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Attorney Fee Application Cover Sheet (cases filed before 10-06) Form. This is a New Jersey form and can be use in Bankruptcy Court Federal.
Tags: Attorney Fee Application Cover Sheet (cases filed before 10-06), 3, New Jersey Federal, Bankruptcy Court
D.N.J. LOCAL FORM 3
UNITED STATES BANKRUPTCY COURT
DISTRICT OF NEW JERSEY
ATTORNEY FEE APPLICATION COVER SHEET
IN RE:
APPLICANT:
CASE NO:
CHAPTER:
CLIENT:
CASE FILED:
COMPLETION OF THIS FORM CONSTITUTES A CERTIFICATION
UNDER PENALTY OF PERJURY. RETENTION ORDERS ATTACHED.
___________________________________
SIGNATURE OF APPLICANT
DATE
SECTION 1
FEE SUMMARY
INTERIM FEE APPLICATION NO.
TOTAL PREVIOUS FEE REQUESTED:
TOTAL FEES ALLOWED TO DATE:
TOTAL RETAINER (IF APPLICABLE)
TOTAL HOLDBACK (IF APPLICABLE)
TOTAL RECEIVED BY APPLICANT
NAME OF PROFESSIONAL &
TITLE
YEAR
ADMITTED
$
$
$
$
$
HOURS
RATE
FEE
1.
2.
3.
4.
5.
6.
7.
FEE TOTALS - PAGE 2
DISBURSEMENTS TOTALS - PAGE 3
TOTAL FEE APPLICATION
2000 © American LegalNet, Inc.
D.N.J. Local Form 3
[Page 2]
SECTION II
SUMMARY OF SERVICES
HOURS
FEE
__________
__________
__________
__________
SERVICES RENDERED
a) Telephone Calls
b) Correspondence Drafted
c) Correspondence Reviewed
d) Legal Research
e) Court Appearance
f) Preparation of Pleadings and Briefs
g) Internal Office Meetings:
(1) solely w/applicants staff:
(2) third party conferences:
h) Out of Office Meetings
i) Review of File
j) Travel Time
k) Fee Application Preparation
l) Other Services:
____________________________________________________
(Continue other services to separate page if needed.)
SERVICES TOTAL:
2000 © American LegalNet, Inc.
D.N.J. Local Form 3
[Page 3]
SECTION III
SUMMARY OF DISBURSEMENTS
DISBURSEMENTS
AMOUNT
a) Telephone
b) Messenger Service
c) Photocopying
No. of Pages
Rate per Page
(Max. .20¢/pg.)
d) Travel (attach details-U.S. Gov't rate)
e) Postage
f) Other (explain)
_____________________________________________________
_____________________________________________________
_____________________________________________________
_______________________
_______________________
_______________________
DISBURSEMENTS TOTAL:
2000 © American LegalNet, Inc.
D.N.J. Local Form 3
[Page 4]
SECTION IV
CASE HISTORY
(NOTE: Items 3 - 6 are not applicable to applications under 11 U.S.C. § 506)
(1)
DATE CASE FILED:
(2)
CHAPTER UNDER WHICH CASE WAS COMMENCED:
(3)
DATE OF RETENTION:
(ANNEX COPY OF ORDER(S))
IF LIMIT ON NUMBERS OF HOURS OR OTHER LIMITATIONS
TO RETENTION, SET FORTH:
(4)
SUMMARIZE IN BRIEF THE BENEFITS TO THE ESTATE AND ATTACH SUPPLEMENTS
AS NEEDED:
(5)
ANTICIPATED DISTRIBUTION TO CREDITORS:
(A) ADMINISTRATION EXPENSES:
(B) SECURED CREDITORS:
(C) PRIORITY CREDITORS:
(D) GENERAL UNSECURED CREDITORS:
(6)
FINAL DISPOSITION OF CASE AND PERCENTAGE OF DIVIDEND PAID TO CREDITOR
(IF APPLICABLE):
[Effective April 15, 1993]
2000 © American LegalNet, Inc.
