Application For Trustees Authorization OF Post Petition Consumer Credit {10A}

LOCAL BANKRUPTCY FORM NO. 10A IN THE UNITED STATES DISTRICT COURT FOR THE UNITED STATES VIRGIN ISLANDS, BANKRUPTCY DIVISION In Re: Bankruptcy No. Chapter No. 13 Document No. Debtor(s) APPLICATION FOR TRUSTEE'S AUTHORIZATION OF POST PETITION CONSUMER CREDIT I, __________________________________________________________, the Debtor(s) in the captioned case, pursuant to 11 USC §1305, hereby applies for José R. Carrión, Esq., Standing Chapter 13 Trustee in this case, to authorize debtor(s) to incur a post petition credit obligation under the terms summarized hereinafter as follows. 1. Lender Name: ___________________________________________ Lender Address: ___________________________________________ 2. This will be a ([___] NEW / [___] Refinancing) loan. (If a refinancing please state the existing loan pay-off balance: $_______________.) Annual interest rate _____ %. 3. Principal amount to be financed: $________________. Loan tenure _______ months. 4. This loan is for a personal, family, or household purpose. 5. This loan is necessary for me (us) to be able to complete the confirmed plan. The proceeds of this loan will be distributed in the following manner: (a.) (b.) (c.) $ $ $ Total: $ 6. The monthly payment of the loan will be $_______________ (includes principal & interest, taxes & insurance portion for escrow account.) Application For Trustee Authorization Of Post Petition Consumer Credit 2 7. This loan will be [___] UNSECURED / [___] SECURED obligation. 8. The property described bellow will serve as collateral for this loan: 9. My (Our) current monthly INCOME is as follows: Net salary or income (salary less$ authorised payroll deductions) Net Spouse income Other income $ $ Total: $ 10. My (Our) monthly EXPENSES including herein requested loan payments are as follows: Rent or home mortgage including insurance $ and real estate taxes: Utilities: Electricity $ American LegalNet, Inc. www.FormsWorkflow.com Water & sewer Telephone Other: Home maintenance (repairs and upkeep) Food (Family members [___]) Clothing Laundry & Dry Cleaning Medical and Dental Expenses $ $ $ $ $ $ $ $ Transportation (not including car loan payments)$ Recreation, clubs, and entertainment, newspaper,$ magazines, etc. Charitable contributions $ Insurance (not deducted from wages or included in home payments) Homeowner's or renter's insurance: $ Life insurance: $ Health insurance: $ Auto insurance: $ Other insurance: $ Alimony, maintenance, and support paid to$ others: Payments for support of additional dependants$ not living with you: OTHER: $ TOTAL EXPENSES: $ PROJECTED DISPOSABLE INCOME: (Net$ Income less Expenses) Payments to Chapter 13 Trustee under Chapter$ 13 Plan: 11. I (We) will pay the loan directly through payroll deductions. (In the event that debtor(s) intends to pay it through a Chapter 13 Plan, then debtor must file with this application a copy of the proposed amended plan describing its treatment. Remember that a post petition claim must be filed [11 USC §1305] in order for the Trustee to be able to pay said obligation). DECLARATION UNDER PENALTY OF PERJURY I (WE), the Debtor(s) in this case, sign this document and declare under penalty of perjury that all the information contained herein is true to the best of my (our) knowledge. In _________________,Virgin Islands, today _____ day of ________________________, 2006. ______________________________ _____________________________ Debtor Joint Debtor I CERTIFY that I advised Debtor(s) of all legal implications of the action of incurring post petition credit, especially that it will not be dischargeable unless particular conditions occur. ______________________________ Attorney for Debtor(s) American LegalNet, Inc. www.FormsWorkflow.com TRUSTEE DETERMINATION After evaluating the information herein provided the Office of the Standing Chapter Trustee determined that: [___] The post petition consumer credit obligation is hereby authorized.* [___] The post petition consumer credit obligation is hereby NOT authorized. *Please be advised that if this Office required the filing and circulation of an amended plan the authorization is conditioned to the confirmation of the same. In St.Thomas, Virgin Islands this _____ day of ____________________ of 2006. ____________________________________ José R. Carrión, Esq. STANDING CHAPTER 13 TRUSTEE 5500 Veterans Drive Room 310 St. Thomas, VI 00802 [Tel (340-774-8310 / FAX 340-776-5615] American LegalNet, Inc. www.FormsWorkflow.com