IN THE UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF PENNSYLVANIA In Re: Debtor : : : : : : : : : : : Bankruptcy No. Chapter Movant v. Related to Document No. Hearing Date and Time Respondent (if none, then "No Respondent") SUMMARY COVER SHEET AND NOTICE OF HEARING ON PROFESSIONAL FEES IN CHAPTERS 7, 12 AND 13 ON BEHALF OF ________________________________________ To All Creditors and Parties in Interest: Applicant represents __________________________________________ This is (check one) _____ a final application _____ an interim application for the period _________________ to _________________ 3. Previous retainer paid to Applicant: $_________________ 4. Previous interim compensation allowed to Applicant: $_________________ 5. Applicant requests additional: Compensation of $_________________ Reimbursement of Expenses of $_________________ 6. A hearing on the Application will be held in Courtroom _____, __________________, at ____.m., on ______________________, _____. 7. Any written objections must be filed with the court and served on the Applicant on or before _________________, ________, (fourteen (14) days from the date of this notice plus an additional three (3) days if served by mail). Copies of the application are available from the applicant. Date of service: _____________________________________________ Signature of Applicant or Attorney for Applicant _____________________________________________ Typed Name _____________________________________________ _____________________________________________ Address _____________________________________________ Phone No. _____________________________________________ List Bar I.D. and State of Admission (Note: 1. Scheduling dates in this Notice shall comply with Local Rules. 2. The full application need be served only upon Debtor, counsel for Debtor, the U.S. Trustee, and the trustee and counsel for the trustee. 3. Applicant shall serve this Notice on all creditors and parties in interest including any person who has filed a request for notices. 4. A certificate of service shall be filed with this Notice and the application.) PAWB Local Form 8 (07/13) American LegalNet, Inc. www.FormsWorkFlow.com 1. 2.