Local Rules of Court

Form C

Demonstrative Exhibit – Summary of Charges Incurred on Credit Card

Final Statement Balance: $

List charges incurred by category as contained within the e-filed supporting documentation only (use additional pages, if necessary):

Total Purchases: $

See credit card statements, by closing or ending date:

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Total Balance Transfers: $

See credit card statements, by closing or ending date:

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Total Cash Advances: $

See credit card statements, by closing or ending date:

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Total Deferred Interest Accrual Charges: $

See credit card statements, by closing or ending date:

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