R.I. Bankr. Form 2016-1.3 FINAL FEE ALLOWANCE SUMMARY -----------------------x In re: : Debtor : BK No. Chapter : -----------------------x FEES: 1. Period of Services in this Case: to 2. Total Hours of Services Performed in this Case: 3. Blended Hourly Rate for Fees Requested: (Excluding paraprofessionals) 4. Total Fee Award Requested: 5. Retainer Credited Against Award: 6. Interim Fees Allowed and Credited Against Award: 7. Final Payment Requested: 8. Approximate Distribution to Creditors in this Case: (a) Administrative: (b) Secured: (c) Unsecured: $ $ $ $ $ % % % EXPENSES: 1. Total Expense Reimbursements Requested: 2. Expenses Allowed to Date: 3. Expense Request for Final Period: 4. Breakdown of Item No. 3 Total: a. Travel Expense: b. Postage: c. Photocopies: d. Express Mail/Messenger: e. Overtime Charges: f. Other Expenses (Itemize): $ $ $ $ $ $ $ $ $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com