UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re Debtor(s) ) Case No._______________ ) ) APPLICATION FOR ) INTERIM FINAL (Mark One) ) ACCOUNTANT’S COMPENSATION The applicant, _________________________________________________, has performed accounting services (describe) _________________________________________________________________________ ______________________________________ on behalf of _____________________________. Pursuant to 11 USC §§330 or 331, and LBR 2016-1, the applicant, by and through the undersigned, applies for compensation as marked above and also certifies the following is true and correct: 1. Applicant requests allowance of compensation for: Professional Services of $________________; Expenses of $________________; for a Total of $________________. 2. Applicant was appointed by court order(s) entered on ______________________________________, per Application(s) for Employment filed on ______________________________________. The employment order did not specify a rate of compensation except as follows: 3. Applicant's prior requests for compensation in this case are as follows: Date of Amount Amount Amount Application Requested Allowed Received Fees Expenses Fees Expenses Fees Expenses Payment Source TOTALS: $__________ $__________ $__________ $__________ $__________ $__________ 4. The professional has not shared or agreed to share any compensation received or to be received for services rendered in connection with this case, except with a regular member, partner or associate of Applicant's firm. 345.7 (8/8/08) Page 1 of 3 American LegalNet, Inc. www.FormsWorkflow.com 5. The rate of compensation, number of hours and requested fee for each person included in this application are summarized as follows: Timekeeper (name & initials) Title Hourly Rate Number Of Hours Requested Fee 6. The following schedules must be attached and formatted as described. Attached and incorporated herein by reference are the following schedules. Schedule A - A narrative summary of services must be provided. Such narrative must include a description of the year and nature of all returns or forms prepared, whether the trustee was required to file such returns or forms, and if not, why they were filed, and any estimated tax savings or other benefit to the estate created by the work. Schedule B -If the requested compensation in this case is/will be over $1000, an itemized billing setting forth the names and qualifications of each service provider and, for each entry, the date the service was performed, a detailed description of the service, the name of the service provider, the time expended, the amount charged, and the billing category. Billing categories are to be used pursuant to the directions on page 3. A total amount charged for each billing category must also be set forth. 7. Applicant requests the following expense reimbursement: a. A total of $_____________ for expenses that fall within the limits set forth in LBR 2016-1 (no itemization required); AND b. Other (describe each in detail): DATE: ___________ _______________________________________________ Signature _______________________________________________ Signer's Name Telephone _______________________________________________ Address The trustee/debtor in possession finds the proposed fees to be reasonable. _______________________________________________ Trustee/Debtor in Possession 345.7 (8/8/08) Page 2 of 3 American LegalNet, Inc. www.FormsWorkflow.com BILLING CATEGORIES Each category to be used is numbered. Each itemization must fall within a numbered category. If a numbered category is referred to, it is assumed to include the subset of services listed thereunder. A detailed description of the services provided within each billing category is required. CATEGORY 1: ORGANIZATION OF FINANCIAL RECORDS Accumulation of financial information Review and organize financial data CATEGORY 2: PAYROLL Payroll processing for period __________ Payroll tax report preparation for period _________ W-2 Form Preparation for year ________ Forms 1099/1096 for year _______ CATEGORY 3: PERIOD END ACCOUNTING Analyze and post debtor/trustee prepared financial records Prepare working trial balance, supporting workpapers, and adjustments Prepare depreciation schedules Prepare 2015 reports CATEGORY 4: TAX RETURN PREPARATION Prepare tax return form for period ending ___________ Review tax return for period ending ______________ CATEGORY 5: MISCELLANEOUS Calculate asset basis Calculate carryover tax attributes Court and litigation support Meeting with ___ to discuss ____ Monthly accounting for trustee Phone call or letter to ____ for ______ Prepare fee application Respond to IRS/state notices re: ________ Review tax impact of ________ Other _____________________ 345.7 (8/8/08) Page 3 of 3 American LegalNet, Inc. www.FormsWorkflow.com