Form MSSB-1320 (12/16) UNITED STATES BANKRUPTCY COURT Southern District of Mississippi Application For Search of Bankruptcy Records* Name of Individual or business that is the subject of the search: Social-Security No. or Individual Taxpayer-Identification No. (ITIN) of Subject: Employer Tax-Identification No. (EIN) (if any) of Subject: Please search your records for the following information regarding the individual or business name above: pending or closed bankruptcy case in this district; pending or closed adversary proceeding judgments/evidence of satisfaction of judgments; and other [describe briefly] Please search for the period from January 1, 1986 to A fee of $31.00 is charged for each name or item searched. Payment by check or money order must be enclosed. Please do not send cash through the mail. Name, Address, and Phone Number of the person requesting the search: Certificate of Search The undersigned clerk hereby certifies the following results of a diligent search of the records of the court: [Check only the items for which a search was requested and a fee paid.] A. Bankruptcy Cases: None found. Case filed on __________________________ (date). Voluntary Pending Involuntary Closed on ________________ (date). Discharge granted on ____________________ (date). B. Adversary Proceedings: None found. Subject is a party to the following proceeding: _________________________________________ (Plaintiff) v. ___________________________________ (Defendant) Adversary Proceeding No. ____________________, filed on _____________________ (date). Pending Closed on ______________ (date). Dismissed on ___________________ (date). Final Judgment entered on ____________________ (date). Case Number of Related Bankruptcy Case _____________________________ Date: _________________________ DANNY L. MILLER, Clerk of the Bankruptcy Court By:_____________________________, Deputy Clerk * This form may contain complete social-security numbers. It should not be filed electronically. American LegalNet, Inc. www.FormsWorkFlow.com