Form B 203 - Disclosure Of Compensation Of Attorney For Debtor printable pdf download

Form B 203 - Disclosure Of Compensation Of Attorney For Debtor

B 203

(12/94)

United States Bankruptcy Court

_______________ District Of _______________

In re

Case No. ___________

Chapter _________

Debtor

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR

1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the atto rn ey for the above-

named debtor(s) and that compensation paid to me w ithin one year before the filing of the petition in

bankruptcy, o r agreed to be paid to me, fo r services rendered or to be rendered on behalf o f the debto r(s)

in contemplation of or in connection w ith the bankruptcy case is as follow s:

For legal services, I have agreed to accept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

Prior to the fi ling of this statem ent I have recei ved . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

Balance D ue . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________

2. The source of the compensati on paid to me w as:

D ebtor

O ther (specify)

3. The source of compensati on to be paid to me is:

D ebtor

O ther (specify)

I have not agreed to share the above-disclosed compensation w ith any other person unl ess they are

members and associates of my law firm.

I have agreed to share the above-disclosed compensation w ith a other person or persons w ho are not

members or associates of my law firm. A copy of the agreement, together w ith a list of the names of

the people sharing in the compensation, is attached.

5. In return for the above-di sclo sed fee, I have agreed to render legal service for all aspects of the bankruptcy

case, incl uding:

a. Analysis of the debtor' s fi nancial situati on, and renderi ng advice to the debtor i n determining w hether

to file a petiti on in bankruptcy;

b. Preparation and filing of any petition, schedules, statements of affairs and plan w hich may be required;

c. Representati on of the debtor at the meeti ng of cred itors and confi rm ati on heari ng, and any adj ourn ed

hearings thereof;

Form B 203 - Disclosure Of Compensation Of Attorney For Debtor