Declaration Regarding Electronic Filing {2}

UNITED STATES BANKRUPTCY COURT MIDDLE DISTRICT OF LOUISIANA (Local Form 2) IN RE CASE NO. DECLARATION REGARDING ELECTRONIC FILING PART I: PETITIONER'S DECLARATION (1) I am the debtor in this case. (1)(a) [If the debtor is a corporation, partnership or limited liability company] I am a representative of the debtor and I am authorized to sign this declaration on behalf of the debtor. (2) [] I have authorized my attorney to electronically file documents in this case or any proceeding related to this case. OR [] [If the debtor is not represented by an attorney] I will file documents on my own behalf in this case or any proceeding related to this case. (3) My electronic signature on any documents bearing a signature designation ("s/____") filed in this case or any proceeding related to this case is my signature for all purposes authorized or required by law. My electronic signature on such documents shall have the same effect as my signature on the original documents. The image of my signature on any document bearing my original signature is my signature for all purposes authorized or required by law. [If the debtor is not represented by an attorney] I agree that I shall retain all original, signed documents filed in this case or any proceeding related to this case for five years after (4) (5) American LegalNet, Inc. www.FormsWorkFlow.com the closing of the case or proceeding in which the documents are filed. I certify under penalty of perjury that the foregoing is true and correct. _______________, 20____. Signed: __________________________ (Debtor) ___________________________ (Joint Debtor) Signed on Social Security Number: ______________________ Social Security Number: ______________________ PART II: DECLARATION OF ATTORNEY (1) (2) (3) I am the attorney for the debtor. The debtor or representative of the debtor signed this declaration. I acknowledge and accept the responsibility to maintain all original, signed documents filed in this case or any proceeding related to this case for five years after the closing of the case or proceeding in which the documents are filed. I certify under penalty of perjury that the foregoing are true and correct. Signed on _____________________, 20___. Signed: (Attorney for Debtor) American LegalNet, Inc. www.FormsWorkFlow.com