Application To Employ Professional {H2014}

H2014 (3/16) Filer's Name, Address, Phone, email: UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII 1132 Bishop Street, Suite 250, Honolulu, Hawaii 96813 Debtor(s): Case No.: APPLICATION TO EMPLOY PROFESSIONAL [Attach the professional's verification of disinterestedness and any necessary supplemental statements.] Name of Professional: Type of Professional: To be employed by: Trustee Debtor in Possession Committee: Briefly state need for employment and describe services to be rendered: If checked, employment is for specified special purpose under 11 U.S.C. § 327(e). Reason for selecting this professional: Terms and conditions of employment: The undersigned hereby applies for an order approving employment of the above-named professional as described above. To the best of the applicant's knowledge: [Check all that apply] This professional does not hold or represent an interest adverse to the estate, and has no connection with the debtor(s), creditors, any other party in interest, their respective attorneys and accountants, the United States Trustee, or any person employed in the Office of the United States Trustee, except to the extent described in any statement attached to this application. Employment of this attorney is for a special purpose only; s/he does not represent or hold any interest adverse to the debtor(s) or to the estate with respect to this employment. Employment is by a committee; the professional does not represent any other entity having an adverse interest in connection with the case. Date: ______________________________ /s/________________________________ Applicant [Print name and sign] American LegalNet, Inc. www.FormsWorkFlow.com H2014 (3/16) VERIFIED STATEMENT BY PROFESSIONAL [Attach this statement to the Application to Employ Professional. If filed separately, attach a cover sheet.] I have no connection with the debtor(s), creditors, any other party in interest, their respective attorneys and accountants, the United States Trustee, or any person employed in the Office of the United States Trustee, except to the extent that I may be employed by a trustee in unrelated bankruptcy cases or proceedings. I am an attorney being employed for a special purpose only and do not represent or hold any interest adverse to the debtor(s) or to the estate with respect to this employment. I am being employed by a committee and do not represent any other entity having an adverse interest in connection with this case. The following disclosure is made regarding disinterestednesss: Date: ______________________________ /s/________________________________ Professional [Print name and sign] American LegalNet, Inc. www.FormsWorkFlow.com