Summary Cover Sheet Fees And Expenses Application Download Free Print-Only PDF OR Purchase Interactive PDF Version of this Form
Summary Cover Sheet Fees And Expenses Application Form. This is a Pennsylvania form and can be use in USBC Middle Federal.
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Tags: Summary Cover Sheet Fees And Expenses Application, 2016-1, Pennsylvania Federal, USBC Middle
LOCAL BANKRUPTCY FORM 2016-1
IN THE UNITED STATES BANKRUPTCY COURT
FOR THE MIDDLE DISTRICT OF PENNSYLVANIA
IN RE:
Debtor(s)
:
:
:
:
:
CHAPTER ____
CASE NO.
-
-bk-
SUMMARY COVER SHEET
FEES AND EXPENSES APPLICATION
a.
Your applicant was appointed on
,
based on an application filed
.
b.
Your applicant represents
.
c.
This application is a
(state whether interim or final application).
d.
The total amount of compensation for which reimbursement is sought is ________ and is
for the period from
e.
to _______________.
The total amount of expenses for which reimbursement is sought is
the period from
to
and is for
.
f.
The dates and amounts of any retainer received are ________________.
g.
The dates and amounts of withdrawals from the retainer by the Applicant are
_________________.
h.
The dates and amounts of previous compensation allowed are:
.
i.
The dates and amounts of previous compensation paid are:
.
j.
There are/are no objections to prior fee applications of Applicant that have not been ruled
upon by the Court in this bankruptcy case.
Applicant’s Signature
DATED:
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