Application for Individuals to Pay the Filing Fee in Installments

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By Form Number

Category:

Official Bankruptcy Forms

Petition Packages

Form Number:

B103A

Chapter Type:

Chapter 7

Chapter 11

Chapter 12

Chapter 13

Form URL:

https://www.uscourts.gov/sites/default/files/form_b103a.pdf

Upcoming

Pending Fed. R. Bankr. P. and Official Forms Amendments

Privacy Requirements for Filed Documents

To protect the privacy of individuals, certain personal data identifiers as listed below must be redacted before a document is filed with the Court (see Fed. R. Bankr. P. 9037). The Court will not review filed documents to ensure personal data identifiers are redacted.

United States Bankruptcy Court

Southern District of Florida

Scott M. Grossman, Chief Judge
Joseph Falzone, Clerk of Court

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Application for Individuals to Pay the Filing Fee in Installments

Social Security/ Tax Identification Numbers

Names of Minor Children

Dates of Birth

Financial Account Numbers