MSSB-436-1 (12/16) United States Bankruptcy Court Southern District of Mississippi Audio Recording Order Section A Requestor's Name: Address: Email Address: City: Phone No.: State: Zip Code: Case Type: Case Number: Case Name: Bankruptcy Case Adversary Proceeding From: Date of Proceedings To: Presiding Judge Location of Proceedings Nature of Proceeding [Include Dkt. No.(s)] Time (Approximate Time Hearing Begun) Comments Section B Cost $31.00 $31.00 Media Type Digital Media Option Recordable Compact Disc - CD Electronic File delivered via email to: By signing below, I certify I will pay all incurred charges. Request Prepared By: Signature: Phone Number: Date: Court Use Only Fee $_______________ Paid on ____________________ Receipt # ________________________ Audio reproduced on _______________________________ by _______________________________________. Audio delivered to: __________________________________________________________________________ on ______________________. Additional Comments/Notes American LegalNet, Inc. www.FormsWorkFlow.com MSSB-436-1 (12/16) Instructions Use local form MSSB-436-1 to order an audio recording of a court proceeding. Complete a separate order form for each case number for which audio recordings are ordered. Complete Sections A and B. Do not complete sections reserved for the court's use. $31.00 for reproducing an audio recording of a court proceeding. Audio request filed electronically requires payment on-line by credit card at the time of filing. All other audio requests must be accompanied with the appropriate fee/s. Checks and money orders must be made payable to "Clerk, United States Bankruptcy Court". Pursuant to Miss. Bankr. L.R. 5001-1(f) checks or credit cards of the debtor will not be accepted. Form: Completion: Fee: Digital Media Options: In Section B select a media type. (Note: $31 charge applies for either option) Recordable Compact Disc - CD - The court will contact you when the audio recording is complete and make arrangements for pickup or delivery of the CD. Electronic File - Audio file will be delivered via email to the email address specified in Section B on the order form. (The court will notify you if the media file is too large to delivery via email.) Submitting Order Form ECF Filers: File the order form and pay the fee electronically via ECF docket event: Bankruptcy Case: Bankruptcy> Other>Transcript or Audio Reproduction Request (ECRO) Adversary Proceeding: Adversary> Other>Transcript or Audio Reproduction Request (ECRO) Non-ECF Filers: Submit the request and fee via mail or hand deliver to one of the offices below: Jackson: Clerk, U.S. Bankruptcy Court Southern District of Mississippi P.O. Box 2448 501 E. Court Street, Ste. 2.300 Jackson, MS 39225-2448 Phone: 601-608-4600 Gulfport: Clerk, U.S. Bankruptcy Court Southern District of Mississippi Dan M Russell, Jr. US Courthouse 2012 15th Street, Ste. 244 Gulfport, MS 39501 Phone: 228-563-1790 American LegalNet, Inc. www.FormsWorkFlow.com