UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF MISSOURI In re: ) Case No. ) Chapter 13 ) Debtor(s). ) Response Due: FEE APPLICATION BY DEBTOR=S ATTORNEY AND NOTICE PLEASE TAKE NOTICE, that the Debtor(s)' Attorney has filed an Application for Allowance of Attorney Fees in this case pursuant to 11 U.S.C. '503 to be paid from funds held by the Trustee. The amount requested is $ and the services rendered are listed below. The Attorney elected the flat fee option in this case. ANY OBJECTION MUST BE FILED WITH THE CLERK OF COURT WITHIN 14 DAYS OF THE DATE OF THIS NOTICE OR A DEFAULT ORDER MAY BE GRANTED. Objections or Responses should be filed with the U.S. Bankruptcy Court, 111 S. 10th Street, 4th Floor, St. Louis, MO 63102, with a copy to , Debtor(s)' Attorney, (address), and to Diana S. Daugherty, Chapter 13 Trustee, P.O. Box 430908, St. Louis, MO 63143. If an Objection is filed, the Debtor's Attorney will set the Application for hearing upon subsequent Notice. Fees paid to the attorney in prior case(s): The attorney has not represented the debtor(s) in any prior bankruptcy case. The attorney has represented the debtor(s) in prior bankruptcy cases as follows: Case no. Chapter Plan confirmed? Yes No Fees received $ Case no. Chapter Plan confirmed? Yes No Fees received $ Case no. Chapter Plan confirmed? Yes No Fees received $ Fees in this case - Debtor(s) Attorney has been paid to-date: $ Period Covered - Fees sought in this case: $, for services through plan confirmation. Expense reimbursement: $, for filing fee, $, for . Total reimbursement requested: $. Attorney Provided the Following Services: (Check All That Apply) Conferred with the Debtor(s) prior to the filing of the case, analysed the debtor=s financial situation and advised whether to file a petition in bankruptcy Prepared the initial petition, schedules, statements of affairs and plan. American LegalNet, Inc. www.FormsWorkFlow.com Prepared a wage motion and order. Reviewed the petition, schedules, statements of affairs and plan with the debtor(s). Represented the debtor(s) at the meeting of creditors. Represented the debtor(s) at continued meetings of creditors. Represented the debtor(s) at the initial confirmation hearing. Represented the debtor(s) at continued confirmation hearings. Reviewed Objection(s) to Confirmation, advised debtor(s) regarding the same and filed any appropriate Responses thereto. Prepared amended Schedules, Statements or Plan(s), and advised debtor(s) regarding the same. Reviewed Motion(s) for Relief from Stay filed, advised debtor(s) regarding such motion(s), and filed appropriate Response(s) thereto. Represented the debtor(s) at hearing(s) on Motion(s) for Relief from Stay. Reviewed any other Motions filed, advised debtor(s) regarding the same and filed any appropriate Responses thereto, and attended any hearings thereon. Reviewed Proofs of Claim filed prior to dismissal of this case and file any necessary objection(s) thereto. Provided the following other services which were necessary to the proceeding and/or beneficial to the debtor(s): The undersigned hereby certifies that s/he provided the foregoing services or is personally aware that such services were performed by attorneys (or paraprofessionals under the supervision of attorneys) employed by my firm. All Prior Case(s): The Debtor filed the following prior cases: Include all cases, not only those in which the attorney represented the debtor(s). Explain the reason for dismissal of any case filed within three years of the date of the current case. Case no. Chapter Petition Date Reason for Dismissal DATE: SIGNATURE BLOCK American LegalNet, Inc. www.FormsWorkFlow.com (12/2018) Certificate of Service The undersigned hereby certifies that a copy of the foregoing was served by electronic service through the ECF system on the Chapter 13 Trustee and by first class mail, postage prepaid this day of , upon the debtor(s) at (address). American LegalNet, Inc. www.FormsWorkFlow.com