For court use only Attorney/Party Name, Address, Phone, Fax, E-mail: Case No. UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII In re: Chapter Related Docket No.: [if application filed separately] Debtor(s). LBR 2016-1(b) SUMMARY SHEET Interim ______ (1st, 2nd, etc.) Application for Compensation / Expenses: Final Applicant: Capacity: Date of Order Authorizing Employment: Period for this Request [e.g., 1/1/2000 - 12/31/2002] Amt Rec’d Prepetition: $ Client Trust Acct Balance: $ Previous Amounts Awarded by Court: Fees: $ Expenses: $ Previous Amounts Received: Fees: $ Expenses: $ Current Request (including any Hawaii excise taxes): Fees: $ Expenses: $ Availability of Funds - Applicant believes that there are sufficient funds to pay this request and all other accrued and anticipated administrative expenses: Professional Position Hourly Rate Yes No Hours Fees $ $ $ $ $ $ [Attach additional pages as necessary.] Dated:_________________________ hib_2016-1b 12/03 _______________________________________ Applicant American LegalNet, Inc. www.USCourtForms.com