Chapter 13 Application

__________________________ __________________________ __________________________ _______For Chapter 13 Trustee

UNITED STATES BANKRUPTCY COURT
NORTHERN DISTRICT OF CALIFORNIA

In re: Debtor(s). Case No. __________________ Chapter 13

CHAPTER 13 FINAL APPLICATION FOR COMPENSATION

BY

____________________________

This application is submitted pursuant to Guideline 9 of the Guidelines for Compensation and Expense Reimbursement of Professionals and Trustees adopted by the United States Bankruptcy Court for the Northern District of California.

1. Date of Petition: _____________________
2. Date Plan Confirmed: _____________________
3. Amount of Fees Approved at Confirmation $ _____________________
4. Subsequent Fee Application Filed: Yes _____ No _____
If yes: Date Approved Amount Approved
____________ $ _____________________
____________ $ _____________________
5. Amount of Fees Received to Date: $ _____________________
6. Time Period of this Application: From: _______________ To: _____________________
7. Hourly Rate of Professional: $ _____________________
8. Total Hours in this Application: _____________________
9. Total Fees Requested: $ _______ x Hours = $ _____________________
10. Amount Included for Appearance at Hearing on this Application $ _____________________
11. Total Costs Requested this Application: $ _____________________
12. Total Fees and Costs Requested: $ _____________________
13. Brief Description of Services: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ A detailed billing statement including costs is attached hereto as Exhibit A.

Dated: _________________ ___________________________________________ ___________________________________________ ___________________________________________ ________________________For Debtor


CERTIFICATION
I, ________________________, declare as follows:
  1. That I am a ___________________ of ________________________________________________ _________________________________.
  2. That I am familiar with and have read the above application and the facts therein are true to my knowledge and belief. The copies of the billing statements are true and correct copies of ________________________________________’s billing statements for this case.

  3. That the firm of ___________________________________________________ has not been paid or promised any compensation from any other source for services rendered in connection with this case.

  4. That ____________________________________________________________ has not entered into any agreement or understanding with any other entity for the sharing of compensation received or to be received for services rendered and/or to be rendered in connection with this case.

  5. That to the best of my knowledge, information and belief, the compensation and expense reimbursement sought herein is in conformity with the Guidelines for Compensation and Expense Reimbursement of Professionals and Trustees for the United States Bankruptcy Court for the Northern District of California, except to the extent set forth in the application.

  6. That this application is submitted in accordance with Guideline No. 9 of the Guidelines for Compensation and Expense Reimbursement of Professionals and Trustees for the United States Bankruptcy Court for the Northern District of California.

  7. That the compensation and expenses sought herein were billed at rates no less favorable than those customarily billed by applicant and generally accepted by the applicant’s clients.

I declare under penalty of perjury that the foregoing is true and correct and that this certification was executed this ______ day of _________________at ________________________, California.

__________________________________________