Name ofAttorney

Office MailingAddress

Telephone Number

Facsimile Number

E-MailAddress

State BarI.D.Number

(Attorney for )

IN THE UNITED STATES BANKRUPTCY COURT

FOR THE DISTRICT OF MONTANA

IN RE:
,
,
Debtors. / Case No.
* ______APPLICATION FOR PROFESSIONAL FEES AND COSTS [* Indicate Whether Interim or Final Application]

The undersigned professionalherebymakesapplicationforapprovalofanawardoffees inthe amountof$ andcosts inthe amountof$ ,andin supportofthisapplicationrespectfullyrepresents:

1.This case wascommenced on .

2.Applicantfiled anapplicationforappointmentas______[describe profession]for ______[describe identityofpartyrepresented;e.g., estate/debtorinpossession/committee ofunsecured creditors]on: ______.

3.Anorderappointingapplicantwasenteredbythe Courton .

4.Professionalserviceswere commenced on .

5.This applicationis the [1st,2nd,etc.] applicationfiled byapplicantin this proceeding,andthe followingis a complete schedule ofallpriorapplications submitted to the Courtforapproval:

Date Filed / AmountRequested / Date Approved / AmountApproved

TotalAmountPreviouslyApproved: $

6.To date, applicant has received as compensation the following amounts from the following sources:

Date Received / AmountReceived / SourceofPayment

TotalAmountReceived: $

7.This applicationis based onthe performance ofprofessionalservicesbythe following individuals atthe ratesandforthe numberofhours described below:

Individual / TotalHours / HourlyRate / Compensation

TotalCompensationRequested: $

8.The compensation requested is based on the customary compensation charged by comparably skilled practitioners in cases other than cases under the Bankruptcy Code. [If not, state the reason for any deviation from such standard.]

9.Applicant certifies that none of the compensation or reimbursement for costs applied for in this application will be shared with any entity in violation of 11 U.S.C. § 504.

10.Attached are complete time records detailing each service performed by date, description, and the number of hours expended, under the appropriate project categories (if applicable under Mont. LBR 2016-1), for which compensation is requested.

11.Attached is a complete accounting for all costs incurred for which reimbursement is requested.

12.The amount of costs were computed utilizing the following methods of allocation:

[Example]

(Copiesarechargedatthe rate of$.10each.)

(Longdistance calls arechargedatactualcost.)

(Mileage is chargedatfederalallowed permile rate.)

13.In addition to the payments already received, applicant has been promised the following payment for servicesinconnectionwiththiscase:

AmountPromised / IdentityofPromisor / Conditions/Terms

14.Case Status: [Insert relevant information required by Section II.B of the United States Trustee Guidelines, as set forth in the Appendix to the Montana Local Bankruptcy Rules.]

15.______[Name of person on whose behalf applicant is employed] has been given the opportunity to review this application and [approves/does not approve] the requested amount.

WHEREFORE,applicantprays thatthis CourtenteranOrderawardingapplicant reasonable professional feesinthe amountof$ andreimbursementofcosts and expensesinthe amountof$ .

DATED this ____ day of______, 20___.

______

[Name of Applicant]

______

[Name ofattorney]

Attorneyfor Debtor(s)/Trustee

CERTIFICATEOF SERVICE

I,the undersigned, doherebycertifyunderpenaltyofperjury thatonthe ___ dayof ______,20___,a copy of the foregoing was served by electronic means pursuant to LBR 9013-1(d)(2) on the parties noted in the Court’s ECF transmission facilities and/or by mail on the following parties:

See attached mailing matrix [Insertthe name andaddress ofeach individualorentityserved.]

*The attached list will not be mailed out to creditors but will be on file with the United States Bankruptcy Court. A copy will be provided upon request.

______

[Name ofpersoncertifyingthe mailing]

[Mustcomplywith Mont.LBR9013-1(d)(2),byreflectingthe name andaddress ofeach partyserved,andbybeingsigned “underpenaltyofperjury” andbyidentifyingthe document served. PursuanttoRule 2002(a)(6),Fed. R. Bankr. P.,notice ofa hearingonanApplicationseeking compensationorreimbursementofexpensesexceeding$1,000shouldalsobe served uponthe debtor,allcreditors,anycommittee,andotherpartiesininterestrequestingspecialnotice. Mont. LBR2002-4requires the service ofa Notice ofApplicationforProfessionalFeesandCosts (Mont.LBF18)uponallcreditors,committees,andotherpartiesininterestrequestingspecial notice,disclosingthatthe applicanthasfiled anApplicationforProfessionalFeesandCosts,when the amountofsuchfeesandcosts exceeds $1,000.]