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Creditor Filer Registration Form. This is a Arkansas form and can be use in USBC Eastern And Western Federal.
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Tags: Creditor Filer Registration Form, Arkansas Federal, USBC Eastern And Western
UNITED STATES BANKRUPTCY COURT EASTERN AND WESTERN DISTRICTS OF ARKANSAS CREDITOR FILER REGISTRATION FORM In accordance with General Order 22, entities that desire authorization to file claims and related documents electronically should complete this registration form. "Organization" is the name of the Creditor entity on whose behalf an employee or agent ("Filer") is to be issued a login and password and authorization to file electronically. Complete a separate form for each corporation or other distinct legal entity. ORGANIZATION INFORMATION Organization Name: ______________________________ Organization Tax ID#___________________________ Address: ______________________________________City/State/Zip: _______________________________________ Organization Contact Person: _________________________Organization Contact's Phone #______________________ AUTHORIZED FILER INFORMATION Authorized Filer's name: ______________________________Filer's E-mail: _________________________________ Filer's Address (if different than Org): _____________________________ City/State/Zip: _______________________ Filer's Phone #: ____________________________________ Fax #: _______________________________________ Other ECF Courts Filer is registered with: _____________________________________________________________ By submitting this registration form, the undersigned Creditor and filer agree as follows: 1) Rule 9011 of the Federal Rules of Bankruptcy Procedure and Official Form 10 require that every proof of claim be signed by the person authorized to submit the proof of claim for filing ("Responsible Person"). Creditor will direct each of its Filers and each of its Responsible Persons to read and to comply with the orders and procedural directions of the Court concerning the electronic filing of proofs of claim. Filer will check to be sure an image of the signature of the Responsible Person or "/s/ responsible person" is attached to or part of each proof of claim filed electronically. The unique password issued to a Filer registered to use the ECF system identifies that Filer to the court each time the Filer logs on to the ECF system. The use of a Filer's password serves as and constitutes the signature of the Filer for purposes of indicating an understanding of and agreement to comply with the orders and procedural directions of the court concerning the electronic filing of proofs of claim. Therefore, a Filer must protect and secure the password issued by the court. If any reason exists to suspect the password has been compromised in any way, it is the duty and responsibility of the Filer to notify the court immediately and the court will delete that password from the ECF system and issue a new password. 2) If the Filer ceases to be an employee of the Creditor on whose behalf the Filer was authorized to file or ceases for any reason to be authorized to file electronically for that Creditor, the Filer will immediately inform the Clerk of the Court in writing that the Filer is no longer an authorized Filer and will cease using the logon and password issued to that Filer. If any of the information provided by Filer on this form changes, Filer will promptly send an amended registration form to the Clerk with the then current information. Furthermore, if a Filer ceases to be an employee or agent of the Creditor or for any other reason ceases to be authorized to file electronically on behalf of the Creditor, the Creditor will promptly notify the Clerk. 3) The undersigned has read the Court's Administrative Procedures for Electronically Filed Cases and Related Documents. 4) To the extent permitted under the applicable federal rules, registration shall constitute a request and an agreement to receive service of pleadings and other papers electronically where service of pleadings and other papers is otherwise permitted by first class mail, postage prepaid. The undersigned certifies under penalty of perjury that he or she is properly authorized to submit this Creditor Registration Form on behalf of the Organization identified above. _________________________________________________ Filer's Signature _________________________________________________ Date Please mail to: Or Fax to: U.S. Bankruptcy Courthouse 300 W. 2nd Street Little Rock, AR 72201 (501) 918-5503 ___________________________________________ Signature of Organization Contact ___________________________________________ Organization Contact's position with the Creditor Entity For questions regarding creditor registration, call: (501) 918-5504 American LegalNet, Inc. www.FormsWorkFlow.com