Chapter 13 Periodic Trust Fund Report

Appendix J - Sample 2 of 2


CHAPTER 13 PERIODIC TRUST FUND REPORT
(PRE AND POST CONFIRMATION ACCOUNTS)

TRUSTEE_________________________ MONTH ENDING__________
  MONTHYEAR TO
  ENDINGDATE
  DESCRIPTION (_______)TOTALS
I. BALANCE AT BEGINNING OF PERIOD  ________________
II. GROSS PAYMENTS FROM DEBTORS:
  (a) With Confirmed Plans  ________ ________
 (b) With No Confirmed Plan  ________________
III. INTEREST RECEIVED FROM TRUST FUNDS ________________
IV. OTHER RECEIPTS (Itemize):
______________________________
______________________________
V. TOTAL FUNDS AVAILABLE FOR DISBURSEMENT
[I + II(a) + II(b) + III + IV]
________________
VI. DISBURSEMENTS:
  (a) Refunds to Debtor(s)
   After Confirmation
________________
  (b) Refunds on Cases with no
   Confirmed Plan
________________
  (c) Secured Creditors ________________
  (d) Priority Creditors ________________
  (e) Unsecured Creditors ________________
  (f) Debtors' Attorneys ________________
  (g) Clerk's Fees ________________
  (h) Other Administrative Expenses
   (excluding 503(b) awards to
trustee
________________
  (i) Percentage Fees Transferred
   to Expense Fund
________________
  (j) Administrative Expense Allowances
   Transferred to Expense Fund
________________
  (k) Interest Transferred to Expense Fund ________________
  (l) Other (attach explanation) ________________
  (m) Total Disbursements [sum of
   VI(a) through VI(1)]
________________
VII. BALANCE IN TRUST ACCOUNTS [V - VI(m)] _______*________
*NOTE: Must agree to attached copies of reconciled bank statements.
VIII. BONDING REQUIREMENT
  (a) Average monthly bank balance for the prior
three months (balances per banks, not per
books for all trust and expense accounts)
________________
  (b) Bond Amount ________________
  (c) Required Bond [150% of VIII (a)] ________________
  (d) Bond over (under) required amount
[VIII(b) - VIII(c)]
________________
IX. CASES HANDLED
  (a) Cases active, start of period ________________
  (b) New cases filed during fiscal year(+) ________________
  (c) Adjustments during fiscal year. ________________
       i) Cases transferred in(+) ________________
       ii) Cases converted from another chapter(+) ________________
       iii) Cases transferred out(-) ________________
       iv) Conversions to another chapter(-) ________________
       v) Dismissals(-) ________________
    Total Adjustments (+) or (-) ________________
  (d) Cases closed by the Court on completion of the
plan or hardship discharge(-)
________________
  (e) Cases active, end of period (a+bï½±c-d) ________________

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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