Caption and declaration
Debtor name, court district, case number, an amended filing box, the month, date report filed, line of business and NAISC code, then the responsible party's declaration and signature.
B 425C
Monthly Operating Report for Small Business Under Chapter 11
Form B 425C, printed as Official Form 425C, Monthly Operating Report for Small Business Under Chapter 11, is an Official Bankruptcy Form from the U.S. Courts. The current version is dated 12/17. The U.S. Courts page lists it under Small Business Forms, effective on December 1, 2017, says it is derived from Official Form 25C, and says Official Bankruptcy Forms are approved by the Judicial Conference and must be used under Bankruptcy Rule 9009.
The committee note on the page says the form was created to help small business debtors in chapter 11 cases fulfill their responsibilities under § 308 of the Bankruptcy Code, and that it asks for basic financial information that the Internal Revenue Service recommends businesses maintain. The 4-page report has a questionnaire, a summary of cash activity, unpaid bills, money owed to the business, employees, professional fees, projections and a list of documents to attach if available, with exhibits labeled A to F.
This page explains the form in plain words and is not legal advice. You can fill it out free in your browser on this page and download the result without an account.

Debtor name, court district, case number, an amended filing box, the month, date report filed, line of business and NAISC code, then the responsible party's declaration and signature.

Lines 1 to 18 with Yes, No or N/A answers about operations, bills, payroll, DIP accounts, taxes, filings, quarterly fees, insurance, other accounts, asset sales, borrowing, investments and prepetition bills and checks.
Lines 19 to 23: total opening balance, total cash receipts (Exhibit C), total cash disbursements (Exhibit D), net cash flow and cash on hand at the end of the month.
Total payables from a list of unpaid postpetition debts (Exhibit E), total receivables from a list of amounts customers owe (Exhibit F), and employee counts at filing and as of the report.
Professional fees paid this month and since filing, related to the case and other, then projected versus actual receipts, disbursements and net cash flow, and projections for next month.

Checkboxes for documents attached if available: bank statements with all but the last 4 digits of account numbers redacted, bank reconciliations, financial reports, budget or forecast reports, and job costing or work-in-progress reports.
Enter the debtor name, district, case number, the month covered, the date the report is filed, the line of business and the NAISC code, and check the box if this is an amended filing.
The form says that a No to any of lines 1 to 9 gets an explanation labeled Exhibit A, and a Yes to any of lines 10 to 18 gets an explanation labeled Exhibit B.
Line 19 equals last month's ending cash on hand, or cash on hand at filing for a first report. Line 22 is line 20 minus line 21, and line 23 is line 22 plus line 19. The form says not to attach bank statements in lieu of Exhibits C and D.
Exhibit E lists unpaid debts incurred since filing, with date, who is owed, purpose and due date. Exhibit F lists who owes the business money, how much and when it is due.
Column A copies lines 35 to 37 from the previous month's report and Column B copies lines 20 to 22 of this report. The form says first-month projections should match those given at the initial debtor interview, if any.
Check and attach the available documents in section 8, then the responsible party signs the declaration on page 1.
You get the real form, filled in a browser tab, with nothing standing between you and the finished PDF.
The form is captioned for the United States Bankruptcy Court for the district named at the top, with a line for the date the report is filed.
The form is a monthly report for the month named at the top, and line 23 carries forward as the opening cash on the next operating report. The form does not print a filing deadline.
The form does not print a filing fee. Line 8 asks whether the debtor is current on quarterly fee payments to the U.S. Trustee or Bankruptcy Administrator, and the committee note cites 28 U.S.C. § 1930(a)(6).
Line 38 says to redact all but the last 4 digits of account numbers on attached bank statements.
The form says the line 23 amount may not match the bank account balance because of outstanding checks that have not cleared or deposits in transit.
The form is titled for a small business under Chapter 11. The committee note says it helps small business debtors in chapter 11 cases fulfill their responsibilities under § 308 of the Code.
The responsible party gives an original signature and printed name, declaring under penalty of perjury, under title 28, section 1746 of the United States Code, that the report and attachments are true, correct, and complete.
The questionnaire says to answer all questions on behalf of the debtor for the period covered by the report, unless otherwise indicated.
The committee note says the caption block is formatted for a non-individual debtor, and that an individual chapter 11 debtor uses the caption block formatted for individual debtors, such as the one in Official Form B309I.
The report is completed for the debtor and signed by a responsible party.
The agency’s own page for Form B 425C.
The official blank form, to print or fill by hand.
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The responsible party, with an original signature and printed name, declaring under penalty of perjury under title 28, section 1746 of the United States Code that the report and attachments are true, correct, and complete.
Exhibit A explains No answers to lines 1 to 9, Exhibit B explains Yes answers to lines 10 to 18, Exhibit C lists cash received, Exhibit D lists payments made, Exhibit E lists unpaid bills and Exhibit F lists money owed to the business.
No. The form says not to attach bank statements in lieu of Exhibit C or Exhibit D. Bank statements are listed separately in section 8, if available.
The form says that for a first report, line 19 is the total cash on hand as of the date the case was filed.
The committee note says the caption block is formatted for a non-individual debtor, and that an individual chapter 11 debtor uses the caption block formatted for individual debtors, such as the one in Official Form B309I.
The form does not print a filing fee. It asks only whether quarterly fee payments to the U.S. Trustee or Bankruptcy Administrator are current.
No. It explains what the form asks in plain words. It does not say whether a business qualifies as a small business debtor or how to answer any question.