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Application For Individuals To Pay The Filing Fee In Installments B3A - Official Federal Forms

Application For Individuals To Pay The Filing Fee In Installments Form. This is a national form and can be used in General Bankruptcy .
 Fillable pdf Last Modified 12/2/2013
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Fill in this information to identify your case: Debtor 1 Debtor 2 __________________________________________________________________ First Name Middle Name Last Name ________________________________________________________________ Middle Name Last Name (Spouse, if filing) First Name United States Bankruptcy Court for the: ______________________ District of __________ Case number (If known) _____________________________________________ Check if this is an amended filing Official Form B 3A Application for Individuals to Pay the Filing Fee in Installments Be as complete and accurate as possible. If two married people are filing together, both are equally responsible for supplying correct information. Part 1: Specify Your Proposed Payment Timetable 12/13 1. Which chapter of the Bankruptcy Code are you choosing to file under? Chapter 7 ................. Fee: Chapter 12 ............... Fee: Chapter 13 ............... Fee: $306 $246 $281 Chapter 11 ............... Fee: $1,213 2. You may apply to pay the filing fee in up to four installments. Fill in the amounts you propose to pay and the dates you plan to pay them. Be sure all dates are business days. Then add the payments you propose to pay. You must propose to pay the entire fee no later than 120 days after you file this bankruptcy case. If the court approves your application, the court will set your final payment timetable. You propose to pay... $_____________ $_____________ $_____________ With the filing of the petition On or before this date......... ______________ MM / DD / YYYY On or before this date ........... On or before this date ........... On or before this date ........... ______________ MM / DD / YYYY ______________ MM / DD / YYYY + Total $_____________ $______________ ______________ MM / DD / YYYY Your total must equal the entire fee for the chapter you checked in line 1. Part 2: Sign Below By signing here, you state that you are unable to pay the full filing fee at once, that you want to pay the fee in installments, and that you understand that: You must pay your entire filing fee before you make any more payments or transfer any more property to an attorney, bankruptcy petition preparer, or anyone else for services in connection with your bankruptcy case. You must pay the entire fee no later than 120 days after you first file for bankruptcy, unless the court later extends your deadline. Your debts will not be discharged until your entire fee is paid. If you do not make any payment when it is due, your bankruptcy case may be dismissed, and your rights in other bankruptcy proceedings may be affected. _________________________________ ___________________________________ Signature of Debtor 1 Date _________________ MM / DD / YYYY Signature of Debtor 2 Date ________________ MM / DD / YYYY _______________________________________ Your attorney's name and signature, if you used one Date _________________ MM / DD / YYYY Official Form B 3A Application for Individuals to Pay the Filing Fee in Installments American LegalNet, Inc. www.FormsWorkFlow.com Fill in this information to identify the case: Debtor 1 Debtor 2 __________________________________________________________________ First Name Middle Name Last Name ________________________________________________________________ Middle Name Last Name (Spouse, if filing) First Name United States Bankruptcy Court for the: ______________________ District of _________ Case number (If known): ________________________________ Chapter 7 Chapter 11 Chapter 12 Chapter 13 Order Approving Payment of Filing Fee in Installments After considering the Application for Individuals to Pay the Filing Fee in Installments (Official Form B 3A), the court orders that: [ ] The debtor(s) may pay the filing fee in installments on the terms proposed in the application. [ ] The debtor(s) must pay the filing fee according to the following terms: You must pay... On or before this date... $_____________ _____________ Month / day / year $_____________ $_____________ _____________ Month / day / year _____________ Month / day / year + Total $_____________ $_____________ _____________ Month / day / year Until the filing fee is paid in full, the debtor(s) must not make any additional payment or transfer any additional property to an attorney or to anyone else for services in connection with this case. _____________ Month / day / year By the court: _____________________________________ United States Bankruptcy Judge American LegalNet, Inc. www.FormsWorkFlow.com
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