This form is mandatory. It has been approved for use in the United States Bankruptcy Court for the Central District of California. June 2018 F 9036-1.1.DeBN.ACTIVATE UNITED STATES BANKRUPTCY COURT CENTRAL DISTRICT OF CALIFORNIA In re: CASE NUMBER: Debtor(s). DEBTOR222S REQUEST TO ACTIVATE ELECTRONIC NOTICING (DeBN) Debtor Electronic Bankruptcy Noticing (DeBN) is a voluntary program that enables a debtor to receive by email the orders and court-generated notices normally sent by U.S. mail to a mailing address. A debtor must complete and file this form with the court to activate a DeBN account. Joint debtors must each complete and file a separate form. ACTIVATION REQUEST Pursuant to Federal Rule of Bankruptcy Procedure 9036, I request that the court deliver orders and court-generated notices to my email address rather than by U.S. mail to my mailing address. DEBTOR222S NAME AND EMAIL ADDRESS My name is: My email address is : ( CAPITAL letters only ) C onfirm email address : ( CAPITAL letters only ) Select one: I am the Debtor in this bankruptcy case. The Debtor in this bankruptcy case is a corporation, partnership, or other legal entity, and I am the authorized representative. DEBTOR222S SIGNATURE 1.I understand that my request is limited to the email delivery of only orders and court-generated notices that are filedby the U.S. Bankruptcy Court. Documents filed by a bankruptcy trustee, creditors, and other parties that require serviceupon me must continue to be served by U.S. mail or in person as required by court rules.2.I understand that by requesting email notification, the court may establish my DeBN account and deliver to me, byemail, documents filed by the court in any current or future case from any bankruptcy court in which I am listed withthe same name and mailing address, including cases in which I am a creditor, plaintiff or defendant.3.I understand that I will be assigned a DeBN account number and my DeBN account will be activated after I complete,sign, and file this 223Debtor222s Request to Activate Electronic Noticing (DeBN)224 form.4.I understand that emails sent by the court's noticing center may arrive in my email spam folder and I should regularlycheck it for electronic delivery of my orders and court-generated notices. I understand further that my DeBN accountwill be deactivated by the court if an email is returned undelivered or 223bounces back,224 and the court will instead serveorders and court-generated notices delivered by U.S. mail to my mailing address.I have read and understand the requirements set forth above and I agree to the terms and conditions of the Debtor Electronic Bankruptcy Noticing (DeBN) program. I request delivery of orders and court-generated notices to my email address indicated above rather than to my mailing address. Date: Signature: