In re _______________________________ Case No. _________________________

Chapter __________________________

1. In accordance with Fed. R. Bankr. P. 1006, I apply for permission to pay the Filing Fee amounting to $________ in installments.

2. I certify that I am unable to pay the Filing Fee except in installments.

3. I certify further that I have not paid any money or transferred any property to an attorney for services in connection with this case and that I will neither make any payment nor transfer any property for services in connection with this case until the filing fee is paid in full.

4. I propose the following terms for the payment of the Filing Fee.*

$ ________________ on or before ________________________________

$ ________________ on or before ________________________________

$_________________ on or before ________________________________

* The number of installments proposed shall not exceed four (4), and the final installment shall be payable not later than 120 days after filing the petition. For cause shown, the court may extend the time of any installment, provided that the last installment is paid not later than 180 days after filing the petition. Fed. R. Bankr. P. 1006(b)(2).

5. I understand that if I fail to pay any installment when due my bankruptcy case may be dismissed and I may not receive a discharge of my debts.

_________________________________________________ _______________________________________________________

Signature of Attorney Date Signature of Debtor Date

(In a joint case, both spouses must sign.)

_________________________________________________

Name of Attorney

_______________________________________________________

Signature of Joint Debtor (if any) Date

____________________________________________ ____________________________

Printed or Typed Name of Bankruptcy Petition Preparer Social Security Number

____________________________________________

____________________________________________

Address

Names and Social Security Numbers of all other individuals who prepared or assisted in preparing this document:

If more than one person prepared this document, attach additional signed sheets conforming to the appropriate Official Form for each person.

x___________________________________________ ____________________________

Signature of Bankruptcy Petition Preparer Date

K48

Form B3 continued

(9/97)

In re ___________________________ Case No. _____________________

Debtor

Chapter _____________________

It is ORDERED that the debtor pay the filing fees in the amount of $_______________ as follows:

$__________on or before________________________________________

$__________on or before________________________________________

$__________on or before________________________________________

It is further ORDERED that all payments be made at the office of the Clerk of the Bankruptcy Court and that, until the filing fees are paid in full, the debtor shall not pay, and no person shall accept, any money for services in connection with this case, and the debtor shall not relinquish, and no person shall accept, any property as payment for services in connection with this case. The entry of an order of discharge or confirmation shall be held in abeyance until the filing fees are paid in full.

BY:

Date:____________________________ ___________________________________

Deputy Clerk

____ United States Bankruptcy Court         ____ United States Bankruptcy Court

1101 O'Neill Federal Building                     211 Donohue Federal Building

10 Causeway Street                                    595 Main Street

Boston, MA 02222-1074                             Worcester, MA 01608-2076