UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) Case No. _______________ [ONLY FOR CHAPTER 13 CASES] APPLICATION BY DEBTOR'S ATTORNEY FOR SUPPLEMENTAL COMPENSATION; AND ORDER AND NOTICE THEREON Debtor(s) I, the undersigned debtor's attorney, whose address and phone number are _____________________ _________________________________________________________________________, apply for additional compensation from the debtor's estate for the period from __________ to __________ in the sum of $____________ (which is not less than $500 unless this is a final application, and which, if this is a final application, includes $____________ in anticipated additional fees to complete the case), per the attached itemized billing summary. I CERTIFY THAT: 1. This (Check One) IS IS NOT my final application for compensation in this case. 2. I have previously been awarded a total of $____________. If granted, the total approved compensation amount will be $____________. 1307 (12/1/15) Page 1 of 2 American LegalNet, Inc. www.FormsWorkFlow.com 3. My Disclosure of Compensation shows the debtor(s) and I agreed to: ___ Schedule 2 ___ Schedule 3. 4. My previous application for compensation (i.e., either the original compensation disclosure or a supplemental application) was filed on __________, which is more than six months from the date of this application unless this is my final application. 5. Allowance of this application will (mark all that apply): __ not affect the distribution to creditors. __ not change the length of the plan which is estimated at _______ months. __ change the length of the plan from an estimated _____ months to an estimated ______ months. __ delay the distribution to creditors by approximately ______ months. __ reduce the distribution to general unsecured creditors from an estimated _____% to an estimated _____ % __ require that the debtor pay more, either by additional or increased plan payments sufficient to pay the additional fees. __ other: _____________________________________________________________________ _________________________________________________________________________. 6. Applicant will file a modified plan within 28 days of allowance of the compensation requested in this application if the allowance will otherwise require plan modification. 7. Applicant declares that, except as explained below, the minimum time billed is not in increments that exceed .1 hour (6 minutes), and that any time spent working on multiple matters concurrently has been allocated between those matters so that total billings do not exceed the actual time spent: DATE: __________ _____________________________________ Debtor's Attorney STOP: BEFORE SERVING COPIES, SUBMIT THE MOTION TO OBTAIN A JUDGE'S ORDER! CERTIFICATE OF SERVICE I certify that on ____________ a copy of this application and order thereon (without attachments unless the order requires service of an economic impact statement on the debtor), and any Notice of Hearing prepared by the court per the judge's order, were served on the debtor, and, if amounts requested and anticipated exceed $1,000, on all creditors who filed claims and entities that filed a request to receive all case notices. _____________________________________________ Signature & Relation to Applicant 1307 (12/1/15) Page 2 of 2 American LegalNet, Inc. www.FormsWorkFlow.com