U.S. District & Bankruptcy Court District of Idaho 550 W. Fort St MSC 039 Boise, ID 83724 Cover sheet for facsimile (fax) filings with the Court Fax: Telephone: (208) 334-9362 (208) 334-1361 From: ____________________________ Address: ____________________________ ____________________________ ____________________________ Telephone: ____________________________ Fax: ____________________________ The following transmittal consists of _____ pages, including this cover sheet. Title of Document to be filed: District Court: ________________________________________________ Case # ______________ Bankruptcy Court: Case # ______________ Case Title: ” Civil Case ” Criminal Case ” Main case ” Adversary Proceeding __________________________________________________________________ Additional Filing Instructions: ________________________________________________ ______________________________________________________________________________ Billing Information: (Must be filled out) ” Charge to my Credit Card # __________________________ Exp. Date:__________________ ” Visa ” Mastercard ” American Express ” Discovery ” Diners Club Name as it appears on Card: _____________________________ Billing Address: _____________________________ (Street Address) For internal use only Received______ Fees______ Filed______ American LegalNet, Inc. www.USCourtForms.com