UNITED STATES BANKRUPTCY COURT DISTRICT OF NEW JERSEY Caption in Compliance with D.N.J. LBR 9004-1(b) In Re: Case No.: Chapter: Judge: ____________________ ____________________ ____________________ APPLICATION REQUESTING REDACTION OF PERSONAL INFORMATION The undersigned is the _____________________________________________ in this matter. On ________________________ , a ________________________________________________ _____________________________________________________________________________ was filed containing personal identifiers as defined in Federal Rule of Bankruptcy Procedure 9037. 1 It is requested that the court permanently restrict the above document from view on its public docket. Under D.N.J. LBR 9037-1(a)(2), a redacted version of the document will be filed within 7 days. Date: _______________________ ______________________________ Signature rev.8/1/15 1 Applicants must indicate with specificity the document(s) they are seeking to redact. For example, Exhibit A to Certification in Support of Motion for Relief from the Automatic Stay. American LegalNet, Inc. www.FormsWorkFlow.com