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.)