  ____________ ____________  ____________ ____________
     Clerk Fees
   (not under plans)
  ____________ ____________  ____________ ____________
     Dues to Professional
      Organizations
  ____________ ____________  ____________ ____________
     Publications  ____________ ____________  ____________ ____________
     Insurance, other than
      Employment Related
  ____________ ____________  ____________ ____________
     Conferences
      and Seminars
  ____________ ____________  ____________ ____________
     Maintenance and Service
      Agreements
  ____________ ____________  ____________ ____________
     Photocopy Services or
      Transcripts
  ____________ ____________  ____________ ____________
     Travel  ____________ ____________  ____________ ____________
     Equipment/Furniture
      Rental
  ____________ ____________  ____________ ____________
     Equipment/Furniture
   Purchases [excluding
   purchases from surplus,
   shown at VI]
  ____________ ____________  ____________ ____________
     Leasehold Improvements
   [excluding purchases
   from surplus, shown
   at VI]
  ____________ ____________  ____________ ____________
     Total Other Expenses (list):  
     _____________  ____________ ____________  ____________ ____________
     _____________  ____________ ____________  ____________ ____________
     TOTAL EXPENSES  ____________ ____________  ____________ ____________
III. TRUSTEE COMPENSATION
   PAID
____________ ____________  ____________ ____________
IV. RECEIPTS OVER (UNDER)
   EXPENSES AND
   COMPENSATION PAID
   [I - II - III]
____________ ____________  ____________ ____________
V. EXPENSE FUND BALANCE
   BEGINNING OF PERIOD PAID
____________ ____________  ____________ ____________
VI. APPROVED EXPENDITURES
   FROM SURPLUS
____________ ____________  ____________ ____________
VII. EXPENSE FUND BALANCE
   [V - VI ï½± IV]
___________* ____________  ____________ ____________

*Note: Must agree to attached copies of reconciled bank statements.

I declare under penalty of perjury that this report is true and correct to the best of my knowledge and belief. This ___ day of _______, 19 ___.

__________________________/_________________________

Signature Title
Updated May 7, 2015

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