APPLICATION TO PAY FILING FEE IN INSTALLMENTS
UNITED STATES BANKRUPTCY COURT FOR THE DISTRICT OF :
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
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.
(Note: Only an individual debtor in a voluntary case, or individual debtors filing a joint
petition may pay the fee in installments.)