UNITED STATES BANKRUPTCY COURT    

EASTERN DISTRICT OF NEW YORK

‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑‑X         

In the Matter of

 AFFIRMATION

 

Debtor(s),                                                                            Chapter 7
 

:

CASE NO. 802‑86559‑478

 

TO THE HONORABLE      

UNITED STATES BANKRUPTCY JUDGE             

 

                                   , an attorney duly admitted to practice law in the courts of the State of New York, affirms the following to be true under penalty of perjury:

 

l.          I am a member of the firm of                                               , and am fully familiar with the matter entitled                       , Plaintiff(s) v.                        , Defendant(s), which matter is currently pending in the Supreme Court of the State of New York, County of            under index number                .

 

2.         I have reviewed the statements set forth in the annexed application, and they are true to the best of my knowledge, information and belief.

 

3.       On                   , 2003, the debtor                        retained                       as counsel to represent her (him/them) in the above‑mentioned action, which action was commenced prior to the filing of this bankruptcy proceeding.

 

4.                                         , is being retained by the trustee on a contingency fee basis after the reimbursement of expenses, which fee is subject to an award of compensation being fixed by the bankruptcy court upon proper application to the Court.

 

5.         No other person has agreed to a division of compensation, and your deponent has not agreed to a division of compensation with any other person.

 

6.         The undersigned has fully complied with all requirements and has not violated 11 U.S.C. Section 504 or 18 U.S.C. Section 155.

 

7.         The undersigned is the attorney who will bear primary responsibility for the representation whose authority is sought herein.

 

Debtor(s)                                             Case No.:                     ---------------------------------------------------------------X

 

 

8.         The undersigned has read and is generally familiar with the Bankruptcy Code together with current amendments, The Bankruptcy Rules, and the Local Rules of this Court.

 

9.         The undersigned is competent to represent the interest of the entity on whose behalf representation is now sought in all proceedings now pending or which may reasonably be expected.

 

10.       The members and associates of                              , do not have any ‑  connection with the debtor(s) except as counsel in the negligence action, nor do they have any connection with the creditors of the estate or with any other party in interest, and are disinterested person as that term is defined in Section 101(14) of the Bankruptcy Code.

 

Dated:   CITY, STATE                       , 2003