BTXN 089 (rev. 11/11) UNITED STATES BANKRUPTCY COURT NORTHERN DISTRICT OF TEXAS APPLICATION FOR SEARCH OF BANKRUPTCY RECORDS Name of individual or business that is the subject of the search: Social Security No./Tax ID No. of the subject of the search: Based upon the information provided above, please search the records of the U.S. Bankruptcy Court for the Northern District of Texas for the following: 9 Pending/Closed bankruptcy cases and adversary proceedings in this district. 9 Other: _______________________________________________________ Search date range: from ____________________ to ____________________ Pursuant to the Bankruptcy Court Miscellaneous Fee Schedule, there is a $30 search fee (per name or item searched)for providing any bankruptcy case record information. A fee of $11.00 is charged for certification. Payment must be included with this application. Make checks payable to "Clerk, U.S. Bankruptcy Court." Name, address, and telephone number of the person requesting this search: CERTIFICATE OF SEARCH I hereby certify the following results of a diligent search of the records of this court: 9 No matches found. 9 Bankruptcy case filed on: _________________________ 9 Pending 9 Closed (on ___________________ ) 9 Voluntary/9 Involuntary 9 Discharged (on ___________________ ) 9 Subject of search is a party to the following adversary proceeding: _____________________________ vs. _____________________________ Adversary No.: _________________________________________________ Related bankruptcy case No.: ______________________________________ 9 Pending 9 Final Judgment entered (on ___________________ ) 9 Other: _________________________________________________________________________________ Clerk of Court U.S. Bankruptcy Court Northern District of Texas DATED: ____________________ By: ____________________________________ Deputy Clerk American LegalNet, Inc. www.FormsWorkFlow.com