Debtors Electronic Noticing Request (DeBN)

U.S.BANKRUPTCYCOURTDISTRICTOFKANSASInre:CaseNo. DEBTOR222SELECTRONICNOTICINGREQUEST(DeBN) CHECKONLYONEBOXFORTHEAPPLICABLESECTIONBELOW:INITIALACTIVATIONREQUEST:(CheckthisboxtobeginreceivingnoticesandordersfromtheU.S.BankruptcyCourtviaemail.) PursuanttoBankruptcyRule9036,Iherebyrequestreceiptofcourtnoticesandordersviaemail,insteadofU.S.mail,fromtheBankruptcyNoticingCenter(BNC)throughtheU.S.BankruptcyCourt222sDebtorElectronicBankruptcyNoticing(DeBN)program. Iunderstandthatmyemailaddresswillappearonanycertificateofmailingfiledbytheelectronicnoticingprovider. IunderstandthatthisrequestislimitedtoreceiptofonlynoticesandordersenteredbytheU.S.BankruptcyCourt.Iwillcontinuetoreceivedocumentsfiledbyallotherparties,suchasthetrusteeandcreditors,viaU.S.mailorinpersonpursuanttocourtrules.IunderstandthatIwillreceiveelectronicnoticeofanydocumentsenteredbythecourtinanycurrentorfuturebankruptcyoradversarycasefromanybankruptcycourtdistrictinwhichIamlistedwiththesamenameandaddress,includingcaseswhereIamlistedasacreditor.IunderstandthatthefirsttimetheBNCreceivesanemailbounceback(undeliverableemail),myDeBNaccountwillbeautomaticallydisabled.IwillthenreceivenoticesandordersviaU.S.mail,andImustfileanupdatedrequestformifIwishtoreactivatemyaccount.IunderstandthatenrollmentinDeBNiscompletelyvoluntary,andImayfilearequesttodeactivatemyaccountatanytime. INITIALDECLINATION:(CheckthisboxtodeclinereceivingnoticesandordersfromtheU.S.BankruptcyCourtviaemail.) UPDATETOACCOUNTINFORMATION:(CheckthisboxtomakechangestoyourexistingDeBNaccount.) Irequestthefollowingupdate(s)tomyDeBNaccount:Ihaveanewemailaddressasindicatedbelow.Ifiledanewbankruptcycase,andIhaveanexistingDeBNaccount.Pleasereviewmyaccounttoensuremynameandaddressinmyaccountmatchthisnewcase.IrequestreactivationofmyDeBNaccountsothatImayreceivecourtnoticesandordersviaemail,insteadofU.S.mail. REQUESTTODEACTIVATEELECTRONICNOTICING:(CheckthisboxtorequestdeactivationofyourDeBNaccount.) IrequestdeactivationofmyDeBNaccount.Iunderstandthatbydeactivatingmyaccount,IwillbeginreceivingnoticesandordersenteredbytheU.S.BankruptcyCourtviaU.S.mail,insteadofemail.IunderstandthatIwillcontinuetoreceiveelectronicnoticesuntilsuchtimeastheCourthasdeactivatedmyaccount. IcertifythatIamadebtorinthisbankruptcycase,orthedebtor222sauthorizedrepresentativeifthedebtorisabusiness,andIhavereadtheapplicablesectioncheckmarkedaboveandunderstandandagreetothetermsandconditionssetforththerein.NeithertheU.S.BankruptcyCourtnortheBNCbearsanyliabilityforerrorsresultingfromtheinformationIhavestatedonthisform.JointdebtorswhoeachrequestenrollmentoralreadyhaveaDeBNaccountmustfileseparateforms.IfthisformisbeingfiledviaU.S.mail,pleaseincludeacopyofaphotoidentification. DebtorSignature:Date: PrintedName(andtitleifabusinessdebtor): EmailAddress(CAPITALlettersonly): ConfirmEmailAddress(CAPITALlettersonly): FormoreinformationabouttheDeBNprogram,visittheCourt222swebsiteat:www.ksb.uscourts.gov. (/1) American LegalNet, Inc. www.FormsWorkFlow.com