WPC Z02m~sѹeeniz:1I 78Ĕk`*L/au_qxnBN1ç)@VwaU!CkM=pؒ.&f+_q jQbim5D @|vwSR֩|(f=] 7: Yt\J aP"M FT0oA0_!gW[y9Yd6޵ <ŝYLFdjbNjwn,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 2420 PCL 60(hH  Z6Times New Roman RegularX($(hH  Z 6Times New Roman Regular)\>  `$Dutch 801Roman_?5 v-?|, 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 , _(11/11)_  #XXhhc#XXXX]XX  UnitedStatesBankruptcyCourt #XX]#HXX H #XXHÎ#XX NorthernDistrictOfGeorgia #XX#HXXXH  #XXXI#;XXX#JXh#Inre_______________________________________,     p   CaseNo.___________________       ` Debtor ~R      `     h      p   Chapter____________ B JJ#XXJ#     `  #XXXX#Թ  APPLICATIONTOPAYFILINGFEEININSTALLMENTS     FORINDIVIDUALSINCHAPTER7CASES     HXX0  X 1.  InaccordancewithFed.R._Bankr_.P.1006,andGENERALORDERNo.42005(_Bankr_.N.D.Ga.,October5,2005),Iapplyfor   permissiontopaythefilingfeeamountingto$306.00ininstallments.f : %%     2.  Iamunabletopaythefilingfeeexceptininstallments.    (/03! !"3"  3I2/  3  .3  0    I[_]have/[_]havenot/paidmoneyortransferredpropertytoanattorneyorbankruptcypetitionpreparerforservicesinconnectionwith &  thiscase.3Iv݌%% Ќ  "3"  3 2/  4  .3  0    Iwillnotmakeanypaymentortransferanypropertyforservicesinconnectionwiththiscaseuntilthefilingfeeispaidinfull.3 ݌6 %% Ќ  "3"  3 2/  5  .3  0    IacceptthefollowingtermsforthepaymentoftheFilingFee.3 8 ݌j%% Ќ    *0  FirstInstallmentofatleast$75.00withthefilingofthePetition.%%   *0  SecondInstallmentinanamountnotlessthanonethirdoftheunpaidbalanceofthefilingfeeshallbedueandpayableonor z before40daysfromthePetitiondate.V*%%   *0  ThirdInstallmentinanamountnotlessthanonethirdoftheunpaidbalanceofthefilingfeeshallbedueandpayableonor  before80daysfromthePetitiondate.%%   *0  FinalInstallmentshallequaltheremainingunpaidbalanceofthefilingfeeandshallbedueandpayableonorbefore120days f: fromthePetitiondate H.%% 6.  IunderstandthatifIfailtopayanyinstallmentwhendue,mybankruptcycasemaybedismissedandImaynotreceiveadischargeofmydebts. nB  ___________________________________________ h     __________________________________________________________ " SignatureofAttorney `  Date   h     SignatureofDebtor     x  Date f:#      `     h     (Inajointcase,bothspousesmustsign.) $ ___________________________________________ % NameofAttorney   `     h   0  __________________________________________________________^2&%%      `     h     SignatureofJointDebtor(ifany) x  Date ' Є   DECLARATIONANDSIGNATUREOFNONATTORNEYBANKRUPTCYPETITION(See11U.S.C.110)  V*) ̀Ideclareunderpenaltyofperjurythat:(1)Iamabankruptcypetitionpreparerasdefinedin11U.S.C.110;(2)Ipreparedthisdocumentforcompensation  z+ andhaveprovidedthedebtorwithacopyofthisdocumentandthenoticesandinformationrequiredunder11U.S.C.110(b),110(h),and342(b);(3)if N!" , rulesorguidelineshavebeenpromulgatedpursuantto11U.S.C.110(h)settingamaximumfeeforserviceschargeablebybankruptcypetitionpreparers,I ! - havegiventhedebtornoticeofthemaximumamountbeforepreparinganydocumentforfilingforadebtororacceptinganyfeefromthedebtor,asrequired "r!. underthatsection;and(4)Iwillnotacceptanyadditionalmoneyorotherpropertyfromthedebtorbeforethefilingfeeispaidinfull. F#"/ _________________________________________________________     p 0  ________________________________________$j#1%% PrintedorTypedNameandTitle,ifany,ofBankruptcyPetitionPreparer     p 0  SocialSecurityNo.(Requiredby11U.S.C.110.)>%$2%% Ifthebankruptcypetitionpreparerisnotanindividual,statethename,title(ifany),address,andsocialsecuritynumberoftheofficer,principal, %$3 responsibleperson,orpartnerwhosignsthedocument. &b%4 ________________________________ '&6 ________________________________ .)(8 Address )(9 @*x________________________________________________________     p   ________________________________________ +*< SignatureofBankruptcyPetitionPreparer   h      p   Date#H  5# v,J+=  HNamesandSocialSecuritynumbersofallotherindividualswhopreparedorassistedinpreparingthisdocument,unlessthebankruptcypetitionprepareris -,? notanindividual:#H  #XHԀXXIfmorethanonepersonpreparedthisdocument,attachadditionalsignedsheetsconformingto v.J-@ theappropriateOfficialFormforeachperson.Abankruptcypetitionpreparersfailuretocomplywiththe b/6.A p_rovisions_Ԁoftitle11andtheFederalRulesofBankruptcyProceduremayresultinfinesorimprisonmentor N0"/B both.11U.S.C.110;18U.S.C.156.#XX!##HX#