Request For Payment Of Administrative Expense {H3070J}

Filer's Name, Address, Phone, Fax, Email: UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII 1132 Bishop Street, Suite 250 Honolulu, Hawaii 96813 hib_3070-2a2 (3/10) Debtor: Joint Debtor: (if any) Case No.: Chapter 13 REQUEST FOR PAYMENT OF ADMINISTRATIVE EXPENSE: COMPENSATION FOR DEBTOR'S ATTORNEY IN CHAPTER 13 CASE Instructions: Complete Part A for all requests, then either Part B, C, or D. Complete Part B for payment of initial fees to be paid through plan. Complete Part C for additional fees authorized under Chapter 13 Attorney Fee Guidelines. Complete Part D for fees awarded by order of the court, outside of Chapter 13 Attorney Fee Guidelines. A. The undersigned hereby requests payment through the plan for compensation and reimbursement for expenses under 11 U.S.C. § 503(b)(2) in the following amount $ based on the information below: B. Allowance authorized under Chapter 13 Attorney Fee Guidelines and plan confirmation order. 1. Amount agreed to by debtor(s) stated in Rights and Responsibilities of Chapter 13 Debtors and Attorneys filed in this case: $ $ $ $ 2. Less amount earned prepetition and paid to attorney prior to filing petition: 3. Less balance in client trust account, payable upon entry of confirmation order: 4. Balance to be paid through plan distributions following entry of confirmation order: C. Allowance of additional fees authorized under Chapter 13 Attorney Fee Guidelines. The undersigned certifies that these additional fees do not exceed guideline amounts and may be $ paid through plan distributions without further order for the following services: D. Compensation and reimbursement of expenses allowed upon application and order under LBR 2016-1(a). 1. Amount earned prepetition and paid to attorney prior to filing petition: 2. Less balance in client trust account: 3. Amount to be paid through plan (attach order on fee application as exhibit): Dated: ________________________ /s/_______________________________ Debtor's Attorney $ $ $ American LegalNet, Inc. www.FormsWorkFlow.com