UNITED STATES BANKRUPTCY COURT Southern District of Mississippi In re: Debtor's Name Joint Debtor's Name Case No.: Chapter: Adv. Proc. No.: Plaintiff Defendant Request for Remote Electronic Access to Transcript Comes now the below assigned attorney/party and hereby certifies that payment has been made to the court reporter/transcriber for a transcription of a hearing/trial, and thus hereby request of the Court to gain remote electronic access to the following Transcript. Transcript (Adv. Docket Entry No.) Certification Requestor's Name Address City Phone Number: Date: State Zip Code E-mail Address: /s/ MS Bar No. MSSB-REA-ADV (Rev. 10/16) American LegalNet, Inc. www.FormsWorkFlow.com