Application To Approve Employment Of Professional And Affidavit {LBF-1}

1 Mont. LBF 1. APPLICATION TO APPROVE EMPLOYMENT OF PROFESSIONAL; AFFIDAVIT. [M o n t . L BR 2014 - 1] Na m e o f T rus t ee/ A tt o r n ey O ff i ce M a ili n g A ddress T e l ep h o n e Nu m b er F ac s imil e Nu m b er E - Ma i l A ddress S t a t e Bar I . D. Nu m b er (C h ap t er T rus t ee) IN THE UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF MONTANA IN RE: , , Debtors. Case No. APPLICATION TO APPROVE EMPLOYMENT OF PROFESSIONAL; AND AFFIDAVIT T h e A pp li ca t i o n o f [ t rus t ee o r de b to r i n p o ss e s s i o n ] resp e c t f u ll y rep r e s e n t s : 1. On t h e day of, 20 , De b to r ( s ) f il ed a pe t i t i o n u n der C h ap t er o f t h e Ba n krup t cy C o de. 2. [ T rus t ee o r de b t o r i n p o ss e s s i o n ] w i s h es t o e m p l o y , ( P r o f e s s i o n a l i n t h e capa c i t y o f an (e . g . , a t to r n e y , ac c o u n t a n t , e t c. ) . 3. A pp li ca n t h as s e l ec t ed P r o f e ss i o n al f o r t h e f o ll o w i n g rea s o n s : ( S t a t e r ea s o n s f o r t h e s e l ec t i o n . ) 4. T h e p r o f e s s i o n al s er v i ces t h at P r o f e s s i o n al i s t o re n der i n c l ude: ( S t a t e ser v i ces t o b e re n dered . ) 5. T o t h e b e s t o f A pp li ca n t s k n o w l edge, P r o f e s s i o n al h as n o c o nn ec t i o n w i t h t h e cred i to rs, o r a n y o t h er par t y i n i n t ere s t , o r t h e i r resp e c t i v e a t t o r n e y s a n d ac c o u n t a n t s , t h e U n i t ed S t a t es T rus t ee, o r a n y pers o n e m p l o y ed i n t h e o f fi ce o f t h e U n i t ed S t a t es T rus t ee, a n d i s a d i s i n t ere s t ed pe r s o n f i n ed i n 11 U. S . C. 101(14) e x cep t : ( S t a t e a n y e x cep t i o n s . ) American LegalNet, Inc. www.FormsWorkFlow.com 2 6. T h e t er m s o f e m p l o ym e n t o f P r o f e s s i o n a l , agreed t o b y t h e [ t rus t ee o r de b to r i n p o ss e s s i o n ], s u b j ect t o t h e app r o v al o f t h e C o urt are: ( S t a t e t er m s o f e m p l o y m e n t , t o i n c l ude b ut n o t limi t ed t o t h e n a m e a n d h o ur l y ra t e o f ea c h pr o f e s s i o n al t o b e e m p l o y ed; t h e n a m e a n d h o ur l y ra t e o f ea c h parapr o f e s s i o n al w h i ch m ay per f o rm s er v i ce s ; a n d t h e a m o u n t o f a n y re t a i n er pa i d . ) 7. P r o f e s s i o n al rep r e s e n t s n o i n t ere s t ad v erse t o [ t rus t ee o r de b to r i n p o ss e s s i o n ] o r t h e e s t a t e i n t h e m a t t ers up o n w h i ch P r o f e s s i o n al i s t o b e e n gaged, a n d P r o f e s s i o n a l s e m p l o y m e n t w o u l d b e i n t h e b e s t i n t ere s t o f t h i s e s t a t e. W HER E F O R E , [ t rus t ee o r de b to r i n p o ss e s s i o n ] pra y s t h at t h e C o urt appr o v e P r o f e s s i o n a l s e m p l o y m e n t u n der t h e t er m s s pec i fi ed h ere i n . DATED this day of, 20. Na m e o f T rus t ee/ A tto r n ey A F F ID A VIT OF PROPOS E D P R O F E SS I ON A L S T A T E OF M ONT A NA ) : C o u n t y o f ) [Na m e o f pers o n t o b e e m p l o y ed], b e i n g du l y s w o rn up o n [ h i s / h er] o a t h , dep o s es a n d s t a t e s: 1. I am an [capa c i t y o f pers o n t o b e e m p l o y ed a n d a s s o c i a t i o n w i t h f i r m , i f appr o pr i a t e]. 2. I [a n d fi rm o f w h i ch pr o f e s s i o n al i s a m e m b er, i f appr o pr i a t e] h a v e n o c o nn ec t i o n s w i t h t h e De b to r, cred i t o rs, o r a n y ot h er par t y i n i n t ere s t , t h e i r resp e c t i v e a t to r n e y s a n d ac c o u n t a n t s , t h e U n i t ed S t a t es T rus t ee, o r a n y pers o n e m p l o y ed i n t h e o ff i ce o f t h e U n i t ed S t a t es T rus t ee; a n d I [a n d f i rm o f w h i ch pr o f e s s i o n al i s a m e m b er, i f appr o pr i a t e] am a d i s i n t ere s t ed pe r s o n fi n ed i n 11 U. S . C. 247 101(14 ) . [ S t a t e a n y e x cep t i o n s . ] 3. I [a n d fi rm o f w h i ch pr o f e s s i o n al i s a m e m b er, i f appr o pr i a t e] rep r e s e n t n o i n t ere s t ad v erse t o t h e De b to r o r t h e es t a t e i n t h e m a t t ers up o n w h i ch I [a n d f i rm o f w h i ch pr o f e s s i o n al i s a m e m b er, i f appr o pr i a t e] am t o b e e n gaged. 4. I h a v e r ec e i v ed a ge n eral re t a i n er i n t h e a m o u n t o f $ , w h i ch s h a l l n o t b e u s ed t o pay m y c o m pe n s a t i o n o r f o r re i m b urse m e n t o f m y e x pe n s es w i t h o ut pr i o r appr o v al o f t h i s C o ur t . American LegalNet, Inc. www.FormsWorkFlow.com 3 [Na m e o f P r o f e s s i o n a l ] Su b s cr i b ed a n d s w o rn t o b e f o re m e t h i s day of, 20 . N o t ary Pu b li c f o r t h e S t a t e o f M o n t a n a (N o t ary Sea l ) R e s i d i n g A t : My C o m mi ss i o n E x p i res: CERT I F IC A T E OF SERVICE I, t h e u n ders i g n ed, do h ere b y cer t i f y u n der pe n a l t y o f per j ury t h at o n t h e day o f , 20, a copy of the foregoing was served by electronic means pursuant to LBR 9013 - on the following parties : See attached mailing matrix [ I n s ert t h e n a m e a n d addre s s o f ea c h i n d i v i dual o r e n t i t y s er v ed.] * The attached list will not be mailed out to creditors but will be on file with the United States Bankruptcy Court. A copy will be provided upon request. [Na m e o f pers o n cer t i f y i n g t h e m a i li n g] [Mu s t c o m p l y w i t h M o n t . L BR 9013 - 1 ( d) ( 2), b y re f l ec t i n g t h e n a m e a n d addre s s o f ea c h par t y s er v ed, a n d b y b e i n g s i g n ed u n der pe n a l t y o f per j ur y n d b y i de n t i f y i n g t h e d o cu m e n t s er v ed. A l l cred i t o rs a n d a n y par t i es reque s t i n g s pec i al n ot i ce s h o u l d b e ser v ed w i t h t h i s document . ] American LegalNet, Inc. www.FormsWorkFlow.com