NATIONAL ARCHIVES AND RECORDS ADMINISTRATION P.O. BOX 6216 501 W. Felix, Bldg. 1, Dock 1 FORT WORTH, TEXAS 76115 FAX: 817-334-5630 Clear Form REQUEST FORM for BANKRUPTCY CASES RETURNED by [ ] MAIL or [ ] FAX (Check One) Please follow the steps below to obtain photocopies of your desired BANKRUPTCY request. Payment by check, money order or major credit card. STEP 1 CASE INFORMATION- For each case obtain the information (for the boxes below) FROM THE BANKRUPTCY COURT where the case was closed. Your request cannot be serviced without the correct information in each of these blocks. Please use one form per case. Orders will not be taken by phone. CITY WHERE COURT IS LOCATED FRC ACCESSION NO. Little Rock, Arkansas 021 - CASE FILE NAME (S) CASE FILE NO. FRC LOCATION NO. AGENCY BOX NO. STEP 2 REQUEST INFORMATION A. PACKAGE – All of the following documents: (NO SUBSTITUTIONS) Order of discharge, Order of Dismissal, or Final decree Voluntary Petition Summary of schedules Creditors holding unsecured non-priority claims (schedules A1, A2, and A3 OR schedules D, E and F) [ ] A1-MAIL/FAX $10.00 [ ] A2 CERTIFIED COPIES (MAIL ONLY) $16.00 ***[ ] SEND FED EX-additional $7.50 OR use my FED EX#____________________________ B. ENTIRE - All documents in case. (Page limit: 70) You will be notified if it exceeds.***** [ ] B1-MAIL (only) $35.00 [ ] B2-CERTIFIED COPIES (MAIL ONLY) $41.00 ***[ ] SEND FED EX-additional $7.50 OR use my FED EX#____________________ [NO SELECTED DOCKETS] STEP 3 NAME _______________________________________ ADDRESS ____________________________________[NO P.O. BOX #’S FOR FED EX] CITY ________________________ STATE_________________ ZIP ___________ DAYTIME TELEPHONE NUMBER ( ) _______________________ FAX NUMBER ( 501 ) _____________________ We will not fax a package over 50 pages (we will mail) PAYMENT (must be received before we can process your request): By mail: Check or money order (no copies) payable to: NATIONAL ARCHIVES TRUST FUND. (If you request more than one case please provide a separate check for each request in case one of your requests is unserviceable). By fax or mail: Credit card payment must be by MasterCard, VISA, AMERICAN EXPRESS OR DISCOVER. ACCOUNT#___________________________________________________ EXP. DATE____________ PLEASE DO NOT SEND CASH! STEP 4 SUBMIT REQUEST- To the above address or fax number. Allow 2-3 business days to process. Due to the volume of requests that we receive daily, we do not confirm that we have received your fax. TELEPHONE: 817-334-5515 Rev. June 2002 American LegalNet, Inc. www.FormsWorkflow.com