Chapter 7 Success Lawyers Chicago - Chapter 13 Fact Form & Fee Application

UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF ILLINOIS - EASTERN DIVISION

In re:
JOE DEBTOR
Case No:

CHAPTER 13 FACT FORM AND FEE APPLICATION

This form shall be completed and submitted by each attorney as a fee application in all Chapter 13 cases. If counsel believes the work performed was unusual and requires a supplemental application with a detailed statement of services, submit this form with such supplemental application. Please use typewriter.

AMOUNTS
Total Number and Amount
of Secured Debts, No. Total Monthly include all arrearage.
To be paid:
A. By payments to Standing Trustee __ _____ _______
B. By direct payments to Creditor(s) __ _____ _______

Security is:______car ______home______other_____________________
Total number and amount of Unsecured Debts:_______
Percent to be paid to Unsecured creditors under Plan:_______
Monthly Payments under Plan:Through Standing Trustee:$______
Total amount received from or on behalf of Debtor(s):$______
Total fees and costs requested:$_______ Fees $_______ Total Costs
Itemize
Costs:___________________________________________________________Any particulars that you believe the court should consider in setting the fees:________________________________________________

Counsel represents (i) that the Debtor(s) have approved the requested fees and (ii) that all funds received from Debtor(s) after the commencement of the case have been or will be turned over to the Standing Trustee prior to the hearing on Confirmation.

____________________ ____________________
Signature Date
Attorney: David M. Siegel

This form and any supplemental application must be served upon the Standing Trustee, and party entitled to receive notice pursuant to an order of Court and the Debtor(s) prior to the hearing on Confirmation and filed with the Court at or before the hearing on Confirmation together with three copies of the Court's form fee order.

After examining the Fee Application and related documents, the Court orders a Fee Hearing for___________, 2000 at ______, before the undersigned in the courtroom usually occupied by the Judge at 219 South Dearborn Street, Chicago, Illinois, 60604. A supplemental fee application must be filed with the Court and served on the parties designated in the above paragraph, together with a notice of the time, date and place of the fee hearing not less than ten (10) days prior to the hearing date. Detailed information as to daily work performed will be included in said supplement.

_________________________________________________________________
Dated: Bankruptcy Judge

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