Case File Request Form {CLF-201}

CLF 201 08/16/2012 UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF MISSISSIPPI TO: ATTN: CLERK OF COURT RECORDS MANAGER THIS IS TO REQUEST THAT THE FOLLOWING CASE FILE BE RETRIEVED FROM THE FEDERAL RECORDS CENTER. ONCE THIS FILE IS RECEIVED, YOU MAY CONTACT ME AT THE FOLLOWING ADDRESS AND/OR TELEPHONE NUMBER. I UNDERSTAND THAT SHOULD I NEED COPIES FROM THE FILE, AN ADDITIONAL CHARGE OF $.50 PER COPY IS REQUIRED AND SAID COPYING CHARGES MUST BE PAID IN ADVANCE OF RECEIVING ANY COPIES. ATTACHED IS THE REQUIRED RETRIEVAL FEE OF $53.00. REQUESTOR INFORMATION: NAME AND ADDRESS TELEPHONE NUMBER: DEBTOR INFORMATION: NAME OF DEBTOR(S) (AT TIME OF FILING) DEBTOR(S) SOCIAL SECURITY NO.: DEBTOR(S) ADDRESS (AT TIME OF FILING) CASE NUMBER (IF KNOWN) DATE ARCHIVED (IF KNOWN) DATED: SIGNATURE OF REQUESTOR ADDITIONAL COMMENTS: American LegalNet, Inc. www.FormsWorkFlow.com