UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA Division REQUEST FOR FILE FROM NATIONAL ARCHIVES AND RECORDS ADMINISTRATION Please complete this form. You will be advised, in writing (or by telephone if you request), by this office when the file has been received from the National Archives and Records Administration located in Philadelphia, Pennsylvania. The cost is $45.00 per case [or adversary] requested. Make check payable to “Clerk, U.S. Bankruptcy Court.” This fee must be paid before the file(s) will be requested. DEBTOR __________________________________________________________________ CASE NUMBER _________________ DATE CLOSED (if known) __________________ NAME OF REQUESTING PARTY ____________________________________________ ADDRESS ___________________________________________________________ _____________________________________________________________________ PHONE NUMBER DURING BUSINESS HOURS __________________________ (If you wish to be called when the file is received.) ****************************************************************** For Clerk’s Office Use Only: Accession No. __________________ Date Ordered ___________________________ Location No. __________________ By Whom ___________________________ Box No. __________________ Electronic Date File Received __________________ _______ Manual ________ Date Requestor Contacted _________________ Date File Returned __________________ [ver. 11/01/03] American LegalNet, Inc. www.USCourtForms.com