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Bankruptcy: Application To Pay Filing Fee In Installments

This form is an application to pay bankruptcy filing fees in installments or other terms. The form provided here is simply a sample of what the actual form looks like.

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.)

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