B2030 (Form 2030) (12/15)

United States Bankruptcy Court

Southern District of Florida

In re Charles A Fiscina Case No.

Debtor(s) Chapter 7

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)

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:

 FLAT FEE

For legal services, I have agreed to accept $ 1,250.00

Prior to the filing of this statement I have received $ 1,250.00

Balance Due $ 0.00

 RETAINER

For legal services, I have agreed to accept and received 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.

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 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 in the compensation is attached.

5. In return for 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, statement 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;

d. [Other provisions as needed]

Negotiations with secured creditors to reduce to market value; exemption planning; preparation and filing of

reaffirmation agreements and applications as needed; preparation and filing of motions pursuant to 11 USC

522(f)(2)(A) for avoidance of liens on household goods.

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

Representation of the debtors in any dischargeability actions, judicial lien avoidances, relief from stay actions or

any other adversary proceeding.

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Case 21-21454-EPK Doc 5 Filed 12/03/21 Page 1 of 2
In re Charles A Fiscina Case No.

Debtor(s)

DISCLOSURE OF COMPENSATION OF ATTORNEY FOR DEBTOR(S)

(Continuation Sheet)

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.

December 3, 2021 /s/ Drake Ozment

Date Drake Ozment 844519

Signature of Attorney

Ozment Law, PA

2001 Palm Beach Lakes Blvd.

Suite 500

West Palm Beach, FL 33409

(561)689-6789 Fax: (561)689-6767

ecf@drakeozment.com

Name of law firm

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Case 21-21454-EPK Doc 5 Filed 12/03/21 Page 2 of 2