WPC 0{.=&iZU\f2/=$|[P (1,B^S֩ӗ.EpT+q)q[NE]̉8ɘ`%aPyǩ4sIQ+7IfѲm$Dfd]椃fڣkQA{g. Ak4+,'z-,J4'?Kэ bե7R͉tj '4O4.7pn-}S W2}a[xѽ8 3P:=FTXվM72EP< $fmqwEsWEyfw*DaDz#.t"Rc= R3ێ^-~%7~Ͻ^gqs~#pMBiނ`J֮K$@S|j8UWy iDj @&v!i4.4;KXw+xlTg`iUS#R#|UNE % 0( UN U<  ^ K wW 4[ o ~ m N 1 72 1uR 72 0 c 1\ 72 0w   U@ B 0D D3-- 0K` 0Dqqqqqqqqqqqqqqqqqqqqqq AMhp LaserJet 1300 PCL 60(hH  Z6Times New Roman RegularX($(hH  Z 6Times New Roman Regular)\>  `$Dutch 801Roman{4 aQ}3|, 3|xU(5hCEKQW]cioAutoList11.1.1.1.1.1.1.1.1.3#37=CIQYag1.a.i.(1)(a)(i)1)a)i)(;3$2#  0  .3  0  0/CEKOU[agmAutoList21.&1.1.1.1.1.1.1.(O;$0  2#  a  .3  0` (#(#(9 Z(Times New Roman  d(3$ !   'dxd( $ Figure  1  Level 1Level 2Level 3Level 4Level 5(3$ !  -#,*A<< C !  _XX,hhXXForm3A , (04/06)  #XXhhc#XXXXXX  UnitedStatesBankruptcyCourt #XX#NXX @ #XXNn#YXX NorthernDistrictOfGeorgia #XXY#NXXXN  #XXX)#XXX#JbXH#Inre_______________________________________,     p   CaseNo.___________________       ` Debtor vJ      `     h      p   Chapter____________ : JbJb#XXJb#     `  #XXXXa#Թ  APPLICATIONTOPAYFILINGFEEININSTALLMENTS     FORINDIVIDUALSINCHAPTER7CASES     NXX0  X 1.  InaccordancewithFed.R._Bankr_.P.1006,andGENERALORDERNo.42005(_Bankr_.N.D.Ga.,October5,2005),Iapplyfor   permissiontopaythefilingfeeamountingto$_299.00_Ԁininstallments.^ 2 %%     2.  Iamunabletopaythefilingfeeexceptininstallments.    (/03! !"3"  3I2/  3  .3  0    I[_]have/[_]havenot/paidmoneyortransferredpropertytoanattorneyorbankruptcypetitionpreparerforservicesinconnectionwith   thiscase.3Iv݌%% Ќ  "3"  3 2/  4  .3  0    Iwillnotmakeanypaymentortransferanypropertyforservicesinconnectionwiththiscaseuntilthefilingfeeispaidinfull.3 ݌.%% Ќ  "3"  3 2/  5  .3  0    IacceptthefollowingtermsforthepaymentoftheFilingFee.3 8 ݌b%% Ќ    *0  FirstInstallmentofatleast$75.00withthefilingofthePetition.%%   *0  SecondInstallmentinanamountnotlessthanonethirdoftheunpaidbalanceofthefilingfeeshallbedueandpayableonor r before40daysfromthePetitiondate.N"%%   *0  ThirdInstallmentinanamountnotlessthanonethirdoftheunpaidbalanceofthefilingfeeshallbedueandpayableonor  before80daysfromthePetitiondate.%%   *0  FinalInstallmentshallequaltheremainingunpaidbalanceofthefilingfeeandshallbedueandpayableonorbefore120days ^2 fromthePetitiondatew N.%% 6.  IunderstandthatifIfailtopayanyinstallmentwhendue,mybankruptcycasemaybedismissedandImaynotreceiveadischargeofmydebts. f:  ___________________________________________ h     __________________________________________________________ " SignatureofAttorney `  Date   h     SignatureofDebtor     x  Date ^2#      `     h     (Inajointcase,bothspousesmustsign.) $ ___________________________________________ % NameofAttorney   `     h   0  __________________________________________________________V*&%%      `     h     SignatureofJointDebtor(ifany) x  Date ' Є   DECLARATIONANDSIGNATUREOFNONATTORNEYBANKRUPTCYPETITION(See11U.S.C.110)  N") ̀Ideclareunderpenaltyofperjurythat:(1)Iamabankruptcypetitionpreparerasdefinedin11U.S.C.110;(2)Ipreparedthisdocumentforcompensation  r+ andhaveprovidedthedebtorwithacopyofthisdocumentandthenoticesandinformationrequiredunder11U.S.C.110(b),110(h),and342(b);(3)if F! , rulesorguidelineshavebeenpromulgatedpursuantto11U.S.C.110(h)settingamaximumfeeforserviceschargeablebybankruptcypetitionpreparers,I ! - havegiventhedebtornoticeofthemaximumamountbeforepreparinganydocumentforfilingforadebtororacceptinganyfeefromthedebtor,asrequired "j!. underthatsection;and(4)Iwillnotacceptanyadditionalmoneyorotherpropertyfromthedebtorbeforethefilingfeeispaidinfull. >#"/ _________________________________________________________     p 0  ________________________________________$b#1%% PrintedorTypedNameandTitle,ifany,ofBankruptcyPetitionPreparer     p 0  SocialSecurityNo.(Requiredby11U.S.C.110.)6% $2%% Ifthebankruptcypetitionpreparerisnotanindividual,statethename,title(ifany),address,andsocialsecuritynumberoftheofficer,principal, %$3 responsibleperson,orpartnerwhosignsthedocument. &Z%4 ________________________________ '&6 ________________________________ &)'8 Address )(9 @*x________________________________________________________     p   ________________________________________ +*< SignatureofBankruptcyPetitionPreparer   h      p   Date#N w5# n,B+= w NNamesandSocialSecuritynumbersofallotherindividualswhopreparedorassistedinpreparingthisdocument,unlessthebankruptcypetitionprepareris -,? notanindividual:#N w#XN n.B-@ Ifmorethanonepersonpreparedthisdocument,attachadditionalsignedsheetsconformingtotheappropriate 0.B OfficialFormforeachperson. 0/C _Abankruptcypetitionpreparersfailuretocomplywiththeprovisionsoftitle11andtheFederalRulesof , BankruptcyProceduremayresultinfinesorimprisonmentorboth.11U.S.C.110;18U.S.C.156.#NX#