UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF FLORIDA www.flsb.uscourts.gov COVER SHEET TO ACCOMPANY ITEMS SUBMITTED FOR SEALING OR IN CAMERA REVIEW Instructions: Items I through III must be completed by party submitting item for sealing or review. See Local Rule 5005-1(A)(4). I. CASE INFORMATION: Name of Case/Adversary Proceeding Case/Adversary # II. FILING INFORMATION: Chapter Name of Filing Party: Address of Filing Party: Phone # of Filing Party: Filed on behalf of: III. TYPE OF SUBMISSION: Submitted to: judge clerk's office intake sealed document and sealed unsealed motion to seal dated [If request is filed sealed, a notice of filing request to seal or conduct in camera review should accompany the sealed item.] . or sealed item pursuant to court order entered on IV. . [Attach notice of filing sealed item and a copy of order directing sealing (unless order is sealed also).] DISPOSITION: (To be completed by court or clerk's office staff) 1. 2. ID number assigned upon receipt: Action by Judge: Request to file as "sealed" has been granted by order dated [attached] Additional Instructions for clerk's office (not contained in order): seal motion/request and order (entries will only read "SEALED") transcripts of proceedings relating to matters under seal including transcripts of hearing, if any, at which request to file pleadings or other papers under seal is made. final disposition instructions unseal only pursuant to court order unseal at closing absent other disposition other instructions: Request to file as "sealed" has been denied by order. File request, order, item as unsealed return item to filer - docket request, order as sealed other: 3. Docket Entry Number Assigned: motion order . unsealed sealed item American LegalNet, Inc. www.FormsWorkFlow.com LF-72 (rev. 12/01/15)