NATIONAL ARCHIVES AND RECORDS ADMINISTRATION P.O. BOX 6216 501 W. FELIX ST., BLDG. 1, DOCK 1 FT. WORTH, TX 76115 FAX: 817-334-5630 REQUEST FORM for BANKRUPTCY CASES RETURNED by MAIL OR FAX (Please Circle One) Please follow the steps below to obtain photocopies of your desired BANKRUPTCY request. Payment may be made by check, money order or major credit card. Please use one form per case. Orders will not be taken by phone STEP 1CASE INFORMATION For each case, obtain the following information (for the boxes below) FROM THE DIVISIONAL OFFICE OF THE U. S. 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. FRC LOCATION NO. 021 CASE FILE NAME(S) CASE FILE 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 nonpriority 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 myFED 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 myFED EX # [NO SELECTED DOCKETS] ***RETURN INFORMATION******RETURN INFORMATION*** STEP 3RETURN INFORMATION Information needed to process and return your request. (Please print clearly) NAME: ADDRESS: [NO P.O. BOX #S FOR FED EX] CITY: STATE: ZIP: DAYTIME TELEPHONE NUMBER ( ) FAX NUMBER ( ) 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 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 4SUBMIT REQUEST TO THE ABOVE ADDRESS OR FAX NUMBER Due to the volume of requests that we receive daily-we do not confirm that we have received your fax. Telephone: 817-831-5900 Rev. June 2002