IN THE UNITED STATES BANKRUPTCY COURT WESTERN DISTRICT OF PENNSYLVANIA NOTICE OF TERMINATION OF CM/ECF PRIVILEGES I, ______________________, the undersigned, hereby certify that I am not an attorney of record on any pending case before the Bankruptcy Court for the Western District of Pennsylvania (the "Court"). I am instructing the Clerk of Court to terminate my status as a registered Filing User in the Court's CM/ECF System, pursuant to W.PA.LBR 5005-4. I understand that I will no longer be able to file documents electronically or receive Notices of Electronic Filing when entries are made on cases. I shall mail this signed Notice of Termination of CM/ECF Privileges to the Clerk of Court by certified U.S. mail. EXECUTED ON [date]: By: __________________________________________ Signature __________________________________________ Typed Name __________________________________________ Address __________________________________________ Phone No. __________________________________________ Bar I.D. and State of Admission PAWB Local Form 4C (07/13) American LegalNet, Inc. www.FormsWorkFlow.com