Request For Special Charges By Chapter 11 Plan Proponent {CSD 1148}

CSD 1148 [01/31/07] UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF CALIFORNIA 325 West "F" Street, San Diego, California 91148-6991 REQUEST FOR SPECIAL CHARGES BY CHAPTER 11 PLAN PROPONENT PART I DATED: TO: FROM: To be completed by the (Attorney for) Plan Proponent and submitted not less than 21 days prior to plan confirmation hearing pursuant to Local Bankruptcy Rule 3020-1. Case Administrator , (Attorney for) Plan Proponent Case No.: CASE NAME: (If this case has been consolidated with any other case, list case names and numbers below. Continue on reverse side if necessary.) Confirmation Hearing set for: PART II To be completed by Case Administrator. AMOUNT DUE Deferred Adv. Pro. Filing Fees ($120 each filed prior to 12/18/96) Deferred Adv. Pro. Filing Fees ($150 each filed between 12/18/96 and 10/16/05) Deferred Adv. Pro Filing Fees ($250 each filed on or after 10/17/05) BALANCE DUE: $ $ $ $ ATTORNEY FOR PLAN PROPONENT: < Please return this form with your ORDER CONFIRMING CHAPTER 11 PLAN and a check made payable to the Clerk, U. S. Bankruptcy Court. If previously paid, please provide a copy of your receipt. < FAILURE TO SUBMIT THE FUNDS (OR RECEIPT COPY) MAY RESULT IN THE ORDER BEING RETURNED TO YOU UNSIGNED. DATED: Barry K. Lander, Clerk By: cc: Courtroom Deputy CSD 1148 , Deputy Clerk American LegalNet, Inc. www.FormsWorkflow.com