U. S. BANKRUPTCY COURT NORTHERN DISTRICT OF GEORGIA REQUEST FOR TRANSMITTAL OF TRANSCRIPT (Please use one form for each separate matter.) I wish to obtain a transcript of the following: Date of Hearing or Trial: Time of Hearing or Trial: Debtor(s) Name: Case Number: Adversary Proc. No.: Judge: Title of Hearing or Trial: Request Type: Audio Transcript Fee: $3.00 per CD due at time of receipt. Written Transcript Fee & Delivery: Ordinary 14-Day Expedited Daily (30 day, (14 day, (07 day, (24 hour, $3.65 per page) $4.25 per page) $4.85 per page) $6.05 per page) (for estimation purposes, 1 hour = 45 pages)Transcriber: If purchasing an audio transcript of the hearing or trial identified above on a compact disc (CD), I understand that I will owe to the Clerk a fee of $3.00 per CD payable at the time the CD is made available to me. I understand that the Court222s Electronic Court Reporting software is manufactured by FTR Gold and that I may obtain a free player from that firm at its website www.fortherecord.com. If requesting a written transmittal, I understand that the Clerk will transmit the audio transcript to the transcription firm I have indicated but it is my responsibility to contact that firm and request that it prepare the transcript. I further understand that it is my responsibility to make arrangements with the transcriber for payment of service. Name: Non-attorneys: Please also include the name of attorney on whose behalf transcript is requested. Firm: Address: Telephone: E-Mail: Date: Signature Transcript Request Form updated American LegalNet, Inc. www.FormsWorkFlow.com