Debtors Electronic Noticing Request (DeBN) {NVB 9036}

NVB 9036 (Rev. 9/16) U.S. BANKRUPTCY COURT DISTRICT OF NEVADA DEBTOR'S ELECTRONIC NOTICING REQUEST (DeBN) Debtor Name: _____________________ Case No: __________________ CHECK ONLY ONE BOX FOR THE APPLICABLE SECTION BELOW: G INITIAL REQUEST: Check this box to begin receiving notices and orders from the U.S. Bankruptcy Court via email. Pursuant to Bankruptcy Rule 9036, I hereby request receipt of court notices and orders via email, instead of U.S. mail, from the Bankruptcy Noticing Center (BNC) through the U.S. Bankruptcy Court's Debtor Electronic Bankruptcy Noticing (DeBN) program. For more information about the DeBN program, visit the court's website at: www.nvb.uscourts.gov I understand that: · This request is limited to receipt of only notices and orders entered by the U.S. Bankruptcy court. I will continue to receive documents filed by all other parties, including the trustee and creditors, via U.S. mail or in person pursuant to local and federal court rules. · My email address will appear on any certificate of mailing filed by the BNC. · I will receive electronic notice of any documents entered by the court in any current or future bankruptcy or adversary case from any bankruptcy court district in which I am listed with the same name and address, including cases where I am listed as a creditor. · The first time the BNC receives an email bounce-back (undeliverable email), my DeBN account will be automatically disabled. I will then receive notices and orders via U.S. mail, and I must file an updated form if I wish to reactivate my account. · Enrollment in DeBN is completely voluntary, and I may request to deactivate my account at any time. · Initial activation may take up to 48 hours to process. You will receive notices and orders entered by the U.S. Bankruptcy court via U.S. mail until the activation has been completed. G UPDATE ACCOUNT INFORMATION: Check this box to make changes to your existing DeBN account. I request the following update(s) to my DeBN account: G I have a new email address as indicated below. G I filed a new bankruptcy case, and I have an existing DeBN account. Please review my account to ensure my name and address matches this new case. G I request reactivation of my DeBN account so that I may receive court notices and orders via email, instead of U.S. Mail. 1 American LegalNet, Inc. www.FormsWorkFlow.com G REQUEST TO DEACTIVATE ELECTRONIC NOTICING: Check this box to request deactivation of your DeBN account. I request deactivation of my DeBN account. I understand that: · By deactivating my account, I will begin receiving notices and orders entered by the U.S. Bankruptcy court via U.S. mail, instead of email. · I will continue to receive electronic notices until such time as the court has deactivated my account. Under penalty of perjury, I certify that I am a debtor in this bankruptcy case, or the debtor's authorized representative if the debtor is a business, and I have read the applicable section check-marked above and understand and agree to the terms and conditions set forth therein. Neither the U.S. Bankruptcy Court nor the BNC bears any liability for errors resulting from the information I have stated on this form. Joint debtors who each request enrollment or already have a DeBN account must file separate forms. Signature: _________________________________ Date: ___________________ Printed name (and title if not the debtor): __________________________________ Email Address (CAPITAL letters only): Confirm Email Address (CAPITAL letters only): In Las Vegas, please return to: U.S. Bankruptcy Court 300 Las Vegas Blvd South Las Vegas, NV 89101 In Reno, please return to: U. S. Bankruptcy Court 300 Booth St. Reno, NV 89509 2 American LegalNet, Inc. www.FormsWorkFlow.com