United States Bankruptcy Court District of Massachusetts  ‡ǣ Šƒ’–‡”ǣ ƒ•‡ —„‡”ǣ APPLICATION TO PAY FILING FEE IN INSTALLMENTS ͳǤ  ƒ……‘”†ƒ…‡ ™‹–Š ‡†Ǥ Ǥ ƒ”Ǥ Ǥ ͳͲͲ͸ǡ  ƒ’’Ž› ˆ‘” ’‡”‹••‹‘ –‘ ’ƒ› –Š‡ ‹Ž‹‰ ‡‡ ƒ‘—–‹‰ –‘ ̈́ ‹ ‹•–ƒŽŽ‡–•Ǥ ʹǤ  …‡”–‹ˆ› –Šƒ–  ƒ —ƒ„Ž‡ –‘ ’ƒ› –Š‡ ‹Ž‹‰ ‡‡ ‡š…‡’– ‹ ‹•–ƒŽŽ‡–•Ǥ ͵Ǥ  …‡”–‹ˆ› ˆ—”–Š‡” –Šƒ–  Šƒ˜‡ ‘– ’ƒ‹† ƒ› ‘‡› ‘” –”ƒ•ˆ‡””‡† ƒ› ’”‘’‡”–› –‘ ƒ ƒ––‘”‡› ˆ‘” •‡”˜‹…‡• ‹ …‘‡…–‹‘ ™‹–Š –Š‹• …ƒ•‡ ƒ† –Šƒ–  ™‹ŽŽ ‡‹–Š‡” ƒ‡ ƒ› ’ƒ›‡– ‘” –”ƒ•ˆ‡” ƒ› ’”‘’‡”–› ˆ‘” •‡”˜‹…‡• ‹ …‘‡…–‹‘ ™‹–Š –Š‹• …ƒ•‡ —–‹Ž –Š‡ ˆ‹Ž‹‰ ˆ‡‡ ‹• ’ƒ‹† ‹ ˆ—ŽŽǤ ͶǤ  ’”‘’‘•‡ –Š‡ ˆ‘ŽŽ‘™‹‰ –‡”• ˆ‘” –Š‡ ’ƒ›‡– ‘ˆ –Š‡ ‹Ž‹‰ ‡‡Ǥȗ ̈́ ‘ ‘” „‡ˆ‘”‡ ̈́ ‘ ‘” „‡ˆ‘”‡ ̈́ Š‡… ‘‡ ™‹–Š –Š‡ ˆ‹Ž‹‰ ‘ˆ –Š‡ ’‡–‹–‹‘ǡ ‘”ǣ ‘ ‘” „‡ˆ‘”‡ *The number of installments proposed shall not exceed four (4), and the final installment shall be payable not later than 120 days after filing the petition. For cause shown, the court may extend the time of any installment, provided that the last installment is paid not later than 180 days after filing the petition. Fed. R. Bankr. P. 1006(b)(2). ͷǤ  —†‡”•–ƒ† –Šƒ– ‹ˆ  ˆƒ‹Ž –‘ ’ƒ› ƒ› ‹•–ƒŽŽ‡– ™Š‡ †—‡ › „ƒ”—’–…› …ƒ•‡ ƒ› „‡ †‹•‹••‡† ƒ†  ƒ› ‘– ”‡…‡‹˜‡ ƒ †‹•…Šƒ”‰‡ ‘ˆ › †‡„–•Ǥ ‹‰ƒ–—”‡ ‘ˆ ––‘”‡› Ǧ ȋ ƒ–‡Ȍ ‹‰ƒ–—”‡ ‘ˆ ‡„–‘” Ǧ ȋ ƒ–‡Ȍ ‹‰ƒ–—”‡ ‘ˆ ‘‹– ‡„–‘” Ǧ ȋ ƒ–‡Ȍ In joint case, both spouses must sign CERTIFICATION AND SIGNATURE OF NONǦATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110)  …‡”–‹ˆ› –Šƒ–  ƒ ƒ „ƒ”—’–…› ’‡–‹–‹‘ ’”‡’ƒ”‡” ƒ• †‡ˆ‹‡† ‹ ǤǤ Ǥ § ͳͳͲǡ –Šƒ–  ’”‡’ƒ”‡† –Š‹• †‘…—‡– ˆ‘” …‘’‡•ƒ–‹‘ǡ ƒ† –Šƒ–  Šƒ˜‡ ’”‘˜‹†‡† –Š‡ †‡„–‘” ™‹–Š ƒ …‘’› ‘ˆ –Š‹• †‘…—‡–Ǥ  ƒŽ•‘ …‡”–‹ˆ› –Šƒ–  ™‹ŽŽ ‘– ƒ……‡’– ‘‡› ‘” ƒ› ‘–Š‡” ’”‘’‡”–› ˆ”‘ –Š‡ †‡„–‘” „‡ˆ‘”‡ –Š‡ ˆ‹Ž‹‰ ˆ‡‡ ‹• ’ƒ‹† ‹ ˆ—ŽŽǤ ”‹–‡† ‘” –›’‡† ƒ‡ ‘ˆ ƒ”—’–…› ‡–‹–‹‘ ”‡’ƒ”‡” ‘…‹ƒŽ ‡…—”‹–› —„‡” ƒ‡• ƒ† ‘…‹ƒŽ ‡…—”‹–› —„‡”• ‘ˆ ƒŽŽ ‘–Š‡” ‹†‹˜‹†—ƒŽ• ™Š‘ ’”‡’ƒ”‡† ‘” ƒ••‹•–‡† ‹ ’”‡’ƒ”‹‰ –Š‹• †‘…—‡–ǣ ˆ ‘”‡ –Šƒ ‘‡ ’‡”•‘ ’”‡’ƒ”‡† –Š‹• †‘…—‡–ǡ ƒ––ƒ…Š ƒ††‹–‹‘ƒŽ •‹‰‡† •Š‡‡–• …‘ˆ‘”‹‰ –‘ –Š‡ ƒ’’”‘’”‹ƒ–‡ ˆˆ‹…‹ƒŽ ‘” ˆ‘” ‡ƒ…Š ’‡”•‘Ǥ ‹‰ƒ–—”‡ ‘ˆ ƒ”—’–…› ‡–‹–‹‘ ”‡’ƒ”‡” Ȃ ȋ ƒ–‡Ȍ A bankruptcy petition preparer’s failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both., ͳͳ ǤǤ Ǥ § ͳͳͲǢ ͳͺ ǤǤ Ǥ § ͳͷ͸Ǥ American LegalNet, Inc. www.FormsWorkflow.com