UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov PLEASE REPLY TO: 301 N. Miami Ave., Room 150, Miami, FL 33128, (305) 714-1800 299 E. Broward Blvd., Room 112, Ft. Lauderdale, FL 33301, (954) 769-5700 1515 North Flagler Drive, Room 801, West Palm Beach, FL 33401, (561) 514-4100 ARCHIVES REQUEST FORM This form is used to request and retrieve archived personal, corporate and/or adversary proceeding cases from the Federal Records Center in Ellenwood, Georgia to the clerk's office. The file you have requested has been archived at the Federal Records Center in Ellenwood, GA. There is a $64.00 retrieval fee payable in advance for one box. Retrievals involving multiple boxes is $39.00 for each additional box. Payment by money order or check must be made payable to Clerk, U.S. Court. DO NOT SEND CASH THROUGH THE MAIL. The files are usually received within two weeks after the request has been processed. You will be notified of the arrival of the file via telephone or email. Files are automatically returned to the Federal Records Center in Georgia two weeks after their arrival. If the document is 100 pages or less, not sealed, restricted or requiring certification then it may be retrieved via SmartScan in Adobe Portable Document Format (PDF) via email. The service fee per document is $10.00 (Judiciary Administrative Fee) + $9.90 (FRC Fee) + $ 0.65 per PDF page. If your request is available through SmartScan, and would like to receive the document via email, we will contact you prior to processing the retrieval with the exact amount owed. SECTION A: Requested by: Address: FOR COMPLETION BY REQUESTOR (Please Print) Date: Email: ____ Phone: ( ) ______________ File Information Case number: Adv. No.:___________________ Applicable docket/claim entry number(s): ____________________________________________________ Document/Claim Description: Name: "MAKE SURE YOU HAVE ENCLOSED FEE" SECTION B: Accession # 021 Request verified by Express Acct# Date Rec'd Comments: / / - FOR CLERK'S OFFICE USE ONLY Loc. # Date / / Box # Amount Paid $ / / by SmartScan Receipt # G Yes G No Clerk RMS changed division Requested from FRC Notified via Email telephone forward to Request No. LF-88 (rev. 10/18/16) American LegalNet, Inc. www.FormsWorkFlow.com