Bar Number: Phone: IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF TEXAS FORT WORTH DIVISION Revised 10/1/2016 IN RE: § CASE NO: § Debtor(s) § § § AUTHORIZATION FOR ADEQUATE PROTECTION DISBURSEMENTS DATED:____________ The undersigned Debtor(s) hereby request that payments received by the Trustee prior to confirmation be disbursed as indicated below: Periodic Payment Amount $ Disbursements First (1) Second (2) Account Balance Reserve $ $ Trustee Percentage Fee $ $ Filing Fee $ $ Noticing Fee $ $ Subtotal Expenses/Fees $ $ Available for payment of Adequate Protection, Attorney Fees $ $ and Current Post-Petition Mortgage Payments: CREDITORS SECURED BY VEHICLES (CAR CREDITORS): Adequate Adequate Scheduled Value of Protection Protection Name Collateral Amount Collateral Percentage Payment Amount $ $ 1.25% $ Total Adequate Protection Payments for Creditors Secured by Vehicles: $ CURRENT POST-PETITION MORTGAGE PAYMENTS (CONDUIT): Scheduled Value of Payment Amount Name Collateral Start Date Amount Collateral $ $ $
Bar Number: Phone: IN THE UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF TEXAS FORT WORTH DIVISION Revised 10/1/2016 IN RE: Debtor(s) § § § § CASE NO: § AUTHORIZATION FOR ADEQUATE PROTECTION DISBURSEMENTS DATED:____________ The undersigned Debtor(s) hereby request that payments received by the Trustee prior to confirmation be disbursed as indicated below: Periodic Payment Amount $ Disbursements First (1) Second (2) Account Balance Reserve $ $ Trustee Percentage Fee $ $ Filing Fee $ $ Noticing Fee $ $ Subtotal Expenses/Fees $ $ Available for payment of Adequate Protection, Attorney Fees and Current Post-Petition Mortgage Payments: $ $ CREDITORS SECURED BY VEHICLES (CAR CREDITORS): Name Collateral Adequate Scheduled Value of Protection Amount Collateral Percentage Adequate Protection Payment Amount $ $ 1.25% $ Total Adequate Protection CURRENT POST-PETITION MORTGAGE PAYMENTS (CONDUIT): Payments for Creditors Secured by Vehicles: $ Name Collateral Start Date Scheduled Value of Amount Collateral Payment Amount $ $ $
Authorization%20for%20Adequate%20Protection%20Disbursements.docx