On or about _________ , in the __________ District of ____________, JOHN DOE, defendant herein and attorney for Richard Roe, debtor in Case No. ____________, knowingly and fraudulently entered into an agreement with Richard Roe for Richard Roe to pay him $5,000 from assets of the estate for his services, all without the approval of the court.
All in violation of 18 U.S.C. § 155.
[cited in USAM 9-41.001]