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Application And Order To Pay Filing Fee In Installments B3A - Official Federal Forms
| Application And Order To Pay Filing Fee In Installments Form. This is a national form and can be used in General Bankruptcy . |
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Form 3A (10/05) United States Bankruptcy Court _______________ District Of ______________ In re _______________________________________, Case No. ___________________ Debtor Chapter ____________ APPLICATION TO PAY FILING FEE IN INSTALLMENTS 1. In accordance with Fed. R. Bankr. P. 1006, I apply for permission to pay the filing fee amounting to $______________ in installments.2. I am unable to pay the filing fee except in installments. 3. Until the filing fee is paid in full, I will not make any additional pa yment or transfer any additional property to an attorney or any other person for services in connection with this case. 4. I propose the following terms for the payment of the Filing Fee.* $ _____________________ Check one With the filing of the petition, or On or before ______________ $ _____________________ on or before ___________________________________ _____ $ _____________________ on or before ___________________________________ _____ $ _____________________ on or before ___________________________________ _____ * The number of installments proposed shall not exceed four (4), and the final installment shall be payable not later than 120 days after filing the petition. For cause shown, the court may extend the time of any install ment, provided the last installment is paid not later than 180 days after filing the petition. Fed. R. Bankr. P. 1006(b)(2). 5. I understand that if I fail to pay any installment when due, my bankrupt cy case may be dismissed and I may not receive a discharge of my debts.___________________________________________ __________________________________________________________Signature of Attorney Date Signature of Debtor Date (In a joint case, both spouses must sign.) ___________________________________________ Name of Attorney __________________________________________________________ Signature of Joint Debtor (if any) Date------------------------------------------------------------------------ ------------------------------------------------------------------------------------------------------------------- DECLARATION AND SIGNATURE OF NON-ATTORNEY BANKRUPTCY PETITION (See 11 U.S.C. 110) I declare under penalty of perjury that: (1) I am a bankruptcy petition preparer as defined in 11 U.S.C. 110; (2) I prepared this document forcompensation and have provided the debtor with a copy of this document and the notices and information required under 11 U.S.C 110(b), 110(h), and.342(b); (3) if rules or guidelines have been promulgated pursuant to 11 U.S.C. 110(h) setting a maximum fee for services chargeable by bankruptcypetition preparers, I have given the debtor notice of the maximum amount before preparing any document for filing for a debtor or accepting any fee fromthe debtor, as required under that section; and (4) I will not accept any additional money or other property from the debtor before the filing fee is paid infull. ___________________________________________________ __________________________ Printed or Typed Name and Title, if any, of Bankruptcy Petition Preparer Social Security No. (Required by 11 U.S.C. 110.)If the bankruptcy petition preparer is not an individual, state the name, title (if any) address, and social security number o,f the officer, principal, responsibleperson, or partner who signs the document. ________________________________ ________________________________ Address x__________________________________________________ _____________________ Signature of Bankruptcy Petition Preparer Date Names and Social Security numbmers of all other individuals who prepared or assisted in preparing this docuent, unless the bankruptcy petition preparer isnot an individual: If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person.A bankruptcy petition preparers failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in finesor imprisonment or both. 11 U.S.C. 110; 18 U.S.C. 156. American LegalNet, Inc. www.USCourtForms.com<<<<<<<<<********>>>>>>>>>>>>> 2Form 3A Contd. (10/05) United States Bankruptcy Court _______________ District Of ______________ In re _______________________________________, Case No. ___________________ Debtor Chapter ____________ ORDER APPROVING PAYMENT OF FILING FEE IN INSTALLMENTS G IT IS ORDERED that the debtor(s) may pay the filing fee in installments on the terms proposed in the foregoingapplication. G IT IS ORDERED that the debtor(s) shall pay the filing fee according to the following terms: $ _____________________ Check one With the filing of the petition, or On or before ______________ $ _____________________ on or before ___________________________________ _____ $ _____________________ on or before ___________________________________ _____ $ _____________________ on or before ___________________________________ _____ G IT IS FURTHER ORDERED that until the filing fee is paid in full the debtor(s) shall not make any additionalpayment or transfer any additional property to an attorney or any other person for services in connection with this case. BY THE COURT Date: ____________________ __________________________________________ United States Bankruptcy Judge American LegalNet, Inc. www.USCourtForms.com
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