Form B3B
(12/07)
APPLICATION FOR WAIVER OF THE CHAPTER 7 FILING FEE
FOR INDIVIDUALS WHO CANNOT PAY THE FILING FEE
IN FULL OR IN INSTALLMENTS
The court fee for filing a case under chapter 7 of the Bankruptcy Code is $299.
If you cannot afford to pay the full fee at the time of filing, you may apply to pay the fee
in installments. A form, which is available from the bankruptcy clerk’s office, must be
completed to make that application. If your application to pay in installments is
approved, you will be permitted to file your petition, completing payment of the fee over
the course of four to six months.
If you cannot afford to pay the fee either in full at the time of filing or in installments,
then you may request a waiver of the filing fee by completing this application and filing
it with the Clerk of Court. A judge will decide whether you have to pay the fee. By law,
the judge may waive the fee only if your income is less than 150 percent of the official
poverty line applicable to your family size and you are unable to pay the fee in
installments. You may obtain information about the poverty guidelines at
www.uscourts.gov or in the bankruptcy clerk’s office.
Required information. Complete all items in the application, and attach requested
schedules. Then sign the application on the last page. If you and your spouse are filing a
joint bankruptcy petition, you both must provide information as requested and sign the
application.
B3B (Official Form 3B) (12/07) -- Cont.
United States Bankruptcy Court
_________ District of __________
In re: ___________________
Case No. ___________________
Debtor(s)
(if known)
APPLICATION FOR WAIVER OF THE CHAPTER 7 FILING FEE
FOR INDIVIDUALS WHO CANNOT PAY THE FILING FEE IN FULL OR IN INSTALLMENTS
Part A. Family Size and Income
1. Including yourself, your spouse, and dependents you have listed or will list on Schedule I (Current
Income of Individual Debtors(s)), how many people are in your family? (Do no