AMENDED

B2030 (Form 2030) (12/15) 

United States Bankruptcy Court 

__________________________________

In re 

Case No. _______________ 

Debtor Chapter________________ 

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR 

1. Pursuant to 11 U .S.C. § 329(a) and Fed. Bankr. P. 2016(b), I certify that I am the attorney for the

above named debtor(s) and that compensation paid to me within one year before the filing of the

petition in bankruptcy, or agreed to be paid to me, for services rendered or to be rendered on behalf of

the debtor(s) in contemplation of or in connection with the bankruptcy case is as follows:

For legal services, I have agreed to accept . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________ 

Prior to the filing of this statement I have received. . . . . . . . . . . . . . . . . . . . . . . . $______________ 

Balance Due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $______________ 

2. The source of the compensation paid to me was:

 Debtor Other (specify) 

3. The source of compensation to be paid to me is:

 Debtor Other (specify) 

4. I have not agreed to share the above-disclosed compensation with any other person unless they

are members and associates of my law firm.

 I have agreed to share the above-disclosed compensation with a other person or persons who 

are not members or associates of my law firm. A copy of the Agreement, together with a list of the names 

of the people sharing the compensation is attached. 

5. In return of the above-disclosed fee, I have agreed to render legal service for all aspects of the

bankruptcy case, including:

a. Analysis of the debtor’s financial situation, and rendering advice to the debtor in determining

whether to file a petition in bankruptcy;

b. Preparation and filing of any petition, schedules, statements of affairs and plan which may be

required;

c. Representation of the debtor at the meeting of creditors and confirmation hearing, and any

adjourned hearings thereof;

FLAT FEE

RETAINER 

For legal services, I have agreed to accept a retainer of . . . . . . . . . . . . . . . . . . . . $______________ 

The undersigned shall bill against the retainer at an hourly rate of . . . . . . . . . . . $______________ 

[Or attach firm hourly rate schedule.] Debtor(s) have agreed to pay all Court 

approved fees and expenses exceeding the amount of the retainer.

Southern District of Florida

✔

13

2,500.00

20-13111

2,000.00

4,500.00

Raquel Mederos

Case 20-13111-RAM Doc 20 Filed 05/01/20 Page 1 of 3
AMENDED

B2030 (Form 2030) (12/15) 

d. [Other provisions as needed]

6. By agreement with the debtor(s), the above-disclosed fee does not include the following services:

Case 20-13111-RAM Doc 20 Filed 05/01/20 Page 2 of 3
AMENDED

CERTIFICATION

I certify that the foregoing is a complete statement of any agreement or arrangement for

payment to me for representation of the debtor(s) in this bankruptcy proceeding. 

_____________________ 

Date 

 _________________________________________ 

 Signature of Attorney 

 _________________________________________

Name of law firm 

6500 Cowpen Road

#101

Miami lakes, FL 33014

3058249800

jessica@richardadamslaw.com

Adams & Associates, P.A.

05/01/2020 /s/ Richard Adams, 770434

Case 20-13111-RAM Doc 20 Filed 05/01/20 Page 3 of 3