Case details
Debtor 1 and Debtor 2 names, the bankruptcy court district, the case number if known, and a box to mark an amended filing.
B 103A
Application for Individuals to Pay the Filing Fee in Installments
- Agency
- U.S. Courts
- Revision
- 12/15
- Fillable fields
- 37
- Pages
- 2
- Official source
- U.S. Courts form page
- Checked
- October 20, 2026
Form B 103A: Application for Individuals to Pay the Filing Fee in Installments
Form B 103A, printed as Official Form 103A, is the Application for Individuals to Pay the Filing Fee in Installments. It is an Official Bankruptcy Form from the U.S. Courts for individuals filing under Chapter 7, 11, 12 or 13 who state they are unable to pay the full filing fee at once. The application proposes up to four payments, and the court then sets the final payment timetable.
The form says the entire fee is due no later than 120 days after the case is first filed, unless the court later extends the deadline, and that debts are not discharged until the entire fee is paid. The voluntary petition, Form B 101, points to this application on line 8 for anyone choosing to pay the fee in installments.
You can fill it out free in your browser on this page and download the result without an account.
What's on Form B 103A
Part 1, line 1: chapter
Check Chapter 7, 11, 12 or 13 of the Bankruptcy Code.
Part 1, line 2: payment timetable
Up to four proposed payments, the first with the filing of the petition and the rest on or before dates you choose. The form says the dates are to be business days and the total equals the entire fee.
Part 2: sign below
Signatures and dates for Debtor 1, Debtor 2 and the attorney, if one was used, under a statement about paying the fee before paying others, the 120-day deadline and missed payments.
Order page
The second page is the court's Order Approving Payment of Filing Fee in Installments. The judge either approves the proposed terms or sets different amounts and dates.
How to fill out Form B 103A
- 1
Identify the case
Enter the debtor names, the bankruptcy court district and the case number, if known.
- 2
Choose the chapter
Check the chapter of the Bankruptcy Code the case is filed under in line 1.
- 3
Propose up to four payments
List each amount and date. The first is paid with the filing of the petition. The form says the proposal covers the entire fee no later than 120 days after filing.
- 4
Read the statement and sign
Each debtor signs and dates Part 2. An attorney, if one was used, also signs.
- 5
Attach it to the petition
Form B 101, line 8, says to sign and attach this application when choosing to pay in installments.
- 6
Receive the court's order
If the court approves the application, the form says the court will set the final payment timetable, using the order page.
Why fill Form B 103A on indox
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Fees, deadlines and payments
Fee amount
The form does not list fee amounts; the total equals the entire fee for the chapter checked, which the court sets. Form B 101 says to check with the clerk's office in your local court for details about how you may pay.
120-day deadline
The form says the entire fee is paid no later than 120 days after the bankruptcy is first filed, unless the court later extends the deadline.
Missed payments
The form says that if a payment is not made when due, the bankruptcy case may be dismissed and rights in other bankruptcy proceedings may be affected.
Paying others
Until the fee is paid in full, the form says no more payments or property transfers go to an attorney, bankruptcy petition preparer or anyone else for services in connection with the case.
Discharge
The form says debts are not discharged until the entire fee is paid.
Official form
The U.S. Courts page calls this an Official Bankruptcy Form, approved by the Judicial Conference and used under Bankruptcy Rule 9009, that may be altered as described on its Permitted Changes page. It is effective on December 1, 2015.
Related forms
Who uses Form B 103A?
The form is for individual debtors who ask to pay the bankruptcy filing fee over time instead of all at once.
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Questions about Form B 103A
How many installments can Form B 103A propose?
Up to four. The first is paid with the filing of the petition and the others on or before dates you choose. The form says to make sure all dates are business days.
When is the full filing fee due?
The form says the entire fee is due no later than 120 days after you first file for bankruptcy, unless the court later extends the deadline.
Who decides the final payment schedule?
The court. The order page lets the judge approve the proposed terms or set different amounts and dates.
What happens if a payment is missed?
The form says the bankruptcy case may be dismissed, and rights in other bankruptcy proceedings may be affected.
Can an attorney be paid while the fee is in installments?
The form says the entire filing fee is paid before any more payments or property transfers to an attorney, bankruptcy petition preparer or anyone else for services in connection with the case.
Does Form B 103A show the filing fee amount?
No. The total equals the entire fee for the chapter checked in line 1, and the court sets that fee. Form B 101 says to check with the clerk's office in your local court about how to pay.
Can the filing fee be waived instead?
Form B 101 lists a fee waiver request as a separate option that it says applies only to Chapter 7, using Official Form 103B. It also says a judge may, but is not required to, waive the fee.