CSD 2050 [04/28/96] Name, Address, Telephone No. & I.D. No. UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West F Street, San Diego, California 92101-6991 In Re BANKRUPTCY NO. Debtor. APPRAISER'S APPLICATION FOR COMPENSATION AND REIMBURSEMENT OF EXPENSES The undersigned respectfully represents that: 1. 2. Date Your applicant was appointed appraiser herein by order of the Court dated Your applicant actually participated in the appraisal of the assets at their location on the following dates: Hours spent making appraisal Mileage From: To: . 3. The Report of Appraisal was heretofore filed on or about . 4. No payments have been made or promised to applicant or any other person for the sharing of compensation to be received for services rendered in connection with this case, except (if any such agreement or understanding exists, state the particulars thereof; if none, so state by inserting "NONE"): 5. Your applicant incurred expenses in the total sum of $ a. Mileage: miles, at $0.205 per mile, total $ b. Other: (Itemize) as follows: . 6. $ The Order appointing me as Appraiser fixed my compensation, subject to further order of the Court, at . WHEREFORE, your applicant prays that the following sums be allowed as compensation and reimbursement of expenses, to wit: $ as compensation; and $ expenses. DATED: Approved: , Trustee , Appraiser CSD 2050 2001 © American LegalNet, Inc.