Application For Interim / Final Professional Compensation Form Page 2
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25. The applicant has not shared or agreed to share any compensation received or to be received for services rendered
in connection with this case, except with a regular member, partner, or associate of Applicant's firm.
6. The rate of compensation, number of hours and requested fee for each person included in this application are
summarized as follows:
Timekeeper
Hourly
Number
Requested
(name & initials)
Title
Rate
Of Hours
Fee
7. [Schedules A, B & C apply only if compensation is sought under 11 USC §§330 or 331] Attached and incorporated
herein by reference are the following schedules (check those that apply):
Schedule A - A narrative summary of services provided including total hours and resulting benefits to the estate of each
activity category. [Preferred, but only mandatory if application exceeds $3,000.]
Schedule B - [If this is the First Application for Compensation] A brief narrative and itemization detailing all case-related
PRE-PETITION fees. [Itemization mandatory; narrative mandatory if compensation requested exceeds $3,000.]
Schedule C - An itemized billing setting forth a description of each event, including the date, amount of time spent, and
name of the person performing each event. [Mandatory]
8. Applicant requests the following expense reimbursement: a. A total of $_________________ for expenses that fall
within the limits set forth in LBR 2016-1 (no itemization required); AND b. Other (describe each in detail):
9. ADDITIONAL REQUIREMENTS for INTERIM compensation application: (a) a current Interim Report, on
LBF #753
for Chapter 7 cases or
LBF #1153
for Chapter 11 cases, must be filed with the court before this Application is filed; AND (b)
a completed and served Notice of Intent to Compensate Professional(s) using
LBF #753.40
must be filed, and linked to each
pertinent Application if filed electronically, before the Application will be considered by the court.
DATED: __________
___________________________________________________________
Signature
___________________________________________________________
Signer's Name, Relation to Applicant, and Phone #
___________________________________________________________
Address
345 (10/15/08) Page 2 of 2
___________________________________________________________
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