Fee Application Cover Sheet - United States Bankruptcy Court
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4UNITED STATES BANKRUPTCY COURT
DISTRICT OF NEW JERSEY
D.N.J. LBR 2016-1, FEE APPLICATION COVER SHEET
IN RE: _________________________
APPLICANT: __________________________
CASE NO.: _____________________
CLIENT:
__________________________
CHAPTER: _____________________
CASE FILED: __________________________
COMPLETION AND SIGNING OF THIS FORM CONSTITUTES A CERTIFICATION UNDER
PENALTY OF PERJURY, PURSUANT TO 28 U.S.C. SECTION 1746.
RETENTION ORDER(S) ATTACHED
SECTION 1
FEE SUMMARY
INTERIM FEE APPLICATION NO.
OR
FINAL FEE APPLICATION
FEES
EXPENSES
TOTAL PREVIOUS FEE REQUESTED:
$
$
TOTAL FEES ALLOWED TO DATE:
$
$
TOTAL RETAINER (IF APPLICABLE)
$
$
TOTAL HOLDBACK (IF APPLICABLE)
$
$
TOTAL RECEIVED BY APPLICANT
$
$
YEAR ADMITTED
NAME OF PROFESSIONAL &
HOURS
RATE
FEE
(OR YEARS OF
TITLE
PROFESSIONAL
SERVICE)
1.
2.
3.
4.
5.
6.
7.
FEE TOTALS - PAGE 2
__________________
DISBURSEMENTS TOTALS - PAGE 3
__________________
TOTAL FEE APPLICATION
__________________
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