Application For Interim / Final Professional Compensation Form
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1
2UNITED STATES BANKRUPTCY COURT
DISTRICT OF OREGON
In re
)
)
Case No. _________________
)
)
)
APPLICATION FOR
)
INTERIM
FINAL (Mark ONE)
)
PROFESSIONAL COMPENSATION
Debtor(s)
)
The applicant, ____________________________________________, has performed professional services as a(n)
_________________________________________ for the period from __________ to __________. Pursuant to 11 USC
§§330 or 331, and LBR 2016-1, the applicant, by and through the undersigned, applies for compensation as marked above,
and certifies the following is true and correct:
1. The applicant has received the following pre-filing compensation (indicate date, amount, payor, payor's relation to
case, and description of all monies and any other consideration received):
2. Applicant requests allowance of compensation for: Professional Services of $_________________; Expenses of
$_________________; for a Total of $_________________.
3. [If applicable] Applicant was appointed by court order entered on __________, per an Application for Employment
filed on __________. The employment order did not specify a rate of compensation except as follows:
4. Applicant's prior requests for compensation in this case are as follows:
Date of
Amount
Amount
Amount
Payment
Requested
Allowed
Received
Source
Application
Fees
Expenses
Fees
Expenses
Fees
Expenses
TOTALS: $___________ $___________ $___________ $___________ $___________ $___________
345 (10/15/08) Page 1 of 2
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