CM ECF Limited Use Registration {NVB 5005.4}

UNITED STATES BANKRUPTCY COURT DISTRICT OF NEVADA CM/ECF LIMITED USE REGISTRATION This form is to be used to register for LIMITED FILING PRIVILEGES for filing proofs of claim,assignments or transfers of claims and requests for notice to be added to the mailing list.The following information is required for CM/ECF registration: Contact Information Name (First, Middle, Last): _______________________________________________Agency/Company:______________________________________________________E-Mail Address: Street Address: _______________________________________________________ _______________________________________________________Phone Number: __________________ Fax Number: ____________________Does your agency e-file in any other U.S. Bankruptcy Courts? ______ If so, where:____________________________________________________________________Designated ECF contact person: Phone Number: __________________ E-Mail Address: __________________ By signing and submitting this registration form, I agree to abide by the followingrequirements: 1. Signatures on proofs of claim shall be indicated by /s/ and the typed name of the person signing in the following format: /s/ Janet Smith on the signature line. I understand that use of my Limited Use password to file a document in the record of a bankruptcy case will constitute my signature for all purposes authorized and required by law, including, without limitation, the United States Code, Federal Rules of Civil Procedure, Federal Rules of Bankruptcy Procedure, Federal Rules of Criminal Procedure and any applicable non bankruptcy law. -1- <<<<<<<<<********>>>>>>>>>>>>> 22. The login and password for filing via the Internet shall be used exclusively by me and by any of my employees to whom I give authorization. All proofs of claim or other documents filed using my password will contain my signature as set forth above.3. I agree to abide by all of the requirements set forth in Administrative Order 02-1 Procedures for Electronic Case Filing posted at www.nvb.uscourts.gov and any changes or additions that later may be made. Date: ______________________ _______________________________ _ SignaturePlease return to: Clerk, United States Bankruptcy Court The Clifton Young Federal Building 300 Booth Street Room 1109 Reno, NV 89509 Attn: CM/ECF DQA/Trainer 1/04 -2-