UNITED STATES BANKRUPTCY COURT
WESTERN DISTRICT OF TENNESSEE
Inre:Debtor(s)CaseNo.
DEBTOR’SELECTRONICNOTICINGREQUEST(DeBN)
CHECKONLYONEBOXFORTHEAPPLICABLESECTIONBELOW:
INITIALREQUEST:(CheckthisboxtobeginreceivingnoticesandordersfromtheU.S.BankruptcyCourtviaemail)
Pursuant to Federal Rule of BankruptcyProcedure 9036,Irequestthat court-generatednotices and ordersbe delivered to my email address instead of by U.S.mail to my mailing address.
Iunderstand that this requestis limited to email delivery of onlynoticesand ordersfiled bytheU.S. BankruptcyCourt. Iwill continueto receivedocuments filed by all otherparties,such as thetrusteeand creditors,by U.S. mail orin person as required by court rules.
I understandthat by requesting email notification,the court may establishmy DeBN accountanddeliver to me, by email, documentsfiledbythecourtinanycurrentorfuturecasefromanybankruptcycourtinwhichIamlistedwiththesamename and mailing address, including cases in which I am a creditor, plaintiff or defendant.
IunderstandthatIwillbeassignedaDeBNaccountnumber. MyenrollmentinDeBNiscompletelyvoluntarily,andImayfilea request to deactivate my account at any time.
I understand that my DeBN account willbe deactivated by the court if an email is returned undelivered or “bounced-back”, and the court will instead deliver orders and court-generated notices by U.S.mail to my mailing address.
UPDATETOACCOUNTINFORMATION:(CheckthisboxtomakechangestoyourexistingDeBNaccount)
Irequestthefollowing update(s)to myDeBNaccount:
Update my email address to the new email address indicated below. I have an active DeBN account
Ifileda newbankruptcy case,and Ihavean existing DeBNaccount. Please review my account to ensuremynameand address in myaccount match this newcase.
ReactivatemyDeBNaccount.MyDeBNaccountwasdeactivatedatmyrequest, orwasdeactivatedbythecourtdueto
anemaildeliveryfailure.Mycurrentemailaddress is indicatedbelow.
REQUESTTODEACTIVATEELECTRONICNOTICING:(CheckthisboxtorequestdeactivationofyourDeBNaccount)I requestdeactivationofmyelectronicnoticing(DeBN) account.
I understand that by deactivating my account, I will begin receiving notices and ordersfiledbytheU.S.BankruptcyCourt byU.S.mailtomymailingaddressthatisonfilewiththecourtinsteadoftomyemailaccount.
IunderstandthatIwillcontinuetoreceiveelectronic(email) noticesuntilsuchtimeastheCourthasdeactivatedmyaccount.
Iamadebtorinthisbankruptcycase,orthedebtor’sauthorizedrepresentative ifthedebtorisabusiness,andIhavereadthe applicablesectioncheck‐markedaboveandunderstandandagreetothetermsandconditionssetforththerein. Neitherthe U.S. Bankruptcy Courtnor theBNCbearsany liability forerrorsresultingfrom theinformationIhavesubmittedonthisform.
Jointdebtorswhoeach request enrollment oralreadyhaveaDeBNaccountmustfileseparateforms.
Signature:
Date:
PrintedName(andtitleifnotthedebtor):
EmailAddress(typeorprintclearly):
Formoreinformation about theDeBNprogram,visit theCourt’s websiteat: