United States Bankruptcy Court Southern District of Texas Creditor Registration Form for Electronic Filing Please complete this form to open an account on the Court’s Bankruptcy electronic case filing (ECF) system. If you have already participated in an instructional ECF course or have an ECF password in another district, indicate the district and the date in the space provided. District/Date_________________________________________________ First/Middle/Last Name:________________________________________________________ Company or Agency for which you are authorized to sign or file bankruptcy claims:________________________________________ Street and Suite:____________________________________________________________________ City State Zip:_______________________________________________________________________ Voice:________________________________ Facsimile:_________________________________ E-Mail:_____________________________________________________________________________ By submitting this form, I agree to abide by these rules: 1. I will maintain familiarity with the technical and procedural requirements as they are adopted by the court. 2. Use of my login and password constitutes my signature on documents filed electronically for purposes the Federal Rule of Bankruptcy Procedure 9011. 3. I am responsible for all use of my login and password, authorized or not. 4. By registering, I consent to electronic service of documents and notices through the Court’s Electonic Filing System and waive service by other means. 5. I agree to electronically file bankruptcy claims and/or transfers/ assignment claims only. Applicant’s Signature___________________________________________________________ Please return to: Electronic Registration United States Bankruptcy Court P.O. Box 61010 Houston, TX 77208-1010 American LegalNet, Inc. www.FormsWorkflow.com By submitting this form, I agree to abide by these rules: 1. I will maintain familiarity with the technical and procedural requirements as they are adopted by the court. 2. Use of my login and password constitutes my signature on documents filed electronically for purposes the Federal Rule of Bankruptcy Procedure 9011. 3. I am responsible for all use of my login and password, authorized or not. 4. By registering, I consent to electronic service of documents and notices through the Court’s Electonic Filing System and waive service by other means. 5. I agree to electronically file bankruptcy claims and transfers or claims only. American LegalNet, Inc. www.FormsWorkflow.com