UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1(b) In Re: Case No.: Judge: Chapter: ____________________ ____________________ ____________________ APPLICATION FOR RETENTION OF PROFESSIONAL 1. The applicant, ________________________________________, is the (check all that apply): Trustee: Debtor: Chap. 7 Chap. 11 Chap. 11 Chap. 13 Chap. 13. Official Committee of _______________________________________ 2. The applicant seeks to retain the following professional ____________________________ to serve as (check all that apply): Attorney for: Trustee Debtor-in-Possession Official Committee of _______________________________________ Accountant for: Trustee Debtor-in-possession Official Committee of _______________________________________ American LegalNet, Inc. www.FormsWorkFlow.com Other Professional: Realtor Auctioneer 3. Appraiser Special Counsel Other (specify): __________________________________ The employment of the professional is necessary because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. The professional has been selected because: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 5. The professional services to be rendered are as follows: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 6. The proposed arrangement for compensation is as follows: ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 7. To the best of the applicant's knowledge, the professional's connection with the debtor, creditors, any other party in interest, their respective attorneys and accountants, the United States trustee, or any person employed in the office of the United States trustee, is as follows: None Describe connection: ________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2 American LegalNet, Inc. www.FormsWorkFlow.com 8. To the best of the applicant's knowledge, the professional (check all that apply): does not hold an adverse interest to the estate. does not represent an adverse interest to the estate. is a disinterested person under 11 U.S.C. § 101(14). does not represent or hold any interest adverse to the debtor or the estate with respect to the matter for which he/she will be retained under 11 U.S.C. § 327(e). Other; explain: _______________________________________________________ _______________________________________________________________________ _______________________________________________________________________ 9. If the professional is an auctioneer, appraiser or realtor, the location and description of the property is as follows: ___________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ The applicant respectfully requests authorization to employ the professional to render services in accordance with this application, with compensation to be paid as an administrative expense in such amounts as the Court may determine and allow. Date: _______________________ ________________________________ Signature of Applicant rev.8/1/15 3 American LegalNet, Inc. www.FormsWorkFlow.com