BANKRUPTCY:
APPLICATION TO PAY FILING FEE IN INSTALLMENTS
UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF :
_____________________________________________
IN RE:
___________________________________________________________________,
Debtor: ____________________________________________
Application to Pay Filing Fee in
Installments:
1. Applicant files herewith
a petition commencing a voluntary (or joint) case under Title 11, United States
Code.
2. Applicant is unable to
pay the filing fee except in installments.
3. Applicant proposes to pay such fees to the clerk
of the Bankruptcy Court on the following terms:
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
4. Applicant has not paid
any money or transferred any property to applicant's attorney for services in
connection with this case or any pending case under Title 11, United States
Code, and applicant will not make any payment or transfer a property to his
attorney for such services until the filing fee is paid in full.
WHEREFORE, applicant prays that he be permitted to
pay the filing fee in installments.
Dated: ____________________________________
Signed
__________________________________________________________ Applicant
Address_______________________________________________________________
(Note: Only an individual debtor in a voluntary
case, or individual debtors filing a joint petition may pay the fee in
installments.)