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Application To Pay Filing Fee In Installments (NYEB) B3A - New York

Application To Pay Filing Fee In Installments (NYEB) Form. This is a New York form and can be used in Eastern District Bankruptcy Court Federal .
 Fillable pdf Last Modified 1/14/2014
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Fill in this information to identify your case: Debtor 1 Debtor 2 __________________________________________________________________ First Name Middle Name Last Name (Spouse, if filing) First Name ________________________________________________________________ Middle Name Last 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 ........... On or before this date ........... On or before this date ........... ______________ MM / DD / YYYY MM / DD / YYYY MM / DD / YYYY ______________ ______________ + Total Part 2: Sign Below $_____________ $______________ Your total must equal the entire fee for the chapter you checked in line 1. 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 Signature of Debtor 2 Date Date _________________ MM / DD / YYYY ________________ 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
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