Attorney or Party Name, Address, Telephone & FAX Numbers, and California State Bar Number FOR COURT USE ONLY Attorney for UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re: CHAPTER ________ CASE NUMBER DATE: TIME: Debtor. COURTROOM: ORDER ON APPLICATION FOR PAYMENT OF: INTERIM FEES AND/OR EXPENSES (11 U.S.C. § 331) FINAL FEES AND/OR EXPENSES (11 U.S.C. § 330) 1. Name of Applicant (specify): 2. This proceeding was heard at the date and place set forth above and was: Contested Uncontested 3. Appearances were made as follows: a. Applicant present in Court b. Attorney for Applicant present in Court (Name): c. Attorney for U.S. Trustee present in Court d. Other persons present as reflected in the court record 4. Applicant gave the required notice of the Application on (specify date): 5. THE COURT ORDERS, GOOD CAUSE APPEARING: Application for Payment of Interim Fees is approved as follows: a. (1) Total amount allowed: $ (2) Amount/percentage authorized for payment at this time: b. Application for Payment of Final Fees is approved in the amount of: $ c. Application for Reimbursement of (1) Interim Final Expenses is approved and authorized for payment: Total amount allowed: $ (This Order is continued on the next page.) This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. January 2009 F 2016-1.3 Order on Fee/Expense Application - Page 2 In re F 2016-1.3 CHAPTER _______ Debtor. d. (1) Application Denied in Full in Part CASE NUMBER without Prejudice with Prejudice (2) Grounds for Denial (specify): e. The Court further orders (specify): Dated: _______________________________________________ JUDGE OF THE UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. January 2009 F 2016-1.3 Order on Fee/Expense Application - Page 3 In re F 2016-1.3 CHAPTER _______ Debtor. CASE NUMBER NOTE: When using this form to indicate service of a proposed order, DO NOT list any person or entity in Category I. Proposed orders do not generate an NEF because only orders that have been entered are placed on a CM/ECF docket. PROOF OF SERVICE OF DOCUMENT I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is: A true and correct copy of the foregoing document described as will be served or was served (a) on the judge in chambers in the form and manner required by LBR 5005-2(d), and (b) in the manner indicated below: I. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (“NEF”) - Pursuant to controlling General Order(s) and Local Bankruptcy Rule(s) (“LBR”), the foregoing document will be served by the court via NEF and hyperlink to the document. On ________________________ I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined that the following person(s) are on the Electronic Mail Notice List to receive NEF transmission at the email addressed indicated below: 9 Service information continued on attached page II. SERVED BY U.S. MAIL OR OVERNIGHT MAIL (indicate method for each person or entity served): On _________________________ I served the following person(s) and/or entity(ies) at the last known address(es) in this bankruptcy case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United States Mail, first class, postage prepaid, and/or with an overnight mail service addressed as follow. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. 9 Service information continued on attached page III. SERVED BY PERSONAL DELIVERY, FACSIMILE TRANSMISSION OR EMAIL (indicate method for each person or entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on _______________________ I served the following person(s) and/or entity(ies) by personal delivery, or (for those who consented in writing to such service method) by facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed. 9 Service information continued on attached page I declare under penalty of perjury under the laws of the United States of America that the foregoing is true and correct. _________________________________________________________ Date Type Name _____________________________________ Signature This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. January 2009 F 2016-1.3 Order on Fee/Expense Application - Page 4 In re F 2016-1.3 CHAPTER _______ Debtor. CASE NUMBER ADDITIONAL SERVICE INFORMATION (if needed): This form is optional. It has been approved for use by the United States Bankruptcy Court for the Central District of California. January 2009 F 2016-1.3