Free 21 KB - Oregon

UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re ) ) ) ) ) ) Case No._______________ APPLICATION TO EMPLOY COLLECTION AGENCY, AND ORDER THEREON; NOTICE OF INTENT TO COMPENSATE COLLECTION AGENCY

Debtor(s)

The trustee applies to employ ___________________________________, a collection agency, whose address is _______________________________________________________________________, for the purpose of:

The approximate number, amounts, and age of accounts receivable to be collected are:

The trustee has taken the following previous action to attempt to collect these accounts:

The compensation and expenses of the collection agency will be:

The collection agency will submit reports to the trustee every __________________________ (specify period). To the best of the trustee's knowledge said collection agency has no connections with the entities listed in the verification below, except as described therein.

DATE: __________ 753.58 (12/18/06) Page 1 of 2

_________________________________ Trustee *** SEE NEXT PAGE ***

I, _________________________________, verify that neither I nor my agency has any connections with the debtor(s), creditors, U.S. Trustee, Asst. U.S. Trustee, any employee of either the U.S. Trustee or Asst. U.S. Trustee, any District of Oregon Bankruptcy Judge, any other party in interest, or their respective attorneys or accountants, except as follows:

_____________________________________________________ Applicant/Relation to Agency

IT IS ORDERED AND NOTICE IS GIVEN that employment of the above named collection agency is authorized and the trustee is authorized to compensate the collection agency within the above terms without further notice or court order after the agency files an appropriate report, unless within 22 days of the date in the "FILED" stamp on page 1 an interested party BOTH (1) files a written objection to the application, setting forth the specific grounds for such objection, with the Clerk of Court (i.e., if the 5-digit portion of the Case No. begins with "3" or "4", mail to 1001 SW 5th Ave. #700, Portland OR 97204; OR, if it begins with "6" or "7", mail to 405 E 8th Ave #2600, Eugene OR 97401), AND (2) serves a copy on the trustee at:________________________________________ ________________________________________________________________________________________. ###

753.58 (12/18/06) Page 2 of 2