Schedule I Continued - Other Income
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Debtors Last Name:
INCOME: (Estimate of average or projected monthly income at time case filed) Debtor Spouse
Pension or retirement income
Other monthly income (specify below)
Regular Income from operation of business, profession or farm
Income from Real Property
Interest and dividends
Alimony, maintenance or support payments payable to the debtor for the debtor's use or that of dependents listed on the pervious page
Social Security or other government assistance (specify below)
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