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UNITED STATES BANKRUPTCY COURT DISTRICT OF OREGON In re: ) ) ) ) ) Case No._______________ APPLICATION TO EMPLOY ATTORNEY ON CONTINGENT FEE BASIS; AND ORDER AND NOTICE THEREON

Debtor(s)

1. The trustee applies to employ ________________________________________, OSB#_________, whose address is _______________________________________________________________________________, to provide the following services:

2. The terms of the attorney's contingent fee agreement are:

3. The contingent fee is appropriate because:

4. The details of any settlement offers to date are:

753.95 (12/18/06) Page 1 of 2

*** SEE NEXT PAGE ***

5. To the best of the trustee's knowledge said attorney has no connections with the entities listed in the verification below, except as described therein. DATE: __________ _________________________________ Trustee

I, the attorney named above, verify that I will be the trustee's attorney of record; I have read 11 U.S.C. §101(14) and §327, and FRBP 2014(a); and my firm has no 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:

_________________________________ Attorney Signature

IT IS ORDERED AND NOTICE IS GIVEN that employment of the above named attorney is authorized on the contingent fee basis stated in pt. 2 above, unless within 22 days of the date in the "FILED" stamp on page 1 an interested party BOTH (1) files a written objection to such employment on the above terms, 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 __________________________________ ________________________________________________________________________________________. ###

753.95 (12/18/06) Page 2 of 2