Consent For Electronic Notice And Service {9036-1.1}

L.B.F . 9036 - 1.1 (12/18 ) Page 1 Fill in this information to identify your case UNITED STATES BANKRUPTCY COURT DISTRICT OF COLORADO Debtor 1 : Case #: First Name Middle Name Last Name Debtor 2: Chapter : First Name Middle Name Last Name Local Bankruptcy Form 9036 - 1.1 Consent for Electronic Notice and Service in a Bankruptcy Case Complete applicable sections. I [name and party type, e.g. John Smith, Debtor] hereby consent to receive notices electronically (i.e., by e - mail at : [email address] ) and waive my right to receive them by United States mail. I also consent to electronic service of any motions and other documents that may be filed in this case, and waive personal service or service by United S tates mail. Finally, I consent to electronic service and notice of any orders or judgments entered in this case, and waive service and notice by United States mail. I understand that by signing this form I waive my right to receive documents filed or ser ved in my bankruptcy case by United States mail, and that the ONLY copies I receive will be electronic copies attached to e - mail messages, not paper copies. I understand I have only one free look at any orders, notices, motions, and other documents sent t o my e - mail. It is my responsibility to print or download documents immediately. I understand any additional document view(s) or download(s) after the first free look will require a PACER account ( www.pacer.gov ) and I may be charged a fee. Dated: By: Signature Mailing Address: Telephone number: Facsimile number: E - mail address: Part 1 Consent Part 2 Signature www.FormsWorkflow.com