Form B 203 - Disclosure Of Compensation Of Attorney For Debtor Page 2

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DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR (Continued)
d. Representation of the debtor in adversary proceedin gs and other contested bankruptcy matters;
e. [Other provisions as needed]
6. By agreem ent w ith the debtor(s), the above-discl osed fee does not i ncl ude the follow ing services:
CERTIFICATIO N
I certify that the foregoing is a complete statement of any agreement or arrangement for
paym ent to me for representati on of the debtor(s) in this bankru ptcy p ro ceedings.
___________________________
___________________________________________________
Date
Signature of Attorney
_____________________________________________________________
Name of law firm

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