United States Bankruptcy Court
_________________District of Arkansas
Eastern
_____________________Division
Little Rock
RE:___________________________________
Case No:______________________
APPLICATION FOR ATTORNEY FEE
1. Comes ____________________________, attorney for the debtor(s), and states that
she/he has or will perform the following legal services for the debtor(s) in the prosecution of this
case, to wit: preliminary meetings with and counseling of debtor(s); preparation and filing of
petition, schedules, plan, and any other required statements or support documentation; attendance
of 341 (a) meeting of creditors; and any and all other services reasonably necessary for obtaining
initial confirmation of the plan, including, only by way of example, the handling of confirmation
hearings, negotiations with creditors and other parties in interest, motions to dismiss, motions for
relief from stay, and pre-confirmation modifications to the plan.
2. Petitioner has reached the following arrangement with the debtor that the Court allow
a total fee of $_________ for said services rendered to date and the routine duties required for the
completion of the plan and that the fee be distributed as follows:
TOTAL FEE
$______________
COPYING CHARGE FEE
$______________
LESS FEE ALREADY RECEIVED
$______________
(do not include filing fee)
TOTAL ATTORNEY FEE TO BE PAID BY TRUSTEE
$______________
3. Petitioner further states that no understanding nor agreement has been made directly or
indirectly for the division of fees between petitioner and debtor, or any person, firm or
corporation.
4. Debtor and petitioner agree that the Trustee shall first pay administrative costs, then an
initial fee to the petitioner of $600 from funds paid in by the debtor, after administrative costs
have been paid, and the remaining fee at the rate of 10% of the total disbursed to creditors each
month.
Respectfully Submitted,
APPROVED BY:
__________________________________
Attorney
________________________________
__________________________________
Debtor
__________________________________
________________________________
__________________________________
Debtor
Address
________________________________
__________________________________
Trustee
Phone Number
APPROVED FEE: $ _______________
__________________________________
United States Bankruptcy Judge
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