IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF WYOMING In re ) ) ) ) ) ) Case No. _____________ Chapter ____ Debtor(s). COVER SHEET FOR APPLICATION FOR PROFESSIONAL COMPENSATION Interim Application [ ] Final Application [ ] Name of Applicant ________________________________________ Date of Order Authorizing Employment ________________________ Period for which compensation is requested _______________ Fees and Expenses: Fees paid pre-petition Fees requested to be paid by estate Total amount of fees requested Expenses paid pre-petition Expenses requested to be paid by estate Total amount of expenses requested Total amount of fees and expenses requested for the above stated period: Total hours billed and applicable billing rate for each person requesting fees as part of this application: Name ______________________________ Rate Hours ____________ ________ Total Requested _____________ If this is not the first application filed, disclose all prior fee applications: Date Filed _____________ ____________ Period Covered ____________ ____________ Total Requested (Fees & Expenses) _______________ _______________ Total Allowed (Fees & Expenses) ____________________ ____________________ Dated _________________ Applicant ______________________________ American LegalNet, Inc. www.FormsWorkFlow.com