Chapter 11 Monthly Operating Report {MISC048}

CHAPTER 11 MONTHLY OPERATING REPORT UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF TENNESSEE Case name: ________________________________________ Judge: ________________________________________ Case No.: MONTHLY OPERATING REPORT FOR MONTH ENDING For the period beginning and ending . , 200 This monthly operating report is due to be filed with the court by the 15th day of the following month and includes the following schedules. Page Bank Account Balance............................................................. 2 Assets and Liabilities/ Balance Sheet...................................... 3, 4 Post Petition Payables............................................................. 5 Profit & Loss/ Income Statement............................................ 6, 7 Statement of Cash Flow.......................................................... 8 Transfer of Property & Insurance coverage............................ 9 Detailed Listing of Receipts................................................... 10, 11 Detailed Listing of Disbursements......................................... 12-19 (Please check to indicate attached) _______ _______ _______ _______ _______ _______ _______ _______ I declare under penalty of perjury that this Report and all attachments are true and correct to the best of my knowledge and belief. I also hereby certify that the original Monthly Operating Report was filed with the Bankruptcy Court Clerk. DEBTOR-IN-POSSESSION Date: By: (Signature) Name & Title: (Print or type) Phone #:__________________ Address: ___________________________________________ Page 1 American LegalNet, Inc. www.FormsWorkFlow.com Bank Account Balance For Month Ending: _________________ 3. Bank Accounts Account Name Personal Operating Tax __________ Bank name __________ __________ __________ __________ Account # __________ Grand Total All Accounts Beginning balance __________ + __________ + __________ + __________ = __________ Plus: Total Receipts (Attach detailed listing) __________ + __________ + __________ + __________ = __________ Less: Total Disbursements __________ + __________ + __________ + __________ = (Attach detailed listing) __________ Other: Transfers In (Out) __________ __________ __________ __________ ------0------ Ending balance __________ + __________ + __________ + __________ = __________ Notes: Page 2 American LegalNet, Inc. www.FormsWorkFlow.com Balance Sheet For Month Ending: _________________ $ AMOUNT ASSETS CURRENT ASSETS Cash (Including all accounts, cash on hand, etc.) Negotiable instruments (i.e. CD's, Treasury bills, stocks, bonds, etc.) Accounts receivable, net (See OPR-3) Less allowance for doubtful accounts Inventory Other: (List) ___________________________________ ___________________________________ ___________________________________ TOTAL CURRENT ASSETS PROPERTY, PLANT, & EQUIPMENT Real Property/Real Estate Buildings Equipment Vehicles ___________________________________ Less total accumulated depreciation NET PROPERTY, PLANT, & EQUIPMENT OTHER ASSETS ___________________________________ ___________________________________ ___________________________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ TOTAL ASSETS ________________ Page 3 American LegalNet, Inc. www.FormsWorkFlow.com Balance Sheet (continued) For Month Ending: _________________ $ AMOUNT LIABILITIES TOTAL POST PETITION LIABILITIES (Page 5) ________________ PRE PETITION LIABILITIES Secured debt (petition Schedule D) ________________ Priority debt (petition Schedule E) ________________ Unsecured debt (petition Schedule F) ________________ TOTAL PRE PETITION LIABILITIES ________________ TOTAL LIABILITIES ________________ SHAREHOLDERS' EQUITY (DEFICIT) PREFERRED STOCK COMMON STOCK PAID-IN CAPITAL RETAINED EARNINGS Through filing date Post filing date ________________ ________________ ________________ ________________ ________________ TOTAL SHAREHOLDERS' EQUITY ________________ TOTAL LIABILITIES AND SHAREHOLDERS' EQUITY ________________ Page 4 American LegalNet, Inc. www.FormsWorkFlow.com Schedule of Post Petition Liabilities/Payables For Month Ending: _________________ DATE DUE TAXES PAYABLE Federal Income Tax Payroll Tax Unemployment Tax Sales Tax Personal Property Tax TOTAL TAXES PAYABLE POST PETITION SECURED DEBT POST PETITION UNSECURED DEBT ACCRUED INTEREST PAYABLE TRADE ACCOUNTS PAYABLE & OTHER: (list separately) ___________________________________ ___________________________________ ___________________________________ ___________________________________ ___________________________________ TOTAL DUE 0-30 DAYS 31-60 DAYS OVER 60 DAYS ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ ________________ TOTALS ________________ ________________ ________________ ________________ ________________ NOTE: Total post petition liabilities shown here must agree with the same item as shown on page 4 of this report. Page 5 American LegalNet, Inc. www.FormsWorkFlow.com Profit & Loss/ Income Statement For Month Ending: _________________ I. INCOME (LIST SOURCES) CURRENT MONTH __________________________ _________________