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LOCAL BANKRUPTCY FORM 2016-1
IN THE UNITED STATES BANKRUPTCY COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA IN RE: : : : : : CHAPTER ____ CASE NO. -bk-
Debtor(s)
SUMMARY COVER SHEET FEES AND EXPENSES APPLICATION a. Your applicant was appointed on based on an application filed b. c. Your applicant represents This application is a (state whether interim or final application). d. The total amount of compensation for which reimbursement is sought is ________ and is for the period from e. to _______________. and is for . . ,
The total amount of expenses for which reimbursement is sought is the period from to .
f. g.
The dates and amounts of any retainer received are ________________. The dates and amounts of withdrawals from the retainer by the Applicant are _________________.
h.
The dates and amounts of previous compensation allowed are: .
i.
The dates and amounts of previous compensation paid are: .
j.
There are/are no objections to prior fee applications of Applicant that have not been ruled upon by the Court in this bankruptcy case. Applicant's Signature
DATED: