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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) ) )

Case No. _________________

APPLICATION FOR INTERIM FINAL (Mark ONE) PROFESSIONAL COMPENSATION

Debtor(s)

The applicant, ____________________________________________, has performed professional services as a(n) _________________________________________ for the period from __________ to __________. Pursuant to 11 USC §§330 or 331, and LBR 2016-1, the applicant, by and through the undersigned, applies for compensation as marked above, and certifies the following is true and correct: 1. The applicant has received the following pre-filing compensation (indicate date, amount, payor, payor's relation to case, and description of all monies and any other consideration received):

2. Applicant requests allowance of compensation for: Professional Services of $_________________; Expenses of $_________________; for a Total of $_________________. 3. [If applicable] Applicant was appointed by court order entered on __________, per an Application for Employment filed on __________. The employment order did not specify a rate of compensation except as follows:

4. Applicant's prior requests for compensation in this case are as follows: Date of Application Amount Requested Fees Expenses Amount Allowed Fees Expenses Amount Received Fees Expenses Payment Source

TOTALS: $___________ $___________ $___________ $___________ $___________ $___________ 345 (10/15/08) Page 1 of 2

5. The applicant has not shared or agreed to share any compensation received or to be received for services rendered in connection with this case, except with a regular member, partner, or associate of Applicant's firm. 6. The rate of compensation, number of hours and requested fee for each person included in this application are summarized as follows: Timekeeper (name & initials) Title Hourly Rate Number Of Hours Requested Fee

7. [Schedules A, B & C apply only if compensation is sought under 11 USC §§330 or 331] Attached and incorporated herein by reference are the following schedules (check those that apply): Schedule A - A narrative summary of services provided including total hours and resulting benefits to the estate of each activity category. [Preferred, but only mandatory if application exceeds $3,000.] Schedule B - [If this is the First Application for Compensation] A brief narrative and itemization detailing all case-related PRE-PETITION fees. [Itemization mandatory; narrative mandatory if compensation requested exceeds $3,000.] Schedule C - An itemized billing setting forth a description of each event, including the date, amount of time spent, and name of the person performing each event. [Mandatory] 8. Applicant requests the following expense reimbursement: a. A total of $_________________ for expenses that fall within the limits set forth in LBR 2016-1 (no itemization required); AND b. Other (describe each in detail):

9. ADDITIONAL REQUIREMENTS for INTERIM compensation application: (a) a current Interim Report, on LBF #753 for Chapter 7 cases or LBF #1153 for Chapter 11 cases, must be filed with the court before this Application is filed; AND (b) a completed and served Notice of Intent to Compensate Professional(s) using LBF #753.40 must be filed, and linked to each pertinent Application if filed electronically, before the Application will be considered by the court. DATED: __________ ___________________________________________________________ Signature ___________________________________________________________ Signer's Name, Relation to Applicant, and Phone # ___________________________________________________________ Address ___________________________________________________________

345 (10/15/08) Page 2 of 2