Free Summary Sheet (LBR 2016-1(b)) - Chapter 13 Debtor's Attorney - Hawaii

Attorney/Party Name, Address, Phone, Fax, E-mail:

For court use only

UNITED STATES BANKRUPTCY COURT DISTRICT OF HAWAII In re:

Case No. Chapter 13 Hearing Date: Time: Related Docket No.:

Debtor(s).

[if application filed separately]

LBR 2016-1(b) SUMMARY SHEET - CHAPTER 13 DEBTOR'S ATTORNEY Application for Compensation / Expenses: Applicant: Period for this Request [e.g., 1/1/2000 - 12/31/2002] Amt Rec'd Prepetition: $ Client Trust Acct Balance: Fees: $ Fees: $ Fees: $ $ Expenses: $ Expenses: $ Expenses: $ Yes No Interim ______ (1st, 2nd, etc.) Final

Previous Amounts Awarded by Court: Previous Amounts Received: Current Request (including any Hawaii excise taxes):

Effect on Plan: Will award as requested affect payments of secured and priority claims? (If yes, briefly summarize here; explain more fully in narrative.)

Total Plan Funding: Estimated Amount of Payments on General Unsecured Claims - Before Award: Amount of Award Being Requested: Estimated Amount of Payments on General Unsecured Claims - After Award: Professional Position Hourly Rate

$ $ $ $ Hours $ $ $ Fees

[Attach additional pages as necessary.] Dated:_________________________ _______________________________________ Applicant

hib_2016-1b13

12/03