Free B3 - Montana

Official Form 3 (12/03)

United States Bankruptcy Court
for the District Of Montana
In re _______________________________________, Debtor Case No. ___________________ Chapter ____________

APPLICATION TO PAY FILING FEE IN INSTALLMENTS
1. 2. In accordance with Fed. R. Bankr. P. 1006, I apply for permission to pay the Filing Fee amounting to $______________ in installments. I certify that I am unable to pay the Filing Fee except in installments.

3. I further certify that I have not paid any money or transferred any property to an attorney for services in connection with this case and that I will neither make any payment nor transfer any property for services in connection with this case until the filing fee is paid in full. 4. I propose the following terms for the payment of the Filing Fee.* $ _____________________ With the filing of the petition, or On or before ______________ $ _____________________ on or before ________________________________________ $ _____________________ on or before ________________________________________ $ _____________________ on or before ________________________________________ * The number of installments proposed shall not exceed four (4), and the final installment shall be payable not later than 120 days after filing the petition. For cause shown, the court may extend the time of any installment, provided the last installment is paid not later than 180 days after filing the petition. Fed. R. Bankr. P. 1006(b)(2). I understand that if I fail to pay any installment when due my bankruptcy case may be dismissed and I may not receive a discharge of my debts. ________________________________________________________ Signature of Debtor Date (In a joint case, both spouses must sign.) ________________________________________________________ Signature of Joint Debtor (if any) Date Check one

5.

___________________________________________ Signature of Attorney Date ___________________________________________ Name of Attorney

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------CERTIFICATION AND SIGNATURE OF NON-ATTORNEY BANKRUPTCY PETITION PREPARER (See 11 U.S.C. § 110) I certify that I am a bankruptcy petition preparer as defined in 11 U.S.C. § 110, that I prepared this document for compensation, and that I have provided the debtor with a copy of this document. I also certify that I will not accept money or any other property from the debtor before the filing fee is paid in full. ___________________________________________________ Printed or Typed Name of Bankruptcy Petition Preparer __________________________ Social Security No. (Required by 11 U.S.C. § 110(c).)

________________________________ ________________________________ Address Names and Social Security numbers of all other individuals who prepared or assisted in preparing this document:

If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person.

x__________________________________________________ Signature of Bankruptcy Petition Preparer

_____________________ Date

A bankruptcy petition preparer's failure to comply with the provisions of title 11 and the Federal Rules of Bankruptcy Procedure may result in fines or imprisonment or both. 11 U.S.C. § 110; 18 U.S.C. § 156.

Official Form 3 continued (9/97)

United States Bankruptcy Court
for the District Of Montana

In re _______________________________________, Debtor

Case No. ___________________

Chapter ____________

ORDER APPROVING PAYMENT OF FILING FEE IN INSTALLMENTS

IT IS ORDERED that the debtor(s) may pay the filing fee in installments on the terms proposed in the foregoing application. IT IS FURTHER ORDERED that until the filing fee is paid in full the debtor shall not pay any money for services in connection with this case, and the debtor shall not relinquish any property as payment for services in connection with this case.

BY THE COURT

Date: ____________________

_________________________________________ United States Bankruptcy Judge