UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF FLORIDA ver. 2/1/11 APPLICATION FOR ATTORNEY PASSWORD & LOGIN FOR ELECTRONIC CASE FILING SYSTEM I, , swear or affirm that I am a member of the Bar in good standing of the United States District Court for the District of and am admitted to practice in the Northern District of Florida. By submitting this application and receiving a password, I agree to adhere to the court’s Standing Order and Administrative Procedures Authorizing Electronic Case Filing, and supplements and/or amendments thereto and the rules promulgated for the court’s Electronic Case Filing (ECF) system. I am providing the following information as a condition of receiving my login and password: First/Middle/Last Name: Bar ID Number: Firm Name: Mailing Address: Telephone Number: (include area code) FAX Number: Internet E-mail Address: G I am NOT a certified ECF user in another U.S. Court (Bankruptcy or District) G I am a certified ECF user in another U.S. Court (Bankruptcy or District) - Name of Court: Type of login requested (select only one): G debtor G creditor 1 NOTE: If access is required for both debtor and creditor work or for limited access , please contact Ne'Shoni Foulks at (850) 521-5011 or NeShoni_Foulks@flnb.uscourts.gov for the appropriate application form. I have read and understand the following rules: 1. I will employ the Electronic Case Filing System for cases filed in the United States Bankruptcy Court for the Northern District of Florida. 2. My office and I have an understanding of a windows-based word processing program, an internet based browser, and a program that allows for the viewing of PDF documents. We feel competent in creating or printing a document into a PDF format. 1 Limited access is available for non-attorneys to file documents such as proofs of claim, notices of appearance, and reaffirmation agreements. American LegalNet, Inc. www.FormsWorkFlow.com 3. I will attempt to adhere to all hardware and software requirements promulgated by the Court for system use. 4. Each use of my password for filing documents will meet the requirements of FRBP 9011. I understand that the use of my password constitutes my signature on the document being submitted for all purposes authorized and required by law, including, without limitation, the United States Code, Federal Rules of Civil Procedure, Federal Rules of Bankruptcy Procedure, and the Federal Rules of Criminal Procedure. 5. I understand that it is my responsibility to maintain in my records all documents bearing my original signature that are filed using my password, and all documents bearing the original signature of any signer on whose behalf I file the documents using my password, for a period of four years after the case or proceeding in which the documents have been filed has been closed. 6. Inasmuch as the combination of my identification with my password constitutes my signature, I agree to protect and secure the confidentiality of my password. If I believe that my password may have been compromised, it is my responsibility to immediately notify the court in writing. It is also my responsibility to immediately inform the court of any long-term change in my firm affiliation, address, telephone, fax or e-mail address. 7. I understand that the issuance of a password to me constitutes a waiver of conventional service pursuant to FRBP 9036 and the court’s electronic case filing general order. I agree to accept a Notice of Electronic Filing by hand, facsimile, first class mail or authorized e-mail in lieu of conventional service. In so doing, I also agree to maintain a current and active e-mail address to receive such notification. 8. Notwithstanding No. 6 above, in cases wherein service of documents filed electronically is required to be made on the United States and its agencies, corporations or officers, full compliance with rules 2002(j) and 7004(b)(4),(5)and(6) of the FRBP and Rule 4(I) and (j) of the FRCP is also required. Please send my password & login information: G via e-mail G via U.S. Mail Date: Attorney/Applicant Signature Sworn to or affirmed before me this State of County of day of , 20 . Notary Public Return completed applications to: U. S. Bankruptcy Court Attn: Ne'Shoni Foulks 110 E. Park Ave., Suite 100 Tallahassee, FL 23201 American LegalNet, Inc. www.FormsWorkFlow.com