UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA ELECTRONIC CASE FILING SYSTEM ATTORNEY REGISTRATION FORM (Test System) To register for an account on the Court’s Electronic Filing System, please provide the information requested below. First/Middle/Last Name: Bar ID# and State: Law Firm Name: Firm Address: Voice Phone Number: FAX Phone Number: Internet E-Mail Address: By submitting this registration form, the undersigned agrees to abide by the following rules: 1) In naming fictitious debtors, creditors, attorneys and other persons, the undersigned will use good taste and will not knowingly use the name of a person or legal entity in a context that might be deemed scandalous or embarrassing or demeaning, disrespectful or libelous of such person or entity. The undersigned will not file any document in the test database that contains any matter that might be deemed scandalous or embarrassing or demeaning, disrespectful or libelous to any person or entity. 2) The unique password issued to an attorney registered to use the CM/ECF Test System identifies that attorney to the Court each time that the attorney logs on to the CM/ECF Test System. The use of an attorney’s password serves as and constitutes the signature of the attorney for purposes of Bankruptcy Rule 9011 on any document or pleading filed electronically in the test database using that attorney’s password. Therefore, an attorney 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 attorney to notify the Court immediately. The Court will American LegalNet, Inc. www.FormsWorkFlow.com thereafter immediately delete that password from the electronic filing test system and issue a new password. ___________________________________ Applicant’s Signature Address and telephone (if different from information provided above) ___________________________________ ___________________________________ ___________________________________ If you are already a registered CM/ECF Bankruptcy filer in another court, you will not have to go through a “Testing” phase to obtain a “Live” login and password to our database. To omit the “Testing” phase of our registration, please list the U.S. Bankruptcy court(s) below for which you are currently registered: _________________________________ ___________________________________ _________________________________ ___________________________________ _________________________________ ___________________________________ ___________________________________ Applicant’s Signature Please return to: American LegalNet, Inc. www.FormsWorkFlow.com