Copy Request Form And Bill For Copy Services And Notice {B-353}

OFFICE USE ONLY File Status: _____ Pulled for court____________________________ _____ Other_____________________________________ U.S. BANKRUPTCY COURT 1100 Laurel St Columbia, SC 29201-2423 (803) 765-5436 COPY REQUEST FORM AND BILL FOR COPY SERVICES AND NOTICE ___________________________________ ___________________________________ ___________________________________ Requested Delivery: __________ Please Mail __________ Call When Ready Case Number: Case Name: Date:__________________________________________ Firm Name/Address: _______________________________________________ _______________________________________________ _______________________________________________ Contact Person:________________________________ Phone Number:__________________________________ ************************************************************************************************************* PLEASE COPY THE FOLLOWING: __________ __________ __________ __________ __________ __________ __________ __________ __________ REMIT TO: Petition Additional Comments: All Schedules _______________________________________________ Specific Schedules ________________ _______________________________________________ Statement of Financial Affairs _______________________________________________ Statement of Income and Expense _______________________________________________ List of 20 Largest Unsecured Creditors (Chapter 11) Plan of Reorganization (Chapter 11) Disclosure Statement (Chapter 11) __________ Chapter 13 Plan Statement of Intent______ BILL AND STATEMENT OF CHARGES U.S. BANKRUPTCY COURT 1100 Laurel Street Columbia, SC 29201-2423 DATE:_______________________________________ Photo Copies _____ pages @ $.50 per page Archive retrieval fee _____ @ $53.00 Certified copies _____ @ $11.00 each File Search _____ @ $30.00 each Other____________________________________ TOTAL AMOUNT DUE $__________ $__________ $__________ $__________ $__________ $__________ B-353:12/13/2012 American LegalNet, Inc. www.FormsWorkFlow.com