CHAPTER 12 ANNUAL BUDGET
January 1, 1998 - December 31, 1998
NAME: ____________________________________
DATE: ____________________________________
I. SUMMARY OF NECESSARY EXPENSES
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
NECESSARY EXPENSES:
*1. Employee Expenses................................ _______ _______ _______ _______
*2. Office Rent...................................... _______ _______ _______ _______
*3. Utilities (if not included in rent).............. _______ _______ _______ _______
*4. Bookkeeping and Accounting Services.............. _______ _______ _______ _______
*5. Computer Services................................ _______ _______ _______ _______
6. Audit Services................................... _______ _______ _______ _______
*7. Consulting Services.............................. _______ _______ _______ _______
8. Telephone........................................ _______ _______ _______ _______
9. Postage.......................................... _______ _______ _______ _______
10. Office Supplies.................................. _______ _______ _______ _______
*11. Bond Premiums.................................... _______ _______ _______ _______
12. Clerk Fees (not under plans)..................... _______ _______ _______ _______
13. Dues to Professional Organizations............... _______ __N/A__ __N/A__ __N/A__
*14. Publications and On-Line Services................ _______ _______ _______ _______
*15. Insurance, other than Employment Related......... _______ _______ _______ _______
16. Training (See Instructions)...................... _______ _______ _______ _______
*17. Maintenance and Service Agreements............... _______ _______ _______ _______
18. Photocopy Services or Transcripts................ _______ _______ _______ _______
*19. Travel........................................... _______ _______ _______ _______
*20. Equipment/Furniture Rental....................... _______ _______ _______ _______
*21. Equipment/Furniture Purchases.................... _______ _______ _______ _______
22. Leasehold Improvements........................... _______ _______ _______ _______
*23. Other expenses (list):
______________________________________________________ _______ _______ _______ _______
______________________________________________________ _______ _______ _______ _______
______________________________________________________ _______ _______ _______ _______
______________________________________________________ _______ _______ _______ _______
______________________________________________________ _______ _______ _______ _______
______________________________________________________ _______ _______ _______ _______
TOTAL Necessary Expenses.............................. _______ _______ _______ _______
II. YEARLY SUPPORTING ESTIMATES
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
1. Employee expenses1:
A. Salaries (including amounts withheld)......... _______ _______ _______ _______
B. Overtime...................................... _______ _______ _______ _______
C. Bonuses....................................... _______ _______ _______ _______
D. Employer's Contribution ...................... _______ _______ _______ _______
E. Employee Benefits
1. Total Health Insurance.................. _______ _______ _______ _______
2. Total Life Insurance.................... _______ _______ _______ _______
3. Total Other Insurance................... _______ _______ _______ _______
4. Total Retirement........................ _______ _______ _______ _______
5. Total Parking........................... _______ _______ _______ _______
6. Total Other Benefits.................... _______ _______ _______ _______
TOTAL Benefits.......................... _______ _______ _______ _______
TOTAL Employee Expenses............................... _______ _______ _______ _______
2. Rent:
A. Total Square Footage Leased (Office Space).... _______ _______ _______ _______
B. Sq Ft Apportioned to Ch. 12 Opr (Office Space) _______ _______ _______ _______
C. $ Amount Paid Per Square Foot (Office Space).. _______ _______ _______ _______
D. $ Amount Office Space......................... _______ _______ _______ _______
E. $ Amount Off-Site Storage..................... _______ _______ _______ _______
TOTAL Rent............................................ _______ _______ _______ _______
Is Chapter 12 Operation renting from a related party? (YES\NO) _________
If yes, identify party ______________________
3. Utilities (if not included in rent):
A. Electricity................................... _______ _______ _______ _______
B. Gas........................................... _______ _______ _______ _______
C. Water......................................... _______ _______ _______ _______
TOTAL Utilities....................................... _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
4. Bookkeeping and Accounting Services:
A. From Third Parties:
1) vendor name and type of service............
___________________________________________ _______ _______ _______ _______
2) vendor name and type of service............
___________________________________________ _______ _______ _______ _______
B. From Standing Trustee or Related Party:
1) vendor name and type of service............
___________________________________________ _______ _______ _______ _______
2) vendor name and type of service............
___________________________________________ _______ _______ _______ _______
TOTAL Bookkeeping and Accounting Services............. _______ _______ _______ _______
5. Computer Services:
A. Vendor name...................................
______________________________________________ _______ _______ _______ _______
B. Vendor name...................................
______________________________________________ _______ _______ _______ _______
TOTAL Computer Services............................... _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
7. Consulting Services:
(This does not authorize payment of expenses incurred for the defense or settlement of
claims made or actions brought against the trustee personally.)
A. From Third Parties:
1) Consultant name and area of expertise......
___________________________________________ _______ _______ _______ _______
2) Consultant name and area of expertise......
___________________________________________ _______ _______ _______ _______
B. From Related Party:
1) Consultant name and area of expertise......
___________________________________________ _______ _______ _______ _______
2) Consultant name and area of expertise......
___________________________________________ _______ _______ _______ _______
TOTAL Consulting Services............................. _______ _______ _______ _______
11. Bond Premiums:
A. For Standing Trustee.......................... _______ _______ _______ _______
B. For Staff..................................... _______ _______ _______ _______
TOTAL Bond Premiums................................... _______ _______ _______ _______
14. Publications and On-Line Services:
A. (name)........................................ _______ _______ _______ _______
B. (name)........................................ _______ _______ _______ _______
C. (etc.)........................................ _______ _______ _______ _______
TOTAL Publications and On-Line Services............... _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
15. Insurance, other than Employee Benefits:
A. Errors and Omissions insurance (insurer name). _______ _______ _______ _______
______________________________________________
B. (insurer name and type of insurance).......... _______ _______ _______ _______
______________________________________________
C. (insurer name and type of insurance).......... _______ _______ _______ _______
______________________________________________
D. (etc.)........................................ _______ _______ _______ _______
TOTAL Insurance....................................... _______ _______ _______ _______
16. Training (See Instructions):
A. (training attended)........................... _______ _______ _______ _______
B. (training attended)........................... _______ _______ _______ _______
C. (etc.)........................................ _______ _______ _______ _______
TOTAL Training Expenses............................... _______ _______ _______ _______
17. Maintenance and Service Agreements:
A. (item)........................................ _______ _______ _______ _______
B. (item)........................................ _______ _______ _______ _______
C. (etc.)........................................ _______ _______ _______ _______
TOTAL Maintenance and Service Agreements.............. _______ _______ _______ _______
19. Travel:
A. Transportation................................ _______ _______ _______ _______
B. Lodging....................................... _______ _______ _______ _______
C. Meals......................................... _______ _______ _______ _______
D. Other (list).................................. _______ _______ _______ _______
TOTAL Travel.......................................... _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
20. Equipment/Furniture Rentals:
A. From Third Parties:
1) Business equipment......................... _______ _______ _______ _______
2) Computer equipment......................... _______ _______ _______ _______
3) Furniture.................................. _______ _______ _______ _______
4) Other rental (list)........................ _______ _______ _______ _______
B. From Standing Trustee or Related Party:
1) Business equipment......................... _______ _______ _______ _______
2) Computer equipment......................... _______ _______ _______ _______
3) Furniture.................................. _______ _______ _______ _______
4) Other rental (list)........................ _______ _______ _______ _______
TOTAL Equipment/Furniture Rentals..................... _______ _______ _______ _______
21. Equipment/Furniture Purchases:
A. Business equipment............................ _______ _______ _______ _______
B. Computer equipment............................ _______ _______ _______ _______
C. Furniture..................................... _______ _______ _______ _______
D. Other (specify)............................... _______ _______ _______ _______
TOTAL Equipment/Furniture Purchases................... _______ _______ _______ _______
23. All other Expenses(specify third or related party):
A. (item)........................................ _______ _______ _______ _______
B. (item)........................................ _______ _______ _______ _______
C. (item)........................................ _______ _______ _______ _______
D. (etc.)........................................ _______ _______ _______ _______
TOTAL All other Expenses.............................. _______ _______ _______ _______
III. DETAIL OF PERSONNEL EXPENSE2
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
#1 Employee Name & Position:_________________________
If hired in CY 97 or CY 98,
give month and year of hire_______________________
Salary (including amounts withheld)............... _______ _______ _______ _______
Overtime, if applicable........................... _______ _______ _______ _______
Bonus............................................. _______ _______ _______ _______
Employer's Contribution (payroll, social security) _______ _______ _______ _______
Employee Benefits (list):
Health Insurance
(circle: family or indiv.)................ _______ _______ _______ _______
Life Insurance................................ _______ _______ _______ _______
Other Insurance
(e.g., vision) identify___________________ _______ _______ _______ _______
__________________________________ _______ _______ _______ _______
Retirement.................................... _______ _______ _______ _______
Parking....................................... _______ _______ _______ _______
Other Benefits (identify)_____________________ _______ _______ _______ _______
__________________________________ _______ _______ _______ _______
__________________________________ _______ _______ _______ _______
TOTAL Employee Expense................................ _______ _______ _______ _______
Average number of hours/week...................... _______ _______ _______ _______
Hourly Salary - Beginning of Year3................ _______ _______ _______ _______
Hourly Salary - End of Year3...................... _______ _______ _______ _______
Average hourly TOTAL Employee Expense............. _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
#2 Employee Name & Position:________________________
If hired in CY 97 or CY 98,
give month and year of hire_____________________
Salary (including amounts withheld)............... _______ _______ _______ _______
Overtime, if applicable........................... _______ _______ _______ _______
Bonus............................................. _______ _______ _______ _______
Employer's Contribution (payroll, social security) _______ _______ _______ _______
Employee Benefits (list):
Health Insurance
(circle: family or indiv.)................ _______ _______ _______ _______
Life Insurance................................ _______ _______ _______ _______
Other Insurance
(e.g., vision) identify__________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
Retirement................................... _______ _______ _______ _______
Parking...................................... _______ _______ _______ _______
Other Benefits (identify)____________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
TOTAL Employee Expense................................ _______ _______ _______ _______
Average number of hours/week...................... _______ _______ _______ _______
Hourly Salary - Beginning of Year................. _______ _______ _______ _______
Hourly Salary - End of Year....................... _______ _______ _______ _______
Average hourly TOTAL Employee Expense............. _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
#3 Employee Name & Position:________________________
If hired in CY 97 or CY 98,
give month and year of hire_____________________
Salary (including amounts withheld)............... _______ _______ _______ _______
Overtime, if applicable........................... _______ _______ _______ _______
Bonus............................................. _______ _______ _______ _______
Employer's Contribution (payroll, social security) _______ _______ _______ _______
Employee Benefits (list):
Health Insurance
(circle: family or indiv.)................ _______ _______ _______ _______
Life Insurance................................ _______ _______ _______ _______
Other Insurance
(e.g., vision) identify__________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
Retirement................................... _______ _______ _______ _______
Parking...................................... _______ _______ _______ _______
Other Benefits (identify)____________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
TOTAL Employee Expense................................ _______ _______ _______ _______
Average number of hours/week...................... _______ _______ _______ _______
Hourly Salary - Beginning of Year................. _______ _______ _______ _______
Hourly Salary - End of Year....................... _______ _______ _______ _______
Average hourly TOTAL Employee Expense............. _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
#4 Employee Name & Position:________________________
If hired in CY 97 or CY 98,
give month and year of hire_____________________
Salary (including amounts withheld)............... _______ _______ _______ _______
Overtime, if applicable........................... _______ _______ _______ _______
Bonus............................................. _______ _______ _______ _______
Employer's Contribution (payroll, social security) _______ _______ _______ _______
Employee Benefits (list):
Health Insurance
(circle: family or indiv.)................ _______ _______ _______ _______
Life Insurance................................ _______ _______ _______ _______
Other Insurance
(e.g., vision) identify__________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
Retirement................................... _______ _______ _______ _______
Parking...................................... _______ _______ _______ _______
Other Benefits (identify)____________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
_________________________________ _______ _______ _______ _______
TOTAL Employee Expense................................ _______ _______ _______ _______
Average number of hours/week...................... _______ _______ _______ _______
Hourly Salary - Beginning of Year................. _______ _______ _______ _______
Hourly Salary - End of Year....................... _______ _______ _______ _______
Average hourly TOTAL Employee Expense............. _______ _______ _______ _______
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
Total Employee Expense Per Employee:
Employee #1 (Name&position).......................... _______ _______ _______ _______
Employee #2 (Name&position).......................... _______ _______ _______ _______
Employee #3 (Name&position).......................... _______ _______ _______ _______
Employee #4 (Name&position).......................... _______ _______ _______ _______
Employee #5 (Name&position).......................... _______ _______ _______ _______
Employee #6 (Name&position).......................... _______ _______ _______ _______
Employee #7 (Name&position).......................... _______ _______ _______ _______
Employee #8 (Name&position).......................... _______ _______ _______ _______
Employee #9 (Name&position).......................... _______ _______ _______ _______
Employee #10 (Name&position).......................... _______ _______ _______ _______
Employee #11 (Name&position).......................... _______ _______ _______ _______
Employee #12 (Name&position).......................... _______ _______ _______ _______
Employee #13 (Name&position).......................... _______ _______ _______ _______
Employee #14 (Name&position).......................... _______ _______ _______ _______
Employee #15 (Name&position).......................... _______ _______ _______ _______
Bonus Funds........................................... _______ _______ _______ _______
TOTAL All Employees................................... _______ _______ _______ _______
NOTE: Attach written job description for each employee listed above, if position is new
or responsibilities have changed.
IV. YEARLY ALLOCATED EXPENSE EXHIBIT4
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
Item and Justification for Allocation:
1. Expense Item: ____________________________________
Total Cost ....................................... _______ _______ _______ _______
Cost Allocated to Ch. 12 Operations .............. _______ _______ _______ _______
Allocation Percentage (identify other party):
__________________________________________________
Justification for Allocation: ____________________
2. Expense Item: ____________________________________
Total Cost ....................................... _______ _______ _______ _______
Cost Allocated to Ch. 12 Operations .............. _______ _______ _______ _______
Allocation Percentage (identify other party):
__________________________________________________
Justification for Allocation: ____________________
3. Expense Item: ____________________________________
Total Cost ....................................... _______ _______ _______ _______
Cost Allocated to Ch. 12 Operations .............. _______ _______ _______ _______
Allocation Percentage (identify other party):
__________________________________________________
Justification for Allocation: ____________________
4. Expense Item: ____________________________________
Total Cost ....................................... _______ _______ _______ _______
Cost Allocated to Ch. 12 Operations .............. _______ _______ _______ _______
Allocation Percentage (identify other party):
__________________________________________________
Justification for Allocation: ____________________
V. WORKLOAD EXHIBIT
CY 98-CY 97
CY 96 CY 97 CY 98 Percentage
Actual Full-year Budget Change
1. a) Receipts, actual or estimate, net of refunds
(exclude constructive receipts)................ _______ _______ _______ _______
b) Disbursements subject to percentage fee,
actual or estimate, (exclude
constructive disbursements)..................... _______ _______ _______ _______
c) Interest earned on trust and expense funds,
actual or estimate.............................. _______ _______ _______ _______
d) Revenue from awards under §503(b)............... _______ _______ _______ _______
2. a) Average percentage fee, actual or requested..... ______% ______% ______%
b) Revenue from perct. fees (Item 1(b) x Item 2(a)) $______ $______ $______
c) Revenue from fees on direct payments............ $______ $______ $______
3. Cases active, start of period...................... _______ _______ _______
4. New cases filed during year (+).................... _______ _______ _______
5. Adjustments during year:
a) Cases transferred in (+)........................ _______ _______ _______
b) Cases converted from another chapter (+)........ _______ _______ _______
c) Cases transferred out (-)....................... _______ _______ _______
d) Conversions to another chapter (-).............. _______ _______ _______
e) Dismissals (-).................................. _______ _______ _______
Total adjustment (+) or (-)........................ _______ _______ _______
6. Cases closed by the Court on completion of the plan
or hardship discharge (-).......................... _______ _______ _______ _______
7. Cases active, end of period (3+4+5-6).............. _______ _______ _______ _______
NOTE: The entry for "Cases active, end of period" should be carried forward as the
number of "Cases active, start of period" in the next calendar year.
VI. BOND CALCULATION
(1) CY 97 (2) CY 97 (3) CY 98 (4) CY 98
Monthly Highest Monthly Estimate
Receipts Daily Total Receipts Highest
Full Year Bank Full Year Daily Total
Estimate Balance Estimate Bank Balances
January __________ __________ __________ __________
February __________ __________ __________ __________
March __________ __________ __________ __________
April __________ __________ __________ __________
May __________ __________ __________ __________
June __________ __________ __________ __________
July __________ __________ __________ __________
August __________ __________ __________ __________
September __________ __________ __________ __________
October __________ __________ __________ __________
November __________ __________ __________ __________
December __________ __________ __________ __________
TOTAL
Same as Item V(1)(a) __________ __________
Upcoming Year Estimate
Highest Daily Total Bank Balance ____________________ x 110%____________________
Bond Required
NOTE: Upcoming Year Bond Calculation is Based on the Highest Daily Total Bank Balance Listed in Column
(4) x 110%
VII. COMPUTATION OF AMOUNT AVAILABLE FOR COMPENSATION AND OPERATING RESERVE
1. End-of-year CY 97 Operating Reserve ____________________
[should equal estimated expense account balance at end of CY 97]
2. Interest earned on trust and expense funds [same as V.1(c)] ____________________
3. Revenue from awards under §503(b) [same as V.1(d)] ____________________
4. Revenue from percentage fees [same as V.2(b)] ____________________
5. Revenue from fees on direct payments [same as V.2(c)] ____________________
6. Total revenue [1+2+3+4+5] ____________________
7. Less Total Necessary Expenses [same as total of I. on Page 2] ____________________
8. Balance of funds available for compensation (inclusive of
20% in benefits) and operating reserve [6-7] ____________________
NOTE: Entries for lines 2-8 reflect numbers for upcoming year
STANDING TRUSTEE'S CERTIFICATION TO BUDGET REQUEST
I hereby certify that the information contained herein is correct, and request that this annual
budget be examined and reviewed by the United States Trustee.
________________________________________
CHAPTER 12 STANDING TRUSTEE'S SIGNATURE
REVIEWED BY:
__________________________________
United States Trustee
* These entries require additional detail on the "Yearly Supporting Estimates" and "Detail
of Personnel Expense" exhibits. The line item totals from these exhibits should tie to the
"Summary of Necessary Expenses".
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1 Payment of payroll taxes and benefits for trustees are not allowable expense
items.
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2 Identify by marking with an "*" each employee who is related (by blood or
marriage) to the trustee or to another trustee employee and describe the
relationship. Also for any retirement plan(s) in effect, define contribution
formula.
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3 For CY 96, enter either average hourly salary for the year or the beginning an
ending hourly salaries.
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4 Examples of "Justification for Allocation" are hours worked, square footage,
number of employees.
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