Application For Court Account {MISC30}

JUDICIAL BRANCH OF DELAWARE APPLICATION FOR COURT ACCOUNT Firm/Company EIN#: ____________________________ Court Use Only___________ Firm/Company Name: __________________________________________________ Mailing Address: ______________________________________________________ ____________________________________________________________________ ____________________________________________________________________ Telephone Number: ____________________________________________________ Responsible Party Name: __________________________ Court Use Only__________ Address (if different from above): _________________________________________ ____________________________________________________________________ Telephone Number: ____________________________________________________ Email Address: ________________________________________________________ Court Account Minimum Balance: $ ________________________________________ (Threshold at which replenishment notice will be generated will be one week's transactional activity.) Authorized Users*: 1. ______________________________________________ 2. ______________________________________________ 3. ______________________________________________ 4. ______________________________________________ *Firm shall be responsible for internal approval process. Submitted by: Court Use Only _________________ _________________ _________________ _________________ _____________________________________________________ (signature) (date) Court Use Only Account Established by _______________________________________________ (initials) (date) Please fax or mail completed forms to: Fax Number: 302-323-5345, Attention: Andrea Godfrey Mailing Address: Justice of the Peace Court Administrative Office, 30A Parkway Circle, New Castle, DE 19720 American LegalNet, Inc. www.FormsWorkflow.com Form MISC30