Attorney or Party Name, Address, Telephone & FAX Nos., State Bar No. & Email Address / FOR COURT USE ONLY
Counsel of Record for Debtor
UNITED STATES BANKRUPTCY COURT
CENTRAL DISTRICT OF CALIFORNIA – LOS ANGELES DIVISION
In re: / CASE NO.:
CHAPTER 13
APPLICATION FOR SUPPLEMENTAL FEES
FOR DEBTOR’S COUNSEL OF RECORD
IN A CHAPTER 13 CASE
[LBR 3015-1(v)(2)]
No hearing unless requested [LBR 3015-1(w)(1)(D)]
Hearing Information [LBR 9013-1(d)]
DATE:
TIME:
CTRM: 1368, Roybal Federal Building
255 E. Temple St. Los Angeles, CA 90012
Debtor(s).

1. Notice of Application: Notice of this Application is being served on required parties via (check one):

F 9013-1.2.OPPORTUNITY.HEARING.NOTICE

F 9013-1.1.HEARING.NOTICE

2. Debtor’s Counsel of Record: Applicant is counsel of record for the above-named Debtor.

3. Advance Fee: Prior to fling this bankruptcy case, Applicant was paid an advance fee in the amount of $

4. Fee Agreement: Applicant entered into a fee agreement with the Debtor:

Rights and Responsibilities Agreement (RARA) (see docket # ): The fee agreed to is: $

Other Fee Agreement (attach a copy as Exhibit D):

5. Date of Order Confirming Plan: A Chapter 13 Plan was confirmed by order entered on (enter date): ,

or is set for a confirmation hearing on (enter date):

6. Fee Award at Confirmation: Applicant was awarded fees in the amount of $ in the order confirming plan.

7. Prior Applications: Applicant has made prior application(s) for supplemental fees as follows:

All prior application(s) have been ruled on by the court.

A prior application(s) has been made, and is still pending before the court. See docket #(s):

Total fees approved for Applicant (including pre-petition fees): $

Total fees paid to Applicant (including pre-petition fees): $

8. Current Application: Applicant has performed extraordinary services at the request of the Debtor and, pursuant to LBR 3015-1(v)(2), requests allowance and payment of the following fees and costs:

a.  Dates of Services: Start Date: End Date:

b.  Amount Requested: Fees: $ Costs: $ Total: $

c.  Amount from Prior Application: This application does not contain contains an amount that was part of a past application, docket entry # , in the amount of $ . The reason for the secondary request is:

d.  Statement of Services:

1. Presumptively Reasonable Fees. Of the fees requested in the application, $ is for services

specified in Court Manual section 2.9(b) “Fees for Additional Services Without Filing a Detailed Fee Application”

Details of the services provided, and the result of providing these services, are set forth in Exhibit A.

2. Hourly Fees. Of the fees requested in the application, $ is for services billed on an hourly basis.

Details of services provided, hours, who provided services, and the result of services, are set forth in Exhibit A.

e.  Declaration: Exhibit B is a declaration from the applicant, pursuant to LBR 2015-1(v)(2) and 9013-1(i), indicating that all services set forth in the statement of services were performed, and the result of the performance.

f.  LBR 2016-1(a)(1)(H) Statement: Exhibit C is a statement of education and experience of all persons who performed services for which payment is requested in this application.

9. Request: Based on the foregoing, Applicant requests the application be granted and an allowance of fees and costs

be made in the total amount of $ .

Date: Respectfully submitted,

.

Signature of (or on behalf of) Counsel of Record

.

Printed name of Signer


PROOF OF SERVICE OF DOCUMENT

I am over the age of 18 and not a party to this bankruptcy case or adversary proceeding. My business address is:

A true and correct copy of the foregoing document entitled: APPLICATION FOR SUPPLEMENTAL FEES FOR DEBTOR’S COUNSEL OF RECORD IN A CHAPTER 13 CASE will be served or was served (a) on the judge in chambers in the form and manner required by LBR 5005-2(d); and (b) in the manner stated below:

1. TO BE SERVED BY THE COURT VIA NOTICE OF ELECTRONIC FILING (NEF): Pursuant to controlling General Orders and LBR, the foregoing document will be served by the court via NEF and hyperlink to the document. On (date)

, I checked the CM/ECF docket for this bankruptcy case or adversary proceeding and determined that the following persons are on the Electronic Mail Notice List to receive NEF transmission at the email addresses stated below:

Service information continued on attached page

2. SERVED BY UNITED STATES MAIL:
On (date) , I served the following persons and/or entities at the last known addresses in this bankruptcy case or adversary proceeding by placing a true and correct copy thereof in a sealed envelope in the United States mail, first class, postage prepaid, and addressed as follows. Listing the judge here constitutes a declaration that mailing to the judge will be completed no later than 24 hours after the document is filed.

Service information continued on attached page

3. SERVED BY PERSONAL DELIVERY, OVERNIGHT MAIL, FACSIMILE TRANSMISSION OR EMAIL (state method for each person or entity served): Pursuant to F.R.Civ.P. 5 and/or controlling LBR, on (date) , I served the following persons and/or entities by personal delivery, overnight mail service, or (for those who consented in writing to such service method), by facsimile transmission and/or email as follows. Listing the judge here constitutes a declaration that personal delivery on, or overnight mail to, the judge will be completed no later than 24 hours after the document is filed.

Service information continued on attached page

I declare under penalty of perjury under the laws of the United States that the foregoing is true and correct.

Date Printed Name / Printed Name / Signature

This form is approved for use in cases presided over by the Honorable Vincent P. Zurzolo, United States Bankruptcy Judge

January 2017 Page 1 VZ APP.CH13.SUPP.FEES