Certified Copies Request Form {BTXN 212}

UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF TEXAS CERTIFIED COPIES REQUEST FORM Certified copies require a fee of $11.00 per certification, plus .50¢ per page. For example, if you need 2 documents certified, and each document is 2 pages long, then you will need to pay the court $24.00 ($22.00 for certification, $2.00 for copies) Please be sure to include the case number, debtor(s) name, docket entry number, and name of the document you need certified to ensure the clerk's office provides you with the correct documents. The clerk's office cannot certify copies made by another entity. Copies for any certifications MUST be made by the clerk's office. Please fill in ALL information in order for your request to be processed. Requestor's Mailing Address: (NOTE: Please include a self-addressed, stamped envelope for return of certified copies.) Name:_______________________________________ Address:_____________________________________ Phone Number:________________________________ Case No. Debtor(s) Name: Docket No. Name of Document You may bring your request in person, or you may mail it to the clerk's office. Your request will not be processed until payment for your order is received. Please include a firm check, cashier's check, or money order, made payable to Clerk, U.S. Bankruptcy court with your request. Cash in the exact amount is accepted when a request for certified copies is presented in person. Personal checks are accepted from a Debtor in the following instances only: Debtor has been discharged, or case has been closed. American LegalNet, Inc. www.FormsWorkFlow.com