UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov In re: Case No. Chapter Debtor / SUMMARY OF [ FIRST] INTERIM [or FINAL] FEE APPLICATION OF [ ] [COUNSEL] [ACCOUNTANT] 1. Name of applicant: 2. Role of applicant: [Counsel] [Accountant] for [ ] 3. Name of certifying professional: 4. Date case filed: 5. Date of application for employment: 6. Date of order approving employment: 7. If debtor’s counsel, date of Disclosure of Compensation form: 8. Date of this application: 9. Dates of services covered: 10. If case is chapter 7, amount trustee has on hand: $ Fees... 11. Total fee requested for this period (from Exhibit 1) 12. Balance remaining in fee retainer account, not yet awarded ( $ ) 13. Fees paid or advanced for this period, by other sources ( $ ) 14. Net amount of fee requested for this period LF-89 (rev. 06/02/08) $ $ Page 1 of 13 American LegalNet, Inc. www.FormsWorkflow.com Expenses... 15. Total expense reimbursement requested for this period $ 16. Balance remaining in expense retainer account, not yet received ( $ ) 17. Expenses paid or advanced for this period, by other sources ( $ ) 18. Net amount of expense reimbursements requested for this period $ 19. Gross award requested for this period (#11 + #15) $ 20. Net award requested for this period (#14 + #18) $ 21. If Final Fee Application, amounts of net awards requested in interim Applications but not previously awarded (total from History of Fees and Expenses, following pages): $ 22. Final fee and expense award requested (#20 + #21) $ History of Fees and Expenses 1. Dates, sources, and amounts of retainers received: Dates 2. Sources Amounts For fees or costs? Dates, sources, and amounts of third party payments received: Dates LF-89 (rev. 06/02/08) Sources Amounts For fees or costs? Page 2 of 13 American LegalNet, Inc. www.FormsWorkflow.com 3. Prior fee and expense awards... Prior Fee Awards Prior Expense Awards Amount of fees requested: $ $ Amount of expenses requested: $ $ Amount of fees awarded: $ $ Amount of expenses awarded: $ $ Amount of fee retainer authorized to be used: $ First interim application... Dates covered by first application: Amount of expense retainer authorized to be used: $ Prior Fee Awards $ Fee award, net of retainer Prior Expense Awards $ Expense award, net of retainer $ Date of first award: Amount of fees actually paid: $ Amount of expense reimbursement actually paid: $ Amount of fees requested but not awarded, that applicant wishes to defer to final fee application: $ Amount of expenses requested but not awarded, that applicant wishes to defer to final fee application Second interim application... $ Prior Fee Awards Prior Expense Awards $ $ Dates covered by first application: Amount of fees requested: Amount of expenses requested: $ Amount of fees awarded: $ Amount of expenses awarded: $ Amount of fee retainer authorized to be used: $ Amount of expense retainer authorized to be used: Fee award, net of retainer $ $ Expense award, net of retainer $ Date of first award: LF-89 (rev. 06/02/08) Page 3 of 13 American LegalNet, Inc. www.FormsWorkflow.com Prior Fee Awards Amount of fees actually paid: Prior Expense Awards $ Amount of expense reimbursement actually paid: $ Amount of fees requested but not awarded, that applicant wishes to defer to final fee application: $ Amount of expenses requested but not awarded, that applicant wishes to defer to final fee application: $ Third interim application... Dates covered by first application: Amount of fees requested: $ Amount of expenses requested: $ Amount of fees awarded: $ Amount of expenses awarded: $ Amount of fee retainer authorized to be used: $ Amount of expense retainer authorized to be used: Fee award, net of retainer $ $ Expense award, net of retainer $ Date of first award: Amount of fees actually paid: $ Amount of expense reimbursement actually paid: $ Amount of fees requested but not awarded, that applicant wishes to defer to final fee application: $ Amount of expenses requested but not awarded, that applicant wishes to defer to final fee application: $ Prior Fee Awards Prior Expense Awards Fourth interim application... Dates covered by first application: Amount of fees requested: $ Amount of expenses requested: Amount of fees awarded: $ $ Amount of expenses awarded: Amount of fee retainer authorized to be used: LF-89 (rev. 06/02/08) $ $ Page 4 of 13 American LegalNet, Inc. www.FormsWorkflow.com Amount of expense retainer authorized to be used: Fee award, net of retainer $ $ Expense award, net of retainer $ Date of first award: Amount of fees actually paid: $ Amount of expense reimbursement actually paid: $ Amount of fees requested but not awarded, that applicant wishes to defer to final fee application: $ Amount of expenses requested but not awarded, that applicant wishes to defer to final fee application: $ Summary of All Prior Applications and Awards Total fees requested $ Total fees awarded $ Prior fees awarded but not yet paid, if any $ (Do not include holdbacks in this number) Total prior fees requested but not awarded, $ deferred to final fee application Total expenses requested $ Total expenses awarded $ Prior expenses awarded but not yet paid, if any $ (Do not include holdbacks in this number) Total prior expenses requested but not awarded, $ deferred to final fee application LF-89 (rev. 06/02/08) Page 5 of 13 American LegalNet, Inc. www.FormsWorkflow.com Fee Application , counsel [accountant] to the , applies for interim [final] compensation for fees for services rendered and costs incurred in this Chapter proceeding. This application is filed pursuant to 11 U.S.C. §330 and Bankruptcy Rule 2016, and meets all of the requirements set forth in the Guidelines incorporated in Local Rule 2016-1(B)(1). The exhibits attached to this application, pursuant to the Guidelines, are: Exhibits “1-A” and “1-B”- Summary of Professional and Paraprofessional Time. Exhibit "2" - Summary of Requested Reimbursements of Expenses. Exhibit "3" - The applicant's complete time records, in chronological order, by activity code category, for the time period covered by this application. The requested fees are itemized to the tenth of an hour. The applicant believes that the requested fee, of $ for hours worked, is reasonable considering the twelve factors enumerated in Johnson v. Georgia Highway Express, Inc., 488 F.2d 714 (5th Circuit 1974), made applicable to bankruptcy proceedings by In re First Colonial Corp. of America, 544 F.2d 1291 (5th Cir. 1977), as follows: The Time and Labor Required: The Novelty and Difficulty of the Services Rendered: The Skill Requisite to Perform the Services Properly: The Preclusion of Other Employment by the Professional Due to the Acceptance of the Case: The Customary Fee: Whether the Fee is Fixed or Contingent: Time Limitations Imposed by the Client or Other Circumstances: The Experience, Reputation, and Ability of the Professional: The Undesirability of the Case: The Nature and Length of the Professional Relationship of the Client: Awards in Similar Cases: The applicant seeks an interim award of fees in the amount of $_________ and costs in the amount of $_______. Certification LF-89 (rev. 06/02/08) Page 6 of 13 American LegalNet, Inc. www.FormsWorkflow.com 1. I have been designated by _____________________ (the "Applicant") as the professional with responsibility in this case for compliance with the “Guidelines for Fee Applications for Professionals in the Southern District of Florida in Bankruptcy Cases” (the "Guidelines"). 2. I have read the Applicant's application for compensation and reimbursement of expenses (the "Application"). The application complies with the Guidelines, and the fees and expenses sought fall within the Guidelines, except as specifically noted in this certification and described in the application. 3. The fees and expenses sought are billed at rates and in accordance with practices customarily employed by the Applicant and generally accepted by the Applicant's clients. 4. In seeking reimbursement for the expenditures described on Exhibit 2, the Applicant is seeking reimbursement only for the actual expenditure and has not marked up the actual cost to provide a profit or to recover the amortized cost of investment in staff time or equipment or capital outlay (except to the extent that the Applicant has elected to charge for in-house photocopies and outgoing facsimile transmissions at the maximum rates permitted by the Guidelines). 5. In seeking reimbursement for any service provided by a third party, the Applicant is seeking reimbursement only for the amount actually paid by the Applicant to the third party. 6. The following are the variances with the provisions of the Guidelines, the date of each court order approving the variance, and the justification for the variance: . LF-89 (rev. 06/02/08) Page 7 of 13 American LegalNet, Inc. www.FormsWorkflow.com CERTIFICATE OF SERVICE [Include a certificate of service conforming to Local Rule 2002-1(F) which reflects date and manner of service on the debtor, the U.S. Trustee, the trustee (if any), the examiner (if any), the chair of each official committee (if any), and their respective counsel] [Applicant] Attorneys/Accountant for [address] [phone] By: [name of certifying professional] Fla. Bar No.: Summary of Professional and Paraprofessional Time Total per Individual for this Period Only (EXHIBIT “1-A”) [If this is a final application, and does not cumulate fee details from prior interim applications, then a separate Exhibit 1-A showing cumulative time summary from all applications is attached as well] Name Partner, Associate or Paraprofessional Year Licensed Total Hours Average Hourly Rate* Fee $ Blended Average Hourly Rate: $ Total fees: $ * Indicate any changes in hourly rate and the date of such change: EXHIBIT “1” LF-89 (rev. 06/02/08) Page 8 of 13 American LegalNet, Inc. www.FormsWorkflow.com Summary of Professional and Paraprofessional Time by Activity Code Category for this Time Period Only (EXHIBIT “1-B”) Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: $ Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: LF-89 (rev. 06/02/08) $ Page 9 of 13 American LegalNet, Inc. www.FormsWorkflow.com Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: $ Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: $ Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: LF-89 (rev. 06/02/08) $ Page 10 of 13 American LegalNet, Inc. www.FormsWorkflow.com Activity Code: ______: Rate Name Hours Fees Partners: Associates: Paralegals: Activity Subtotal: LF-89 (rev. 06/02/08) $ Page 11 of 13 American LegalNet, Inc. www.FormsWorkflow.com Summary of Requested Reimbursement Of Expenses for this Time Period Only [If this is a final application which does not cumulate prior interim applications, a separate summary showing cumulative expenses for all applications is attached as well] 1. Filing Fees $________________ 2. Process Service Fees $________________ 3. Witness Fees $________________ 4. Court Reporter Fees and Transcripts $________________ 5. Lien and Title Searches $________________ 6. Photocopies (a) In-house copies ($_____ at 15¢/page) $________________ (b) Outside copies ($______) $________________ 7. Postage $________________ 8. Overnight Delivery Charges $________________ 9. Outside Courier/Messenger Services $________________ 10. Long Distance Telephone Charges $________________ 11. Long Distance Fax Transmissions (copies at $1/page) $________________ 12. Computerized Research $________________ 13. Out-of-Southern-District-of-Florida Travel $________________ (a) Transportation ($___________) (b) Lodging ($___________) (c) Meals ($___________) LF-89 (rev. 06/02/08) Page 12 of 13 American LegalNet, Inc. www.FormsWorkflow.com 14. Other Permissible Expenses (must specify and justify) (a) ($___________) (b) $________________ ($___________) Total Expense Reimbursement Requested $________________ EXHIBIT "2" LF-89 (rev. 06/02/08) Page 13 of 13 American LegalNet, Inc. www.FormsWorkflow.com