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Application For And Order On Waiver Of Chapter 7 Filing Fee For Individuals Who Cannot Pay (NYEB) B3B - New York
| Application For And Order On Waiver Of Chapter 7 Filing Fee For Individuals Who Cannot Pay (NYEB) Form. This is a New York form and can be used in Eastern District Bankruptcy Court Federal . |
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B3B (Official Form 3B) (11/11) APPLICATION FOR WAIVER OF THE CHAPTER 7 FILING FEE FOR INDIVIDUALS WHO CANNOT PAY THE FILING FEE IN FULL OR IN INSTALLMENTS The court fee for filing a case under chapter 7 of the Bankruptcy Code is $306. If you cannot afford to pay the full fee at the time of filing, you may apply to pay the fee in installments. A form, which is available from the bankruptcy clerk's office, must be completed to make that application. If your application to pay in installments is approved, you will be permitted to file your petition, generally completing payment of the fee over the course of four to six months. If you cannot afford to pay the fee either in full at the time of filing or in installments, you may request a waiver of the filing fee by completing this application and filing it with the Clerk of Court. A judge will decide whether you have to pay the fee. By law, the judge may waive the fee only if your income is less than 150 percent of the official poverty line applicable to your family size and you are unable to pay the fee in installments. You may obtain information about the poverty guidelines at www.uscourts.gov or in the bankruptcy clerk's office. Required information. Complete all items in the application, and attach requested schedules. Then sign the application on the last page. If you and your spouse are filing a joint bankruptcy petition, you both must provide information as requested and sign the application. American LegalNet, Inc. www.FormsWorkFlow.com B3B (Official Form 3B) (11/11) -- Cont. UNITED STATES BANKRUPTCY COURT __________ District of __________ Eastern District of New York In re: ___________________ Debtor(s) Case No. ___________________ (if known) APPLICATION FOR WAIVER OF THE CHAPTER 7 FILING FEE FOR INDIVIDUALS WHO CANNOT PAY THE FILING FEE IN FULL OR IN INSTALLMENTS Part A. Family Size and Income 1. Including yourself, your spouse, and dependents you have listed or will list on Schedule I (Current Income of Individual Debtors(s)), how many people are in your family? (Do not include your spouse if you are separated AND are not filing a joint petition.) __________ Restate the following information that you provided, or will provide, on Line 16 of Schedule I. Attach a completed copy of Schedule I, if it is available. Total Combined Monthly Income (Line 16 of Schedule I): 3. $_________ 2. State the monthly net income, if any, of dependents included in Question 1 above. Do not include any income already reported in Item 2. If none, enter $0. $_________ 4. Add the "Total Combined Monthly Income" reported in Question 2 to your dependents' monthly net income from Question 3. $_________ 5. Do you expect the amount in Question 4 to increase or decrease by more than 10% during the next 6 months? Yes ___ No ___ If yes, explain. Part B. Monthly Expenses 6. EITHER (a) attach a completed copy of Schedule J (Schedule of Monthly Expenses), and state your total monthly expenses reported on Line 18 of that Schedule, OR (b) if you have not yet completed Schedule J, provide an estimate of your total monthly expenses. $ __________ 7. Do you expect the amount in Question 6 to increase or decrease by more than 10% during the next 6 months? Yes ___ No ___ If yes, explain. Part C. Real and Personal Property EITHER (1) attach completed copies of Schedule A (Real Property) and Schedule B (Personal Property), OR (2) if you have not yet completed those schedules, answer the following questions. 8. 9. State the amount of cash you have on hand. $ __________ State below any money you have in savings, checking, or other accounts in a bank or other financial institution. Bank or Other Financial Institution: Type of Account such as savings, checking, CD: Amount: $ __________ $ __________ American LegalNet, Inc. www.FormsWorkFlow.com _________________________ _________________________ ___________________ ___________________ B3B (Official Form 3B) (11/11) -- Cont. 10. State below the assets owned by you. Do not list ordinary household furnishings and clothing. Address: Home ____________________________ Amount owed on mortgages and liens: $ __________ ____________________________ Address: Other real estate ____________________________ Amount owed on mortgages and liens: $ __________ _____________________________ Motor vehicle Model/Year: ___________________ ____________________________ Motor vehicle Model/Year: ___________________ ____________________________ Other Description___________________ ___________________________ Value: $ __________ Amount owed: $ __________ Value: $ __________ Amount owed: $ __________ Value: $ __________ Amount owed: $ __________ Value: $ __________ Value: $ __________ 11. State below any person, business, organization, or governmental unit that owes you money and the amount that is owed. Name of Person, Business, or Organization that Owes You Money __________________________________ __________________________________ Amount Owed $ __________ $ __________ Part D. Additional Information. 12. Have you paid an attorney any money for services in connection with this case, including the completion of this form, the bankruptcy petition, or schedules? Yes ___ No ___ If yes, how much have you paid? $ __________ 13. Have you promised to pay or do you anticipate paying an attorney in connection with your bankruptcy case? Yes ___ No ___ If yes, how much have you promised to pay or do you anticipate paying? $ __________ 14. Have you paid anyone other than an attorney (such as a bankruptcy petition preparer, paralegal, typing service, or another person) any money for services in connection with this case, including the completion of this form, the bankruptcy petition, or schedules? Yes ___ No ___ If yes, how much have you paid? $ __________ 15. Have you promised to pay or do you anticipate paying anyone other than an attorney (such as a bankruptcy petition preparer, paralegal, typing service, or another person) any money for services in connection with this case, including the completion of this form, the bankruptcy petition, or schedules? Yes ___ No ___ If yes, how much have you promised to pay or do you anticipate paying? $ __________ 16. Has anyone paid an attorney or other person or service in connection with this case, on your behalf? Yes ___ No ___ If yes, explain. American LegalNet, Inc. www.FormsWorkFlow.com B3B (Official Form 3B) (11/11) -- Cont. 17. Have you previously filed for bankruptcy relief during the past eight years? Yes ___ No
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