UNITED STATES BANKRUPTCY COURT EASTERN DISTRICT OF VIRGINIA ____________________ Division In re Case No. ____________________ Debtor(s) Chapter _______ REQUEST FOR WAIVER TO FILE BY COMPUTER DISKETTE OR CONVENTIONALLY ______________________________ hereby request(s) that the Court waive the requirement of submitting the filing, more specifically described as ___________________________________ through use of the Internet component of CM/ECF, as required by the Electronic Case Files Policy. Due to financial constraints and the inability to access the equipment necessary to comply with this requirement, the undersigned requests that the above-identified document(s) be submitted for filing by: computer diskette ( ) [check here if applicable], or conventional means ( ) [check here if applicable]. The undersigned acknowledges that should the Court obtain information which indicates that the undersigned did not accurately represent the basis for requesting the waiver, the matter will be referred to the judge presiding over the case for appropriate action, which may include sanctions against the party making the false certification or an order striking the pleading or other paper without further notice. __________________________________ Signature of Attorney (or Requestor) State Bar No. ______________________ (If applicable) Address & Telephone No. __________________________________ __________________________________ For: ______________________________ Date: ____________________ Ver. 03/12/08 American LegalNet, Inc. www.FormsWorkflow.com