B2030 (Form 2030) (12 and 15) ,Disclosure of Compensation of Attorney for Debtor

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B2030 (Form 2030)  (12/15)	 	
  	
United States Bankruptcy Court  	
 	
_______________ District Of _______________  	
 
 
In re 
 
Case No. ___________________ 
 
Debtor            Chapter ____________________  
 
DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR  
 
1.   Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the above 
named debtor(s) and that compensation paid to me within one year before the filing of the petition in 
bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of the debtor(s) in 
contemplation of or in connection with the bankruptcy case is as follows:  
  For legal services, I have agreed to accept . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . $______________  
  Prior to the filing of this statement I have received  .  . . . . . . . . . . . . . . . . . . . . . . . $______________  
  Balance Due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________  
 
2.   The source of the compensation paid to me was:  
 	
  Debtor   	 Other (specify)   
 
3.   The source of compensation to be paid to me is:  
 	
  Debtor   	 Other (specify)  
 
4.  	
 I have not agreed to share the  above-disclosed compensation with any other person unless they are 
members and associates of my law firm.  
 
  I have agreed to share the above- disclosed compensation with a other person or persons who are not 
members or associates of my law firm. A copy of the agreement, together with a list of the names of the 
people sharing in the compensation, is attached.  
 
5.   In return for the above -disclosed fee, I have agreed to render legal service for all aspects of the bankruptcy 
case, including:  
 
a.  Analysis of the d ebtor' s financial situation, and rendering advice to the debtor in determining whether to 
file a petition in bankruptcy;  
 
b.   Preparation and filing of any petition, schedules, statements of affairs and plan which may be required;  
  c.  Representation of the debtor at the meeting of creditors and confirmation hearing, and any adjourned 
hearings thereof;

B2030 (Form 2030) (12/15)   	 	
d.  Representation of the debtor in adversary proceedings and other contested bankruptcy matters;  
 
e.  [Other provisions as needed]  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
6.   By agreement  with the debtor(s), the above -disclosed fee does not include the following services:  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 	
  	
CERTIFICATION	 	
 
       I certify that the foregoing is a complete statement of any agreement or arrangement for payment to 
me for representation of the debtor(s) in this bankruptcy proceeding.  
 	
______________________                                                                                                                
Date                                                            Signature of Attorney  
 
                                                                                                                                                            
                                                                   Name of law firm